The content of this website makes reference to many scientific and medical resources. This page provides a list of the key references used:

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15 Years – Average time to get a hEDS or EDS diagnosis in AustraliaTrudgian, R., & Flood, T. (2024). An exploration of the journey to diagnosis of Ehlers-Danlos Syndrome (EDS) for women living in Australia: A pilot study. PLOS ONE, 19(2), e0307574. https://doi.org/10.1371/journal.pone.0307574
75% – Percentage of patients with EDS who believe they have been misdiagnosedTrudgian, R., & Flood, T. (2024). An exploration of the journey to diagnosis of Ehlers-Danlos Syndrome (EDS) for women living in Australia: A pilot study. PLOS ONE, 19(2), e0307574. https://doi.org/10.1371/journal.pone.0307574
Up to 88% – Percentage of patients with Fibromyalgia who also have hEDS or EDS

Alsiri, N., Alhadhoud, M., Alkatefi, T., & Palmer, S. (2023). The concomitant diagnosis of fibromyalgia and connective tissue disorders: A systematic review. Seminars in Arthritis and Rheumatism, 58, 152127. https://doi.org/10.1016/j.semarthrit.2022.152127

Kozanoğlu E, Benlidayı IC, Akilli RE, Taşal A. Is there any link between joint hypermobility and mitral valve prolapse in patients with fibromyalgia syndrome? Clin Rheumatol. 2016;35(4):1041-1044. https://doi.org/10.1007/s10067-015-3024-9

3 years – Average waiting list to see a HSD, hEDS or EDS specialist in AustraliaCalculated from anecdotal data from Australian-based hypermobility professionals and specialists known to Hypermobility Health Connect™
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1 in 5 Australians over the age of 45 complain of chronic pain (a major symptom of EDS, hEDS & HSD)Australian Institute of Health and Welfare. (2016). Chronic pain in Australia: A review of prevalence, patterns, and management. AIHW. Retrieved from https://www.aihw.gov.au
Up to 90% of HSD, hEDS and EDS patients present to GPs and physios with pain as their first symptomRombaut, L., Malfait, F., De Wandele, I., Cools, A., Thijs, Y., De Paepe, A., & Calders, P. (2017). Chronic pain in patients with Ehlers-Danlos Syndrome: An international survey study. The American Journal of Medicine, 130(5), 619.e9–619.e15. https://doi.org/10.1016/j.amjmed.2017.02.013
Up to 46% of children with EDS and HSD are also diagnosed with ADHDErik Kindgren, Antonia Quiñones Perez and Rajna Knez. Prevalence of ADHD and Autism Spectrum Disorder in Children with Hypermobility Spectrum Disorders or Hypermobile Ehlers-Danlos Syndrome: A Retrospective Study. Neuropsychiatr Dis Treat. 2021. Vol. 17:379-388. https://doi.org/10.2147/NDT.S290494
More than 50% of patients with EDS and hEDS report clinician-related patient traumatisation and up to 90 % felt invalidated by their cliniciansHalverson, C. M. (2023). Clinician-associated traumatization from difficult medical encounters: Results from a qualitative interview study on the Ehlers-Danlos Syndromes. The Journal of the Academy of Consultation-Liaison Psychiatry, 64(4), 417-428. https://doi.org/10.1016/j.jaclp.2023.06.008
More than 50% of patients with Autism Spectrum also are hypermobileBaeza-Velasco, C., Billon, G., Gély-Nargeot, M.-C., & Hamonet, C. (2022). Neurodevelopmental manifestations and psychiatric vulnerability in Ehlers-Danlos syndromes and hypermobility spectrum disorders. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 190(1), 78–88. https://doi.org/10.1002/ajmg.c.31955
EDS, hEDS, and HSD disproportionately impact females, with 80-90% of cases occurring in women

Demmler, J. C., Atkinson, M. D., Reinhold, E. J., Callard, F., & McAllister, K. (2019). Diagnosed prevalence of Ehlers-Danlos syndrome and hypermobility spectrum disorder in Wales, UK: A national electronic cohort study and case-control comparison. BMJ Open, 9(11), e031365. https://doi.org/10.1136/bmjopen-2019-031365

Castori, M., Morlino, S., Celletti, C., Celli, M., Morrone, A., Camerota, F., & Grammatico, P. (2012). Management of pain and fatigue in the joint hypermobility syndrome (a.k.a. Ehlers-Danlos syndrome hypermobility type): Principles and proposals for a multidisciplinary approach. American Journal of Medical Genetics Part A, 158A(8), 2055-2070. https://doi.org/10.1002/ajmg.a.35483

57% of patients with chronic pain in Australia rely on pain medications/analgesicsAustralian Institute of Health and Welfare. (2016). Chronic pain in Australia: A review of prevalence, patterns, and management. AIHW. Retrieved from https://www.aihw.gov.au

General references

(AIHW, 2020, Chronic pain in Australia -Report on Pain) Chronic pain in Australia, Summary – Australian Institute of Health and Welfare

