Ehlers-Danlos Syndrome represents a group of connective tissue disorders affecting collagen—the structural protein that provides strength and elasticity to skin, joints, and blood vessels. Hypermobility Spectrum Disorders describe symptomatic joint hypermobility that doesn’t meet full EDS diagnostic criteria but still creates functional challenges.

The most common form, hypermobile EDS (hEDS), presents primarily with generalized joint hypermobility and musculoskeletal complications. Unlike typical joint stiffness, these individuals experience joints that move beyond normal ranges, creating instability, frequent subluxations, chronic pain, and compensatory muscle tension as the body attempts to stabilize inherently unstable joints.

Standard chiropractic techniques—particularly high-velocity manipulation—can be inappropriate or even harmful for hypermobile individuals. Pushing already hypermobile joints to end-range can increase instability, trigger protective muscle spasm, or create additional tissue laxity. These bodies require different approaches that emphasize controlled positioning, stability, and careful force application.

Beyond joint concerns, many hypermobile individuals also experience autonomic dysfunction (POTS), mast cell activation issues, chronic pain sensitization, and proprioceptive difficulties. Comprehensive care considers these systemic factors rather than treating mechanical dysfunction in isolation. Understanding how neck alignment and jaw positioning affect autonomic regulation becomes particularly important in this population.

People with hypermobility conditions often seek care for chronic pain patterns that haven’t fully resolved with standard approaches. Common presentations include:

Chronic neck pain and instability. Upper cervical hypermobility can create persistent headaches, dizziness, and a sense of the head feeling “too heavy.” Traditional rotational adjustments often make these symptoms worse rather than better. Gentle stabilization techniques address positioning without creating additional laxity.

TMJ dysfunction with joint clicking and pain. Jaw hypermobility frequently coexists with EDS, creating chronic TMJ symptoms, difficulty chewing, and compensatory muscle tension. Treatment focuses on supporting proper condylar positioning and reducing muscle overwork rather than forcing additional jaw motion.

Thoracic and rib pain. Hypermobile ribs can create chronic mid-back discomfort, difficulty breathing deeply, and rib subluxations with certain movements. Gentle rib adjustments and soft tissue work address these patterns without forcing excessive rib mobility.

Low back and pelvic instability. Sacroiliac joint hypermobility is extremely common in this population, creating chronic low back pain, difficulty standing for long periods, and a sense of the pelvis “giving out.” SI belts and stabilization exercises often help, alongside precise manual adjustments.

Shoulder, knee, and ankle problems. Extremity hypermobility creates recurrent subluxations, chronic tendonitis, and joint pain. Treatment addresses both the hypermobile joint and compensatory patterns throughout the kinetic chain. Understanding proper foot mechanics becomes particularly important, which is why custom orthotics are often recommended for hypermobile feet and ankles.

Post-injury issues that never fully healed. Hypermobile tissues heal differently than typical connective tissue. Old injuries may create persistent instability patterns requiring ongoing management rather than expecting full resolution.

Hypermobility conditions affect multiple body systems. Effective management often requires collaboration across specialties. Chiropractic care addresses mechanical dysfunction and musculoskeletal pain, but other concerns may need additional expertise.

Many patients work with geneticists for diagnosis confirmation, cardiologists for autonomic dysfunction and POTS management, gastroenterologists for digestive concerns, physical therapists for strengthening and proprioceptive training, pain specialists for complex pain management, and mental health professionals for the psychological impact of chronic illness. This office can provide care within the scope of chiropractic practice while supporting coordination with your broader medical team.

If you’re unsure whether gentle chiropractic care would be appropriate for your specific situation, a consultation provides clarity. Most people can tell after the first visit whether this approach makes sense for their particular presentation.

Schedule a Consultation

Dr. Jonathan Leusden provides gentle, precise chiropractic care in downtown Salt Lake City for people with joint hypermobility and Ehlers-Danlos Syndrome. The first visit is designed to assess whether this approach would be appropriate for your specific situation.

If you have questions about whether gentle chiropractic care makes sense for hypermobility-related concerns, or want to discuss your specific presentation, scheduling a consultation is the most direct next step.

Located in downtown Salt Lake City, serving the Avenues and surrounding areas
Out-of-network provider | Superbills available | HSA/FSA accepted