Chronic tightness in a hypermobile patient often is not a flexibility problem. Learn why muscle guarding shows up as tightness and why stretching it can backfire.

She has been to four physical therapists. She had arthroscopic knee surgery. She has tried injections, chiropractic care, and acupuncture. Nothing has worked. She is not dramatic. She is not non-compliant. She has a connective tissue condition that almost no one in her care team recognized — and now she is in your clinic. The Gap No One Talks About Most physical therapy programs spend about two paragraphs on Ehlers-Danlos Syndrome. Two paragraphs across three years of curricu

Recurrent injuries, slow recovery, and pain that worsens with standard strengthening protocols may point to undiagnosed hypermobility. Five clinical signs every orthopedic PT should recognize.

A practical orientation to treating hEDS and HSD patients in an orthopedic PT caseload: recognition, evaluation, treatment principles, comorbidities, and referral thresholds.