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What if a child has joint instability but doesn’t actually look hypermobile? And when are “growing pains” a sign that something more is going on?
In this episode of Bendy Bodies, Dr. Linda Bluestein sits down with Sarah Cohen Solomon, MD, a board-certified pediatrician at UVA Health specializing in Ehlers-Danlos syndromes (EDS), joint hypermobility, and related conditions, to unpack how connective tissue disorders can present differently in children and why they can be so easy to miss.
Dr. Solomon, who was diagnosed with hEDS herself at age 20, explains why evaluating joint hypermobility in children requires more than a quick Beighton score. They discuss how muscle tension can mask joint instability, why coaches, teachers, and parents may notice problems before clinicians do, and when recurring “growing pains” deserve a closer look.
The conversation also explores the significant overlap between hypermobility and neurodivergence, including ADHD and autism, as well as dizziness, orthostatic intolerance, and POTS in children and adolescents.
Just as importantly, Drs. Bluestein and Solomon tackle a difficult question: How do we validate a child’s very real symptoms without increasing fears about their body being fragile?
You’ll hear practical strategies for creating flare plans, using a traffic-light system to guide activity, choosing meaningful school accommodations for dynamic disabilities, and helping children remain active without repeatedly pushing them into symptom flares.
Dr. Solomon also explains when pediatric patients should be referred to specialists, how a 10-minute standing test can help evaluate orthostatic symptoms, and why gentle, consistent physical therapy may be more successful than an aggressive “push through it” approach.
The episode closes with a rapid-fire round covering pediatric red flags, favorite treatment strategies, and a surprisingly simple hypermobility hack for long flights and car rides.
Takeaways:
• Can a child have unstable joints without looking flexible? Muscle tension and guarding may hide more than you think.
• When are “growing pains” not just growing pains? Learn which patterns deserve a closer look.
• Is the Beighton score enough to identify hypermobility in children? Dr. Solomon explains what this commonly used tool can miss.
• Why do hypermobility, ADHD, and autism so often show up together? The overlap may be an important piece of the clinical puzzle.
• Could a simple 10-minute standing test provide clues about dizziness, POTS, or orthostatic intolerance? Here’s what clinicians and families should know.
• Can physical therapy actually make a hypermobile child feel worse? Learn why pushing too hard, too fast may backfire and what a more sustainable approach can look like.
• What can schools do when a child’s abilities change from day to day? The right accommodations can support participation without unnecessarily limiting activity.
• And what’s Dr. Solomon’s simple hypermobility hack for long flights and car rides? Stay to the end for her surprisingly practical tip.
Want more of Dr. Sarah Cohen Solomon?
Website: https://thebendypediatrician.com/
Instagram: @thebendypediatrician
Want more Dr. Linda Bluestein, MD?Website: https://www.hypermobilitymd.com/YouTube: https://www.youtube.com/@bendybodiespodcastInstagram: https://www.instagram.com/hypermobilitymd/Facebook: https://www.facebook.com/BendyBodiesPodcastX: https://twitter.com/BluesteinLindaLinkedIn: https://www.linkedin.com/in/hypermobilitymd/Newsletter: https://hypermobilitymd.substack.com/Shop my Amazon store https://www.amazon.com/shop/hypermobilitymdDr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start
Want to learn more about the UVA EDS Center?
For Appointments and Questions: [email protected]UVA EDS: https://www.uvahealth.com/healthy-practice/advancing-care-through-ehlers-danlos-clinicUVA EDS FAQ: https://www.uvahealth.com/support/eds/faq
UVA Pediatric Integrative Medicine: https://childrens.uvahealth.com/specialties/integrative-health
Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them.
Join YOUR Bendy Bodies community at https://www\.bendybodiespodcast\.com/.
YOUR bendy body is our highest priority!
Learn more about Human Content at http://www\.human-content\.com
Podcast Advertising/Business Inquiries: [email protected]
Part of the Human Content Podcast Network
FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links
Learn more about your ad choices. Visit megaphone.fm/adchoices
What if the virus is gone, but your body still has not recovered?
Dr. Linda Bluestein is joined again by Dr. Ina Stephens, associate director of the UVA Health EDS and Hypermobility Disorders Center, to unpack what can happen after Epstein-Barr virus (EBV), especially when post-exertional malaise (PEM), autonomic symptoms, and repeated crashes continue long after the initial infection.
Starting with a listener question from someone recovering from EBV who keeps crashing after activity, Dr. Stephens explains how EBV testing is interpreted, what IgM, IgG, early antigen, and EBNA may tell you, and why a “reactivation” result does not always mean the virus itself is the main problem.
