Understanding Childhood Hypermobility

While flexibility is common in children, excessive joint mobility accompanied by pain may indicate hypermobility syndrome. Understanding this condition is crucial for proper management and support of affected children.

What is Hypermobility?

• Natural flexibility is normal in infants and young children
• Being "double-jointed" without pain is typically not concerning
• Hypermobility syndrome occurs when excessive flexibility causes pain or other symptoms
• The condition varies among individuals based on genetic factors, age, and ethnicity

Causes of Hypermobility

Four primary factors contribute to hypermobility:

• Protein fiber imbalances leading to stretched ligaments
• Bone structure variations
• Muscle strength and tone differences
• Proprioception challenges (awareness of joint position)

Common Symptoms

Children with hypermobility syndrome may experience:

• Persistent back pain
• Development of flat feet
• Ankle weakness and instability
• Frequent headaches
• Chest discomfort
• Increased frequency of falls

Management Strategies

Exercise and Activity

• Regular exercise is essential for joint stability

• Focus on muscle strengthening around affected joints

• Avoid activities that may aggravate the condition, such as:

• Ballet

• Gymnastics

• Netball

Supportive Measures

• Proper footwear selection with adequate ankle support
• Custom orthotics when necessary
• Use of cold and heat therapy for symptom relief
• Appropriate pain management techniques
• Professional guidance from podiatrists and exercise physiologists