Understanding Joint Hypermobility in Dance: Part 1

Author: Linda Bluestein, MD

As a dance medicine physician, Ehlers-Danlos Syndromes (EDS) specialist, and host of the popular podcast Bendy Bodies, I’ve had the privilege of working with dancers who navigate the challenges of joint hypermobility. This condition, characterized by an increased range of motion in the joints, is common among dancers. Research has shown that dancers are 11 times more likely to exhibit hypermobility compared to non-dancers, whether in ballet schools or professional companies.

Hypermobility can be both an asset and a liability. On stage, it allows dancers to achieve breathtaking lines and extreme positions. However, offstage, it often leads to joint instability, chronic pain, fatigue, and a higher risk of injury. For some dancers, hypermobility is part of a broader connective tissue disorder like hypermobile Ehlers-Danlos Syndrome (hEDS) or hypermobility spectrum disorder (HSD), which require specialized care.

To help dancers thrive despite these challenges, it is beneficial to use an integrative treatment approach called MENS PMMS: Movement, Education, Nutrition, Sleep, Psychosocial support, Modalities, Medications, and Supplements. This comprehensive framework addresses the physical and emotional needs of hypermobile individuals and ensures they receive tailored care. Movement modalities like Pilates and Gyrotonics are particularly effective for hypermobile dancers. These practices strengthen muscles around unstable joints while improving alignment and control—key factors in preventing injury and enhancing performance.

Please share in the comments below if this has helped you!