Hypermobility

Posted in Arieanna & Ianiv, Science

I’ve started to see a chiropractor to treat my nerve pain and the older injuries associated with it. I go twice a week, after I have a nice long session with my massage therapist.

The chiropractor I am seeing believes that I am hypermobile. According to wikipedia, this means that my joints stretch further than is normal. Hypermobility may be genetic, but the research seems new in that area.

Hypermobility can cause people to be injured more easily than others, often in situations that would not hurt others. I can recall many stupid ways I have been sprained. Like walking or lifting laundry. The joints just gave way on me.

Now, there are many different types of hypermobility, some more serious than others. I will need to ask my doctor about them and to see if I can have any tests done. I know I do not have joints quite as flexible as the testing would indicate I should, but my symptoms are spot on for the rest of it.

I was reading up on some research about hypermobility and back pain, and found this:

Hypermobility may present as increased movement compared to what is expected. It may occur at one joint, one segment, in just one direction of movement, or as a more generalized phenomenon. More commonly, we see compensatory hypermobility occurring when trauma to the ligamentous structures has decreased the movement of the adjacent joint.

The initial response to the increased segmental movement is a reflexive increase in tone of muscles that share common innervation or are directly attached to the corresponding segment. This is the body’s attempt to stabilize the affected area. Over time, prolonged, increased tonus will decrease the blood supply and increase the build-up of lactic acid.

To me, this could explain why, 5 years later, I developed TOS. So, I will be talking to my doctor. From what I have read, my treatments now are spot on between my massage and chiropractor, so that is encouraging. I have even had one small window of no pain since my last visit, and I am hopeful that there will be more in the future.

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3 Responses to “Hypermobility”

  1. Carla says:

    And I hope that small window will turn into a very larger window, knock on wood! Mom wants you to be better!

  2. Matthew says:

    Good post on hyper-mobility. Core strengthening therapies like spinal exercises and pilates can help with this. You want to help build-up those small muscles of stabilization within the neck.

  3. Stephen says:

    A good article on hyper-mobility, thank you.

    While any treatment that reduces your pain is valuable, it will also be a short term help. Exercise is the only way to reduce your pain long term. However, you have to be careful to do enough to strengthen up, while not overdoing the exercise, which will irritate hyper-mobile joints, like an ‘over-use’ injury, and while you recover from the pain of over-exercising, you end up losing muscle strength. While Pilates-type exercises are excellent, you still have to be careful not to over-exercise – progress has to be very gradual.

    You would also benefit from functional exercises, such as practising lifting items while holding yourself in ‘neutral’, practising how to stand correctly, how to stand up and sit down, and balance exercises to reduce your risk of sprained ankles or knees, etc.

    Regards

    Stephen Parkus
    Chartered Physiotherapist
    http://www.edgwarephysio.com



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