Hypermobility & Ehlers-Danlos Syndrome (EDS)

Understanding Hypermobility and EDS

Hypermobility means the joints move beyond the normal range of motion. While some people are naturally flexible without symptoms, others experience pain, instability, fatigue, and recurring injuries.

Ehlers-Danlos Syndrome (EDS) is a group of connective tissue disorders that can cause hypermobility, tissue fragility, and challenges throughout the body.

Because connective tissue is found everywhere, hypermobility and EDS can affect more than just joints. Many individuals experience symptoms involving the pelvic floor, bladder, bowel, core, and nervous system.

How Hypermobility and EDS Affect the Pelvic Floor

The pelvic floor relies on muscles, ligaments, and connective tissue to provide support and stability.

In individuals with hypermobility or EDS, these support systems may be less efficient, causing the body to compensate through increased muscle tension, altered movement patterns, and decreased stability.

This can contribute to:

  • Pelvic floor dysfunction
  • Bladder control issues
  • Bowel dysfunction
  • Chronic pelvic pain
  • Core weakness
  • Feelings of pelvic pressure or heaviness

Our Approach to Treatment

At Niko Physical Therapy, we understand that hypermobile bodies often require a different approach than traditional rehabilitation.

Treatment focuses on:

  • Improving joint stability
  • Enhancing core and pelvic floor coordination
  • Optimizing breathing mechanics
  • Building functional strength
  • Improving movement efficiency
  • Reducing pain and muscle tension
  • Supporting long-term participation in activities you enjoy

Rather than focusing on flexibility, therapy emphasizes control, stability, and confidence in movement.

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Pelvic Floor Therapy for Hypermobility and EDS

Pelvic floor physical therapy may help if you experience:

  • Urinary leakage
  • Urinary urgency
  • Constipation
  • Pelvic pain
  • Pain during intimacy
  • Pelvic organ prolapse
  • Pregnancy and postpartum concerns
  • Core weakness

Your treatment plan is individualized based on your symptoms, goals, and level of activity.

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