They also get into what may help recovery. The discussion includes antiviral treatment, pacing, sleep, anti-inflammatory nutrition, mitochondrial and muscle support, and supplements such as creatine monohydrate, HMB, taurine, glutathione, and urolithin A. Dr. Stephens also explains why deep diaphragmatic breathing may help calm the autonomic nervous system and what to do when you are already in a PEM crash.
Takeaways:
EBV testing can be confusing, and the pattern of antibodies matters more than any single result.
A positive marker for EBV reactivation does not necessarily mean active viral replication is driving symptoms.
Antivirals are most likely to help when active viral replication is actually occurring.
Pushing through PEM can make recovery harder, so pacing matters.
Sleep, nutrition, breathing practices, and selected supplements may help support recovery.
Want to learn more about the UVA EDS Center?
For Appointments and Questions: [email protected]UVA EDS: https://www.uvahealth.com/healthy-practice/advancing-care-through-ehlers-danlos-clinicUVA EDS FAQ: https://www.uvahealth.com/support/eds/faq
UVA Pediatric Integrative Medicine: https://childrens.uvahealth.com/specialties/integrative-health
Want more Dr. Linda Bluestein, MD?Website: https://www.hypermobilitymd.com/YouTube: https://www.youtube.com/@bendybodiespodcastInstagram: https://www.instagram.com/hypermobilitymd/Facebook: https://www.facebook.com/BendyBodiesPodcastX: https://twitter.com/BluesteinLindaLinkedIn: https://www.linkedin.com/in/hypermobilitymd/Newsletter: https://hypermobilitymd.substack.com/Shop my Amazon store https://www.amazon.com/shop/hypermobilitymdDr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start
Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them.
Join YOUR Bendy Bodies community at https://www\.bendybodiespodcast\.com/.
YOUR bendy body is our highest priority!
Learn more about Human Content at http://www\.human-content\.com
Podcast Advertising/Business Inquiries: [email protected]
Part of the Human Content Podcast Network
FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links
Learn more about your ad choices. Visit megaphone.fm/adchoices
What if your hand pain, numbness, weakness, or grip problems aren’t actually coming from your hand or wrist? Orthopedic hand surgeon William Ericson, MD, joins Dr. Linda Bluestein to explain why people with Ehlers-Danlos syndrome (EDS) and hypermobility may experience overlooked median nerve entrapment near the elbow, carpal tunnel-like symptoms, thumb arthritis, and thoracic outlet syndrome—even when standard imaging or nerve testing doesn’t reveal the answer.
Dr. Ericson, co-author of the 2017 American Journal of Medical Genetics article on orthopedic management of the Ehlers-Danlos syndromes, shares what he has learned from more than three decades of treating patients with complex upper-extremity symptoms.
Why can someone have significant hand pain, weakness, numbness, tingling, or loss of grip strength even when imaging or standard nerve testing looks normal? Dr. Ericson describes a pattern of proximal median nerve entrapment near the elbow that he believes is extremely common in people with EDS and may frequently be mistaken for carpal tunnel syndrome, tendonitis, or unexplained pain.
He explains how median nerve dysfunction can change the way the hand pinches and grips, potentially placing excessive stress on the thumb and contributing to thumb arthritis over time. He also discusses whether identifying and treating the underlying nerve problem could help reduce that risk.
The conversation expands beyond the hand and wrist to the relationship between hypermobility, shoulder instability, scapular protraction, and thoracic outlet syndrome. Dr. Ericson explains why improving shoulder and scapular mechanics may sometimes be more important than operating directly on the thoracic outlet.
You’ll also hear an important discussion about cortisone injections in EDS and hypermobility, including why injections may be appropriate for true tendon inflammation but potentially problematic when the underlying issue is joint instability.
Just as importantly, Dr. Ericson explains why he evaluates the whole person before recommending surgery—including posture, shoulder mechanics, thoracic outlet involvement, stress, and mental health—and why persistent symptoms after surgery may sometimes reflect an unrecognized problem farther upstream.
The episode closes with advice for anyone living with symptoms that have been difficult to explain: a good clinician does not have to know everything. Sometimes the most important words a healthcare professional can say are, “I don’t know—but I believe you, and I’ll help you figure out what comes next.”
Want more of Dr. William Ericson?
