Ehlers Danlos Syndrome
Info for Orthopedics

WHAT IS IT?

 

An inherited connective tissue disorder where a gene mutation creates weakened collagen throughout the body. Collagen is a building block of several different systems throughout the body: musculoskeletal, neurological, gastrointestinal, and cardiovascular. This can cause a number of different symptoms with a wide variety of presentation between people

Possible Symptoms

 

Musculoskeletal: pain, dislocations, muscle tightness, poor posture, headaches, chronic fatigue

Cardiovascular: lightheadedness, dizziness, poor

endurance, fainting, referred heart pain

Gastrointestinal: constipation, IBS, issues with eating GERD, bloating

Neurological: poor balance, poor coordination, increased pain perception

Other: easy bruising, skin hyperextensibility, poor immune system, anxiety, depression, issues sleeping

​Considerations for Orthopedic

  • Surgery should try to be avoided due to poor healing

  • Possible issues with scar healing due to skin extensibility

  • Muscle tightness is commonly due to muscle compensation for weakness instead of true muscle tightness

  • Possible issues with pain medication and anesthesia

  • Longer healing times

  • Physical therapy is essential

  • Use cadaver connective tissue to avoid re-tearing

Modifications for Patients
 
  • If the healthcare provider is not familiar with EDS, you may need to educate healthcare professionals on EDS

  • Be prepared with documentation of your symptoms with context, medications and any lab reports (MRI, X-ray, blood work)

  • Seek specialist referrals for doctors familiar with EDS