Physical therapy and exercise are the main management approach
practiceevidence: probablecaution
Clinical guidance gives individualized physical therapy (strengthening, proprioceptive work, and pacing) a central role in managing hEDS and HSD. A 2017 paper on physical therapy by Engelbert and colleagues says the research on managing these conditions is limited in size and quality, so the advice rests more on expert consensus and clinical experience than on large trials.
Not medical advice. This page summarizes research and does not recommend any course of care.
| EDS types | hEDS, HSD |
|---|---|
| Diagnostic criteria | 2017 International Classification |
| Type of practice | Physical therapy |
| Risk note | Generic exercise programs can aggravate unstable joints; the guidance favors individualized programs. |
| Last checked | 2026-09-16 |
| Reassess by | 2027-03-16 |
Evidence
clinicalexpert review