Website: https://www.williamericsonmd.com/
Ericson Hand and Nerve Center: https://ericsonhand.com/
Want more Dr. Linda Bluestein, MD?Website: https://www.hypermobilitymd.com/YouTube: https://www.youtube.com/@bendybodiespodcastInstagram: https://www.instagram.com/hypermobilitymd/Facebook: https://www.facebook.com/BendyBodiesPodcastX: https://twitter.com/BluesteinLindaLinkedIn: https://www.linkedin.com/in/hypermobilitymd/Newsletter: https://hypermobilitymd.substack.com/Shop my Amazon store https://www.amazon.com/shop/hypermobilitymdDr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start
Want to learn more about the UVA EDS Center?
For Appointments and Questions: [email protected]UVA EDS: https://www.uvahealth.com/healthy-practice/advancing-care-through-ehlers-danlos-clinicUVA EDS FAQ: https://www.uvahealth.com/support/eds/faq
UVA Pediatric Integrative Medicine: https://childrens.uvahealth.com/specialties/integrative-health
Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them.
Join YOUR Bendy Bodies community at https://www\.bendybodiespodcast\.com/.
YOUR bendy body is our highest priority!
Learn more about Human Content at http://www\.human-content\.com
Podcast Advertising/Business Inquiries: [email protected]
Part of the Human Content Podcast Network
FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links
Chapter:
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Patients are already asking AI the questions they cannot always ask their doctors.
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Chapter:
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What happens when doctors misunderstand Ehlers-Danlos syndromes (EDS) and hypermobility spectrum disorders (HSD)? Sometimes the consequences go far beyond frustration or delayed treatment.
Want to learn more about the UVA EDS Center?
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Why can you feel almost functional one day and completely wrecked the next with hypermobile EDS, HSD, POTS, or MCAS? And how do you know whether you need more treatment, more rest, more movement, or an entirely different approach?
Chapters:
00:00 Fatigue Battery Analogy
01:15 Episode Goals and Community
04:08 Family and Friends Variability
06:26 Why Symptoms Fluctuate
12:26 Spoon Theory and Energy
15:14 Supportive Accommodations
30:38 Care Team Unsung Heroes
33:24 Micro Massive Self Support
36:38 AI Tools And Privacy
38:55 Rapid Fire Myths And Treatments
47:36 One Next Step Hack
53:20 Goodbye And Final Resources
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What if some of the most disabling symptoms in EDS, HSD, POTS, MCAS, ME/CFS, and long COVID are being driven by something we still struggle to see on standard testing?
Note: Technical difficulties knocked Dr. Linda Bluestein offline halfway through the taping; thankfully, Dr. Ina Stephens carried the rest of conversation.
Want more of the Brain Inflammation Collaborative?
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What if being “naturally flexible” is actually the thing putting you at risk for injury?
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Tongue tie and POTS? EDS without obvious hypermobility? Perimenopause making symptoms worse? And tongue numbness after a nerve block? In this listener Q&A, Dr. Linda Bluestein, the Hypermobility MD, and recurring co-host Dr. Dacre Knight, medical director of the UVA Health EDS and Hypermobility Disorders Center, tackle some of the complicated questions patients are asking—and where the evidence is still evolving.
Can tongue tie contribute to dysautonomia? Can men have a connective tissue disorder even without obvious joint hypermobility? How should people with hEDS, POTS, and MCAS think about pregnancy? And could being born prematurely influence autonomic function later in life?
Dr. Bluestein and Dr. Knight also explore emerging research examining trauma histories in people with EDS and HSD, including how repeated medical dismissal and gaslighting may contribute to trauma over time.
The conversation turns to perimenopause and menopause, including why perimenopause can be particularly challenging and the sometimes-competing considerations of estrogen and progesterone therapy for people managing both menopausal symptoms and connective tissue laxity.
Finally, they break down Local Anesthetic Systemic Toxicity (LAST): what it is, symptoms to recognize, potential risk factors, and how it is managed—prompted by a listener’s experience with recurrent tongue numbness following nerve blocks.
In this episode, you’ll learn:
What we know—and don’t know—about tongue tie and dysautonomia
Why connective tissue disorders may look different in men
Important considerations when planning pregnancy with hEDS, POTS, and MCAS
Whether prematurity may influence autonomic function later in life
What emerging research suggests about trauma, EDS/HSD, and medical gaslighting
Why perimenopause may be particularly difficult for some hypermobile patients
How estrogen and progesterone may affect symptoms and connective tissue laxity
How to recognize Local Anesthetic Systemic Toxicity (LAST)
Why unusual neurologic symptoms after local anesthetic exposure deserve attention
Website: https://www.hypermobilitymd.com/YouTube: https://www.youtube.com/@bendybodiespodcast
Instagram: https://www.instagram.com/hypermobilitymd/
Facebook: https://www.facebook.com/BendyBodiesPodcastX: https://twitter.com/BluesteinLinda
LinkedIn: https://www.linkedin.com/in/hypermobilitymd/
Newsletter: https://hypermobilitymd.substack.com/
Shop my Amazon store https://www.amazon.com/shop/hypermobilitymd
Dr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start
Want to learn more about the UVA EDS Center?
