Where joints move beyond the usual range, which is often harmless but can sometimes cause pain and instability that benefit from a tailored plan
Joint hypermobility means that some or all of the joints move beyond the normal range. For many people this causes no problems at all and can even be an advantage. In some, however, it is associated with pain, frequent injuries or a feeling of instability, and occasionally it forms part of a wider syndrome. Assessment helps understand which situation applies.
Written for patients and reviewed by Dr Liubov Borukhson, Consultant Rheumatologist (GMC 7021928).
Where hypermobility causes symptoms, these may include:
Assessment involves a history of your symptoms and how the joints behave, an examination of joint movement, and consideration of whether the hypermobility is isolated or part of a broader pattern. Part of the value of assessment is distinguishing simple, harmless hypermobility from the situations that need a more structured approach.
Where specific joints are painful, ultrasound can help assess the soft tissues around them. Dr Borukhson uses point-of-care ultrasound during the consultation. You can read more on the ultrasound clinic page.
Management centres on strengthening the muscles that support and stabilise the joints, usually through a structured exercise and physiotherapy programme, alongside advice on protecting the joints and managing pain. This approach is often very effective. Where appropriate, other specialists may be involved. The plan is tailored to you.
For symptomatic hypermobility, a clear assessment and a structured plan can make a real difference to pain and stability, and provide reassurance where the hypermobility is harmless. If your joints are very flexible and also painful or unstable, a specialist review can help.
A specialist assessment can establish whether hypermobility is contributing to your symptoms and agree a plan to improve stability and comfort
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