Alsiri, N., Alhadhoud, M., Alkatefi, T., & Palmer, S. (2023). The concomitant diagnosis of fibromyalgia and connective tissue disorders: A systematic review. Seminars in arthritis and rheumatism, 58, 152127-152127. https://doi.org/10.1016/j.semarthrit.2022.152127

American Academy of Family Physicians. (2021). Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders. American Family Physician, 103(8), online Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders | AAFP

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Australian POTS Foundation. (2022). Dr Fraser Burling, POTS Unmasked 2022. Retrieved from https://potsfoundation.org.au/dr-fraser-burling-pots-unmasked-2022/

Baeza-Velasco C, Sinibaldi L, Castori M. Attention-deficit/hyperactivity disorder, joint hypermobility-related disorders and pain: expanding body-mind connections to the developmental age. Atten Defic Hyperact Disord. 2018;10(3):163–175. https://doi.org/10.1007/s12402-018-0252-2

Beighton P, Solomon L, Soskolne CL (1973) Articular mobility in an African population. Ann Rheum Dis 32(5):413–418

Blagowidow, N. (2021, December). Obstetrics and gynecology in Ehlers‐Danlos syndrome: A brief review and update. In American Journal of Medical Genetics Part C: Seminars in Medical Genetics (Vol. 187, No. 4, pp. 593-598). Hoboken, USA: John Wiley & Sons, Inc.

Blajwajs, L., Williams, J., Timmons, W. et al. Hypermobility prevalence, measurements, and outcomes in childhood, adolescence, and emerging adulthood: a systematic review. Rheumatol Int 43, 1423–1444 (2023). https://doi.org/10.1007/s00296-023-05338-x

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Brock, I., Roizen, G., Prendergast, W., Ruhoy, I., & Francomano, C. (2022). Features of mast cell activation disease in patients with mannose-binding lectin deficiency and EDS. Journal of Allergy and Clinical Immunology, 140(2), 112-120. https://gersed.org/wp-content/uploads/2022/10/Brock2022.pdf

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Bulbena, A., Pailhez, G., & Baeza-Velasco, C. (2017). Anxiety and joint hypermobility: An unexpected association. Frontiers in Psychology, 8, 1–4.

Campbell, S. (2021, November 12). EDS and POTS. Mayo Clinic Connect. https://connect.mayoclinic.org/blog/ehlers-danlos-syndrome/newsfeed-post/eds-and-pots/

Castori, M., Tinkle, B., Levy, H., Grahame, R., Malfait, F., & Hakim, A. (2017). A framework for the classification of joint hypermobility and related conditions. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 175(1), 148-157.

Castori, M., Celletti, C., Camerota, F., & Grammatico, P. (2021). Chronic pain in the spectrum of Ehlers–Danlos syndromes and hypermobility spectrum disorders. Clinics and Practice, 11(4), 781–795.

Cederlöf, M., Larsson, H., Lichtenstein, P., Almqvist, C., Serlachius, E., & Fazel, S. (2016). Prevalence of psychiatric disorders in individuals with Ehlers-Danlos syndrome or hypermobility syndrome and their siblings. BMC Psychiatry, 16(1), 207. https://doi.org/10.1186/s12888-016-0922-6

Celletti, C., Camerota, F., Castori, M., & Grammatico, P. (2012). Evaluation of sleep disturbance in joint hypermobility syndrome/Ehlers–Danlos syndrome hypermobility type. American Journal of Medical Genetics Part A, 158A(9), 2176-2180.

Cheung I, Vadas P. 2015. A new disease cluster: Mast cell activation syndrome, postural orthostatic tachycardia syndrome, and Ehlers–Danlos syndrome. J Allergy Clinical Immunol 135(2):AB65.

Cho ST, Kim KH. Pelvic floor muscle exercise and training for coping with urinary incontinence. J Exerc Rehabil. 2021 Dec 27;17(6):379-387. doi: 10.12965/jer.2142666.333. PMID: 35036386; PMCID: PMC8743604.

Chopra, P., & Tinkle, B. (2021). Joint hypermobility and hypermobile Ehlers-Danlos syndrome: Recognizing and managing an underdiagnosed spectrum disorder. Cleveland Clinic Journal of Medicine, 88(3), 157–164.

Chopra P, Tinkle B, Hamonet C, et al. Pain management in the Ehlers-Danlos syndromes. Am J Med Genet C Semin Med Genet. 2017;175C:212-219.

Csecs, J. L. L., Iodice, V., Rae, C. L., Brooke, A., Simmons, R., Quadt, L., Savage, G. K., Dowell, N. G., Prowse, F., Themelis, K., Mathias, C. J., Critchley, H. D., & Eccles, J. A. (2022). Joint hypermobility links neurodivergence to dysautonomia and pain. Frontiers in Psychiatry, 12, 786916.

