"Everyone's a bit bendy. It's not connected to your other symptoms."— what you've probably been told

EDS / HSD

Hypermobile EDS and Hypermobility Spectrum Disorder are recognised in the NICE Clinical Knowledge Summaries. Diagnosis follows the 2017 international classification (Beighton score plus systemic criteria).

The wait: Average diagnostic delay is 10+ years.

What GPs miss02

Hypermobility is frequently dismissed as benign. The associated comorbidities — POTS, MCAS, GI dysmotility, chronic pain — are routinely missed because the GP doesn't connect them.

The letter asks for03
  • A Beighton score assessment
  • Consideration of hEDS / HSD per the 2017 international criteria
  • Referral to rheumatology or a hypermobility service where available

Is hEDS rare?

No. Hypermobile EDS and HSD together are relatively common. The NICE CKS describes the assessment pathway any GP can follow.

What you hear vs. what NICE CKS says

What's usually said in the room

"Everyone's a bit bendy. It's not connected to your other symptoms."

What the guideline actually says

Hypermobility is frequently dismissed as benign. The associated comorbidities — POTS, MCAS, GI dysmotility, chronic pain — are routinely missed because the GP doesn't connect them.

Source: NICE Clinical Knowledge Summary: Joint hypermobility (NICE CKS)

Outcomes from people with EDS / HSD

One short email each Sunday — anonymised stories from people who got their GP to take them seriously.

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