Treatment of joint hypermobility syndrome case presentation A 14-year-old female presents to your office with generalized fatigue, widespread joint pain and a history of multiple bilateral patellar dislocations.
Treatment of joint hypermobility syndrome case presentation A 14-year-old female presents to your office with generalized fatigue, widespread joint pain and a history of multiple bilateral patellar dislocations. After history and physical examination, you diagnose her with joint hypermobility syndrome. What is the most appropriate approach for treatment?
Order an MRI for both knees B. Counseling on diagnosis and expectations C. Opioid medication for pain control D.
Refer to orthopedic surgery Beighton Score for hypermobility introduction Treatment of patients in an intensive interdisciplinary pain management program and is individualized based on the needs of each patient, physiotherapy, occupational therapy, psychology counseling, relaxation training, and medication management by a pediatric physiatrist if needed. Chronic pain is a major problem found in up to 90% of patients with joint hypermobility syndrome/hypermobile EDS. The pain is generally complex, often generalized, and for people with JHS/hypermobile EDS often leads to poor physical, psychosocial, and overall function comparable to patients with fibromyalgia (FM).
As in other chronic pain conditions, psychological symptoms are common both in EDS and JHS. In a recent study on EDS where the majority had the hypermobility type, 51% of respondents reported high levels of anxiety and 20% reported high levels of depression. Fatigue, sleep problems, and other subjective health complaints that influence quality of life are also more frequent in hypermobile EDS/JHS than in controls.
The management of patients with JHS can be challenging for the patient as well as the practitioner. As described by Simmonds and Keer , “patience, coupled with good communication and sensitive handling skills are required as physical problems are often longstanding and include secondary complications and psycho-social issues..” There is no conclusive evidence in the literature regarding best practices for patients with JHS. However, one report highlights the importance of patient education, therapeutic exercise, and modification of work and lifestyle in the management of JHS.
If you are experiencing symptoms that may be related to treatment of joint hypermobility syndrome, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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