Hypermobile neck treatment 4%). Surgical Interventions: A survey of EDS patients found patellar instability in 57% of patients with the hypermobile type. Skin extensibility is usually measured on the ventral (underside) of the forearm, the back of the hand, or the neck. They are: - Jun 16, 2023 · Overly flexible (hypermobile) joints — it might feel like your joints are loose or unstable. If the non-operative treatment fails, Principles of management There have been very few treatment intervention studies undertaken to date. You can have EDS and not be 2 days ago · At this time, the doctor can also examine the thickness and texture of the skin. I have struggled with chronic neck and upper back pain for the last decade. Does Cervicogenic headaches – Migraines, tension headaches and cervical neck instability; Cluster headache treatment – cervical ligament instability and the trigeminal and vagus nerves; Feb 21, 2017 · The first line of treatment should be neck brace, physical therapy, and avoidance of activities that provoke exacerbation of the AAI symptoms. As they age Aug 1, 2021 · Joint dislocations occur in around 75% of all patients with EDS. and neck pain we suggest treatment surrounding Sometimes referred to as “wry neck”, this is a condition causing muscle spasms and associated neck pain. These tools are often part of long-term Pain is a common symptom of hypermobility syndromes, including hEDS, JHS, and HSD. 4. This can lead to a delay People with hypermobile joints are able to extend them painlessly beyond the normal range of motion. Mar 25, 2024 · Back & Neck Treatment Overview Hypermobile joints are unstable and susceptible to sprain, dislocation, subluxation, and hyperextension which can cause muscle, tendon, ligament, and joint injury and pain. Initial treatment for segmental instability consists of non-surgical treatment modalities including spine-specialized physical therapy, anti-inflammatory medications, core strengthening, low impact A common cause of headaches is due to the cervical/neck C2-3 facet joint hyper-motion. With this guide you’ll learn the foundations about living with hypermobility-related syndromes, and the basic principles you need Sep 1, 2019 · Surgical indications in patients with hypermobile hip syndrome include a failure of initial nonsurgical treatment for 3 months minimum, with symptoms for 6 months minimum. The treatment of The pressure being created by hypermobile, unstable cervical vertebrae was causing this patient’s whole body to be in a state of distress. Symptoms of joint hypermobility syndrome include pain in the knees, fingers, hips, and elbows. • To provide for good head, neck, and Ross Hauser, MD. 9) state Nov 6, 2019 · Neck pain; Soft tissue tears; Dislocations; Joint hypermobility can’t be cured with treatment, but there are ways to limit symptoms and prevent future problems. Hypermobility is a connective tissue disorder. Accordingly, Eccles et al. 1. A dull ache in my neck will increase until the ache in my neck is almost unbearable. In this article, I have put together a summary of some of the symptoms and conditions that we have seen in our patients either previously diagnosed or recently diagnosed Chiari malformation Type I (CMI) has been reported as a condition that can occur with hypermobile EDS (hEDS). Many physical therapy treatments in the past may have Nov 12, 2024 · Pain is one of the first symptoms a patient will notice with a facet joint injury. Information about COVID-19 and other respiratory viruses. Contrary to popular belief, hypermobility does not only affect the joints. They usually revolve around strengthening joint areas and relieving painful symptoms. top of page. As always, avoid any exercise that is not suitable for you. Recommended products and strategies to relieve neck pain, especially in hypermobile bodies. there are 13 official types of EDS based on the 2017 International Diagnostic Criteria. This can mean years of fruitless doctor visits and unnecessary tests, treatments We present a series of 3 patients (≥18 years) with hypermobile EDS (independently meeting the 2017 diagnostic criteria ) who underwent low-dose OnabotulinumtoxinA injections for cervical Plain language summary The lack of guidelines and consensus on physical therapy (PT) interventions to treat and restore function in people with Generalized Hypermobility Spectrum The specialist informed me I have loose skin . You’ll still have Mar 19, 2024 · This in part is related to cranio-cervical instability, and neck and breathing issues that exist. Being a spectrum, individuals with hypermobility can range from those who are asymptomatic to those with widespread complex symptoms with nearly every organ system affected. Research by Barton and Bird reported improvements in joint stability and body pain with strengthening and stability exercises. At points, the pain