Joint Hypermobility – Do I Have Ehlers Danlos Syndrome?

Recently, social media platforms – especially TikTok – have brought increased attention to joint hypermobility and Ehlers Danlos Syndrome.  Many videos show individuals demonstrating unusual flexibility and discussing their experiences with these conditions. While this increased awareness has helped many people recognize symptoms they may have previously dismissed, it has also led to confusion about the difference between simple joint hypermobility and the more complex connective tissue disorders collectively known as Ehlers Danlos Syndrome.

The viral nature of these discussions has created both opportunities for education and challenges in distinguishing between normal flexibility, benign joint hypermobility, and the serious medical conditions that require professional evaluation and treatment.

Dr. Uzma Rehman in Macomb County recognizes the importance of proper medical evaluation when patients present with concerns about joint hypermobility or potential Ehlers Danlos Syndrome symptoms they have learned about through social media. While increased awareness can lead to earlier recognition of legitimate medical conditions, it can also result in unnecessary anxiety about normal variations in flexibility or misinterpretation of symptoms that may have other causes.

For this reason, professional medical evaluation remains essential for distinguishing between benign joint hypermobility and pathological conditions that require specific treatment approaches. Specialized joint doctors like Uzma Rehman are trained to understand joint hypermobility and Ehlers Danlos Syndrome requires knowledge of normal joint function, connective tissue physiology, and the specific criteria used to diagnose these conditions.

Remember, not everyone with flexible joints has a medical condition requiring treatment – but those who do have Ehlers Danlos Syndrome benefit significantly from proper diagnosis and comprehensive care management. The key lies in seeing a doctor who can tell you when joint hypermobility represents a normal variation and when it indicates an underlying connective tissue disorder that needs medical attention and specialized treatment approaches.

Ehlers Danlos Syndrome vs Joint Hypermobility

Joint hypermobility, refers to the ability of joints to move beyond their normal range of motion, which can occur as an isolated finding in otherwise healthy individuals or as part of a broader connective tissue disorder like Ehlers Danlos Syndrome. Benign joint hypermobility syndrome describes individuals who have increased joint flexibility without the systemic features and complications associated with Ehlers Danlos Syndrome. The distinction between benign hypermobility and Ehlers Danlos Syndrome is crucial, as EDS ongoing medical management and monitoring for potential complications.

Ehlers Danlos Syndrome is a group of inherited connective tissue disorders that affect the production and structure of collagen, the protein that provides strength and elasticity to skin, joints, blood vessels, and other tissues throughout the body. There are currently 13 recognized subtypes of Ehlers Danlos Syndrome, each with distinct characteristics and inheritance patterns, though they all share common features of joint hypermobility, skin abnormalities, and tissue fragility. The most common form, hypermobile Ehlers Danlos Syndrome (hEDS), primarily affects joint stability and can cause significant pain and functional limitations despite the absence of specific genetic markers that characterize other subtypes.

The connective tissue abnormalities in Ehlers Danlos Syndrome result from genetic mutations that affect collagen synthesis, structure, or processing, leading to tissues that are more fragile and extensible than normal. This affects not only joints and skin but can also impact blood vessels, internal organs, and other body systems depending on the specific subtype.

Dr. Uzma Rehman’s expertise in evaluating joint hypermobility includes understanding these complex relationships and distinguishing between normal flexibility, benign hypermobility, and pathological conditions requiring specialized care and ongoing monitoring.

Symptoms of Ehlers Danlos Syndrome and Joint Hypermobility

The symptoms of Ehlers Danlos Syndrome extend far beyond simple joint flexibility to include a complex group of features that can affect multiple body systems and significantly impact quality of life. Joint-related symptoms typically include frequent dislocations and subluxations, chronic joint pain that may be disproportionate to visible signs of injury, and easy bruising that occurs with minimal trauma.

Patients with EDS often report a history of being considered “clumsy” or accident-prone due to frequent injuries and joint instability that interferes with normal activities and sports participation.

Skin manifestations of Ehlers Danlos Syndrome include hyperextensible skin that can be stretched beyond normal limits, delayed wound healing with atrophic scarring, and increased fragility that leads to easy tearing and bruising. Many patients develop stretch marks at an early age or in unusual locations, and some experience difficulty with wound closure following surgery or injury. Fatigue represents another common and often debilitating symptom that can significantly impact daily functioning and may be related to the constant muscle tension required to stabilize hypermobile joints.

Additional symptoms of Ehlers Danlos Syndrome may include cardiovascular problems such as mitral valve prolapse or aortic root dilation in certain subtypes, gastrointestinal issues including delayed gastric emptying and chronic constipation, and neurological symptoms such as headaches and autonomic dysfunction.

