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Ehlers-Danlos Syndrome & Hypermobility Spectrum Disorder

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About

Hypermobility Spectrum Disorder (HSD) and Ehlers-Danlos Syndrome (EDS) encompass a range of connective tissue disorders characterised by joint hypermobility, skin fragility, and other tissue abnormalities. EDS, particularly the hypermobile type (hEDS), lacks a specific genetic marker, making diagnosis challenging.

Both HSD and hEDS can cause significant physical limitations, including joint dislocations, chronic pain, and fatigue. Understanding and managing these conditions involve recognising the spectrum of symptoms and tailoring treatment to individual needs. For detailed diagnostic criteria and information, resources are available on the EDS Society website.

Common presentations and Co-Morbidities:

The Ehlers-Danlos syndromes (EDS) constitute a collection of 13 inheritable disorders related to connective tissue. These disorders stem from genetic mutations impacting connective tissue integrity. Each EDS type displays unique characteristics outlined by specific diagnostic benchmarks, with the most common type being Hypermobile EDS (hEDS).

Common characteristics include joint hypermobility, skin pliancy, and tissue frailty which are consistently present across all variants of EDS.

Hypermobility Spectrum Disorders (HSD) encompass a group of connective tissue conditions characterized by excessive joint flexibility, leading to joint instability, susceptibility to injuries, and discomfort. Additionally, individuals with HSD frequently experience a range of associated health concerns such as fatigue, headaches, gastrointestinal disturbances, and dysfunction of the autonomic nervous system.

Individuals with Ehlers-Danlos syndromes (EDS) and Hypermobile Spectrum Disorder (HSD) often experience a range of comorbidities, which are additional medical conditions that can coexist alongside EDS or HSD. Some common comorbidities associated with EDS and HSD include Chronic pain, Dysautonomia, Gastrointestinal issues, Cardiovascular issues (not common in HSD), Chiari Malformation (common in Cranio-cervical instability), headache and/or migraines, joint hypermobility resulting in dislocations and subluxations, fatigue, depression and anxiety, Mast Cell Activation Syndrome, and joint degeneration.It's important to note that the severity and specific comorbidities can vary widely among individuals with different types of EDS and HSD. Management typically involves a multidisciplinary approach with specialists in areas such as genetics, rheumatology, pain management, cardiology, and physical therapy.

Program background

Through our early work with patients living with Chronic Fatigue and Pain, we started to notice more and more comorbidities of dysautonomia (OI and POTS), as well as joint hypermobility. Over the years, it became more and more prominent this was indeed an area our team at Active Health Clinic would need to learn more in, in order to understand the complexities of various connective tissue disorders and further assist this population on how to take control of their health journey.

Our Program

Title

Our program consists of approximately 10-15 individual sessions over 6 -18 months. It is designed and focused on long-term management of connective tissue disorders, and helps our clients make and maintain gains, through a holistic approach.

The program covers:

EDS/HSD neurophysiology and pathophysiology

Activity stabilisation and pacing

Goal setting and forward planning daily activities

Identifying triggers and developing a setback plan

Symptom mapping

Understanding hormones and managing the cycle (if applicable)

Sensitisation and pain education (if applicable)

Strength training (if applicable)

Common comorbidities and management strategies as applicable

Setting an appropriate and safe movement/exercise routine (if/when applicable)

Sleep physiology and hygiene

Stress and anxiety management

Addressing nutritional needs (if applicable)

OI/POTS management (if applicable)

Mindfulness techniques and management (if applicable)

Pilates (if applicable)

Yoga (if applicable)

Title

Our program aims to help you establish a ‘normal day’ or return to work, university or school, and day to day life. Through pacing and gradual return to activity, we are able to slowly and confidently build your capacity, without increasing your symptoms. We know this journey is a bit rocky so we give you the skills to deal with any future hurdles, through setback planning and providing you with a therapy manual you can turn to in times of need.

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Cost and questions

For program costs and rebates available, please call the clinic.

Do I need a referral? What if I can't get to your clinic?

A referral isn't always necessary however may impact on your ability to get a rebate - speak to our friendly reception staff and they can help you.

