Swimming for EDS and HSD

No labrum tear, although I read that many with hEDS do have tears. Just the hypermobile SI Joint and its "collateral damage". The first Drs and the Orthopods all thought my SI Joint issue was a hip issue but found nothing.
Test to determine if joints are hypermobile and how far they move can be done at a chiropractor's office who has a "digital motion X-ray" machine. My Regenerative Med Dr. had me get one and have it sent to him.
An MRI can also show ligaments as well as tears so ask him about the ligaments. ... don't know if the illiopsois will be included in positioning. And I did read that testing for lax ligament is a physical test, not a picture test.
More good luck wishes

Thank you for sharing.

I learned from my care team that pain can change. While we might always need to live with some level of pain, it doesn't always have to be so severe or limiting. But one mistake with chronic pain is that it's easy for us to look for something physical to "fix," but chronic pain is different than acute pain such as a broken arm. With a broken arm, you can ideally address the fracture and in time, hopefully the pain goes away. But chronic pain is different--it's usually systemic, like in hypermobility. And/or it involves insistent pain signals in the nervous system that keeps the pain cycle going, sometimes even if you do address physical causes. I don't want to get stuck in the weeds of chronic pain, but that was one major thing I learned that helped me decide on my next steps >_<

Do you think you want to look more into hypermobility as a potential diagnosis? Could that be an option? If so, maybe you could look for a physician or physical therapist in your area who has experience with hypermobility. The EDS Society has a provider finder here: https://www.ehlers-danlos.com/healthcare-professionals-directory/

The thing is, it can be really difficult to find a phyiscian; the wait could be really long. In my experience, it can be more direct to find a physical therapist. You might get more information and potentially more relief, more quickly by doing a consultation with a PT well-versed in hypermobility. Even if it's short-term, if you could get information and guidance to bring to your own PTs, that could help.

Even before I was diagnosed, PT was always my preference because regardless of a certain diagnosis, they could look at what I'm experiencing right now and help come up with a plan to improve my function. If you feel confident your medical team has ruled out conditions that would be more life threatening, it's been my experience that I didn't have to have a formal diagnosis. I was always less interested in the label, only because I wanted relief and improvement in function more. But that's just me...and knowing that if I had done nothing else except chase doctors in the 3 years it took to get my first diagnosis of inflammatory arthritis, that would have been a long time in pain potentially not making much progress or feeling frozen.

There are also a TON of online resources for hEDS and HSD. It's not that I'm saying not to listen to your doctors or forgo medical treatment or anything like that, but sadly a lot of us have to DIY pain management because of the shortage of providers or other barriers to access.

I wouldn't say there's "nothing to be done" (that is one of my least favorite phrases relating to chronic pain) except stability exercises. That's one intervention of many, but I would agree PT has been the foundation of pain management for hypermobility for me. PT is the #1 thing that's had the biggest impact on my pain and quality of life, but it has to be appropriate for hypermobility--if it's not, it can hurt more than it can heal (which has also happened to me too many times, sigh).

One other thing that really helped me was patient education and research--learning about chronic pain as a symptom of a stressed out nervous system and why hypermobility causes pain, fatigue, etc., why PT and other strategies help, and what type of PT is safest and most effective, all helped me gave me hope and ideas for what I might be able to do on my own and with support from the right care team.

Maybe learning more about things that can help might keep you hopeful and give you some ideas on how to move forward?

I found this physiotherapist (in the UK I think?) with a YouTube channel and blog that had a lot of brief educational videos, along with examples or exercises if it might give a starting point: https://www.youtube.com/@JeannieDiBonHypermobility/streams

I told my PT a today about the SI joint issue. I have had pain there forever, but not my biggest complaint. Anyway so he worked on it and I got an ultrasound on it and ( smiling) I went out on our little sailboat for 4 hours. I swam a little and my pain level is very low right
Now! ( just need it to stay low)

Yep, definitely struggling to walk is tough.

I have gotten relief, but my physical therapy is more functional--their practice has a more "active" approach that is based more on "what you can do," as opposed to "what is done to you," so they rarely use ultrasound or massage/manual therapy. About as passive as we've gotten has been using k-tape.

I have HSD, and having a hypermobile SI joint is a concern, plus I have SI joint pain and hip pain that is consistent with a labral tear or FAI (aka hip impingement). All three can be treated with injections to address pain. But also the physical therapy approach is the same--it relies on a program of core, hip, and glute strengthening to help stabilize the muscles around the joints to prevent excessive mobility. That's what's in the home program I've been prescribed.

For SI joint pain, some people (those with hypermobility included) get relief by using an SI joint belt. It helps provide additional stability. I've not tried it yet. They're kind of expensive, so I'm waiting until I see my pelvic PT. My physiatrist said they have ones patients can try in the clinic to see if it feels like something I'd want to try regularly. The brand she recommended is Serola.

I’ll definitely show my Doc this about labrum tears.,
and info about SI joint.
I feel like we are the Guinea pigs haha bc all my docs and therapists seem to shake their heads a lot.