Management and clinical care
Physiotherapy and exercise are the management mainstay
establishedpracticecaution
Clinical guidance positions individualized physical therapy — strengthening, proprioceptive work, pacing — as the primary management for hEDS/HSD. The honest limitation: the trial record is small and heterogeneous; the recommendation rests on expert consensus and cohort experience more than large trials.
| Subtype scope | hEDS, HSD |
|---|---|
| Criteria era | international-2017 |
| Practice kind | physical therapy |
| Risk note | Generic exercise prescriptions can aggravate unstable joints; EDS-literate, individualized programming matters. |
| Reviewed | 2026-09-16 |
| Reassess by | 2027-03-16 |
Evidence
clinicalexpert review
clinicalconsensus statement