Kerry Clayton from Kent noticed she was more flexible than her friends during childhood. People who have a range of hypermobility-related conditions, but who do not fulfil all the criteria for one of the Ehlers-Danlos syndromes (EDS), are now classified as having hypermobility spectrum disorders (HSD).Īt the severe end of the spectrum, people with hypermobile joints can have extremely debilitating symptoms and severe, potentially life-threatening associated abnormalities due to one of the Ehlers-Danlos syndromes (EDS). Some people are simply very flexible, in the same way that some are very tall, and this is not a medical condition if they have no symptoms from it. However, there are so many variations on the degree of hypermobility, the symptoms it causes and the complications some people experience that the term hypermobility spectrum disorders (HSD) has replaced this. In the past, people with hypermobile joints could be diagnosed with joint hypermobility syndrome or even 'benign joint hypermobility syndrome'. HSD-related pain in under-12s in particular may be mistaken for growing pains. Symptoms often appear first in childhood, but the diagnosis might not be made for some years, especially as individual bouts of pain often settle on their own. This is when a doctor or physiotherapist might suspect one of the hypermobility spectrum disorders (HSD) - more of this complex spectrum of conditions later. 'Pain may also be felt within the joint or the associated muscles, and the joint itself may even dislocate.'

'All hypermobile joints are at increased risk of injury, due to the laxity and increased range of motion,' explains sports scientist and therapist Dawn Morse. You may only become aware of a problem if you begin to experience pain or get injured, particularly as a result of an activity or movement that wouldn't ordinarily cause a problem - for example, badly twisting an ankle when you stand from a seated position. Many people have hypermobile joints but don't know it, because the degree to which their joints flex is normal for them and has never been a cause for concern.

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