Pain related to joint hypermobility syndrome
When the range of motion of a joint increase abnormally as a result from excessive laxity of the soft tissues is called as hypermobility. We are not well versed with the etiology of hypermobility till now. Earlier, joint hypermobility syndrome was regarded as a benign condition, but currently it is recognized as an important contributor to chronic musculoskeletal pain, besides impacting on other organs. The people suffering from joint hypermobility syndrome often experience diffuse, chronic complaints that are inconsistent with the musculoskeletal system.
Chronic pain may lead to premature osteoarthritis development, loss of proprioception and so increased sensitivity to micro trauma, soft tissue problems, psycho-social disorders, and neurophysiological deficiencies. Osteoarthritis, pes planus, mechanical low back pain, and soft tissue rheumatism are common musculoskeletal findings as well as subluxations, thoracic outlet syndrome, rectal and uterine prolapses, hernias, and stress incontinence. Joint hypermobility syndrome treatment is not facile and non-steroidal anti-inflammatory drugs are mostly not effective.
Proprioceptive and strengthening exercises have been proved to have supportive and therapeutic conclusions, but we have scarce data on this issue. Joint hypermobility syndrome must be assumed as a multi-system connective tissue disorder rather than just joint laxities. Also, the clinicians must be aware of complexities of connective tissue disorders and comorbidities.