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When the Hypermobility Syndrome was first put on the
medical map in 1967, it was defined as the presence of musculoskeletal
symptoms (predominantly
pain) occurring in otherwise healthy individuals. Thirty years down the
line we now think that there are probably two types of hypermobility.
The first is a milder type occurring in people whose joints are just
like everyone else's but which have the capacity to move more than most
people's joints. The other, a more marked form, has features that
suggest that it may be part of an inherited connective tissue disorder
similar to the hypermobile form of the Ehlers-Danlos Syndrome, formerly
called EDS III. It probably is EDS. At the present time we simply do
not know for certain whether or not HMS is merely a less severe type of
EDS III. Pain can occur in other forms.
It is often accompanied by an intense sense of exhaustion. the severity
of the pain we feel is greatly influenced by our state of mind. If we
are upset or agitated it tends to increase. If we are content, relaxed
or just happy it tends to diminish. The HMS/EDS people are often in the
former category, and for good reason! Lack of understanding of the
condition is widespread, and this, coupled with failure to receive
adequate treatment for relief of symptoms, leads to frustration,
resentment, anger (and lots more emotions which I could list but
readers know them all only too well!) and, ultimately depression. These
emotional influences can amplify pain, but they do not cause it.(Prof R
Grahame CBE, MD, FRCP, FACP. University College Hospital, LONDON)
http://www.ehlersdanlos.ca/hyperpain.htm
Joint hypermobility results from genetic variations in connective
tissue matrix proteins resulting in stretchier tissues. For many it is
an asset that confers greater facility for physical prowess. Others,
less fortunate, fall prey to the associated effects of tissue
fragility. The most frequently encountered constellation of traumatic
and overuse injuries is termed the (benign joint) hypermobility
syndrome (BJHS). This condition, poorly understood, frequently
overlooked, misdiagnosed and inappropriately
treated, is the cause of much needless suffering and anguish.
Accumulating evidence suggests that JHS represents a forme fruste
of
an heritable disorder of connective alongside Marfan syndrome,
Ehlers-Danlos syndrome and osteogenesis imperfecta, with which it
shares many overlapping features, but from which it can be
phenotypically distinguished on the basis of clinical features and
prognosis. The responsible gene defects have yet to be
elucidated.(Grahame R. "Hypermobility--not a circus act" Int J Clin
Pract. 2000
Jun;54(5):314-5.
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