The Ehlers Danlos Syndromes (EDS) are inherited connective tissue diseases. Connective tissue is like the glue that holds your body together. If you mess it up, a lot of things can go wrong.
A brief summary of my postdoc research (🧵) for #NPAW2022
For most types of EDS, we understand the cause. But for hypermobile EDS (hEDS) researchers are still unsure of why people have it, and why some people are so severely affected by it. Since we don't understand the causes or mechanisms, there are no direct therapies or cures. (2)
The goal of my work is to understand the genetic causes and biological pathways/mechanisms that contribute to the progression and manifestations people experience to develop better ways to diagnose patients and treat the consequences and comorbidities. (3)
Why does genetics matter so much? Well, you can think of your genetic code as a set of instructions that tells the body (and the connective tissue in this case) how to be assembled to work and function properly. (4)
If there is a change in the DNA (mutation) sometimes it will mess up the instructions & cause our cells to make proteins incorrectly. Then these messed-up proteins can’t interact with other proteins & we get all sorts of downstream issues that impact connective tissue (5)
If we can identify these mutations by using patient genetic information, we can then study how these messed-up instructions lead to connective tissue issues through cell and animal models that allow us to study what goes wrong downstream (6)
and most importantly, we can try to figure out how we can use this to diagnose individuals earlier, and potentially interfere to fix the connective tissues and improve patient quality of life. (7)
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.
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
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?