has been debilitating. JH is not always painful, but if so, (1) is Treatments Brochure (it's free) All you need to know about how we treat back, nerve, head & face, groin pain and more, in a concise 20 page brochure. For treatment, we have noted significant success with the RIGHT kind of physical therapy. In most cases conservative (non surgical) treatments will apply. They also reported significantly lower shoulder May 10, 2023 · These patients are most likely to present in orthopedic or musculoskeletal PT clinics. Managing arthritis. Because it is based mostly on patient's history, There are days when my migraine-like pain starts with discomfort in my neck. Joint . hEDS is also associated with a variety of Hypermobility-Related Syndrome Seeking diagnosis for hypermobility-related disordered can be SO hard. All of this Hypermobile EDS diagnostic criteria is consistently limited to skin fragility or elasticity and hypermobile joints. Skin is hyperextensible if it May 1, 2024 · In one study on self-reported pain patterns in people with joint hypermobility, pain was reported in the shoulder in 80. A GP Loose ligaments connecting the skull and neck as well as a hypermobile neck can lead to problems: swallowing, speech difficulty, changes in walking, bodily weakness, uncontrolled muscle contractions, altered senses, and changes in Joint dislocations and subluxations can commonly occur in people with hypermobile Ehlers-Danlos syndrome (hEDS) and hypermobility spectrum disorders (HSD). Panadol is effective in relieving post treatment pain. At the Centeno-Schultz Clinic x Physiotherapy techniques are regularly prescribed in the hypermobile type Ehlers-Danlos syndrome (hEDS) and they are appreciated by the patients. These patients generally had undergone Conservative treatments such as physiotherapy can help hypermobile patients by the use of mobilizing techniques to restore subluxations; enhance general fitness to offset or reverse the tendency for the body to lose condition by lack of Jun 12, 2020 · Learn about the causes, symptoms, and treatment here. In most people, this causes no problems and does not require treatment. Some of these However, conventional treatments for chronic neck pain remain debatable and include interventions such as use of nonsteroidal anti-inflammatory drugs (NSAIDs) and narcotics for It is not unusual to have a few hypermobile joints. This ache then causes pain in my head like a migraine. Is getting a neck lift the only option for this? What kind of cost should I be expecting for this surgery? I have hypermobile ehlers danlos Seventy-four percent (74%) of hypermobile patients diagnosed with headache or migraine had abnormalities of the cervical spine, symptoms of dysautonomia, and sleep disorders, while Dr. I see plenty of patients with TMJ issues who are not hypermobile and while Craniocervical instability is rather unique to connective 2 days ago · Chiari malformation Type I (CMI) has been reported as a condition that can occur with hypermobile EDS (hEDS). Radio-frequency ablation of the cervical facet joint as well as treatments such as peripheral nerve Treating joint hypermobility syndrome. One of the common symptoms for each form is hypermobility, however the two are not always linked. [1] Meanwhile, other names are While treatments directed at the structural neck issues are helpful for histamine-induced symptoms they have to be combined with dietary changes to reduce synthetic and histamine-containing Principles of management There have been very few treatment intervention studies undertaken to date. 2,3 Prevalence of generalized hypermobility is 10-20% in adults and 34% in children. This Guide provides basic Objective: The knowledge of the mobility of urethra plays important role in patients with stress urinary incontinence and its assessment is a part of standard urogynecological examination. Skin protection is critical – from injury, sun, scarring, etc. Physical therapy can often help decrease cervical instability. A good physiotherapist will teach Because the joints are capable of excessive motion in people with joint hypermobility syndrome, they are susceptible to injury. 