Decoding the Flexibility Enigma: Understanding Joint Hypermobility Syndrome

Joint hypermobility

Expert Reviewed By: Dr. Brandon Colby MD

Joint hypermobility syndrome, also known as benign joint hypermobility syndrome (BJHS), is a condition where the joints are more flexible than normal, allowing for a greater range of motion. While this may seem like a desirable trait, it can also lead to various health issues, such as joint pain, dislocations, and an increased risk of injury. This article dives into understanding, diagnosing, and using genetic testing for joint hypermobility syndrome.

Understanding Joint Hypermobility Syndrome

Joint hypermobility is often a genetic condition, with several studies exploring its connection to genetic differences in connective tissues. For instance, a study suggests that genetic differences in connective tissues may predispose individuals to pelvic organ prolapse and urinary incontinence, particularly in women with benign joint hypermobility syndrome. Another study examines the relationship between joint hypermobility, central sensitization, and autonomic nervous system dysfunction in adolescents.

Joint hypermobility syndrome can be associated with other conditions, such as Ehlers-Danlos Syndrome (EDS), which is a group of inherited disorders affecting connective tissues. A review of the conservative multidisciplinary approach to treating chronic pain in EDS patients includes physiotherapy, occupational therapy, cognitive behavioral therapy, and pharmacologic interventions.

Diagnosing Joint Hypermobility Syndrome

Diagnosing joint hypermobility syndrome typically involves a physical examination and a detailed assessment of the patient's medical history. A healthcare professional will assess the range of motion in the patient's joints and may use a scoring system, such as the Beighton score, to determine the degree of joint hypermobility.

Additional tests may be conducted to rule out other conditions that could cause joint hypermobility, such as Marfan syndrome or EDS. In some cases, a case report of a patient with camptodactyly and benign joint hypermobility syndrome presents with fixed flexion deformity of fingers, joint hyperextensibility, and striae, further complicating the diagnostic process.

Genetic Testing for Joint Hypermobility Syndrome

The Role of Genetic Testing in Diagnosis

Genetic testing can be a valuable tool in diagnosing joint hypermobility syndrome, particularly when it comes to differentiating it from other connective tissue disorders. By analyzing specific genes associated with these conditions, healthcare professionals can provide a more accurate diagnosis and tailor treatment plans accordingly.

Identifying Genetic Predisposition

Genetic testing can also help identify individuals who may have a genetic predisposition to joint hypermobility syndrome. This information can be particularly useful for family members of affected individuals, as it may inform them of their own risk and help them take preventive measures to reduce the likelihood of developing joint hypermobility-related complications.

Informing Treatment and Management Strategies

Understanding the genetic basis of joint hypermobility syndrome can inform treatment and management strategies for individuals living with the condition. For example, healthcare professionals may recommend specific physiotherapy exercises or lifestyle modifications based on the patient's genetic profile, ultimately improving their quality of life and reducing the risk of complications.

Advancing Research and Understanding

Genetic testing plays a crucial role in advancing research and understanding of joint hypermobility syndrome, as well as other connective tissue disorders. By identifying the genetic factors that contribute to these conditions, researchers can develop more targeted therapies and improve the overall understanding of the mechanisms underlying joint hypermobility.

In conclusion, joint hypermobility syndrome is a complex condition influenced by genetic factors. Understanding, diagnosing, and using genetic testing for this condition can help healthcare professionals provide more accurate diagnoses, inform treatment plans, and advance research in this field. If you or a loved one suspect you may have joint hypermobility syndrome, consult with a healthcare professional to discuss your concerns and explore the potential benefits of genetic testing.

About The Expert Reviewer

Dr. Brandon Colby MD is a US physician specializing in the personalized prevention of disease through the use of genomic technologies. He’s an expert in genetic testing, genetic analysis, and precision medicine. Dr. Colby is also the Founder of  and the author of ⁠Outsmart Your Genes.

Dr. Colby holds an MD from the Mount Sinai School of Medicine, an MBA from Stanford University’s Graduate School of Business, and a degree in Genetics with Honors from the University of Michigan. He is an Affiliate Specialist of the American College of Medical Genetics and Genomics (⁠ACMG), an Associate of the American College of Preventive Medicine (⁠ACPM), and a member of the National Society of Genetic Counselors (NSGC)