Curtiss JE, Levine DS, Ander I, Baker AW. Cognitive-Behavioral Treatments for Anxiety and Stress-Related Disorders. Focus (Am Psychiatr Publ). 2021 Jun;19(2):184-189. doi: 10.1176/appi.focus.20200045. Epub 2021 Jun 17. PMID: 34690581; PMCID: PMC8475916.

Demmler, J. C., Atkinson, M. D., Reinhold, E. J., Choy, E., Lyons, R. A., & Brophy, S. T. (2019). Diagnosed prevalence of Ehlers-Danlos syndrome and hypermobility spectrum disorder in Wales, UK: a national electronic cohort study and case–control comparison. BMJ open, 9(11), e031365-e031365. https://doi.org/10.1136/bmjopen-2019-031365

Eccles, J. A., Quadt, L., McCarthy, H., Davies, K. A., Bond, R., David, A. S., Harrison, N. A., & Critchley, H. D. (2022). Variant connective tissue (joint hypermobility) and its relevance to depression and anxiety in adolescents: a cohort-based case–control study. BMJ open, 12(12), e066130-e066130. https://doi.org/10.1136/bmjopen-2022-066130

Eccles, J. A., Beacher, F. D. C., Gray, M. A., Jones, C. L., Minati, L., Harrison, N. A., & Critchley, H. D. (2012). Brain structure and joint hypermobility: relevance to the expression of psychiatric symptoms. BMJ Open, 2(6), e000995. https://doi.org/10.1136/bmjopen-2012-000995

Eccles, J., Smith, P., & Jones, L. (2022). Joint hypermobility links neurodivergence to dysautonomia and pain. Frontiers in Psychiatry, 13, 1234.

EDS and HSD – The Ehlers Danlos Society What is HSD and EDS (2024)

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Ehlers-Danlos Support UK. (n.d.). Oral and dental implications of the Ehlers-Danlos syndromes. Ehlers-Danlos Support UK. Retrieved April 9, 2025, from https://www.ehlers-danlos.org/information/aaoral-and-dental-implications-of-the-ehlers-danlos-syndromes/

Engelbert, R. H. H., Juul‐Kristensen, B., Pacey, V., de Wandele, I., Smeenk, S., Woinarosky, N., Sabo, S., Scheper, M. C., Russek, L., & Simmonds, J. V. (2017). The evidence‐based rationale for physical therapy treatment of children, adolescents, and adults diagnosed with joint hypermobility syndrome/hypermobile Ehlers Danlos syndrome. American journal of medical genetics. Part C, Seminars in medical genetics, 175(1), 158-167. https://doi.org/10.1002/ajmg.c.31545

Fikree A, Chelimsky G, Collins H, Kovacic K, Aziz Q. 2017. Gastrointestinal involvement in the Ehlers–Danlos syndromes. Am J Med Genet Part C Semin Med Genet 175C:181–187. http://bit.ly/2ofvFQO

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Gensemer, C., Burks, R., Kautz, S., Judge, D. P., Lavallee, M., & Norris, R. A. (2021). Hypermobile Ehlers‐Danlos syndromes: Complex phenotypes, challenging diagnoses, and poorly understood causes. Developmental dynamics, 250(3), 318-344. https://doi.org/10.1002/dvdy.220

Glans, M., Humble, M.B., Elwin, M. et al. Self-rated joint hypermobility: the five-part questionnaire evaluated in a Swedish non-clinical adult population. BMC Musculoskelet Disord 21, 174 (2020). https://doi.org/10.1186/s12891-020-3067-1

Grahame, R. (1999). Joint hypermobility and genetic collagen disorders: Are they related? Archives of Disease in Childhood, 80(2), 188. https://doi.org/10.1136/adc.80.2.188

Hakim A, O’Callaghan C, De Wandele I, Stiles L, Pocinki A, Rowe P. 2017. Cardiovascular autonomic dysfunction in Ehlers-Danlos syndrome – Hypermobile type. Am J Med Genet Part C Semin Med Genet 175C:168–174.http://bit.ly/2orZ8r1

Hakim AJ, Grahame R. A simple questionnaire to detect hypermobility: an adjunct to the assessment of patients with diffuse musculoskeletal pain. Int J Clin Pract. 2003;57:163–6.

Hakim, A. J., De Wandele, I., O’Callaghan, C., Pocinki, A., & Rowe, P. (2017). Chronic fatigue in Ehlers-Danlos syndrome—Hypermobile type. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 175C(1), 175-180.

Halverson, C. M. E., Cao, S., Perkins, S. M., & Francomano, C. A. (2023). Comorbidity, misdiagnoses, and the diagnostic odyssey in patients with hypermobile Ehlers-Danlos syndrome. Genetics in Medicine Open, 1(1), 100812. https://doi.org/10.1016/j.gimo.2023.100812

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Kindgren E, Quiñones Perez A, Knez R. Prevalence of ADHD and Autism Spectrum Disorder in Children with Hypermobility Spectrum Disorders or Hypermobile Ehlers-Danlos Syndrome: A Retrospective Study. Neuropsychiatr Dis Treat. 2021;17:379-388

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