Joint hypermobility without these features of Ehlers Danlos Syndrome typically only have with joint-related symptoms – such as occasional dislocations, joint pain after activity, and increased flexibility – without the skin, cardiovascular, or other systemic manifestations. Macomb County joint specialist Dr. Uzma Rehman carefully evaluates the full spectrum of symptoms when assessing patients for potential Ehlers Danlos Syndrome or isolated joint hypermobility to ensure accurate diagnosis and appropriate treatment planning.

How Ehlers Danlos Syndrome & Joint Hypermobility are Diagnosed

Diagnosing Ehlers Danlos Syndrome requires a comprehensive evaluation that combines clinical assessment, family history analysis, and specific diagnostic criteria established by international medical organizations. Dr. Uzma Rehman utilizes the Beighton Score, a standardized assessment tool that evaluates joint hypermobility across nine specific joint movements, with scores of 4 or higher in adults suggesting significant hypermobility. However, joint hypermobility alone is insufficient for diagnosing Ehlers Danlos Syndrome, which requires additional criteria including family history, skin involvement, and other systemic features that distinguish it from benign hypermobility.

The diagnostic process for Ehlers Danlos Syndrome involves detailed medical history taking that explores patterns of joint dislocations, skin abnormalities, family history of similar symptoms, and any complications that might suggest systemic involvement. Physical examination includes assessment of skin hyperextensibility, joint range of motion, the presence of atrophic scarring, and evaluation for associated features such as mitral valve prolapse or aortic root changes that may require additional testing. Genetic testing is available for most subtypes of Ehlers Danlos Syndrome except for the hypermobile type, which remains a clinical diagnosis based on established criteria.

Distinguishing between Ehlers Danlos Syndrome and isolated joint hypermobility requires careful evaluation of the complete clinical picture, as many individuals with benign hypermobility may have some overlapping features without meeting the full criteria for Ehlers Danlos Syndrome. Dr. Uzma Rehman’s expertise in connective tissue disorders enables thorough evaluation of patients in Macomb County who are concerned about joint hypermobility.

Dr. Rehman will ensure that those with true Ehlers Danlos Syndrome receive appropriate diagnosis and care while providing reassurance to individuals with benign hypermobility that does not require ongoing medical management. Additional testing may include echocardiograms, ophthalmologic evaluations, or other specialized assessments depending on the suspected subtype and clinical presentation.

Treatment for Ehlers Danlos Syndrome & Joint Hypermobility

Treatment for Ehlers Danlos Syndrome focuses on managing symptoms, preventing complications, and improving quality of life through a multidisciplinary approach that addresses the various manifestations of this complex condition. Physical therapy represents a cornerstone of treatment, with specialized programs designed to strengthen the muscles surrounding hypermobile joints to provide stability and reduce the risk of dislocations and injuries. The exercise programs are carefully tailored by Dr. Rehman and our in-house physical therapists to avoid high-impact activities that could worsen joint damage while building strength and proprioception that help patients better control their joint movements.

Pain management for Ehlers Danlos Syndrome often requires an approach that may include medications, physical therapy, occupational therapy, and sometimes psychological support to help patients cope with chronic pain and disability. Joint protection strategies, including the use of braces or supports for particularly unstable joints, can help prevent injuries and improve function during daily activities. Patients may also benefit from cardiac monitoring, wound care protocols for skin fragility, and management of gastrointestinal symptoms that commonly accompany certain subtypes of the condition.

For individuals with isolated joint hypermobility without the features of Ehlers Danlos Syndrome, treatment typically focuses on addressing any associated joint pain or instability through targeted exercise programs and joint protection strategies. Dr. Uzma Rehman develops individualized treatment plans for patients based on their specific symptoms and functional limitations, whether they have confirmed Ehlers Danlos Syndrome or benign joint hypermobility. Regular monitoring and adjustment of treatment strategies ensure that patients receive appropriate care for their condition while avoiding unnecessary interventions for those with benign hypermobility that may not require ongoing medical management.

Ehlers Danlos Syndrome | Macomb County

The increased awareness of joint hypermobility and Ehlers Danlos Syndrome through social media has presented both benefits and challenges. These videos may help with early recognition of EDS – but they can also cause anxiety about normal variations in flexibility. Understanding the difference between benign joint hypermobility and Ehlers Danlos Syndrome requires professional medical evaluation that considers the full spectrum of symptoms and diagnostic criteria rather than relying solely on social media information or self-assessment.

Proper diagnosis and treatment of both of these conditions can significantly improve quality of life for those affected while providing reassurance for individuals whose symptoms do not meet the criteria for a connective tissue disorder.

If you’re concerned about joint hypermobility or potential Ehlers Danlos Syndrome symptoms, we encourage you to schedule an appointment with Dr. Uzma Rehman in Macomb County, where comprehensive evaluation and expert care can help determine whether your symptoms represent a medical condition requiring treatment or normal variation that does not need ongoing medical management.

Macomb County Ehlers Danlos Doctor: 248.940.5233