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Arc Specialist Care

Paediatric rheumatology

Joint pain and hypermobility

Joint hypermobility is common in children and is often a normal variation, causing no difficulties. However, some children experience persistent joint pain, fatigue or recurrent injuries related to their hypermobility and may benefit from further assessment.

What is hypermobility?

Hypermobility means joints move further than usual. In an exceptionally small number of cases, this may reflect a heritable connective tissue disease process when associated with other systemic features.

Children with persistent joint pain are also assessed to make sure there is not an underlying inflammatory cause, such as arthritis.

Common symptoms

  • Aching joints or legs, often after activity or later in the day
  • Easy fatiguability
  • Frequent sprains, or joint instability
  • Difficulty with handwriting or sitting for long periods

How it is assessed

Assessment includes a detailed history and examination of the joints, skin and posture. In a few cases, referral to a geneticist for further investigation may be required.

How it is managed

The focus is on staying active and building strength and control around the joints.

  • Physiotherapy for a tailored exercise program to build muscle strength, improve joint stability and coordination, and reduce the risk of injury
  • Gradual activity and pacing
  • Supportive footwear and joint protection

When to see your GP sooner

Joint swelling, morning stiffness, limping, pain that wakes your child at night, fevers or weight loss are not typical of hypermobility. See your GP promptly if you notice any of these.

Common questions

Is being flexible a bad thing?

No. Most flexible children have no problems at all. Assessment is helpful when flexibility comes with ongoing pain or injuries.

Should my child stop sport?

Usually not. Staying active, with a good strengthening program, is one of the most helpful things for hypermobility.

Will a physiotherapist be involved?

Often, yes. A physiotherapist who works with children can build a strengthening program suited to your child.

Do we need a referral?

Yes. A referral from your GP or specialist is needed for a Medicare rebate. Please address this to Dr Jessica McGrath at Arc Specialist Care.

Seeing us in Brisbane

Ask your GP or specialist for a referral to Dr Jessica McGrath at Arc Specialist Care, then call us to book.

This page is general information only and is not a substitute for advice about your child's individual situation. Please speak with your doctor about your child's care.

Call 07 3102 4068Directions