What is Joint Hypermobility Syndrome?

When a person is SO flexible that it is a cause of pain, weakness, poor balance, recurring sprains and/or slow to heal injuries, they have a condition known as Joint Hypermobility Syndrome (JHS). These individuals commonly identify themselves as “double jointed”. It is estimated that 10% of the population have some degree of hypermobility, with women three times more affected than men.

With this condition, the joints exceed normal expected movement. It is frequently an inherited disorder which renders the collagen, found in our ligaments, less firm than they should be. The job of ligaments is to act as tight binders to hold our bones in stable contact with each other. If the collagen is weaker, it is more elastic than it should be. This allows for excessive movement of the joints, placing a strain on the surrounding muscles. Because the muscles themselves can also be lax, the strain to support the joints can lead to pain and spasm. JHS may also affect any body part where collagen is found i.e. ligaments which suspend the bladder, heart valves, and walls of veins. JHS can affect single or multiple joints.

There are many signs and symptoms of JHS (see table below). The degree of severity is wide, ranging from asymptomatic to total disability. An interesting aspect of JHS, is that joint stiffness is a common symptom. This can be a subjective feeling of needing to stretch out tight muscles. Range of motion can limited in these individuals as a result of injury, aging or pain.

Another key symptom of JHS is chronic pain. People with JHS frequently develop a chronic pain cycle, whereby vulnerable joints are injured, leading to impaired motor control ending in pain and more subsequent injuries. People with hypermobility often spend years chasing their symptoms. It is best to understand the source of the problem and develop a rehabilitation approach around this.

Signs and symptoms of JHS

  • Fatigue
  • Difficulty sleeping
  • Joint injuries (Dislocations/ subluxations)
  • Poor posture
  • Increased range of motion (Present or past)
  • Joint Stiffness
  • Hyperextension in joints e.g. knees
  • Can’t sit still
  • Low blood pressure
  • Heart Palpitations
  • Anxiety
  • Pelvic floor dysfunction
  • Uterine or bladder prolapse
  • Mitral valve prolapses
  • Painful joints and muscles
  • Weakness despite working out
  • Poor balance, Clumsiness
  • Chronic Ankle sprains
  • Slow to heal injuries
  • Systemic medical conditions e.g. IBS, GERD



The Joint Stabilization and Strength Program

The Joint Stabilization and Strength (JSS) Program is a revolutionary system of exercises designed by it’s time! Fitness Results and Trimetrics Physiotherapy. It is a cohesive approach aimed at breaking the chronic pain cycle and fully restoring function to individuals who are hypermobile. It was developed as a way to provide long-term management for this condition. To our knowledge it’s the first multi-disciplinary system of its kind to cater specifically to this population.

Trimetrics Physiotherapy has developed a care plan to reduce pain, realign posture and develop joint positional awareness (http://www.trimetricsphysio.com/services/joint-hypermobility-syndrome/ ). Once you have completed this, you are ready to begin the JSS program.

The JSS Program at it’s time! Fitness Results works to rebuild stability and strength using safe, progressive, intelligent training techniques. The program will retrain your movement patterns from the most basic (breathing) to functional movements used in daily living (lifting, carrying). Attention to detail is a critical component to this program and individuals will be closely monitored by our expert trainers in their one on one sessions.

The JSS Program will focus on 5 key points;

  1. Posture
  2. Core Stability
  3. Proprioception
  4. Fundamental Movement Patterns
  5. Strength

What is included in the JSS Program?

Your first month will include:

  • Functional Movement Screen
  • Home Exercise Program
  • 4 Private Training sessions

How do I enroll in the Hypermobility Program?

It’s easy!  Book your assessment by calling it’s time! Fitness Results  You’ll get all the information needed to get started.