Our clinics are located in Blackburn, Mornington, Bendigo & Essendon, Victoria, however, all services are offered via telehealth also.

Dietetics in Ehlers-Danlos Syndrome (EDS) and Hypermobility Spectrum Disorders (HSD):

Those living with HSD and EDS can experience a range of different symptoms in many different systems of the body. These commonly include a range of gastrointestinal symptoms, such as difficulty swallowing, reflux, nausea, early satiety, bloating, abdominal pain, constipation or diarrhoea, just to name a few.

Our dietitians understand the link between HSD and EDS and the gastrointestinal system, and how this can impact your ability to consume food. They will support you with managing these symptoms while also ensuring you are doing the best that you can to get the nutrients your body needs, which can be particularly challenging when these symptoms present.

Some topics that may be covered with a Dietitian to support you and your body when living with HSD and EDS include:

Strategies to assist with the management of gastrointestinal symptoms - using food based approaches and/or other nervous system based strategies.

Support with weight restoration, stability and maintenance, when appropriate.

Understanding appetite and support with regular eating to support nutritional adequacy.

Support with making food more accessible and fatigue friendly

Eating patterns to improve energy levels and support overall wellbeing.

Our guarantee

Our program provides you with a holistic approach that encompasses your daily needs and activities. This means we will work out an appropriate movement/exercise baseline and progressions, and also teach you about exercise types and postures, your environment, the pacing of day-to-day activities, sleep, nutrition, and stress and anxiety management. Exercise may be one of the most beneficial tools to help you recover, but it can't reach its maximum potential without these accompanying therapy tools.

Time to get on top of your pain?

Dietetics in Ehlers-Danlos Syndrome (EDS) and Hypermobility Spectrum Disorders (HSD):

Those living with HSD and EDS can experience a range of different symptoms in many different systems of the body. These commonly include a range of gastrointestinal symptoms, such as difficulty swallowing, reflux, nausea, early satiety, bloating, abdominal pain, constipation or diarrhoea, just to name a few. Our dietitians understand the link between HSD and EDS and the gastrointestinal system, and how this can impact your ability to consume food. They will support you with managing these symptoms while also ensuring you are doing the best that you can to get the nutrients your body needs, which can be particularly challenging when these symptoms present.

Some topics that may be covered with a Dietitian to support you and your body when living with HSD and EDS include:

Strategies to assist with the management of gastrointestinal symptoms - using food based approaches and/or other nervous system based strategies.
Support with weight restoration, stability and maintenance, when appropriate.
Understanding appetite and support with regular eating to support nutritional adequacy.
Support with making food more accessible and fatigue friendly
Eating patterns to improve energy levels and support overall wellbeing.

Cost and questions

For program costs and rebates available, please call the clinic.

Do I need a referral? What if I can't get to your clinic?

A referral isn't always necessary however may impact on your ability to get a rebate - speak to our friendly reception staff and they can help you.

Our clinics are located in Blackburn, Mornington, Bendigo & Essendon, Victoria, however, all services are offered via telehealth also.

Our AHC Program

Our program consists of approximately 10-15 individual sessions over 6 -18 months. It is designed and focused on long-term management of connective tissue disorders, and helps our clients make and maintain gains, through a holistic approach.

The program covers:

EDS/HSD neurophysiology and pathophysiology

Activity stabilisation and pacing

Goal setting and forward planning daily activities

Identifying triggers and developing a setback plan

Symptom mapping

Understanding hormones and managing the cycle (if applicable)

Sensitisation and pain education (if applicable)

Strength training (if applicable)

Common comorbidities and management strategies as applicable

Setting an appropriate and safe movement/exercise routine (if/when applicable)

Sleep physiology and hygiene

Stress and anxiety management

Addressing nutritional needs (if applicable)

OI/POTS management (if applicable)

Mindfulness techniques and management (if applicable)

Pilates (if applicable)

Yoga (if applicable)

Our program aims to help you establish a ‘normal day’ or return to work, university or school, and day to day life. Through pacing and gradual return to activity, we are able to slowly and confidently build your capacity, without increasing your symptoms. We know this journey is a bit rocky so we give you the skills to deal with any future hurdles, through setback planning and providing you with a therapy manual you can turn to in times of need.