Ehlers-Danlos Syndrome (EDS) care: Why you need a whole team, not just one doctor

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Ehlers-Danlos Syndrome (EDS) care is essential for managing this rare and complex genetic condition that affects the connective tissues in your body. This means it can impact everything from your joints and skin to your blood vessels, gut, and more. If you have EDS, you might experience overly flexible (hypermobile) joints, skin that bruises or tears easily, chronic pain, and even issues with digestion or circulation.

Since there’s no cure for EDS, the focus is on managing EDS symptoms and improving your quality of life. But since EDS affects so many different parts of the body – and because everyone experiences it differently – you need more than just one specialist. A multidisciplinary team is essential to help you navigate the condition and get the best possible care [1].

Are you Hypermobile, or think you may have HSD or hEDS?

Take our 15-min evidence-based online test to find out if you might benefit from professional support.

Why a multidisciplinary collaborative team approach is necessary for Ehlers-Danlos Syndrome (EDS) care

EDS affects your whole body, not just one part. It can impact your skin, joints, blood vessels, bladder, nerves, heart, gut, and more, meaning no two people experience it the same way. Some of you might struggle more with joint pain and dislocations, while others deal with gut issues, fatigue, or circulation problems. Because EDS looks so different for everyone, there’s no one-size-fits-all approach to care. That’s why having a team of specialists who understand EDS and Hypermobility is so important. By working together, doctors, physios, occupational therapists, and other health professionals can create a care plan that’s tailored to your unique needs [2]. It’s all about managing symptoms, improving your quality of life, and making sure you get the right support at the right time.

EDS health care team

To receive proper care for Ehlers-Danlos Syndrome (EDS), you need a comprehensive, holistic, proactive, collaborative team approach and care plan that meets your unique needs and priorities.

The goal of a multidisciplinary team is to address all aspects of the condition, prevent further complications, and enhance the overall well-being of the patient. Here’s how different specialists contribute to the ongoing management and care of individuals with EDS (this list is by no means exhaustive):

1. General Practitioners (GPs) and EDS-Specialising Doctors

GPs and EDS-Specialising Doctors

A general practitioner plays a pivotal role in managing the overall health of a person with EDS. They provide referrals to specialists and ensure that all aspects of care are coordinated. EDS-specialising GPs may have a more in-depth understanding of the condition and its impact on health, allowing them to take a more proactive approach in managing symptoms and providing long-term care.

2. Physiotherapists

Physiotherapists

Physiotherapists help create personalised exercise programs that are designed to improve joint stability, strength, and mobility. These programs are crucial for individuals with EDS to prevent injuries, improve pain management, and ensure that muscles surrounding hypermobile joints are strengthened. Please see Hypermobility treatments and effective pain management for more details.

3. Psychologists

Psychologists

Living with a chronic condition like EDS can lead to emotional stress, including dealing with ongoing pain and the limitations that come with the condition. Psychologists provide strategies for managing the psychological burden of EDS, helping patients cope with chronic pain and fatigue.

4. Rheumatologists

Rheumatologists

Rheumatologists specialise in joint-related issues. People with EDS often experience joint hypermobility, pain, and dislocations, making rheumatologists essential for managing these symptoms.

5. Cardiologists

Cardiologists

In cases of vascular EDS or when symptoms like dysautonomia and Postural Orthostatic Tachycardia Syndrome (POTS) are present, cardiologists help manage cardiovascular health and assess blood circulation issues.

6. Gastroenterologists

Gastroenterologists

The digestive system is often affected in individuals with EDS, leading to issues like IBS, constipation, nausea, and GERD. Gastroenterologists help manage these symptoms.

7. Exercise Physiologists

Exercise physiologists focus on developing personalised movement plans to improve physical function, reduce pain, and promote overall health.

8. Pain Management Specialists

Pain Management Specialists

Chronic pain is common in EDS. Pain management specialists use various approaches, including medication, nerve blocks, and alternative treatments, to improve quality of life.

9. Occupational Therapists (OTs)

EDS can make everyday tasks challenging due to joint instability, fatigue, or pain. Occupational therapists provide adaptive strategies to manage daily activities more easily.

10. Prolotherapy and Rehabilitation Physicians

Prolotherapy and Rehabilitation Physicians

Prolotherapy physicians provide injections to stabilise hypermobile joints, while rehabilitation physicians help improve physical abilities and reduce pain.

11. Speech Therapists

Speech Therapists

EDS can affect speech, swallowing, and breathing. Speech therapists provide support for TMJ pain, voice issues, and swallowing difficulties.

12. Geneticists

Geneticists

Genetic testing plays a crucial role in diagnosing rarer types of EDS and informing treatment plans.

A holistic, proactive, and comprehensive approach

The complexity of EDS, with its range of symptoms and impacts on various systems, necessitates a holistic, proactive, and comprehensive approach to care. No single specialist can address all the challenges that come with EDS, which is why a multidisciplinary team is so important. Each specialist brings valuable expertise to the table, ensuring that all aspects of the condition are managed effectively. This collaborative approach not only improves symptom management but also enhances the overall quality of life for individuals living with EDS.

Are you Hypermobile, or think you may have HSD or hEDS?

Take our 15-min evidence-based online test to find out if you might benefit from professional support.

References

[1] Tinkle, B. T., & Levy, H. P. (2017). Ehlers-Danlos syndrome: Multidisciplinary approach to diagnosis and management. American Journal of Medical Genetics, 173(3), 791-798. https://doi.org/10.1002/ajmg.a.38145

[2] The Ehlers-Danlos Society. (n.d.). Why a multidisciplinary approach is necessary for EDS. Retrieved February 02, 2025, from https://www.ehlers-danlos.com/

 

Pauline Slater

Founder and Principal Physiotherapist, Clinician Educator, Researcher

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