Conditions Treated » Elhers-Danlos Syndrome
Seattle Acupuncture and Pain Management understands the seriousness of living with EDS and how painful life can be for people suffering with the hypermobility Type of EDS (Elhers-Danlos Syndrome Type III).
Ehlers-Danlos syndromes (EDS) are a collection of genetic disorders that affect a person's connective tissue. People who suffer with EDS exhibit problems with collagen, a protein that adds strength and elasticity to connective tissue. This irregular collagen affects many body parts, including skin, muscles and ligaments.
In patients with the Hypermobility Type of EDS we see loose joints and chronic joint pain. This form of Ehlers-Danlos Syndrome was formerly called type III. Ehlers-Danlos Syndrome, Hypermobility Type is a subtype of Ehlers-Danlos Syndrome.
Most suffers exhibit large range of joint movement, hence hypermobility. Small and large joints can be unstable and some joints tend to dislocate often. It is not unusuall for patients to exhibit chronic joint and limb pain that can begin in childhood. People with this condition may also have very soft, velvety, stretchy skin, however, skin symptoms can vary among people.
The most common type of EDS is the Hypermobility Type. It is most often inherited in an autosomal dominant pattern, which means one copy of the altered gene is sufficient to cause the disorder. In these cases, family members in each generation are usually affected, but the features of the condition may vary person to person or generation to generation.
It is possible in some families, to pass on a recessive pattern of the Syndrome. This inheritance pattern means that two copies of the gene must be altered for a person to be affected by the disorder. Most often, the parents of a child with an autosomal recessive disorder are not affected but are carriers of one copy of the altered gene
Major Diagnostic Criteria for the Hypermobility Type or EDS Joint hypermobility, which usually is confirmed by a score of five or more on the nine-point Beighton scale [Beighton et al 1973], including:
Minor Diagnostic Criteria for the Hypermobility Type of EDS
Assessment of skin hyperextensibility is performed at a site lacking excess or loose skin and in an area without evidence of prior trauma by gently pulling until resistance is met. The extensor surfaces of joints are typically not used used because of the presence of excess skin. The perfect test location for skin hyperextensibility is the volar surface of the forearm, where the upper limit of normal is approximately 1-1.5 cm.