01/05/2026
There is no single cause for hypermobility flares. The load is shared, which is why it’s important to treat systems, rather than chase symptoms. Comprehensive physical therapy should:
✅ Evaluate hormone status
✅Evaluate and treat inflammation
✅Assess and customize a stress management plan that works for your life, stressors, and goals
✅Evaluate and treat joint and tissue laxity - This also includes tissue laxity which impacts post-op healing (for those of you post-op endo excision, this is KEY), gastrointestinal function (constipation can be common), and day to day functioning.
✅Just because you are hypermobile, does not mean you’ll FEEL flexible. On the contrary, you may feel tight everywhere. MSK ultrasound imaging is part of the critical assessment to determine which joints and tissues are actually being recruited properly, versus the ones that aren’t doing their job.
🫶This isn’t a comprehensive list, but it’s a bare bones basics start to taking your life back when you have hypermobility, especially if you are experiencing hormonal shifts that come with perimenopause, prenatal, or postpartum.