Hypermobility Spectrum Disorders (HSD)

Hypermobility Spectrum Disorders encompass a range of conditions characterised by excessive joint movement due to connective tissue laxity. Unlike hypermobile Ehlers-Danlos Syndrome (hEDS), HSD does not meet strict genetic or diagnostic criteria but can still present with symptoms such as joint pain, instability, fatigue, and proprioceptive challenges. Commonly affected joints include the knees, shoulders, elbows, and fingers, with symptoms often worsened by repetitive strain, poor load tolerance, and deconditioning.

It’s important to recognise that hypermobility exists on a broad spectrum. For some, joint laxity is a benign anatomical variation that causes no discomfort or disruption. For others, it can be a source of persistent pain, fatigue, and functional limitations that impact daily life. Wherever you fall on this spectrum, your experience is valid—and we’re here to support you.

Contemporary perspectives challenge the traditional pathologisation of hypermobility. Pain and dysfunction are often more closely linked to factors such as underuse, fear-avoidance behaviours, and inconsistent loading, rather than the hypermobility itself. Acknowledging this helps us shift the focus from “fixing” joints to building strength, confidence, and resilience. Differential diagnoses to consider include fibromyalgia, chronic fatigue syndrome, and other connective tissue disorders. A thorough assessment by your OHL physiotherapist is essential to identify contributing factors such as muscle weakness, poor motor control, and psychosocial influences.

At Optimal Health Lab, we understand that living with HSD can be complex and sometimes overwhelming. Whether you're experiencing mild discomfort or navigating more significant limitations, our team is committed to providing care that is respectful, empowering, and tailored to your unique needs. Management of HSD involves more than just addressing physical impairments—it also includes recognising the psychological and social factors that influence pain and function. We typically guide clients through a simple, progressive, and individualised exercise program designed to build capacity, reduce symptoms, and restore confidence in movement. Passive treatments like manual therapy or taping may be used selectively, but our focus remains on active strategies that promote long-term wellbeing.

If you suspect you may have a hypermobility-related condition, we encourage you to reach out. Your journey matters, and we’re here to walk alongside you with care, expertise, and understanding. Call 9431 5955 or book online via the Client Portal to begin your journey.