What causes hypermobility?

Whilst there is no ‘cause’ for hypermobility, it is thought to be hereditary. Connective tissue structures such as ligaments, tendons and joint capsules are what create passive stability in a joint. Collagen is the primary protein that provides integrity to these connective tissues structures and can be referred to as the ‘glue’ that supports our joints. Individuals with hypermobility often have collagen that is weaker or more elastic, making their joints more flexible and less resilient to force applied to them. In some cases, there can be an underlying conditions such as Ehlers-Danlos, Marfan’s Syndrome or Osteogenesis Imperfecta, whereby the connective tissue in other areas of the body, such as the stomach or bladder, also has increased elasticity and presents possibilities for other health issues. Our clinicians are able to recognise these symptoms and refer you onto the relevant health professional if required.

Should I be worried if I am hypermobile?

You may have heard it referred to as being “double-jointed” or “hyper-flexible,” and for many people, it may not cause pain or other symptoms. For some it is a unique party trick or even an aesthetic advantage in some sports, such as dancing or gymnastics. However, pain and symptoms can occur when joints are not just hypermobile but are also unstable. Excessive joint movement can lead to joint subluxations, dislocations, sprains, and poor loading leaving the joint vulnerable to degeneration over time. Joint instability can cause both acute and chronic pain and interfere with daily life. It occurs because the bones of a joint are not supported securely with both its passive and active structures. Joint features that contribute to passive stability are the congruency of the bone shapes in the joint and integrity of the ligaments, cartilage and joint capsule. Our muscles and tendons are the structures that can be strengthened to improve active joint stability and control through range of movement. People with hypermobility may also experience fatigue due to their muscles having to work harder to stabilize looser joints, or proprioceptive issues where the body has a reduced sense of joint position.