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Total Sports Therapy offers physical therapy for Ehlers Danlos Syndrome.  We treat patients diagnosed with Ehlers Danlos Syndrome at our Phoenix, Glendale, North Phoenix, and Cave Creek locations. Contact us at 480-272-7140 to schedule your appointment.

What is Ehlers Danlos Syndrome (EDS)?

Ehlers–Danlos syndromes (EDSs) are a group of genetic connective tissue disorders. Symptoms may include loose joints, stretchy skin, and abnormal scar formation. These can be noticed at birth or in early childhood. There are many Complications, that may include aortic dissection, joint dislocations, scoliosis, chronic pain, or early osteoarthritis.

EDSs are due to a mutation in one of more than a dozen different genes. The specific gene affected determines the specific EDS type. Some cases result from a new mutation occurring during early development, while others are inherited in an autosomal dominant or recessive manner. This results in defects in the structure or processing of collagen. The diagnosis may be confirmed with genetic testing or a skin biopsy. People may be misdiagnosed with hypochondriasis, depression, or chronic fatigue syndrome.

No cure is known to medical professionals. Treatment in medical centers is supportive in nature. Physical therapy with bracing, taping may help. Patient care consists of specific strengthening exercises to help muscles and support joints.

How Total Sports Therapy treats EDS

It starts with a comprehensive physical therapy evaluation which includes a complete medical history, general visual assessment of gait, posture, AROM testing, Beighton Mobility Scale Testing, neurovascular assessment, and specialized tests.  From here we discuss goals for treatment and create a plan of care.

Our plan of care is individualized to each patient but typically includes these protocols, Levine Cardio Protocol, strengthening, endurance training, stability, vascularization, mobility, stability, and home exercise program.

Types of EDS

Arthrochalasia EDS (types 7A & B aEDS) is characterized by severe joint hypermobility and congenital hip dislocation. Other common features include fragile, elastic skin with easy bruising, hypotonia (decreased muscle tone), kyphoscoliosis (kyphosis and scoliosis), and mild osteopenia (loss of bone density).

Brittle cornea syndrome is characterized by thin corneaa, early-onset progressive keratoglobus (cornea becomes extremely thin and change to a more globular shape than its normal gradual curve.) or keratoconus (begins to bulge into a cone-like shape), and blue sclerae (the white of the eye) Classic symptoms, such as hypermobile joints and hyperelastic skin, are also seen often.

Cardiac-valvular EDS (cvEDS) is characterized by severe progressive cardiac-valvular problems (aortic valve, mitral valve), skin problems (hyperextensibility, atrophic scars, thin skin, easy bruising), and joint hypermobility (generalized or restricted to small joints).

Classical EDS (type 1 cEDS) is associated with extremely elastic (stretchy), smooth skin that is fragile and bruises easily; wide, atrophic scars (flat or depressed scars); and joint hypermobility.

Classical-like EDS(type 1 cEDS) is characterized by skin hyperextensibility with velvety skin texture and absence of atrophic scarring, generalized joint hypermobility with or without recurrent dislocations (most often shoulder and ankle), and easily bruised skin or spontaneous ecchymoses (discolorations of the skin resulting from bleeding underneath).

Dermatosparaxis EDS (type 7C dEDS) is associated with extremely fragile skin leading to severe bruising and scarring; saggy, redundant skin, especially on the face; and hernias. It is extremely rare, few cases reported.

Hypermobile EDS (type 3 hEDS) – this type of ehlers danlos syndrome is characterized primarily by joint hypermobility affecting both large and small joints, which may lead to recurrent joint pain, joint dislocations, and subluxations (partial dislocation)

Kyphoscoliosis EDS (type 6 kEDS) is associated with severe hypotonia at birth, delayed motor development, progressive scoliosis (present from birth), and scleral fragility. Affected people may also have easy bruising, fragile arteries that are prone to rupture, unusually small corneas, and osteopenia (low bone density

Musculocontractural EDS (mcEDS) is characterized by congenital multiple contractures, characteristically adduction-flexion contractures and/or talipes equinovarus (clubfoot), characteristic craniofacial features, which are evident at birth or in early infancy, and skin features such as skin hyperextensibility, bruising, skin fragility with atrophic scars, and increased palmar wrinkling.

Myopathic EDS (mEDS) is characterized by congenital muscle hypotonia and/or muscle atrophy that improves with age, proximal joint contractures (joints of the knee, hip and elbow), and hypermobility of distal joints (joints of the ankles, wrists, feet and hands).

Periodontal EDS (pEDS) is characterized by severe and intractable periodontitis of early onset (childhood or adolescence), lack of attached gingiva, pretibial plaques, and family history of a first-degree relative who meets clinical criteria

Spondylodysplastic EDS (spEDS) is characterized by short stature (progressive in childhood), muscle hypotonia (ranging from severe congenital, to mild later-onset), and bowing of limbs

Vascular EDS (type 4 vEDS) is characterized by thin, translucent skin that is extremely fragile and bruises easily. Arteries and certain organs such as the intestines and uterus are also fragile and prone to rupture. joints (fingers, toes).

If you are looking for physical therapy for Ehlers Danlos Syndrome contact anyone of our 4 locations to schedule or fill out our contact page below.


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