1 Treatment of patellar instability is similar to shoulder instability; nonoperative measures should Aims: Bladder neck hypermobility (BNH, also called urethral hypermobility), and intrinsic sphincteric deficiency (ISD) are terms frequently used in the clinical evaluation and 3 days ago · What is hypermobile Ehlers-Danlos syndrome (hEDS)? hEDS is a heritable connective tissue disorder that causes generalized joint hypermobility, joint instability, and chronic pain. Fast facts. It’s true that many people are tight and restricted, but what about Apr 15, 2024 · While there is no cure for HSD or hEDS, treatment can ensure your joints are better protected and can lessen the impact of your symptoms. The diagnosis of EDS can be challenging. These patients generally presented with debilitating neck pain and headaches that were focused near the base of the skull and exacerbated by extension/flexion and/or rotational neck movement. People with EDS may EDS is genetic and each form has its own set of features and diagnostic requirements. The treatment for However, certain conditions are inherited, as is the case with Ehlers-Danlos syndrome, a hypermobile disorder that affects roughly 3% of the population. Eustachian tube dysfunction Jan 18, 2025 · Nonsurgical. They 6 days ago · The calves are tight; the hip flexors are tight; the low-back is tight; the shoulders and the neck are tight. For instance, my specialty is joint Sep 25, 2020 · It accounts for many cases of people skipping work and recurrent treatment expenses. Ehlers–Danlos Syndrome (EDS) is a connective disorder that in the orthopedic realm involves joint hypermobility (JH). Classic. 2 Due to the emphasis on specific joint and skin elasticity, diagnostic The most common cause of facet joint disease is degeneration of the spine, also known as spondylosis. Many people with a Jun 20, 2024 · A joint subluxation is a partial dislocation of a joint. In this post, I go through a research article examining Hypermobile Neck Solution; Hypermobility Guide 101; Masterclass: Getting Stronger 2nd Edition; Masterclass: New Year, Stronger You; Treatment using soft tissue Jun 1, 2011 · A weak recommendation was made for the treatment of acute neck pain with exercise alone and the treatment of chronic neck pain with manipulation alone. Centeno discusses the use of prolotherapy for the treatment of neck, knee, sacroiliac joint, ankle, ischial tuberosity, and shoulder pain. Specializing in the treatment and diagnosis of hypermobility / instability problems, neck pains, Joint dislocations occur in around 75% of all patients with EDS. Stop any unusual joint movements that hypermobile children often use to entertain their friends. The treatment of joint hypermobility involves treating the symptoms, including pain and joint Non-surgical treatments include neck bracing to limit movement, physical therapy to strengthen neck muscles, and pain management strategies. Feb 13, 2017 · INTRODUCTION. In January 2023, experts in treating patients with symptomatic generalized joint hypermobility agreed that upper cervical instability (UCI) needs to be better recognized in symptomatic Neck. Whether made from silver or plastic, these ring splints prevent hyperextension and protect against A 52-year-old woman presented with bilateral shoulder and neck pain for 6 years. Loose ligaments connecting the skull and neck as well as a hypermobile neck can lead to Exploring the treatment options available for those with Ehlers-Danlos Syndromes (EDS). Joint dislocation: Oct 8, 2024 · Treatment is aimed at trying to protect the skin and the joints from further damage and at managing other symptoms which arise. Simple things can help with this condition, such as: Exercise. A digital questionnaire was sent to the member of the National Swedish EDS Dec 20, 2020 · Hypermobile Neck Solution; Hypermobility Guide 101; Masterclass: Getting Stronger 2nd Edition; Masterclass: New Year, Stronger You; Treatment using soft tissue mobilization techniques can help stimulate the Joint dislocations and subluxations can commonly occur in people with hypermobile Ehlers-Danlos syndrome (hEDS) and hypermobility spectrum disorders (HSD). The average age of onset tends to be younger in the CMI and EDS subgroup when compared to the general CMI Feb 17, 2021 · “Hypermobile joints are treated by avoiding the excessive anterior translatory glides of the condyle, controlling rotation, stabilizing the joint and re-establishing normal head, Feb 23, 2022 · Surgical treatment criteria for atlanto-axial rotatory instability (Fielding type I) were equally described by Henderson et al. 2 days ago · Loose ligaments connecting the skull and neck as well as a hypermobile neck can lead to problems: swallowing, speech difficulty, changes in walking, bodily weakness, uncontrolled muscle contractions, altered senses, Aug 7, 2017 · Hypermobile joint dysfunction is more problematic to treat; but it should be stated that joint mobilization is contraindicated for hypermobile joint dysfunction. A neck facet joint will cause neck pain and potentially shoulder or upper arm pain. In his descriptive text, Simmonds et al. It is often the result of acute injury or repetitive motion injury but can also be caused by medical conditions that undermine the integrity of ligaments. EHLERS-DANLOS AUSTRALIA. But you might need treatment if your symptoms linger for more than two weeks. Learn about the causes, symptoms, and Dec 17, 2024 · Tension or pain in the neck and shoulders; There are a few hypermobile jaw joint treatment options that have proved helpful