EDS Awareness Month – What is Hypermobility?

May is an important time to raise awareness about Ehlers-Danlos Syndromes (EDS), a group of complex, often misunderstood connective tissue disorders. Awareness helps improve early diagnosis, support, and treatment — especially in children who may struggle with daily challenges due to EDS.

🧬 What Is Ehlers-Danlos Syndrome (EDS)?

Ehlers-Danlos Syndromes are a group of heritable connective tissue disorders that affect the body’s collagen, a protein that gives strength and structure to skin, joints, blood vessels, and other tissues.

Key facts about EDS:

  • There are 13 subtypes of EDS, each with its own specific genetic cause and clinical presentation.
  • The most common subtype is Hypermobile EDS (hEDS)

EDS is a lifelong condition, with symptoms ranging from mild to a severity that severely impacts daily functioning of some people.

🔍 Distinct Features of EDS

People with EDS often experience a wide range of symptoms that can impact multiple systems in the body.

Common signs and symptoms include:

  • Joint hypermobility (joints that move beyond the normal range)
  • Frequent joint dislocations or subluxations
  • Chronic pain in joints and muscles
  • Fragile, stretchy skin that bruises easily
  • Slow wound healing and atrophic scars (thin, paper-like scars)
  • Fatigue
  • Digestive issues, such as IBS
  • Dizziness or fainting due to dysautonomia (e.g., POTS)

Symptoms and severity vary greatly between individuals and between different EDS subtypes.

🔄 Is EDS the Same as General Hypermobility?

Not exactly — while they can overlap, they are not the same. Not everyone who is hypermobile has EDS, but all people with hEDS have hypermobility — plus additional systemic features.

Feature

Generalized Hypermobility

Hypermobile EDS (hEDS)

Loose joints

Yes

Yes

Systemic symptoms

Rare

Common (e.g., pain, fatigue, GI issues)

Family history/genetic link

Usually absent

Often present

Tissue fragility

No

Yes

Skin involvement

No

Often

🧒 The Role of a Physiotherapist in Supporting Children with EDS

Physiotherapy plays a critical role in helping children with EDS manage their symptoms, build strength, and maintain a good quality of life.

A physiotherapist may help with:

🧠 Education and awareness

  • Teaching children and families about joint protection and safe movement
  • Helping them understand body signals and pacing strategies

🏃 Strength and stability training

  • Developing individualised exercise programs to improve muscle tone and reduce joint instability
  • Focusing on core strength, proprioception, and motor control

🧘 Pain management techniques

  • Encouraging gentle, regular activity to reduce chronic pain
  • Introducing breathing, stretching, and relaxation techniques

🎯 Goal-setting for daily function

  • Supporting participation in school, sports, and daily routines
  • Helping manage fatigue and prevent overexertion

🤝 Collaboration with other healthcare providers

Coordinating with doctors, occupational therapists, and psychologists for a holistic care plan

💜 Let’s Raise Awareness Together

Children with EDS often face challenges that aren’t immediately visible — from pain and fatigue to feeling misunderstood. This May, let’s spread the word and show support for early diagnosis, better treatment, and compassionate care.

Whether you’re a parent, educator, or healthcare provider, your awareness and advocacy can make a meaningful difference in a child’s journey with EDS.