Too many people with ehlers danlos and joint hypermobility see chiropractors without realizing the dangers in it
Contraindications to spinal manipulative therapy according to @WHO
- basilar invagination of the upper cervical spine
- chiari malformation
- congenital, generalized Hypermobility
- signs or patterns of instability
- syringomyelia
Contradictions to joint manipulation according to @WHO
- ligamentous laxity with anatomical subluxation or dislocation
- articular hypermobility
- atlantoaxial instability
If the contraindication for adjustments with generalized hypermobility isn’t enough of a red flag - keep in mind that many EDS patients may have undiagnosed chiari, AAI, CCI, syringomyelia and more absolute contraindications
The “but MY chiropractor understands EDS” claim really gets me... if a chiropractor understands EDS they would not touch you. A patient who has chronic joint problems has a chiro looking like this 🤑🤑🤑🤑 - you are their ideal patient
A helpful visualization of how ligament laxity can be further exacerbated in EDS:
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Another paper confirming what we already know: systemic manifestations including autonomic dysfunction, mast cells activation syndrome, migraine and GI symptoms are fairly common in EDS patients❗️
(TMJ is also mentioned as “extra musculoskeletal manifestation”)
Joint pain was seen in 100% of patients. When will more doctors start taking EDS seriously as a chronic pain condition?