with pain management and restoring the normal position of the jaws. One study found that Treatments . It may be episodic or continuous, and typically moderate in intensity and non-throbbing ( Jan 17, 2025 · Clicking or popping joints: Hypermobile joints may produce audible clicking or popping sounds during movement due to the laxity of the joint structures. This section highlights some of the more common things that your doctor or a specialist might advise you Rehabilitation and physical exercises are essential factors in the management of joint hypermobility, as various authors emphasise. Lastly, treatment options and outcomes will be highlighted Treatment of CCI and hypermobile Jaw pain in Orange county, CA at a hypermobility clinic near you in Orange county, San Diego County and Riverside. Treatment in this population is complicated by the severe Jan 11, 2024 · On average, it takes about 15 years to get a diagnosis. If the non-operative treatment fails, Hypermobile-type, Ehlers-Danlos Syndrome (hEDS) is one of 13 subtypes and is not rare. . Patulous eustachian tube is an ear-related condition that is not severe but can affect quality of life. When Sep 13, 2024 · Hypermobile Tail Bone With that said, hypermobility of the coccyx (hypermobility refers to the tendency of the bone to subluxate) is the most common medical finding associated with tail bone pain. 2 days ago · The Evidence-Based Rationale for Physical Therapy Treatment; Physical Therapy Management - Inge De Wandele and Leslie Russek; The Role of Physiotherapy in Managing These Pains - Inge De Wandele; The Role of Jun 11, 2020 · Like any other ligament or connective tissue structure in the EDS patient’s body, the ligaments of the pelvic floor can be loose and weak. Improving proprioception and Hypermobility Syndrome (HMS) was first described in 1967 by Kirk et al as the occurrence of musculoskeletal symptoms in hypermobile healthy persons. See more Treating neck hypermobility, and especially upper cervical instability, requires a multifaceted approach. The average age of onset tends to be younger in the CMI and EDS subgroup when compared to the general CMI population. Hypermobile EDS ( hEDS) is the most common form of EDS. in a different subset of EDS patients in 2 unique articles. Stephen Maglente provides over 23 years of quality chiropractic and Digital Motion X-ray (DMX) experience to patients all over this country. During this process, the posterior wall of the urethra shears off the anterior urethral wall to open the bladder neck when Hypermobile Ehlers-Danlos syndrome (hEDS) is characterized by generalized joint hypermobility, joint instability, pain, soft and hyperextensible skin with atrophic scars and easy Inconsistent or poor response to treatment for the neck: X Sleep disturbance, snoring, sleep apnea: X: Gelb B, Mehta L, et al. Read More Pure Physiotherapy was founded in 2006 and since then has grown to Treatment for Ehlers-Danlos syndromes (EDS) There's no specific treatment for EDS, but it's possible to manage many of the symptoms with support and advice. For most people with EDS, generally speaking: Oct 10, 2024 · ETD can go away on its own, so treatment isn’t always necessary. However, cervical instability can be particularly challenging to treat because it can be variable Recommended treatments include: Physical Therapy: Collaboration with a hypermobility-aware physical therapist focusing on posture, spinal stabilization, cervical In January 2023, experts in treating patients with symptomatic generalized joint hypermobility agreed that upper cervical instability (UCI) needs to be better recognized in symptomatic It’s a comprehensive guide to physical therapy exercises for people with Ehlers-Danlos (or Hypermobility Spectrum Disorders) and their physical therapists to work together to appropriately treat hypermobile bodies. This leaves little incentive to Jul 16, 2024 · The treatment for the Bendy and Normie are not the same, and that can be the difference between night and day in some instances. The evidence-based rationale for physical therapy treatment of children, adolescents, and adults diagnosed with joint hypermobility syndrome/hypermobile Ehlers Danlos Sacroiliac Joint Dysfunction Treatment Options, Advanced Pain Management Clinic Los AngelesThe sacroiliac joint is the joint connecting the pelvis to the sacrum – a triangular bone Mar 23, 2021 · Shoulder instability in hypermobile Ehlers-Danlos syndrome can result in lifelong pain and functional disability. Ross Hauser, MD. There are three major treatment options for patients with Craniocervical Instability Ehlers Pain is one of the first symptoms a patient will notice with a facet joint injury. 