Hypermobility and Ehlers-Danlos Syndrome (EDS): Osteopathic Evaluation and Treatment

Hypermobility and Ehlers-Danlos Syndrome (EDS) are connective tissue disorders that can significantly affect joint stability, muscular control, and overall body mechanics. These conditions often lead to joint pain, fatigue, and recurring injuries that interfere with daily life. At a practice specializing in Osteopathic Neuromusculoskeletal Medicine, we offer comprehensive evaluation and gentle, hands-on treatment for hypermobility and EDS, focusing on improving function, managing pain, and supporting long-term musculoskeletal health.

Understanding Hypermobility and Ehlers-Danlos Syndrome

Joint hypermobility refers to an increased range of motion beyond normal limits due to variations in connective tissue structure or muscle tone. While some people experience hypermobility without symptoms, others may develop chronic pain, instability, or joint dysfunction.

Ehlers-Danlos Syndrome (EDS) is a group of inherited connective tissue disorders characterized by joint hypermobility, skin elasticity, and tissue fragility. The most common form, hypermobile EDS (hEDS), often presents with frequent joint subluxations, soft tissue strain, autonomic dysregulation, and persistent fatigue. Because connective tissue supports every part of the body, symptoms can be wide-ranging and require a coordinated, whole-body approach to care.

Osteopathic medicine recognizes that in individuals with hypermobility and EDS, even subtle mechanical imbalances can contribute to muscular overuse, recurrent strain, and nervous system activation. Gentle, restorative treatment can help improve musculoskeletal coordination and functional stability.

Common Symptoms and Associated Concerns

Patients with hypermobility or EDS may experience a combination of symptoms, including:

·       Chronic joint or muscle pain.

·       Recurrent sprains, subluxations, or dislocations.

·       Muscle fatigue and postural instability.

·       Headaches, dizziness, or autonomic dysfunction (e.g., POTS).

·       Digestive disturbances or generalized body fatigue.

·       Altered proprioception, or reduced awareness of joint positioning.

These symptoms often fluctuate and are influenced by stress, hormone levels, or activity demands. Managing them effectively requires a detailed understanding of connective tissue mechanics and the body’s adaptive responses.

Who Is Affected

Hypermobility and EDS can occur in both children and adults and are more common in females. Many individuals remain undiagnosed or misdiagnosed for years, attributing their symptoms to isolated injuries or generalized pain conditions. Because these disorders can affect multiple body systems—musculoskeletal, cardiovascular, and gastrointestinal—patients benefit most from integrative care combining medical support, physical therapy, and Osteopathic management.

The Role of Osteopathic Neuromusculoskeletal Medicine

Osteopathic Neuromusculoskeletal Medicine provides a gentle and comprehensive approach to treating hypermobility and EDS. Osteopathic Physicians (DOs) trained in this specialty perform detailed structural assessments to identify joint restrictions, muscular imbalances, and fascial tension patterns contributing to pain or instability.

Treatment involves light, precise techniques such as myofascial release, balanced ligamentous tension, counterstrain, and cranial osteopathy—methods particularly suited to patients with tissue laxity. The goal is to reduce mechanical stress, improve circulation, and enhance neuromuscular coordination without overstraining hypermobile joints.

Osteopathic care also emphasizes education on posture, joint protection, and activity modification to help patients maintain stability and prevent injury. When used alongside physical therapy, nutrition, and autonomic regulation strategies, Osteopathic treatment contributes to a safer, more sustainable path toward improved quality of life.

Seeking Care for Chronic Pain and Instability

For individuals living with hypermobility or EDS, ongoing pain and instability can be physically and emotionally exhausting. Osteopathic treatment offers gentle yet effective support aimed at improving alignment, reducing pain, and enhancing resilience within the musculoskeletal system. Regular care can help restore ease of movement, decrease fatigue, and support the body’s ability to adapt to daily demands.

Our practice specializes in the evaluation and management of hypermobility and Ehlers-Danlos Syndrome through an integrative, patient-centered approach. If you experience chronic joint pain, instability, or fatigue related to hypermobility or EDS, we encourage you to schedule an appointment with Dr. Levi. Through careful, individualized treatment, we can help you achieve greater comfort, stability, and functional balance in daily life.