NHS information · Wrists/Hands

Worried about joint hypermobility syndrome?

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This page summarises publicly available NHS information for educational purposes only. It is not medical advice or a diagnosis. Always consult a qualified healthcare professional.

What is joint hypermobility syndrome?

Joint hypermobility means joints bend further than usual. Many people have flexible joints without problems, but joint hypermobility syndrome causes pain, fatigue, frequent sprains, and dislocations. It's thought to be caused by changes in collagen that make connective tissue more stretchy. Strengthening exercises and physiotherapy are the main treatments.

When NHS resources suggest seeing a GP

  • You have joint pain or stiffness that keeps coming back.
  • You keep getting sprains or dislocations.
  • You feel very tired even after rest.
  • Your joints click or 'pop out' regularly.
  • You have digestive problems or dizziness alongside joint symptoms.
  • A family member has been diagnosed with hypermobility syndrome or Ehlers-Danlos syndrome.
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Self-care information from NHS

  • Do gentle strengthening exercises — swimming, cycling, and Pilates help stabilise joints.
  • Build up exercise gradually — don't overdo it, as this can trigger flare-ups.
  • Wear supportive shoes and consider insoles if recommended.
  • Pace activities to avoid overdoing it on good days and crashing afterwards.
  • Use pain relief as needed — paracetamol or anti-inflammatory gels.
  • Ask your GP for a physiotherapy referral — targeted exercises make the biggest difference.

Common questions

Is joint hypermobility the same as Ehlers-Danlos syndrome?

Hypermobile Ehlers-Danlos syndrome (hEDS) is the more severe end of the hypermobility spectrum, with stricter diagnostic criteria. Many people with hypermobility syndrome don't meet hEDS criteria but still need support. A rheumatologist can assess.

Does joint hypermobility get worse with age?

Joint flexibility often decreases with age, which can actually reduce some symptoms. However, the fatigue, pain, and other associated problems may persist or worsen without proper management. Ongoing physiotherapy helps.

Can I exercise with hypermobile joints?

Yes — exercise is the single most effective treatment. Focus on low-impact strengthening (swimming, Pilates, cycling) rather than stretching. Avoid high-impact or contact sports that risk sprains. Build up gradually with physiotherapy guidance.

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This page is for informational and educational purposes only. It does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional about your individual situation. NorMed organises publicly available NHS information and is not affiliated with the NHS.