Joint Hypermobility and the Pelvic Floor: How Physical Therapy Can Help

Joint hypermobility is a condition where joints move beyond their normal range of motion. While some people may experience only mild flexibility, others may struggle with pain, instability, and dysfunction in multiple areas of the body—including the pelvic floor. Pelvic floor physical therapy can be a valuable resource for individuals with hypermobility, helping to improve function, manage symptoms, and enhance overall quality of life.

Understanding Joint Hypermobility

Joint hypermobility exists on a spectrum. Some individuals may have naturally flexible joints without any issues, while others experience significant musculoskeletal challenges. Hypermobile joints may be more prone to subluxations, dislocations, pain, and fatigue. In some cases, joint hypermobility is associated with connective tissue disorders such as Ehlers-Danlos Syndrome (EDS), particularly the hypermobile type (hEDS). However, even those without a diagnosed connective tissue disorder can experience hypermobility-related challenges.

The Connection Between Joint Hypermobility and the Pelvic Floor

The pelvic floor is a complex network of muscles, ligaments, and connective tissues that provide support for the bladder, bowel, and reproductive organs. These muscles also play a critical role in posture, stability, and movement. When someone has joint hypermobility, their connective tissues tend to be more lax, which can impact pelvic floor function in several ways:

• Pelvic Organ Prolapse: 

  • Weakened connective tissues can lead to decreased support for pelvic organs, increasing the risk of prolapse.

• Urinary and Bowel Dysfunction: 

  • Hypermobile individuals may struggle with urinary urgency, incontinence, constipation, or difficulty emptying the bladder or bowels due to poor muscle coordination.

• Pelvic Pain: 

  • Laxity in the pelvic ligaments and joints can cause instability, leading to chronic pain or discomfort.

• Sexual Dysfunction: 

  • Painful intercourse (dyspareunia) is common among those with hypermobility due to muscle tightness, instability, or nerve sensitivity.

How Pelvic Floor Physical Therapy Can Help

Pelvic floor physical therapists are trained to assess and treat dysfunctions related to hypermobility. A personalized treatment plan can help patients improve pelvic floor function, manage symptoms, and enhance stability. Some key interventions may include:

1. Strengthening and Stability Training

While hypermobile individuals often have loose ligaments, strengthening the surrounding muscles can help provide better joint stability. Pelvic floor therapists guide patients through targeted core and hip exercises to improve overall stability and reduce strain on the pelvic region.

2. Postural and Movement Education

Posture and movement patterns play a significant role in symptom management. A pelvic floor therapist can help individuals with hypermobility modify their daily activities and movement strategies to reduce stress on their joints and improve functional mobility.

3. Breathwork and Relaxation Techniques

Many individuals with hypermobility unknowingly hold tension in their muscles to compensate for joint instability. Pelvic floor therapy incorporates diaphragmatic breathing and relaxation techniques to encourage optimal muscle function and reduce pain.

4. Manual Therapy

Gentle hands-on techniques, such as myofascial release and soft tissue mobilization, can help address muscle tightness, pain, and trigger points that contribute to pelvic floor dysfunction.

5. Neuromuscular Re-education

Hypermobile individuals often struggle with proprioception, or the body's awareness of joint position. Pelvic floor therapy can incorporate neuromuscular re-education exercises to enhance coordination and control of the pelvic floor muscles.

The Importance of a Holistic Approach

Managing joint hypermobility requires a comprehensive approach that goes beyond just strengthening the pelvic floor. Individuals with hypermobility often benefit from:

• Collaboration with Other Healthcare Providers: 

  • Working with rheumatologists, orthopedic specialists, or pain management providers can ensure a well-rounded treatment plan.

• Lifestyle Modifications: 

  • Adjusting daily activities, incorporating assistive devices, and using supportive bracing or taping techniques can help reduce strain on hypermobile joints.

• Nutritional Support: 

  • Some individuals with connective tissue disorders find that dietary modifications or supplementation (such as collagen support) can aid in tissue health.

    
    

Seeking Help from a Pelvic Floor Therapist

If you experience pelvic floor symptoms related to joint hypermobility, a pelvic floor physical therapist can help guide you toward relief. Every individual’s needs are unique, and a customized approach can make a significant difference in managing pain, improving function, and enhancing overall well-being.

At Bonneville Pelvic Health, we are trained to work with individuals with hypermobility, including those with Ehlers-Danlos Syndrome and other connective tissue disorders. We understand the complexities of joint hypermobility and provide personalized treatment plans to support your specific needs.

If you’re ready to take control of your pelvic health and improve your quality of life, contact us today to schedule an appointment. Let us help you move, function, and feel better—because your well-being matters!

Schedule Now!

Written by:

Dr. Bailee Burningham, DPT, WCS, PRPC

Dual Board-Certified Pelvic Floor Therapist and Owner of Bonneville Pelvic Health

As an expert in pelvic floor rehabilitation, Dr. Bailee Burningham brings extensive experience in treating complex pelvic floor disorders. She is dedicated to providing compassionate, patient-centered care.