Leading on from the previous Blog Post about Generalised Joint Hypermobility.
This post will follow on, and talk about when those with Pain have hypermobile joints.
Try and ensure you have read this post, before you continue reading below.
So lets start with a simple equation…
Generalised Joint Hypermobility + Symptoms (Pain/other) = Joint Hypermobility Syndrome.
This term IS a medical condition and formal diagnosis. It is also known as JHS / HMS which stands for Hypermobility Syndrome.
The term syndrome isn’t as scary as it can sound. All it means is a group of symptoms that has no single cause but very linked strongly with certain possibilities.
To further add to the confusion, the equation isn’t as simple as put above.
As those whom are hypermobile and have symptoms – they do NOT AUTOMATICALLY qualify to have the diagnosis of Joint Hypermobility Syndrome.
In the whole of the UK population – a study in 2006 showed that 5% of British females and 0.5% of British males had joint hypermobility syndrome.
Healthcare professionals use a further criteria supplementing the Beighton score to help diagnose joint hypermobility syndrome. This extra criteria is known as the Brighton score.
What’s this Brighton score?
This score also further counts how many joints you have which are hypermobile as well as painful. If you have four or more joints meeting this criteria for greater than three whole months then this will put you into a more likely category. At this point your medical doctors will have looked at you and even you may have seen a consultant rheumatologist. Diagnoses can get very tricky as the Brighton score has minor and major criteria.
Check out this Video to understand a possible reasons why people with JHS have pain 👇
Fundamentally the ligaments and joints are very bendy, muscles For teens because they are being worked very hard. Muscles and tendons are trying to do the job that a less bendy ligament (closer to normal) would do.
Under normal circumstances the ligaments or our first line of defence to help limit our joint range of motion. People who are hypermobile have movement beyond the normal limits of motion. Thus they have to recruit the second line of defence which are the muscles and tendons. In Hypermobile people in the muscles and tendons perform a reflex spasm to try and control the joint motion
hypermobile people in the muscles and tendons perform a reflex spasm to try and control the joints motion
- When this happens the muscles and tendons learn this mechanism. Hence they become Hyper excited, and they continually spasm. Increasing muscle tension. And now the muscles and tendons are working twice as hard as they do not get chance to rest and hence fatigue follows! This is my joints have a mobility syndrome sufferers develop fatigue as well as a pain feeling door and tiring.
Overworked muscles are hypoxic meaning they get less oxygen for the work they do. Imagine a worker putting in more hours but for less pay unless rest. This continual stream causes problems and ongoing inflammation.
Imagine a worker putting in more hours but for less pain and less rest. This continual strain causes problems and ongoing inflammation.
Those with joint hypermobility syndrome will have different origins of pain than another person with joint hypermobility syndrome so they are all assessed individually and their stories and histories have to be taken into account.
To make matters worse central sensitisation begins. Read this post to understand more about central sensitisation.
Some simple tips to get started in helping yourself with joint hypermobility syndrome:
-Pain education is very important hence you may have to take on a student role in understanding the role pain plays
– your physician may prescribe certain medications to you or you can also take a natural supplement and pain reducing method via pain science mechanisms
– a good rehab plan is important to help strengthen and stabilise excessively mobile areas. As well as physical Training with swimming (non-weight-bearing exercises) progressing to movements like dancing or training in the gym with weight as well as cardio exercises. The main thing is that you should enjoy it.
It is advised to initially avoid high impact movement due to risk of pain initially. Less impactful exercises include cycling, swimming and crosstrainers.
Being sensible and able to know and listen to your body to recognise when you’ve done too much and when you can do what you want.
From the Preston Chiropractor Team
Getting You Back in Action & Enjoying Your Life Again
Serving the people of Preston and surrounding areas including Southport and Lytham St Annes