Joint Hypermobility Syndrome (JHS)

15 min read

Joint Hypermobility Syndrome (JHS) is a condition that affects the joints of the body, causing them to be more flexible than normal. It is also known as Ehlers-Danlos Syndrome Hypermobility Type (EDS-HT). JHS is a genetic disorder that is inherited from a person's parents. It is estimated that JHS affects around 10-15% of the population.

Causes of JHS

JHS is caused by a genetic mutation that affects the production of collagen, a protein that helps to give structure and strength to the body's tissues. This mutation can be inherited from either parent, and it is estimated that around 1 in 5 people carry the gene for JHS.

Diagnosis of JHS

JHS is diagnosed through a physical examination and a review of the patient's medical history. The doctor will look for signs of joint hypermobility, such as the ability to move a joint beyond its normal range of motion. The doctor may also order blood tests to check for genetic mutations associated with JHS.

Complications of JHS

JHS can lead to a number of complications, including joint pain, joint instability, and chronic fatigue. It can also increase the risk of developing other conditions, such as osteoarthritis, hernias, and scoliosis. People with JHS may also be more prone to dislocations and sprains.

Living with JHS

Living with JHS can be challenging, but there are ways to manage the condition. It is important to stay active and maintain a healthy lifestyle, as this can help to reduce the risk of complications. It is also important to avoid activities that may put too much strain on the joints, such as contact sports. People with JHS should also be aware of the signs and symptoms of joint instability, and seek medical attention if they experience any.

Take the Joint Hypermobility Syndrome (JHS) Assessment

Symptoms

Joint Pain and Instability

The most common symptom of JHS is joint pain and instability. People with JHS may experience pain in their joints, especially when they move them. This pain can range from mild to severe and can be accompanied by a feeling of instability or “giving way” in the joint. This instability can lead to frequent joint dislocations.

Fatigue

Fatigue is another common symptom of JHS. People with JHS may experience extreme fatigue, even after a full night’s sleep. This fatigue can be caused by the extra effort needed to move the joints, as well as the pain associated with the condition. It can also be caused by the body’s inability to repair itself due to the increased range of motion in the joints.

Muscle Weakness

People with JHS may also experience muscle weakness. This can be caused by the extra effort needed to move the joints, as well as the pain associated with the condition. Muscle weakness can lead to difficulty performing everyday tasks, such as lifting objects or climbing stairs.

Joint Dislocations

Joint dislocations are another common symptom of JHS. People with JHS may experience frequent joint dislocations, which can be painful and can lead to further instability in the joint. Joint dislocations can also lead to further damage to the joint, such as torn ligaments or cartilage.

Treatment and Management of JHS

The treatment and management of JHS depends on the severity of the condition. Mild cases of JHS can often be managed with lifestyle changes, such as avoiding activities that put strain on the joints and taking regular breaks from activities that require repetitive motion. Physical therapy can also be beneficial in helping to strengthen the muscles around the joints and improve range of motion. In more severe cases, medications such as non-steroidal anti-inflammatory drugs (NSAIDs) or corticosteroids may be prescribed to reduce pain and inflammation.

Joint Hypermobility Syndrome can be a difficult condition to manage, but with the right treatment and lifestyle changes, it is possible to reduce the symptoms and improve quality of life. If you are experiencing any of the symptoms of JHS, it is important to speak to your doctor to discuss treatment options.

Causes

Genetics

Genetics is thought to play a role in the development of JHS. Studies have shown that people with JHS are more likely to have a family history of the condition. Additionally, certain genetic mutations have been linked to JHS, including mutations in the COL5A1 and COL5A2 genes.

Hormones

Hormones may also play a role in the development of JHS. Studies have found that people with JHS are more likely to have higher levels of certain hormones, such as estrogen and progesterone. Additionally, people with JHS may have lower levels of certain hormones, such as testosterone.

Environmental Factors

Environmental factors, such as exposure to certain chemicals or toxins, may also contribute to the development of JHS. Additionally, certain medical conditions, such as Ehlers-Danlos Syndrome, may increase the risk of developing JHS.

Lifestyle Factors

Lifestyle factors, such as diet and exercise, may also play a role in the development of JHS. Studies have found that people who are overweight or obese are more likely to develop JHS. Additionally, people who do not get enough exercise may be at an increased risk of developing JHS.

Conclusion

Joint Hypermobility Syndrome (JHS) is a condition that affects the joints, causing them to be overly flexible and move beyond the normal range of motion. While the exact cause of JHS is unknown, there are several factors that may contribute to its development, including genetics, hormones, environmental factors, and lifestyle factors.

