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The quick tip I give to my patients and my colleagues, if you’re looking at anyone with musculoskeletal problems just ask them to stand up and most of the time you will pick up generalised hypermobility from just the way the person is standing. Because these people, especially if it’s a lower body issue, when they stand their knee goes back so that’s hyperextension of the knees they will see that their feet are flat and they will have an abnormal posture. So sometimes the bottom of the spine it’s curved in, so that’s an exaggerated lordosis, and the top of the spine is curved, so that is kyphosis. And to be honest by just looking at the patient, which will take 30 seconds, from the front and the back, you would have had a good idea.

My name’s Simone and I have been hypermobile for all my life. I haven’t known about it all my life. I didn’t get a diagnosis until I was 30. I had pains in my legs when I was growing up in the night and I’d wake up crying. Nothing would stop that pain. I was always very flexible. It was a friend who actually spotted that I was hypermobile. I was sitting and she’s a physio, she saw my posture and said you’re hypermobile. And then when I went away and researched it it explained some of the canada goose outlet store toronto symptoms I’d had but I hadn’t considered them to be symptoms. And I then realised that my daughter was also hypermobile. Then started doing some exercises, suddenly some aches and pains went away.

I’m Dr Jane Simmonds and I’m a physiotherapist. So I’m doing this in standing but we would often do this lying down, it’s just looking at the hyperextension behind the knee here, so going beyond 10 degrees of hyperextension. We also look at the hands. With this we extend the little finger, Cath yeah these joints have over time we can see here that this extending up but what’s also quite obvious with Cath’s is this laxity of the skin, so by just drawing up the skin at the back of the hand here we can see how this connective tissue is looser and potentially a little bit more fragile and that’s one of the key marker signs for not just the joints but actually that tells us something about the collagen underlying.

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If there is a recurrent dislocation of the joint, yes, you will get early osteoarthritis and that’s where we try to prevent it. The other problem also, which unfortunately occurs, that if a joint dislocates more than maybe twice and I’ve seen people where they were offered only a couple of sessions with physiotherapy, they’ll be referred to a surgeon and they will try to tighten the ligaments. So patients will end up with multiple surgical procedures and the procedures themselves canada goose outlet in new york will alter the dynamics and canada goose outlet canada also that will cause osteoarthritis.

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Physiotherapist Jane Simmonds and we have links to some of the patient groups working in this field on our website and to recently published guidelines on diagnosing the condition.

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