What do you think is the biggest disconnect between the clinic and research when it comes to hEDS?
Here are my thoughts:
- many things are “known EDS things” that EDS providers see. But this data often isn’t published or easily accessible by researchers so there is no follow up on why and how those things happen
- genetics often stops with clinical geneticists and doesn’t reach a lab that can follow up with biology
- a lack of continuity of care so patients see multiple specialists that don’t always know the whole picture outside of their speciality, which is then missing from research
Why is this happening? I think it’s: 1. Providers who do specialize are overworked 2. Lack of funding 3. Not enough education 4. Lack multidisciplinary clinics/institutes for clinical care & research 5. Not much established work to base studies on- starting from nothing is hard
What are your thoughts? And HOW do we improve this?
When we start to improve the education in the medical field on EDS and awareness in the general population it will have to naturally lead to more funding and research because people will know what it is, more will be accurately diagnosed & more people want to study it 🧵
Start at the bottom, start educating undergrads in biology and human A&P classes, start educating healthcare professionals and it will improve SO many aspects of the disease from diagnosis to research and treatments.
How do we fix education? Require students to learn it. Put connective tissue disease / EDS questions on professional exams for nurses, physical therapists, physicians, etc. If people *have* to know it, schools and programs will be forced to teach it.
Just because I’ve managed to do a PhD with EDS doesn’t mean other patients aren’t trying hard enough if they struggle to do “less”. It often means other patients don’t have the same privileges I’ve had…
That can mean that the severity of the illness differs, that they don’t have accommodations they need, don’t have access to expert medical care, don’t have a supportive school or research environment, are missing support from others in their life, etc.
The “despite disability” language can be super toxic. I’ve heard myself described as that - someone “overcoming” a difficult diagnosis and doing the “impossible”. But I’m not overcoming anything.
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
The Norris lab is hosting a hypermobile Ehlers Danlos Syndrome (hEDS) summer research internship program on the campus of the Medical University of South Carolina (MUSC).Those who are interested should look at the attached photos for eligibility requirements and description (1/3)
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?