Joint Hypermobility Clinic – A ‘Joint’ Clinic

The Joint Hypermobility Clinic specialises in the treatment and rehabilitation of joint hypermobility syndrome. You may have been given this as a diagnosis by your doctor or specialist.

Our aims are to de-mystify joint hypermobility, provide contemporary treatment and rehabilitation, and to give you effective strategies to tackle the issues of pain and movement.

Who are we?

Dr Cath Spencer-Smith

We are a sports physician and specialist physiotherapist combination. In particular we focus upon more complex and persisting problems that are limiting participation in normal day-to-day activities as well as sporting involvement. Having worked with many people who have hypermobile joints and on-going pain, often in combination, Cath and Richmond set up this specialist clinic.

Richmond Stace – Specialist Pain Physiotherapist

Dr Cath Spencer-Smith – Sports Physician

Richmond Stace

Terminology & Diagnosis

Joint hypermobility is a problem seen in up to 40% of school children (Tinkle et al. 2009). Generalised joint hypermobility can also be seen in heritable connective tissue disorders (HCTDs) such as Ehlers-Danlos syndrome, osteogenesis imperfecta and Marfan syndrome.

Benign joint hypermobility syndrome (BJHS) is defined by the Brighton Criteria as an individual with generalised joint hypermobility. Musculoskeletal pain is a major criterion and therefore the notion that joint hypermobility is benign has been challenged. Consequently the term ‘joint hypermobility syndrome’ (JHS) is preferred. Hypermobility syndrome is also used as a term (HMS).

In diagnosing JHS, HCTDs need to be excluded by taking a detailed history and performing an examination. The Beighton Score system is used to assess the joints.

Treatment & Rehabilitation

Treatment programmes focus upon the problems identified in the assessment and those that trouble you. We use a biopsychosocial approach that means we consider biological factors, beliefs and coping skills that influence pain and movement, and the impact that the problem(s) impose upon your life (at home, work and sports). This thorough and 360 degree view is the contemporary way to address painful problems. If investigations such as scans, x-rays and blood tests are required, we can arrange this for you

Treatment programme themes typically include pain and condition specific education, a medication review, local therapies (e.g./ joint and soft tissue mobilisation, desensitisation, massage), specific exercises to address movement and control of movement, perceptual and joint position sense exercises, sensorimotor integration, general activity management (e.g. pacing, graded exposure), coping and pain control skills, contemporary brain training techniques, mindfulness and strategies to nourish tissues.

To book an appointment please call: 07518 445493

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