EDS & hEDS
How Do I Know If I Have HSD or hEDS?
Hypermobility Spectrum Disorders (HSD) fall on a spectrum and include those with relatively minor symptoms as well as those with severe symptoms. Also, not everyone with HSD/hEDS will have the same markers.
You can use this self-test (Beighton Score) to determine whether you may have Generalized Joint Hypermobility (GJH). You are considered to have (HSD) if you meet these criteria for GJH AND have pain and/or musculoskeletal conditions. If you meet the criteria but do not have symptoms then you may have only joint hypermobility.
hEDS falls within the HSD spectrum but is typically associated with more severe symptoms that affect your daily life. You can use this diagnostic criteria check-list to help you decide if you should talk to a specialist about whether you might have hEDS or another type of EDS
Why Does The Right Diagnosis Matter?
People with different forms of hypermobility frequently experience pain in multiple regions of the body and may receive a diagnosis of fibromyalgia or other catch-all diagnosis that are not as effective in leading you to the correct treatment and may just mask symptoms rather than treating the cause. Delaying appropriate treatment may mean more severe issues later in life.
The good news is that there is A LOT that can be done to help you decrease and manage the symptoms of hEDS/HSD if you just have the right guidance.
Note from Dr. Ginger Garner
“I have experienced HSD from both a clinical and personal perspective. I understand what it is like to navigate a system that does not understand the far reaching impacts of being hypermobile. It isn’t just about “stretchy skin or bendy joints,” it’s about making sure sleep, posture, nutrition, gut health, and pelvic and sexual health are addressed. Therapy for HSD is not about simply adding stability and strength work. You have to consider many other factors, and every system of the body. It’s also about providing both motility and mobility balance for each system. Because a body that is used to having little limits on motion, will often respond with a kind of “tight loose” feeling. Where everything feels tight on a regular basis, but also feels unstable at the same time. That negatively impacts everything from the nervous system to the digestion, cardiopulmonary, and endocrine system, not must the musculoskeletal system.”
The “Trifecta” – EDS, MCAS, and POTS
In recent years we have learned that there is a strong connection between Ehlers Danlos Syndrome (EDS), Mast Cell Activation Disorder (MCAS), and Postural Orthostatic Tachycardia Syndrome (POTS). Thanks to genetic testing, we have also learned that these 3 are all linked by the same genetic mutation. You may have HSD/hEDS and NOT have any of these other symptoms but they are worth mentioning due to the high prevalence.
When it comes to managing these conditions, knowledge is power. If you are dealing with this trifecta, you need to:
- Arm yourself with knowledge
- Have a medical specialist on your team
- Have a physical therapist who specializes in treating EDS/HSD on your team.
How We Treat HSD/EDS
Spasm/Musculoskeletal Pain Management
Most musculoskeletal pain is caused by spasms in your muscles. When you have HSD/hEDS you do not have as much stability from your ligaments and other connective tissue so your muscles work “overtime”. This often leads to more frequency of muscle spasms and associated pain.
We use GENTLE manual techniques including trigger-point release, dry-needling (if appropriate) or other approaches to alleviate the spasms and decrease the associated pain.
APPROPRIATE Strengthening At An Intensity And Format That Works For You
Building BALANCED strength is the best way to prevent return of spasms and help stabilize your joints to minimize/prevent joint subluxations and dislocations.
We take care to determine the appropriate exercises and intensity level to allow you to strengthen without causing further spasm and pain or injury.
We teach the importance of incorporating your deep-core into all exercise to improve your stability and strength through the rest of your body.
Chronic Pain Management Education
If you have been dealing with pain for 3+ months you are also dealing with “Persistent Pain” AKA “Chronic Pain”.
Learning how to treat the pain that is generated by the brain’s expectations, as well as the physical causes, are crucial to making progress in decreasing overall pain.
Lifestyle Modifications
We help you understand and modify potential triggers of your pain or other “trifecta” symptoms so you can start to modify your behaviors to help you decrease and better manage your symptoms.
We can help you learn how to best support yourself physically to allow you to participate in the activities that make life meaningful to you!
Bracing
In certain cases, bracing is necessary to allow for movement without subluxation/dislocation. We can help you find an orthotist and/or product that will meet your individual needs.
Nervous System & Reproductive Organ/Sexual Health
A body that has been struggling with stability will change the way the nervous system responds. That impacts the fertility journey, as well as impacts where the organs sit, often leading to things like pelvic organ prolapse or sexual functioning and health. We can help you manage both variables.
Gastrointestinal Health
Hypermobility impacts GI health by making challenging how the body processes nutrients and food, often leading to things like bacterial overgrowth, slower transit time, and/or just generalized indigestion and constipation and/or gas. Treating this system is a cornerstone of helping you manage EDS/hEDS.
Contact Us Today For a Free Consult
The board-certified therapists at Garner Pelvic Health are here to help you. If you have any specific questions or want to see if we are a good fit for your unique situation
Sign up for the waitlist for our next HSD/hEDS workshop as an inexpensive way to learn ways of better caring for yourself if you live with any type of joint hypermobility!