People who are flexible enough to be considered double-jointed may be suffering from one of the 13 types of Ehlers-Danlos syndrome (EDS). The most common of the 13 is joint hypermobility syndrome (JHS). This is a multi-system disorder that manifests itself in a full range of symptoms that go well beyond excessive flexibility.


At one time, JHS was treated primarily by rheumatologists. We rheumatologists still do treat this syndrome, but other types of doctors have become more familiar with it over time. My recommendation is that you find a rheumatologist doctor to help you if you believe your symptoms are pointing to JHS.


More About Ehlers-Danlos


Conditions within the Ehlers-Danlos spectrum are all connective tissue disorders. They are inherited and, as a group, quite rare. JHS and its cousin, hypermobile EDS, are exceptions to the rule. Both are fairly common compared to the other 11 disorders in the spectrum.


Ehlers-Danlos conditions reduce the quality of collagen in the human body. Collagen is a protein found in connective tissue, and it makes up between 25% and 35% of the total body protein in mammals, making it the single most abundant protein in the human body.


Due to collagen’s role in forming connective tissue, those suffering from Ehlers-Danlos conditions are subject to all sorts of pain and other symptoms relating to the tendons, ligaments, cartilage, and bones. Even the skin can be affected.


Symptoms of JHS


JHS is most likely to affect young people and children. In most cases, especially with proper treatment, the condition and its symptoms can improve over time. But the fact that JHS is genetic suggests that it can never be fully conquered. Some of its symptoms include:


  • joints that regularly dislocate
  • pain and stiffness in the joints and muscles
  • frequent muscle sprains and strains
  • regular fatigue – even after rest
  • thin and unusually elastic skin
  • bowel or bladder problems
  • poor coordination and balance.


If you or someone you know exhibits at least a few of the above symptoms, it’s probably a wise idea to see a doctor. I offer private rheumatology in London and would be more than happy to see you or your loved one.


How JHS Is Treated


JHS is one of those genetic disorders for which there is no cure. However, it is treatable. Our first course of action is physiotherapy designed to strengthen muscles and joints. Occupational therapy is sometimes recommended as well.


Physical therapy can help by improving strength and fitness. In return, improved strength reduces joint dislocations and the associated pain. Many patients experience improved posture and balance as their muscles and joints gain strength.


Joint pain can be treated with medications like ibuprofen and paracetamol. More powerful medications can be prescribed as necessary. I like to also recommend non-pharmacological treatments, including warm baths and hot water bottles.


Take Care of Yourself


As with most conditions that rheumatologists treat, the key to maximising quality of life with JHS is taking good care of yourself. General good health makes it easier to manage JHS symptoms. Good overall health also equips your body to do what it is naturally designed to do, in terms of fighting against illness and disease.


I am proud to offer private rheumatology services in the London area. Please feel free to contact my office if you have concerns about JHS or any of the other conditions I treat. My number one goal is to help each and every patient regain quality of life while managing their conditions effectively.