This genetic disorder comprises 13 distinct subtypes, with hypermobile EDS being most common (affecting 1 in 3,000-5,000 people) and vascular EDS being most dangerous due to arterial rupture risk.
Joint hypermobility is measured using the Beighton scale (0-9 points)—scores of 5+ in children or 4+ in adults indicate significant flexibility that often leads to frequent dislocations and subluxations.
Skin hyperextensibility allows stretching 1.5 times normal length before snapping back, while delayed wound healing means cuts take 2-3 times longer to close and often leave wide, atrophic scars.
Mutations in over 20 genes affect collagen types I, III, and V production—75% of cases are inherited in an autosomal dominant pattern, meaning one affected parent has a 50% chance of passing it to each child.
Physical therapy focusing on muscle strengthening (not stretching) and low-impact exercises like swimming provide the most benefit, while high-impact activities and contact sports should be avoided to prevent joint damage.
Ehlers-Danlos Syndrome (EDS) is a group of inherited conditions that affect the body's connective tissues, which provide support and structure to skin, bones, blood vessels, and other organs. People with EDS have a defect in their collagen production, leading to symptoms such as overly flexible joints, stretchy and fragile skin, and easy bruising.
There are 13 different types of EDS, each with its own set of symptoms and characteristics. The most common types include:
Hypermobile EDS (hEDS): The most common form, causing joint hypermobility and chronic pain.
Classical EDS (cEDS): Characterized by extremely stretchy, smooth, and fragile skin prone to scarring and bruising.
Vascular EDS (vEDS): Affects the blood vessels and organs, making them more prone to tearing.
Some of the rarer types of EDS include Kyphoscoliotic EDS (kEDS), Arthrochalasia EDS (aEDS), and Spondylodyspastic EDS (spEDS).
The symptoms of EDS vary depending on the specific type, but some common signs include:
Overly flexible joints that may dislocate easily
Stretchy, soft, and velvety skin
Fragile skin that bruises and scars easily
Chronic joint pain and fatigue
Digestive issues, such as bloating and constipation
Dental problems, including tooth crowding and gum bleeding
EDS is a genetic disorder caused by mutations in the genes responsible for collagen production. Collagen is a protein that provides strength and structure to connective tissues. When collagen is not produced correctly, the connective tissues become weak and cannot function properly. EDS can be inherited from a parent or may occur as a spontaneous mutation.
Diagnosing EDS typically involves a physical examination, during which a doctor will assess joint flexibility, skin elasticity, and the presence of scars or bruises. They will also review the patient's medical and family history. In some cases, genetic testing can confirm the diagnosis by identifying specific gene mutations associated with EDS. Additional tests, such as echocardiograms, CT scans, MRIs, or skin biopsies, may be ordered to evaluate the extent of the condition's impact on the body.
While there is no cure for EDS, treatment focuses on managing symptoms and preventing complications. A multidisciplinary approach involving various specialists, such as orthopedists, dermatologists, rheumatologists, ophthalmologists, and cardiologists, is often necessary. Treatment options may include:
Physical therapy and exercise to improve muscle tone and coordination
Occupational therapy to learn techniques and use assistive devices for daily living
Braces or other supportive devices to stabilize joints
Pain management with over-the-counter or prescription medications
Surgery to repair joint damage, although this is typically a last resort due to associated risks
In addition to medical treatment, lifestyle modifications such as using gentle dental hygiene products, wearing protective clothing, avoiding high-impact activities, and seeking emotional support can help individuals with EDS manage their condition and improve their quality of life.
If you suspect that you or a loved one may have Ehlers-Danlos Syndrome, it is essential to consult with a healthcare professional for an accurate diagnosis and personalized treatment plan. With proper care and management, individuals with EDS can lead fulfilling lives despite the challenges posed by this condition.
For more information on Ehlers-Danlos Syndrome, visit:
Early recognition and proper management through strengthening exercises, joint protection, and avoiding high-risk activities can prevent many complications associated with this connective tissue disorder. The key is working with specialists who understand that traditional flexibility exercises can actually worsen symptoms. If you're experiencing unusual joint hypermobility with skin changes or chronic pain, Doctronic can help connect you with appropriate diagnostic resources.
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