
​Hypermobility and Ehlers-Danlos Syndrome cannot be understood through flexibility testing alone. These conditions involve impaired joint stability, altered proprioception, inefficient load transfer, and fluctuating symptom patterns. Many patients do not respond to standard physiotherapy because treatment often targets symptoms or general strengthening, rather than identifying specific unstable segments, compensatory strategies, and the mechanisms driving recurrent flare-ups.
​
EDS and hypermobility spectrum disorders are frequently mismanaged within conventional care models, where patients are labelled as “too flexible” or “weak” and given generic programs that fail to halt progression.
​
This service exists to address the underlying biomechanical and neuromuscular drivers of pain, instability, fatigue, and functional decline through precise assessment, conservative progression, and long-term capacity building tailored to the hypermobile system.
​​
​
Who this service is for:
-
Diagnosed EDS or Hypermobility Spectrum Disorder (HSD)
-
Suspected hypermobility with recurrent pain, instability, or repeated injury
-
Frequent flare-ups or “good weeks/bad weeks” cycles
-
Joint “giving way,” subluxations, or feeling unsafe in movement
-
Chronic pain with fatigue, deconditioning, or exercise intolerance
-
Complex overlap: neck symptoms, pelvic/SIJ issues, persistent spinal pain, nerve symptoms
What makes this different:
-
Whole-body biomechanical sequencing (not isolated joint treatment)
-
Active stability and motor control focus (not just strengthening)
-
Identification of stability needs vs mobility needs (critical in EDS)
-
Load tolerance mapping and flare prevention planning
-
Clear differentiation between: mechanical drivers, neural sensitivity, and stress-load amplification
-
A framework built for long-term independence, not endless treatment
What to expect:
-
Detailed history and flare-pattern mapping (triggers, recovery time, tolerance limits)
-
Whole-body assessment: feet/ankles → hips/pelvis → spine → shoulder/neck integration
-
Active control testing (how your body stabilises under task demand)
-
Movement analysis for daily tasks (walking, stairs, lifting, standing tolerance)
-
A staged plan: stabilise → load → integrate into life
-
Exercises are precise, often lower load initially, and progressed based on response
Functional outcomes:
-
Improved joint control, stability, and confidence
-
Reduced flare frequency and shorter recovery time
-
Improved walking/standing tolerance and ability to work/parent/function
-
Greater tolerance to strength and conditioning without setbacks
-
Clear plan for long-term maintenance and progression
How this integrates with specialist care:
When symptoms suggest cervical/spinal instability, significant SIJ instability, neurological signs, or surgical considerations:
-
Findings are coordinated with relevant specialists (e.g., neurosurgeon, GP, pain specialist)
-
Rehab parameters are aligned with medical constraints and imaging findings
-
The plan adapts with specialist guidance to ensure safety and consistency
Who leads your care:
Your care is led by Vincent Fu (Principal Physiotherapist / Director). Complex hypermobility cases may also involve coordinated input from trusted providers where relevant (e.g., psychology, nutrition, gastroenterology), but the clinical plan remains integrated and biomechanics-led.
Our philosophy:
Hypermobility improves when we stop chasing pain and start restoring control, capacity, and predictable function. Our goal is not to make you “stronger” in theory - it’s to help you live more, flare less, and trust your body again.