Getting a Diagnosis

Physical Examination

The first step in diagnosing JHS is a physical examination. During the physical exam, the doctor will look for signs of joint instability, such as increased flexibility and range of motion. The doctor may also check for signs of joint pain, swelling, and tenderness. The doctor may also check for signs of skin laxity, which can be a sign of JHS.

Beighton Score

The Beighton Score is a nine-point scale used to measure joint hypermobility. It is based on the number of joints that can be passively moved beyond the normal range of motion. A score of four or higher is considered to be indicative of JHS. The Beighton Score is not a definitive test for JHS, but it can be used to help diagnose the condition.

Genetic Testing

Genetic testing can be used to help diagnose JHS. Certain genetic mutations have been linked to the condition, and genetic testing can help identify these mutations. However, genetic testing is not always necessary for diagnosing JHS, and it is not always available.

Blood Tests

Blood tests can be used to help diagnose JHS. Certain blood tests can help identify markers associated with the condition, such as elevated levels of certain proteins. Blood tests are not always necessary for diagnosing JHS, and they are not always available.

Imaging Tests

Imaging tests, such as X-rays and MRI scans, can be used to help diagnose JHS. These tests can help identify signs of joint instability, such as joint laxity and joint subluxation. Imaging tests are not always necessary for diagnosing JHS, and they are not always available.

Conclusion

Diagnosing JHS can be difficult, as there is no single test that can definitively diagnose the condition. However, there are a number of tests and assessments that can be used to help diagnose JHS. These include physical examination, the Beighton Score, genetic testing, blood tests, and imaging tests. It is important to speak to your doctor about the best way to diagnose JHS.

Questions for Your Doctor

Symptoms

Discuss any symptoms you are experiencing with your doctor. This includes pain, stiffness, instability, fatigue, and any other symptoms you may be having. Your doctor can help you determine the best course of treatment for your symptoms.

Treatment Options

Your doctor can help you explore different treatment options for JHS. This may include physical therapy, medications, lifestyle changes, and other treatments. Your doctor can help you decide which treatment option is best for you.

Risk Factors

Discuss any risk factors you may have for developing JHS. This includes family history, age, gender, and any other factors that may increase your risk. Your doctor can help you understand your risk and how to reduce it.

Follow-up Care

Discuss any follow-up care you may need with your doctor. This may include regular check-ups, physical therapy, or other treatments. Your doctor can help you determine the best plan for your follow-up care.

Questions and Concerns

Finally, make sure to discuss any questions or concerns you may have about JHS with your doctor. Your doctor can provide you with the information and support you need to manage your condition.

Treatment

Physical Therapy

Physical therapy is one of the most common treatments for JHS. It can help to strengthen the muscles around the joints, which can help to reduce pain and improve mobility. Physical therapy can also help to improve posture and balance, which can help to reduce the risk of injury.

Occupational Therapy

Occupational therapy can help to improve the ability to perform everyday activities. It can also help to reduce fatigue and improve coordination. Occupational therapy can also help to improve posture and balance, which can help to reduce the risk of injury.

Medication

Medication can be used to help manage the pain associated with JHS. Non-steroidal anti-inflammatory drugs (NSAIDs) can help to reduce inflammation and pain. Other medications, such as muscle relaxants, can also be used to help manage the pain.

Surgery

In some cases, surgery may be recommended to help manage the symptoms of JHS. Surgery can help to reduce pain and improve mobility. However, it is important to note that surgery is not always necessary and should only be considered as a last resort.

Lifestyle Changes

Making lifestyle changes can also help to manage the symptoms of JHS. Eating a healthy diet, getting regular exercise, and avoiding activities that put too much strain on the joints can all help to reduce pain and improve mobility. It is also important to get enough rest and to practice good posture.

Conclusion

Joint Hypermobility Syndrome (JHS) can be a difficult condition to manage, but there are treatments available that can help. Physical therapy, occupational therapy, medication, surgery, and lifestyle changes can all help to reduce pain and improve mobility. It is important to talk to your doctor to find the best treatment plan for you.

Drugs & Medications

Medications for Joint Hypermobility Syndrome

There are several medications that can be used to help manage the symptoms of JHS. These include:

  • Non-steroidal anti-inflammatory drugs (NSAIDs): These medications can help reduce inflammation and pain in the joints.
  • Corticosteroids: These medications can help reduce inflammation and pain in the joints.
  • Disease-modifying antirheumatic drugs (DMARDs): These medications can help slow the progression of JHS.
  • Muscle relaxants: These medications can help reduce muscle spasms and pain.
  • Antidepressants: These medications can help reduce pain and improve mood.

