Hypermobility means some joints move further than average because the supporting tissues are more elastic, which can feel like a “party trick” but often comes with extra risk of sprains and aches. The aim of management is not more flexibility, but better stability and control so joints feel safer and less likely to be injured.
What joint hypermobility is
- Hypermobility occurs when ligaments and other connective tissues are more lax, allowing a larger‑than‑usual range of motion at one or many joints.
- This extra movement can make it harder for muscles and the nervous system to sense joint position accurately, so joints may feel “wobbly”, clicky or easily overstretched.
Why it links to recurring sprains
- Because passive structures (ligaments, capsules) give less firm support, joints rely more on muscles and quick reflexes to keep them centred.
- Sudden changes of direction, uneven ground or fatigue can expose this weakness, leading to repeated ankle sprains, “giving way” episodes or small soft‑tissue injuries.
How osteopathy can help
- Gentle hands‑on work can ease muscle tension around overworked areas, improve joint comfort and help optimise how different regions share load.
- Assessment can identify which joints are too mobile and which are stiff, then treatment and advice can focus on improving balance, alignment and movement strategies rather than forcing extra range.
Role of stabilising exercise
- Targeted strength work for the muscles around hypermobile joints (for example calves and hip muscles for an unstable ankle or knee) helps create active stability.
- Proprioception and balance drills—such as single‑leg stands, wobble‑board work or controlled step‑downs—train the nervous system to react faster and hold joints in safer positions.
- Progression is usually slow and steady, with more focus on quality, control and consistency than on heavy loads or extreme end‑range stretching.
