Hypermobility.
Stability is the foundation we build.
For bodies that move too far, too easily. Hypermobility is rarely a strength problem. It is a load-management, joint-positioning, and protective-tone problem. We treat it that way.
Hypermobile bodies need different rules.
A hypermobile body often gets the wrong treatment: more stretching, more passive range, more flexibility work. That is the opposite of what most hypermobile patients need. The work is teaching the joints how to find an end-range they can control, and the nervous system how to trust that control.
We assess each joint for true instability versus protective guarding. We build proprioceptive accuracy before strength. We dose load carefully and ramp slowly. Most patients have been told their pain is from being weak. The truth is more nuanced. The body is working hard to hold what is loose, and that effort is exhausting. We change that.
Stabilize before mobilize
If you can already go too far, more flexibility is not the goal. We build the strength and awareness to control the range you already have, then ask for more only when the body can hold it.
Proprioception first
Many hypermobile patients cannot accurately feel where their joints are. We retrain joint position sense before anything else. The strength work lands much better afterward.
Load patiently
Hypermobile bodies often respond to load, but they need a different pacing curve. Too aggressive too soon flares the system; too cautious too long fails to build capacity. We watch for the response and adjust each session.
Where this work actually fits.
Hypermobility shows up across many presentations. We see the full range, from acute joint instability to the chronic-pain patient who has been told they need to "just strengthen."
Hypermobility spectrum disorder (HSD)
Generalized joint hypermobility with pain, recurrent subluxations, or functional limitation. The most common presentation we see.
Hypermobile Ehlers-Danlos (hEDS)
Coordinated with your physician or geneticist. We approach hEDS with the pacing and gentleness the diagnosis requires.
Recurrent shoulder or kneecap instability
The shoulder that pops out, the patella that tracks badly. Local hypermobility benefits from focused proprioceptive and stability work.
Pelvic and SI instability
Often appears during or after pregnancy and persists. Coordinated with Dr. Jang's pelvic floor program where appropriate.
Chronic pain in hypermobile bodies
Pain that has not responded to standard PT, often because the standard PT prescribed more stretching. We approach it differently.
Dancers, gymnasts, yoga practitioners
Bodies trained into extreme range that now need to learn how to stabilize. Common in artists and performers; we work with the sport, not against it.
Initial evaluation
- Full evaluation paired with same-visit hands-on treatment
- Most patients feel pain relief by the end of the first visit
- Beighton score and functional instability mapping
- Personalized treatment plan in writing
- Take-home program emailed after
Follow-up session
- Continued manual therapy and proprioceptive work
- Graded load progression at your body's pace
- Same therapist, every visit
- Package rates available for committed courses of care
You probably want to know.
I've been told I just need to strengthen. Is that right?
Partly. Strength matters, but it is the second or third thing, not the first. If your nervous system cannot accurately sense where your joints are, strengthening on top of that often creates more guarding and more pain. We rebuild proprioception first, then layer strength.
Should I avoid stretching?
Aggressive end-range stretching is usually unhelpful for hypermobile bodies, sometimes harmful. Gentle mobility work in controlled ranges is fine. Specific positions to use and avoid are mapped out in your written plan after the first visit.
How long does it take to feel better?
Most patients notice meaningful change within the first 4 to 8 visits, often in the form of fewer subluxations, less pain after long days, and more confidence in movement. Durable change takes longer, usually a course of 12 to 16 visits.
Do you treat hEDS specifically?
Yes. We coordinate with your physician or geneticist where possible. The work is gentler and slower than for typical HSD, and we pace very carefully.
I'm a dancer with hypermobility. Can I keep training?
Yes, almost always. The goal is not to make you less flexible. It is to make you safer in the range you already have. Most performers continue training while we work, often with small modifications to specific positions.
Will Pilates or yoga help or hurt?
Depends on the class and the teacher. A class that pushes end-range will likely flare you. A class that emphasizes alignment, control, and proprioception can complement what we do. We can help you choose.
We build your foundation.
Hypermobility work starts with a careful evaluation and a plan you can actually do. Book your first visit and we will go from there.