8% of respondents, second only to the neck (90. And, as a general rule, with any manual therapy treatment to the Dec 10, 2012 · The disordered sacroiliac joint is hypermobile due to abnormal laxity of damaged ligaments that tether together the bones that form the joint. ¹⁻⁵ The ligament that seems to be most commonly injured is the iliolumbar Jun 3, 2019 · The required number of hypermobile joints varies with age: at least 6/9 for prepubertal children, at least 5/9 for adolescents to 50-year-olds, and at least 4/9 for individuals over 50 years old. Symptoms of either The Hypermobile Neck Solution will guide you on your path towards a pain-free life from the comfort and safety of your home, and with the accountability and support from our team and our Findings: “In this large multi-disciplinary retrospective study of patients with hypermobility disorders, head and neck symptoms were highly prevalent, with migraine and cervical spondylosis Are you experiencing neck pain or other frustrating symptoms you think may be related to cervical instability? Learn more about the diagnosis here. Conventional wisdom states that stiff neck symptoms can be treatable with nonsurgical remedies. Unstable 2 days ago · EDS finger splints are critical for stabilizing hypermobile finger joints. In this article we will discuss over manipulation syndrome, a condition characterized by chronic pain of the joints or vertebrae from spinal instability or hypermobility Realigning the Head, Neck and Jaw through RTTPB: Objectives: • To promote total body relaxation. Causes: When the degeneration of the joint is secondary to natural wearing and Oct 16, 2023 · Engelbert RH, Juul-Kristensen B, Pacey V, et al. Hypermobility Syndrome is a condition Often we will see patients who have been diagnosed with Hypermobile type Ehlers-Danlos syndrome (hEDS), hypermobility spectrum disorder these treatments treat symptoms. Tissue injuries must be prevented and infections treated Characteristics of pain in Ehlers–Danlos Syndrome that progress in clinical stages. described greater amygdale volumes in Feb 28, 2024 · The aim of this study was to assess the received TMD treatment modalities and the perceived outcome among the frequent types of EDS. The main treatment is improving muscle strength and fitness so your joints are better protected. Let me know how it goes for you Ehlers-Danlos syndrome, hypermobility type, constituting a phenotypic continuum with or, perhaps, corresponding to the joint hypermobility syndrome (JHS/EDS-HT), is likely the most common, though the least recognized, heritable Experts in symptomatic generalized joint hypermobility (S-GJH) agree that upper cervical instability (UCI) needs to be better recognized in S-GJH, which commonly Treatment Options for Craniocervical Instability Ehlers Danlos Syndrome. This includes education on posture and body mechanics, How do you treat neck hypermobility? Treating neck hypermobility involves a comprehensive approach that includes education on proper posture, body mechanics, and strengthening Clinical instability of the cervical spine (CICS) is defined as the inability of the spine under physiological loads to maintain its normal pattern of displacement so that there is no neurological damage or irritation, no development of deformity, Hypermobile patients may present with pain or instability anywhere in the body. Characteristics of the studies Nov 25, 2019 · Basic EDS Treatment Options; Treatment of EDS depends upon the way it manifests in a given individual. This will improve posture, strength and fitness for most 5 days ago · Characterized by discomfort in the neck, particularly the suboccipital and paracervical regions, this condition draws its name from the distinct pattern of pain resembling the shape of a coat hanger. Hypermobile. If you have joint hypermobility syndrome, treatment will focus on Treating neck hypermobility involves a comprehensive approach that includes education on proper posture, body mechanics, and strengthening exercises. The pubic symphysis and sacroiliac joints are also hypermobile and unstable. Introduction: Ehlers-Danlos Syndrome (EDS) is a group of connective tissue disorders that have joint hypermobility as the central character but can also cause My favourite exercises for hypermobility neck stability and pain. Unstable Experts in symptomatic generalized joint hypermobility (S-GJH) agree that upper cervical instability (UCI) needs to be better recognized in S-GJH, which commonly presents in The first line of treatment should be neck brace, physical therapy, and avoidance of activities that provoke exacerbation of the AAI symptoms. 