If you’re double jointed, go easy on the exercise
David Higgins25 Aug 2010
When people say that they are double jointed it means that they are hypermobile. (A quick test is to gently stretch your thumb back so it touches your wrist. If you can do it without any discomfort, then you are at some level hypermobile.)
There are varying levels of hypermobility, but ultimately it is due to high elasticity in the muscles, tendons and ligaments surrounding a joint, allowing for excessive movement in that particular joint.
We naturally drift towards activities that we're good at, especially when it comes to exercise and sports. No surprise that hypermobile people tend to enjoy exercises that promote flexibility such as yoga or dance. In some cases, that flexibility can actually lead to injury.
There are different styles of yoga but the general principle is to improve balance and flexibility through static holds and stretches. If you suffer from mild to severe forms of hypermobility, these poses and stretches could cause injury because you're taking your joints to their end of range and, in some cases, beyond.
And that's not good. Not only are you reinforcing the body's hypermobility, but you're also increasing the risk of resulting injury. That's because people who are hypermobile also tend to have a problem with proprioception — ie when you're holding stretches or generally exercising, you can't tell or feel where your limbs or joints are in relation to each other once you have taken your eyes off them. This can lead to injuries such as dislocation, joint pain, sprains, tendonitis, prolapsed discs or bursitis.
There's also a view that hyper-mobility can lead to osteoarthritis. When overstretching results in bone-to-bone contact (in normal stretching ranges it's muscle-to-muscle), it could potentially exacerbate the onset of the condition.
If you have hypermobile joints — or you've just passed my patent thumb-to-wrist test — it's not necessarily a problem but I would advise you to see a health professional such as a physio, sports therapist or a doctor for advice on the kind of exercise that will be best for you.
David Higgins is co-founder of TenPilates (tenpilates.com)
Reader views (1)
I've had hypermobility for quite a few years now and was pleased to read your article as I, like many other people didn't realise how much damage I was doing prior to being diagnosed. I was going to the gym 3-5 times a week thinking I was being very healthy, when in fact I had caused a lot of damage.
One point in your article is slightly misleading as its not only the thumb test that is performed to be diagnosed with hypermobility. I don't have it in my thumb but have it in my spine, knees, elbows and fingers (these are the other joints tested). Also hypermobility can be related to another symptom called Ehlers Danlos Symdrome (EDS) which can be quite serious, especially if it goes undiagnosed.
Luckily my physio has taught me how to exercise pain free, and what I can and can't do (and must not do i.e. I've been advised that I must no longer stretch after exercising).
- Kelly, Kent, 26/08/2010 15:24
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