Hypermobility in children is relatively common and is not usually something to be unduly concerned about.
Your child may have joints that seem more flexible than usual, and in the past, this was often described as being ‘double-jointed’. This occurs when connective tissues, such as ligaments and tendons, are unusually flexible.
In most cases there are no associated problems linked with this increased flexibility and as a person ages the joints will tend to lose this excessive movement.
What if my child has other symptoms?
If there are symptoms associated with being hypermobile a doctor may give a diagnosis of joint hypermobility syndrome (JHS) following certain tests.
If your child has any of the following symptoms, along with increased movement at their joints, they will need to see a G.P.
- Pain / stiffness in joints or muscles.
- Frequent dislocations.
- Poor balance or co-ordination.
- Stretchy skin which bruises easily.
- Bladder or bowel problems.
- Frequent sprains.
This excessive flexibility can be inherited genetically, often seen in conditions like Ehlers-Danlos Syndrome (particularly the hypermobility type), or can occur without an identifiable syndrome.
Hypermobility in Adolescents
During adolescence, many individuals experience increased joint flexibility due to growth and hormonal changes. In some cases, this increased flexibility is harmless and part of natural variation. However, for some adolescents, hypermobility may be associated with all the symptoms described above as well as :-
Fatigue
Hypermobility in teens can sometimes impact daily activities, sports participation, and overall quality of life. Early diagnosis is crucial to manage symptoms effectively and prevent long-term joint problems.
Hypermobility in Adults
In adults, hypermobility can persist from adolescence or develop later in life. Persistent hypermobility may lead to chronic joint pain, osteoarthritis, or joint instability. Adults may also experience: –
- Chronic musculoskeletal pain
- Fatigue
- Anxiety
It’s important for hypermobile adults to receive appropriate assessment and management to maintain joint health and reduce discomfort.
Causes and Associated Conditions
Hypermobility can be inherited or acquired. Genetic factors play a significant role, especially in connective tissue disorders. Some common associated conditions include: –
Not everyone with hypermobility has a genetic disorder; many are asymptomatic.
Management and Treatment
While hypermobility is often benign, management focuses on symptom control and preventing complications:
- Physical Therapy: Strengthening muscles around hypermobile joints to improve stability.
- Pain Management: Use of NSAIDs or other medications if necessary.
- Education: Recognising activity modifications to reduce injury risk.
- Supportive Devices: Braces or orthotics in some cases.
In cases where hypermobility is part of a broader syndrome, addressing underlying systemic features is essential.
Orthoses are frequently used in the treatment of Joint Hypermobility Syndrome.
Insoles and/ or stability boots are often prescribed to stabilize the foot / ankle complex, including specialized orthotics to use when playing certain sports.
Our Orthotist may also prescribe ankle, knee or other types of support to protect joints and greatly reduce the possibility of injury or dislocations.
Living with Hypermobility
Many individuals lead healthy lives with proper management. Regular exercise to strengthen muscles, avoiding overextension, and maintaining a healthy weight can significantly reduce symptoms and improve joint stability.
Conclusion
Whilst hypermobility in young children is common. Hypermobility in adolescents and adults is a spectrum condition that can range from harmless flexibility to a source of chronic pain and instability.
Early recognition and appropriate management are key to improving quality of life and preventing joint degeneration. If you suspect hypermobility affecting your or your child’s health, consulting a healthcare professional specialising in musculoskeletal or genetic conditions is advisable.
How we can help
The physiotherapists and orthotists at Let’s Go Physio are experienced in treating patients with hypermobile conditions and our friendly and caring approach means that you can be confident you are receiving treatment of the highest quality.
For more information about treatments at Let’s Go Physio or to book an
assessment please call us today on 01282 222720 or get in touch here.