Hypermobility / hEDS Treatment
Stable Strength for Life: Hypermobility & hEDS Focused Physiotherapy
Living with Joint Hypermobility or Hypermobile Ehlers-Danlos Syndrome (hEDS) is a unique challenge that requires a truly specialized approach.
At Renewal, our therapists gained advanced training, understanding the unique connective tissue fragility, chronic pain, and associated symptoms (like dizziness, fatigue, and dysautonomia) that accompany hEDS and Hypermobility Spectrum Disorder (HSD).
Your treatment will address your unique presentation. Your physiotherapist will assess and focus on stability, low-impact muscle strengthening, and proprioceptive training to teach your muscles how to properly support your joints. We emphasize pacing strategies and gentle, hands-on techniques to manage pain while building the stable foundation necessary for your long-term health and continued renewal.
FAQ’s
What is the difference between Hypermobility and hEDS (Ehlers-Danlos Syndrome)?
Hypermobility means your joints move beyond the normal range. It can affect one or multiple joints and is not considered pathological, unless it causes pain or disability. Some people are naturally flexible without pain or instability.
hEDS (Hypermobile Ehlers-Danlos Syndrome) is a genetic connective tissue disorder that causes joint hypermobility along with multi system symptoms such as Gastrointestinal, Urogenital, joint subluxation / dislocations, chronic pain, soft or stretchy skin, and fatigue.
A physiotherapist can help manage both conditions by focusing on joint control, strength, and stability to reduce pain and prevent injury.
Are there exercises or stretches I should absolutely avoid with hypermobility?
Yes — people with hypermobility should usually focus on controlled, strengthening movements that build muscle support around joints.
Your physiotherapist will guide you through safe exercises that help you move confidently within your stable range.
What is the goal of physiotherapy for hypermobility (e.g., strength or flexibility)?
The main goal of physiotherapy for hypermobility is improving joint stability and control, not increasing flexibility. Treatment focuses on:
- Building strength in the muscles that support your joints
- Improving proprioception (body awareness and coordination)
- Reducing pain and fatigue
- Enhancing posture and movement patterns
By teaching your body how to move in a more stable, controlled way, physiotherapy helps prevent injury and make daily activities easier and more comfortable.
Does physiotherapy for hypermobility / hEDS treat dizziness or POTS symptoms?
Yes — if you experience dizziness, lightheadedness, or symptoms of POTS (Postural Orthostatic Tachycardia Syndrome), your physiotherapist can include graded exercise, balance training, and cardiovascular reconditioning in your treatment plan. These help your body adjust better to position changes and improve blood flow regulation.
In some cases, your therapist may work alongside your doctor or a specialist for a more comprehensive care plan.
Do I need a formal diagnosis of hEDS to receive specialized physiotherapy treatment?
No — you don’t need a formal diagnosis to begin physiotherapy. If you suspect hypermobility or hEDS, your physiotherapist can assess your movement patterns, identify areas of instability, and start building a safe, supportive treatment plan. If needed, they can also refer you to your doctor or a specialist for further evaluation.
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