It is important to talk to your doctor before taking any medications for JHS. Your doctor can help you determine which medications are best for you and how to take them safely.

Other Treatments for Joint Hypermobility Syndrome

In addition to medications, there are other treatments that can help manage the symptoms of JHS. These include:

  • Physical therapy: Physical therapy can help strengthen the muscles around the joints and improve range of motion.
  • Occupational therapy: Occupational therapy can help improve daily functioning and reduce pain.
  • Heat and cold therapy: Heat and cold therapy can help reduce pain and inflammation.
  • Massage therapy: Massage therapy can help reduce pain and improve range of motion.
  • Acupuncture: Acupuncture can help reduce pain and improve range of motion.

It is important to talk to your doctor before starting any new treatments for JHS. Your doctor can help you determine which treatments are best for you and how to use them safely.

Conclusion

Joint Hypermobility Syndrome (JHS) is a condition that affects the joints, causing them to be overly flexible. While there is no cure for JHS, there are treatments available to help manage the symptoms. These include medications, physical therapy, occupational therapy, heat and cold therapy, massage therapy, and acupuncture. It is important to talk to your doctor before starting any new treatments for JHS.

Diet

Nutrition for Joint Hypermobility Syndrome

A healthy diet is important for anyone with JHS, as it can help reduce inflammation and improve overall health. Eating a balanced diet that includes plenty of fruits, vegetables, whole grains, and lean proteins can help provide the body with the nutrients it needs to stay healthy. Additionally, avoiding processed foods and added sugars can help reduce inflammation and improve overall health.

Supplements for Joint Hypermobility Syndrome

Certain supplements may also be beneficial for people with JHS. Omega-3 fatty acids, such as those found in fish oil, can help reduce inflammation and improve joint health. Additionally, vitamin D and calcium can help strengthen bones and reduce the risk of fractures. It is important to speak with a doctor before taking any supplements, as some may interact with medications or have other side effects.

Foods to Avoid with Joint Hypermobility Syndrome

Certain foods can worsen symptoms of JHS, so it is important to avoid them. Foods that are high in sugar, such as candy and soda, can increase inflammation and worsen joint pain. Additionally, foods that are high in saturated fat, such as red meat and processed foods, can also increase inflammation and worsen symptoms. It is important to speak with a doctor or nutritionist to determine which foods should be avoided.

Conclusion

Joint Hypermobility Syndrome can cause pain and discomfort, but there are certain dietary changes that can help reduce symptoms and improve overall health. Eating a balanced diet that includes plenty of fruits, vegetables, whole grains, and lean proteins can help provide the body with the nutrients it needs to stay healthy. Additionally, certain supplements, such as omega-3 fatty acids and vitamin D, can help reduce inflammation and improve joint health. Finally, avoiding foods that are high in sugar and saturated fat can help reduce inflammation and improve overall health.

Lifestyle

Exercise

Exercise is an important part of managing JHS. Low-impact activities such as swimming, yoga, and tai chi can help strengthen the muscles around the joints and improve flexibility. It is important to start slowly and gradually increase the intensity of the exercise. It is also important to listen to your body and stop if you experience any pain or discomfort.

Stretching

Stretching can help improve flexibility and reduce pain. It is important to stretch gently and avoid any sudden or jerky movements. It is also important to stretch all the major muscle groups, including the arms, legs, back, and neck.

Posture

Good posture can help reduce pain and fatigue. It is important to keep the spine in a neutral position and avoid slouching. It is also important to avoid sitting or standing in one position for too long. Taking regular breaks and changing positions can help reduce pain and fatigue.

Rest

Getting enough rest is important for managing JHS. It is important to get enough sleep each night and take regular breaks during the day. It is also important to avoid activities that are too strenuous or that cause pain.

Diet

Eating a healthy, balanced diet can help manage JHS. Eating a variety of fruits, vegetables, whole grains, and lean proteins can help reduce inflammation and improve overall health. It is also important to avoid processed foods and foods high in sugar and fat.

Stress Management

Stress can worsen the symptoms of JHS, so it is important to find ways to manage stress. Relaxation techniques such as deep breathing, meditation, and yoga can help reduce stress. It is also important to take time for yourself and do activities that you enjoy.

Conclusion

Joint Hypermobility Syndrome can be managed with lifestyle changes. Exercise, stretching, posture, rest, diet, and stress management can all help reduce pain and improve quality of life. It is important to listen to your body and make changes that work for you.