Kathy L. White, Physical Therapist and Feldenkrais Practitioner

Kathy L. White, Physical Therapist and Feldenkrais Practitioner Providing customized Movement Awareness and Physical Therapy care for YOU. Offering the Feldenkrais M Sessions by appointment only

05/06/2026
Info
05/05/2026

Info

🗣️ "You look fine. You're just being lazy."

It is the sentence that lands like a verdict. You spend your day on the couch not because you want to—but because your body has been working since the moment you stood up.

You aren't lazy. Your body is doing something measurably, scientifically different from what other bodies do just to exist upright.

(📌 Note: While I personally navigate Classical EDS, this post specifically breaks down the latest research on hEDS and Hypermobility Spectrum Disorder [HSD], the most common hypermobility-related diagnoses. Experiences vary, and this is not medical advice!)

Here are three evidence-based reasons why standing completely drains you:

1️⃣ The Stability Tax: Your Muscles Pay What Your Connective Tissue Can't
In a standard body, ligaments provide passive stability. Standing is metabolically cheap. In hEDS and HSD, connective tissue does not function as expected — though the exact molecular reason remains one of medicine's open questions. What research does confirm is that passive joint stability is measurably compromised, forcing muscles to compensate. Because your passive joint support is compromised, your muscles must actively compensate to stabilize joints that would otherwise sublux or strain.

This isn't just a feeling; it's measurable. Research confirms that people with hEDS/HSD have reduced muscle endurance, and a 2025 gait study proved that this altered muscle strategy literally burns more energy. You are not resting while standing. You are working.

2️⃣ The Circulation Loop (For those with POTS)
POTS (Postural Orthostatic Tachycardia Syndrome) is one of the most significant and well-documented comorbidities in the hEDS community. When POTS is present, standing triggers a huge heart rate spike. When POTS is present, standing triggers a sharp heart rate increase. The leading explanation is that connective tissue laxity in the veins allows blood to pool excessively in the lower limbs, reducing the amount returning to the heart. The heart compensates by beating faster, reacting to a structural inefficiency it cannot fully solve. Your heart is not training; it is reacting to a structural problem it cannot fully solve.

3️⃣ The Processing Overhead: Your Brain on Overdrive
Your nervous system usually manages posture automatically using proprioception (your sense of where your body is in space). In hEDS, this sense is impaired. Your brain has to recruit conscious processing to perform tasks that other bodies handle on autopilot.

Combine this cognitive drain with chronic pain, poor sleep, and a racing heart, and you get a compounding effect: fatigue worsens your coordination, poor coordination demands more brain power, and that brain power accelerates your fatigue.

💬 From the Community:
"People see me cancel plans and assume I'm flaky. What they don't see is that I spent 45 minutes getting ready—blow-drying my hair standing up, negotiating with my ankles to stay straight, trying to ignore my heart rate creeping past 110 before I'd even left the bathroom. I have learned to do math most people never have to do: will the shower cost me the dinner? Will the dinner cost me tomorrow? I'm not lazy. I'm load-bearing."

🛑 The Bottom Line
Laziness is a choice to avoid effort. Fatigue in hypermobility is the documented metabolic and physiological cost of effort your body cannot make efficient. You aren't avoiding life. You are navigating it with a fundamentally different energy budget.

👇 Let’s validate each other in the comments: Do you feel exhausted after "just" standing in line or cooking a simple meal? What does invisible effort look like in your day?

(Be sure to save and share this to help educate those who don't understand our energy budget! 🦓💙)

📚 The Science :

Malfait F, et al. (2017) - EDS diagnostic framework.

Ti**le B, et al. (2017) - Fatigue & muscle coordination in hEDS.

Hakim A, et al. (2017) - Multifactorial fatigue & autonomic dysfunction.

Coussens M, et al. (2021) - Persistent muscle strength deficits in hEDS/HSD.

Miller AJ, et al. (2020) - 31% hEDS prevalence in POTS cohorts.

Ladell C, et al. (2025) - Measurably higher energy cost of movement.

Bell AL, et al. (2024) - Gait mechanics & neuromuscular strategy.

05/03/2026

Adductor Muscle Group – Anatomy & Biomechanics of Medial Thigh Control

The adductor muscle group forms the medial compartment of the thigh, organized into superficial, middle, and deep layers as shown in the image. This group includes pectineus, adductor longus, adductor brevis, adductor magnus, and gracilis, all originating primarily from the p***c region and inserting along the femur, except gracilis which continues to the tibia. This anatomical arrangement creates a broad fan-shaped force distribution, allowing these muscles to control movement across both the hip and, in the case of gracilis, the knee joint.

From an anatomical perspective, the superficial layer (pectineus, adductor longus, gracilis) is oriented more anteriorly, contributing not only to adduction but also to hip flexion and internal rotation. The middle layer (adductor brevis) acts as a transitional stabilizer, while the deep layer (adductor magnus)—especially its posterior (hamstring-like) portion—plays a major role in hip extension and powerful force generation. This dual functional nature of adductor magnus makes it biomechanically unique, as it behaves both like an adductor and a posterior chain muscle.

Biomechanically, the adductors are not just “leg closers”—they are critical stabilizers of the pelvis during dynamic movement. During single-leg stance, such as in walking or running, they work synergistically with the hip abductors to maintain frontal plane stability. While abductors prevent pelvic drop, adductors provide counterbalancing medial force, ensuring the center of mass stays aligned over the base of support.

In gait, the adductors function eccentrically and concentrically depending on the phase. During initial contact and loading response, they help control excessive abduction and stabilize the femur under body weight. In mid-stance, they contribute to maintaining pelvic neutrality, preventing lateral sway. During terminal stance and pre-swing, especially adductor magnus, they assist in hip extension and propulsion, transferring force efficiently from the trunk to the lower limb.

The orientation of these muscles also allows them to contribute to rotational control of the femur. Depending on hip position, adductors can assist in both internal and external rotation, making them essential for multi-planar stability. This is particularly important in activities involving cutting, pivoting, or directional changes, where uncontrolled rotation could lead to joint stress.

Another key biomechanical role is their contribution to force transmission between the lower limb and pelvis. Because they originate near the p***c symphysis, they influence pelvic mechanics and are part of the anterior force closure system of the pelvis. Along with abdominal muscles, they help stabilize the pelvic ring, especially during high-load activities like running, jumping, or lifting.

The long moment arms of the adductors relative to the hip joint allow them to generate significant torque, especially in mid-range hip positions. However, their effectiveness changes with hip angle; for example, in flexed hip positions, anterior fibers become more active, while in extended positions, posterior fibers dominate. This highlights their role as position-dependent stabilizers and movers.

Overall, the adductor group functions as a dynamic stabilizing system, integrating movement between the pelvis, hip, and lower limb. Their layered anatomy reflects their complex biomechanical roles—ranging from precise stabilization to powerful force production—making them essential for both posture and efficient locomotion.

05/03/2026

Gentle doesn’t mean ineffective.

In the Feldenkrais Method, working gently is what allows the nervous system to sense more clearly.
And when you can sense more, you can organise your movement more efficiently.

Force often creates resistance.
But gentle, attentive movement creates the conditions for real change.

✨ Less strain. More clarity. Lasting improvement.

You don’t want to miss your spot at The Feldenkrais Week! BOOK HERE 👉🏽 https://www.feldenkrais.org.au/discover

05/01/2026

Heel raises y’all!
Walking too.

04/26/2026

SIRI was positively and independently associated with incident fracture risk. Further studies are needed to establish whether SIRI provides additional value beyond existing risk factors.

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Knoxville, TN
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