Hypermobility & EDS Support — Exercise Physiology
It’s one of the most common questions we hear from our hypermobile clients. Living with hEDS or HSD often means navigating challenges like joint instability, chronic pain, fatigue, POTS and gastrointestinal symptoms — all of which can make movement feel overwhelming. However, tailored exercise is a cornerstone of managing these conditions. With the right support, movement can improve functional capacity, reduce symptom severity, and help you work toward your goals with greater confidence.
Our approach
- Avoiding movement isn’t the answer — we teach how to move safely.
- Compensation mapping → safer options without flare-ups.
- Closed-chain strength & tempo for control and confidence.
- Assistive-aware: braces, crutches and compression integrated into plans.
- Thermoregulation & pacing to protect recovery.
We identify where you compensate (e.g., locking knees, hinging through one segment, rib flaring) and teach low-threat alternatives. Expect simple cues, mirrors/tactile feedback, and micro-progressions that feel doable.
We program rotation, side-bending and varied angles (closed and open chain) to reduce “hot spots.” Variability builds resilience, helps tissues share work, and reduces the chance a single joint is over-relied on.
Breath-led tempo and short sets with adequate rest. We progress slowly (volume before intensity) to build stability without tipping into fatigue or flares.
We integrate braces, taping, crutches/canes and compression into your plan. Clear entry/exit criteria and technique tweaks ensure aids support training rather than replace it.
POTS/dysautonomia, MCAS, GI symptoms, fatigue and thermoregulation are factored into dose, environment and session pacing to protect recovery.
We track tolerance ladders, stability markers and confidence. The aim: more options you can use day-to-day and fewer flares over time.
Your hypermobility pathway
History, goals, movement screen, co-morbidities (POTS/MCAS/GI) and current aids.
Compensation mapping, joint variability and recoverable loading with breath/tempo.
Choose 1:1 or 1:3 Clinical Pilates with EP supervision.
Adjust dose, add strength, and expand options you can use day-to-day.
Who it’s great for
- hEDS or HSD with joint instability and recurrent sprains
- Hypermobile clients experiencing pain, fatigue or frequent flares
- POTS/dysautonomia, MCAS, GI issues, thermoregulation challenges
- People who want expert supervision and clear, safe progressions
Specialists in Hypermobility Support
All are women’s health Exercise Physiologists who use the joint variability model and understand the complexities of hypermobility needs.
Compensation mapping, recoverable loading, confidence-first progressions.
Joint variability, breath-led tempo, graded exposure without flare-ups.
Assistive-aware strength, thermoregulation & pacing to protect recovery.
Experienced in graded stability work and symptom-paced progressions.
Good to know
I feel worse when I move — should I avoid exercise?
Avoiding movement isn’t the answer. The key is learning how you compensate and dosing strength you can recover from — using breath, tempo and variability to reduce flare risk.
Do you work with braces, crutches and compression?
Yes. We clarify each aid’s role, program with it, and plan progression if/when appropriate so it supports movement rather than replaces it.
Is it safe to load “unstable” joints?
With coaching and dose control, controlled loading is protective. We use closed-chain strength, tempo control and joint variability to build stability and confidence.
Ready to get started? Book a 1:1 EP assessment and we’ll build a program around your body, goals and recovery.
You will be heard. Let’s work together
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