Hypermobility: Understanding Joint Flexibility and Its Implications for Remedial Massage Therapists

Introduction

Hypermobility refers to an increased range of movement in the joints, allowing them to move beyond the typical limits. While some individuals may experience no issues with hypermobility, others can suffer from joint pain, instability, and associated conditions. For remedial massage therapists, recognising the implications of hypermobility is essential for delivering safe and effective treatments, as well as guiding clients toward improved joint stability.

What is Hypermobility?

Hypermobility occurs when joints can move beyond the normal range due to loose or overly flexible connective tissues. While flexibility is often considered beneficial, hypermobility can sometimes lead to joint instability, pain, and musculoskeletal problems. It is commonly found in younger individuals and women but can persist or worsen with age if not properly managed. Conditions such as Ehlers-Danlos syndrome or Marfan syndrome are linked to more severe forms of hypermobility, where collagen production is affected.

Causes of Hypermobility

Several factors contribute to hypermobility, including:

• Genetics: The flexibility of ligaments and tendons is largely hereditary, making some individuals more prone to hypermobility.

• Age and Gender: Younger individuals, particularly females, are more likely to experience hypermobility, though it can decrease with age.

• Muscle Strength: Weak or imbalanced muscles surrounding a hypermobile joint can lead to further instability and an increased risk of injury.

Understanding these contributing factors is key for remedial massage therapists, as it allows for targeted treatments to support joint health and minimise pain.

Symptoms of Hypermobility

Hypermobility itself may not cause issues, but some clients may experience discomfort or secondary symptoms, such as:

• Joint Pain: Aching in the joints, particularly after prolonged activity or standing, is a common complaint.

• Frequent Joint Injuries: Hypermobile joints are more prone to dislocations, sprains, and strains due to their increased range of motion.

• Fatigue: Muscles around hypermobile joints must work harder to maintain stability, leading to fatigue and overuse injuries.

Treatment Strategies for Hypermobility

As a remedial massage therapist, managing clients with hypermobility involves focusing on joint stabilisation, improving muscle strength, and promoting proper movement patterns. Key strategies include:

• Strengthening Exercises: Strengthening the muscles that support hypermobile joints is crucial for improving stability and reducing the risk of injury.

• Postural Training: Clients with hypermobility may benefit from postural correction and education to avoid poor movement patterns that place undue stress on the joints.

• Stretching with Caution: While stretching can be beneficial, over-stretching is counterproductive in hypermobile individuals. It is essential to focus on maintaining a balance between flexibility and stability.

Conclusion

Hypermobility, while offering increased flexibility, can lead to significant joint instability and discomfort for some clients. By understanding the condition and offering targeted treatments, remedial massage therapists can help clients strengthen their joints, improve stability, and reduce pain. With appropriate care and education, clients can better manage the long-term effects of hypermobility.