Y&B #55 - Chronic Pain and Hypermobility

Yoga Research & Beyond

Catherine Cowey and I discuss an article on chronic pain and hypermobility syndrome (HMS) from the Journal of Pain Research. This article gives a thorough overview of the many kinds of hypermobility conditions and symptoms and makes it very clear that it’s a complicated subject. There’s a wide spectrum of hypermobility syndromes and symptoms which can make diagnosis challenging. The criteria are confusing and overlap depending on the type of hypermobility syndrome, and therefore, may need to be updated. We also talk about how to work with people who are hypermobile. When it comes to exercise and movement, people tend to do what they’re already good at it. Flexible people may love to do yoga because they find the poses accessible. For flexible people who also have hypermobility (joint laxity), only doing yoga and stretching can potentially exacerbate HMS symptoms or create instability in their joints. Couple this with the pervasive idealization of flexibility in yoga asana, as if it is somehow tied to spiritual heights, and you have a potentially injurious combination. Hypermobile yoga students would benefit from incorporating strength work and holding back on how far they go in poses in order to gain more strength and control in the ranges that they have.