Hypermobility is a common condition that many people have that can cause a lot of problems with joints. Many who are hypermobile do not even know they are, and many will have no problems and go about life, sport and daily activities perfectly fine. However there is a great deal of people who will suffer with chronic pain due to their genetic hypermobile joints. This presentation shows why this is important to know if you have pain and why the traditional treatments fail these people for they are not providing them with the solution their body requires which is improved Stability and Strength. Most traditional treatments focus on releasing tight muscles or trigger points via massage, manipulation, dry needling etc When really this is a waste of time for the person with lack of stability for the joint will only stiffen back up again if there is no method to show the body otherwise

2. HYPERMOBILE
• Typically love Yoga, Dancing, Gymnastics & enjoy stretching
• More common in females but not limited to
• Often have joint problems & tend to break bones rather than tear muscles
• Make bad movements appear to be good
• Difficult to strengthen
• Traditional treatments fail for musculoskeletal pain

3. Hypermobility & Pain
Why Traditional Treatments Fail These People
• Focus is on releasing tight
muscles to relieve pain
• Massage, trigger point release,
stretching, acupuncture, skeletal
adjustments etc
• All are loosening focused besides
taping which is false stability
• This is great for flexibility
imbalance of tight muscles but
the problem is not lack of
flexibility but instead TOO MUCH

4. Hypermobility & Pain
Typical Assessment Results
• Piriformis Syndrome = Unstable
pelvis/lumbar spine with stiff
hips & weak glutes
• Knee Pain = Unstable knee with
stiff hips/ankles
• Back Pain = Unstable lumbar
spine & stiff hips
• Neck Pain = Unstable shoulder &
neck with stiff thoracic spine

5. Piriformis Syndrome
• So many cases due to instability
and weakness in glutes and
abdominal function
• Treatments only serve to make
matters worse by trying to
release the trigger point without
addressing the real cause

6. Hypermobility
What These People Have
• Lack of stability
• Excessive mobility which expose
joints to potential hyperextension
or even dislocation!
• Stretching creates trigger points
and STIFFNESS to protect the joints
• Early warnings are often elbow
and knee
• More severe problems will appear
in the spine, shoulder and hip
• Difficult to find the problem
• Difficult to strengthen

7. 9 Point Test

8. What Is Stiffness?
• Stiffness is the body’s attempt to restore stability using
prime mover muscles instead of stabilizer muscles
• This restricts movement in order to protect joints
• True stability is being able to react with perfect reflexes
to be able to maintain joint alignment ready for
efficient and smooth movement.
• As soon as we stand or need to move stability must be
present but the stiffness will disappear as soon as we
lie down or relax
• The only way to get rid of the stiffness is to learn
stability and strength drills

9. Movement Stiffness
• Compare the squat form below
• Tight ankles are created due to instability at the feet and knee
• Tight hips are created due to instability at the lumbar spine and knee
• This prevents full range of a squat resulting in weak glutes, abdominals, vmo,
hamstrings, even thoracic extensors!

10. Too Much Mobility
• Lying on the floor
present with no flexibility
imbalance or stiffness
• Only standing up
movements will show
the stiffness to make up
for lack of stability
• In this case hips and
ankle stiffness
• Meaning you need to
train stability in this
movement

11. Stiff vs Stable
1. Stiffness created
at THORACIC and
HIPS
2. due to lack of
stability
3. At the lumbar
spine and shoulder
girdle

12. You Must Strengthen
LIKE THIS
NOT LIKE THIS

13. What To Do?
1.ASSESS
2. STABILIZE 3. STRENGTHEN

14. Success Formula

15. Programs
• You will find Step by Step programs on our website at
www.noregretspt.com.au
• Go to our online shop