Understanding the Connection Between Hypermobility and Neurodiversity

If you (or your child) live with joint hypermobility and also identify as neurodivergent, such as being autistic or having ADHD, you’re not imagining the overlap. More research shows that these traits often occur together. Understanding this connection helps explain symptoms like persistent pain, fatigue, dizziness, or clumsiness. It also points towards the type of support that actually helps. Frontiers

What Do We Mean by “Hypermobility” and “Neurodiversity”?

Hypermobility

Hypermobility means your joints move further than average. Some people experience no symptoms, while others may have pain, instability, and issues like frequent sprains or fatigue. When symptoms are significant, a diagnosis like hypermobility spectrum disorder (HSD) or hypermobile Ehlers–Danlos syndrome (hEDS) may be made. The NHS notes that the main treatment is improving muscle strength and fitness to better protect joints. nhs.uk

Neurodiversity

Neurodiversity refers to the natural variation in how brains are wired. This includes conditions such as autism, ADHD, and dyslexia. Each condition presents unique challenges and strengths.

The Evidence for a Link

Several recent studies report that joint hypermobility is more common in autistic and ADHD populations than in the general public. In a UK adult study, neurodivergent participants were significantly more likely to have generalised joint hypermobility. Furthermore, hypermobility appeared to mediate the connection with symptoms like chronic pain and orthostatic intolerance (dizziness upon standing). FrontiersWRAP

In children, a large chart review found a strong association between HSD/hEDS and both ADHD and autism. This study recommended routine screening for neurodevelopmental symptoms in kids diagnosed with hypermobility conditions. PubMedDove Medical Press

Even the NHS now highlights that some autistic individuals have flexible or painful joints, sometimes due to joint hypermobility syndromes or EDS. They may benefit from support that includes physiotherapy. nhs.uk

A Quick Story

“Sophie”, 32, has always been very flexible. She excels in creative work but struggles with focus. Recently, she was diagnosed with ADHD. She also experiences recurring back and hip pain and feels faint if she stands up too quickly. After assessment, her physiotherapist explained how joint instability and reduced body-position awareness (proprioception) could be driving her symptoms. They discussed why a calm, progressive strength and balance programme would help her.

Why This Matters for Everyday Life

When ligaments are lax, your muscles work overtime to stabilise joints. This can lead to pain, fatigue, and flare-ups, as well as reduced balance or “clumsiness.” Some individuals also notice autonomic symptoms, such as dizziness and palpitations, which make activity feel more challenging.

The good news is that targeted physiotherapy, done at the right pace, helps you build stability, confidence, and stamina. This approach respects sensory needs and avoids overloading tender joints. nhs.ukNHS inform

How Physiotherapy Can Help

Assessment

The first step in physiotherapy is a thorough assessment. This helps identify specific needs and challenges related to hypermobility and neurodiversity.

Sensory-Aware Sessions

Physiotherapy sessions can be tailored to be sensory-aware. This means considering how different stimuli affect the individual and adjusting the environment accordingly.

Strength and Stability Training

Strength and stability training is crucial for those with hypermobility. It helps to support joints and improve overall function.

Clinical Pilates

Clinical Pilates is another effective method. It focuses on core strength and stability, which can be particularly beneficial for those with hypermobility.

Pacing

Learning to pace activities is essential. This helps prevent fatigue and ensures that individuals can engage in daily activities without overwhelming themselves.

Self-Management

Finally, self-management strategies are vital. These empower individuals to take control of their health and well-being.

Where to Next?

In Part 2, we’ll look at how physiotherapy helps hypermobile, neurodivergent people: assessment, sensory-aware sessions, strength and stability training, Clinical Pilates, pacing, and self-management.

• Explore Physiotherapy in St Albans

• Explore Clinical Pilates

• Book an Appointment

  
  

References:

UK/peer-reviewed sources supporting the link and care approaches. FrontiersWRAPPubMedDove Medical Pressnhs.uk+1NHS inform