It can be challenging to diagnose joint hypermobility syndrome in adults, which is often misdiagnosed as fibromyalgia or other disorders, making it an underrecognized condition despite its prevalence. IM2023
But the condition is not a diagnosis,"it's a descriptor of a finding that you notice on a physical exam," Carroll said.Although hypermobility often is benign and rarely progresses to more serious health issues, HSD can cause symptoms such as recurrent dislocations, joint pain, and other degenerative changes.A 2013 survey in the United Kingdom found that about 3% of respondents reported pain as a consequence of their hypermobility.
"We kind of think of hypermobility as either being benign or you kind of have it as a kid and grow out of it," Carroll said."But the reality is a lot of our patients keep that into adulthood and can have problems as a consequence." Because some of the symptoms of HSD, such as abdominal pain and fatigue, mimic other whole-body pain conditions,"I think a lot of these patients were diagnosed with fibromyalgia," Carroll said."It's incumbent upon us to be able to start teasing some of those nuances out, or at least have rheumatology help you and other specialists figure out where you can go with these patients and their health.
Treatment options for HSD are limited. No disease-directed pharmacologic agents exist and interventions in general lack rigorous studies to support their use. Carroll recommends anti-inflammatory drugs and physical therapy as first-line approaches. He also stressed that lifestyle interventions — particularly exercise and weight loss — are essential. The role of surgery at this time is unclear and only used in highly selected cases.
"You're going to need several different specialists to try to really help our patients get back up and running," he said.American College of Physicians Internal Medicine Meeting 2023. Presented April 28, 2023.
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