08/26/2026
Not the first time I’ve had a client say, “I didn’t know I was hypermobile.” 🤔
It’s not within my scope of practice to diagnose hypermobility, but here are a few ways I look for clues & symptoms of this connective tissue disorder so I can create a safe & effective treatment plan:
🔍 I look for common symptoms in my detailed intake form.
🔍 Physical assessment (testing for hypermobile characteristics is one of the 1st assessments I do)
🔍 I LISTEN… a lot of clues come out subjectively during conversation
The feedback listed in this testimonial image was given 6 days after our first session, here’s her story:
Treatment Goals:
address pain & stiffness in wrists & forearms, sensitivity to touch, chronic pain (TMJ & fascia everywhere feels ‘frozen’), wants to be able to work in garden & on arts & crafts.
Intake & listening clues:
Symptom chart had 12 body areas marked, all at joints, all listing ‘pain, weakness, tightness’
Occipital neuralgia
Joint pain & weakness
Poor posture
Bruises easily
Dizziness
Sits on one leg
GI issues, constipation
Can’t get comfortable to sleep
Falls a lot/ clumsy
Feels like she needs to pop joints a lot
Tends to throw back out when sneezing or coughing
As a little kid, wrists used to dislocate when parents held her hand while walking 👀
Physical assessment:
Beighton score: 9/9 (joint range of motion in thumbs, pinkies, elbows, knees, & spine)
Other ‘bendy’ areas:
finger tips, shoulders (said pops out of socket a lot - same with hips), neck extension (head almost laying on upper back)
Normally for chronic wrist pain & restricted mobility I would release adhesions & scar tissue and do active myofascial trigger point therapy (which includes stretching). This would exacerbate symptoms for anyone with hypermobility. 😬
Instead, I did a nervous system & vagus nerve reset, connective tissue protocol, & safely treated (and showed her how to find & treat) trigger points that refer to the wrist & arm.
Myofascial trigger point therapy & FSM are results-based therapies that can help improve many symptoms of HSD & hEDS.
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