Signs of hypermobility syndrome

Some people have flexible joints without symptoms. Hypermobility syndrome is considered when flexibility is accompanied by problems such as aching after activity, joints that feel loose, repeated sprains, or joints that partially slip out of position. Knees, shoulders, fingers, elbows, and ankles may be affected. Muscles can tire because they work harder to steady a joint, and pain may be worse after prolonged standing or repetitive movement.

Assessment usually combines a history of pain and injuries with a physical examination of joint movement, strength, balance, and control. Other conditions can also cause pain or instability, so the pattern matters more than flexibility alone.

A tailored [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) plan can build control, balance, and confidence without forcing joints to their end range. Pace activities, vary positions, wear supportive footwear, and use gentle strengthening rather than repeatedly stretching already flexible joints. [Strength Training Rehabilitation](/treatments/physiotherapy-and-rehabilitation/strength-training-rehabilitation/) may be adapted gradually around painful or unstable areas.

Arrange an assessment for persistent [Joint Pain](/symptoms/joint-pain/), repeated sprains, a joint that repeatedly gives way, or pain that limits sleep, work, or exercise. Seek urgent care after a major injury, visible deformity, inability to bear weight, new numbness, or a cold or discoloured limb.

Ask which joints need protection, which exercises suit your current control, how to recognise a dislocation, and whether another condition could explain your symptoms. Ask how progress will be measured and when activity can be increased.