Uncovering the underlying mechanisms for hypermobility

SI joint ligaments
ligaments of the SI joint

Hey everyone,

Today I wanted to share a fascinating piece of research I just read about. It comes from researchers at Tulane University, who are working to discover the underlying causes of Ehlers-Danlos Syndrome.

Basically, if you’re genetically hypermobile, it means that your body produces connective tissue – which makes up many aspects of our body, including ligaments – that is more “stretchy” and fragile than the average person’s. In the case of SI joint dysfunction, this can mean that the joints which hold the joint together are more easily sprained, leaning to chronic joint instability.

In my own life, I’ve gotten really far from learning about this condition and how to manage it. Now, I know it played a big role in my SI joint dysfunction, and when I incorporated strategies that factored this in, I was able to become a million times more stable.

That said, I *do* believe that knowledge is power. The more we know about what’s going on, the better we can start to understand how hypermobility relates to the overall picture of our genetics and health.

These researchers found that in at least a subset of patients with hEDS, a genetic variation in the methylenetetrahydrofolate reductase gene (or MTHFR for short) is present. Essentially, this genetic variation was found to affect the patients’ ability to metabolize folate, aka vitamin B9.

The researchers conducted an experiment where they gave their EDS patients a food supplement to replace some of the enzymes their faulty MTHFR genes were not making. This supplement would then give them the ability to properly metabolize the folate in their diets.

And lo and behold, this supplement ended up improving the pain and other symptoms in a full 50% of the patients who tried it!!!

So, while this mechanism may not explain all of the symptoms people experience in hypermobile EDS, it does appear to play a role in a significant percentage!

I am so excited to see this research. Because, as much as I’ve been able to overcome many boundaries and become a lot more functional in strategizing ways to navigate the world as a hypermobile person… it would be amazing to also be able to intervene in a biochemical level, to repair the processes that may be dysfunctional in how we create connective tissue.

This research may be just one step at the beginning of a long road, however it is incredibly significant for proving that hypermobility disorders are in fact real conditions with a biochemical basis. This opens up the door for further research to shed light on these “invisible” disorders, bringing us forward into a world where conditions like hypermobility and EDS are taken much more seriously.

Stay tuned for more!

Published by Christy Collins

Hi, I'm Christy! I'm a health coach who helps people overcome SI joint dysfunction and chronic pain.

2 thoughts on “Uncovering the underlying mechanisms for hypermobility

  1. I am just getting around to reading about the Tulane research, and it is BLOWING MY MIND. Never an official EDS diagnosis because when I cannot bend my thumb to touch my arm (classic hypermobility “tell”, I suppose?) in an exam where I am voicing concern about hypermobile joints, the conversation is shut down by any practitioner. But I follow you over the years because I have had horrific, inexplicable S.I. joint dysfunction in the past, lots if pelvic instability, have been told I am too flexible by practitioners, etc. This Summer I was diagnosed with a near complete meniscus root tear – is that connective tissue? I am “coming back” from a hideous root repair surgery over the Summer, it is a long recovery. Of course I am terrified this will happen to me again. So, this gene research…Wow, it’s hitting home. I started seeing an N.P. for help with subclinical hypothyroidism and hormone levels in 2020 just as we were coming out of lockdown in Florida. She had me do 23andMe, and also had me upload it to the Nutrahacker site. As a result of the Nutrahacker report, she sent me off with a different multivitamin for people like me who cannot utilize normal folate. Reading the Tulane interview, that’s me. The MTHFR and B-12 abnormalities are on my Nutrahacker report, the heavy menstrual cycles my whole life, stupid allergies. Whaaaa’??? I will continue to chase this down! Thank you so much for sharing this interview!

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    1. Hi Amy, so glad the post was helpful! How incredibly frustrating that you were shut down based on that one aspect of the test. I actually can’t bend my thumb that far, either.

      There seems to be a growing acknowledgement among practitioners that the Brighton/Beighton test is incomplete, and that it really should be one component of an exam, along with personal and family history. People may be hypermobile in other joints than the ones they test, and additionally, joint range of motion can become reduced as we age- even in those of us with hypermobility.

      I agree, it sounds as though you have a lot of the hallmarks of hypermobility/EDS… keep us posted as you figure more out!

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