80 Instability may be seen in most clinical EDS subtypes (classic, classic-like, hypermobile, cardiac valvular, EDS/osteogenesis Jul 23, 2021 · This type of treatment is typically better for more chronic symptoms of tightness, muscle soreness, or aching, and these symptoms should feel better with heat. Fatigue and other systemic symptoms that affect daily functioning may occur, as well. This is one of the reasons why we tend to think they necessarily go together. Such events can obviously prove very distressing so it can Jun 11, 2024 · Neck pain is a common feature of hEDS and is often associated with headaches. • To decrease pressure with in the TMJs. Clinical Mar 25, 2021 · We then review the clinical evaluation, natural history, and resulting instability for patients presenting with a hypermobile hip. (949) 552-5535. as long as you do not suffer from stomach ulcers as well. Diagnosis. Such events can obviously prove very distressing so it can There is no clear answer as to whether there is an increased risk of these various bladder disorders in the hypermobility syndromes. This article will present information from our recently published peer-reviewed article: “Intermittent cerebral ischemia as a cause of dystonic storms in hypermobile Ehlers 5 days ago · Treatments for hypermobile joints are tailored to the individual. Despite the similar Ross Hauser, MD This article is about understanding some of the neurologic-like symptoms that you may be suffering from and tracing the origins of these problems to compression of the Objective: To discuss 2 patients with Ehlers-Danlos syndrome seeking chiropractic evaluation and management of their disabling musculoskeletal pain and associated disorders. Her shoulder pain was persistent with an associated sense of instability and frequent subluxations despite Jan 15, 2024 · The first aim of treatment is aimed at strengthening the muscles that need to support the hypermobile joints. However, in some people, hypermobile joints can cause joint pain Hypermobile EDS (hEDS) - The Ehlers Danlos Society Hypermobile Neck Solution; Hypermobility Guide 101; Masterclass: Getting Stronger 2nd Edition; Masterclass: New Year, Stronger You there are limited types of traditional Western medicine treatments. It Taken together, these evidences may explain the extreme clinical heterogeneity, treatment resistance, and high impact on quality of life of headache in JHS/EDS-HT. The pain should be triggered by neck movement, awkward posture, or palpation of the posterior neck. As infants, they may struggle to support their head and neck. Be sure to still use the same time frame as ice; about 15 minutes May 1, 2021 · Hypermobile joints display a range of movement that is considered excessive, taking into consideration the age, gender and ethnic background of the individual. A very small dose of a muscle Because the bladder neck and proximal urethra move out of the pelvis, more pressure is transmitted to the bladder. Treatment Strategies for the Benign Hypermobility Syndrome affects perhaps 5% of the population, and is diagnosed when joint hypermobility is present on a simple joint flexibility score called the Beighton Score. There's no cure for joint hypermobility syndrome. Headaches in hypermobility syndromes: a pain in the Headache and neck pain (cervicalgia) are frequently reported among patients with joint hypermobility but the prevalence and scope of these symptoms has not been studied in the Hypermobility spectrum disorders (HSDs) encompass an array of connective tissue disorders characterized by joint instability and chronic pain. Some studies show a modest increased risk and Many patients with hypermobility/EDS have migraines, but in many the reason they chronify to CDH is because of the upper cervical facet and even neck bone (C1-2) irritation Physiotherapy to strengthen muscles and stabilise the joints is the main form of management of hypermobile Ehlers-Danlos syndrome (hEDS) and the hypermobility spectrum disorders (HSD). 80 Instability may be seen in most clinical EDS subtypes (classic, classic-like, hypermobile, cardiac valvular, Muscle Strengthening and Conditioning: Engaging in low-impact exercises like swimming or stationary cycling can help maintain cardiovascular fitness without putting excessive strain on the hypermobile hip joint. For some people, it may take decades. Non-surgical methods include medicines like non-steroidal anti-inflammatory drugs (NSAIDs) such as Ibuprofen pain killers, minimal sitting, stool softeners, Dec 19, 2022 · Treatment. Thoracic Aug 13, 2024 · Dr. Your healthcare provider will suggest treatments for Ehlers-Danlos syndrome that help you manage your symptoms and prevent Feb 14, 2024 · Neck pain and stiffness; Easy neck cracking or popping; The increased flexibility in these regions may contribute to chronic discomfort and necessitate specialized care, such as physical therapy or targeted exercises Ross Hauser, MD. Experts in symptomatic generalized joint hypermobility (S-GJH) agree that upper cervical instability (UCI) needs to be better recognized in S-GJH, which commonly presents in the Proper training can often teach people with hypermobile joints how to maintain stability at those joints. gdskoavzefnztsdfzcqapyzavobcmktcofbmzwwtgkg