For Appointments and Questions: [email protected]
UVA EDS: https://www.uvahealth.com/healthy-practice/advancing-care-through-ehlers-danlos-clinicUVA EDS
FAQ: https://www.uvahealth.com/support/eds/faq
UVA Pediatric Integrative Medicine: https://childrens.uvahealth.com/specialties/integrative-health
YOUR bendy body is our highest priority!
Podcast Advertising/Business Inquiries: [email protected]
Part of the Human Content Podcast Network
FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Join YOUR Bendy Bodies community at https://www\.bendybodiespodcast\.com/.
Chapters:
Learn more about your ad choices. Visit megaphone.fm/adchoices
Could lumping every type of Ehlers-Danlos syndrome under one umbrella actually be doing more harm than good?
In this thought-provoking episode, host Dr. Linda Bluestein, the Hypermobility MD, is joined by Abbey Phillipson, who was born with COL5A1 classical Ehlers-Danlos syndrome, survived the first recorded non-traumatic pediatric spondyloptosis, and now serves as Head Strength Coach for Paralympic and Adaptive Sports at the University of Michigan and founder of the Collagen Advocacy Network.
Inspired by Abbey's powerful presentation at the UVA Research Symposium, this conversation challenges long-held assumptions about how we define, discuss, and advocate for Ehlers-Danlos syndrome. Although hypermobile EDS has dramatically increased public awareness, Abbey argues that people living with rare and ultra-rare EDS types, representing just 1 to 3 percent of the community, are too often overlooked in research, funding, clinical care, and even public conversations.
Together, Dr. Bluestein and Abbey explore whether the different EDS types should continue to share a single name, why distinguishing hypermobile EDS from the genetically defined types could ultimately benefit everyone, and how naming disorders by their underlying gene and predominant manifestation might improve diagnosis, research, and patient care.
Abbey also shares deeply personal stories that illustrate what's at stake, including a friend who spent 35 years carrying the wrong diagnosis before genetic testing revealed kyphoscoliotic EDS. Their conversation highlights why genetic counseling matters, the limitations of direct-to-consumer testing, and how assumptions in medicine can unintentionally delay appropriate care.
The episode closes on a message of hope and empowerment. After her neurosurgeon prescribed strength training, Abbey transformed from experiencing monthly full-joint dislocations to having none. Today, she helps athletes and people of all abilities discover that movement can be adapted, strength can be built, and disability does not define potential. She also shares why advocacy is most effective when it channels frustration into meaningful, solution-focused action, plus one of her favorite protein-packed hypermobility hacks.
Takeaways:
Go to AirDoctorPro.com and use promo code BENDY_ to get UP TO $300 off today!
Want more Abbey Phillipson?
Instagram: @abbeyphillipson @definedbycollagen
Website: collagenadvocacynetwork.org
Want more Dr. Linda Bluestein, MD?
Website: https://www.hypermobilitymd.com/
YouTube: https://www.youtube.com/@bendybodiespodcast
Instagram: https://www.instagram.com/hypermobilitymd/
Facebook: https://www.facebook.com/BendyBodiesPodcast
X: https://twitter.com/BluesteinLinda
LinkedIn: https://www.linkedin.com/in/hypermobilitymd/
Newsletter: https://hypermobilitymd.substack.com/
Shop my Amazon store https://www.amazon.com/shop/hypermobilitymd
Dr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start
Want to learn more about the UVA EDS Center?
For Appointments and Questions: [email protected]
UVA EDS: https://www.uvahealth.com/healthy-practice/advancing-care-through-ehlers-danlos-clinic
UVA EDS FAQ: https://www.uvahealth.com/support/eds/faq
UVA Pediatric Integrative Medicine: https://childrens.uvahealth.com/specialties/integrative-health
Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them.
YOUR bendy body is our highest priority!
Learn more about Human Content at http://www\.human-content\.com
Podcast Advertising/Business Inquiries: [email protected]
Part of the Human Content Podcast Network
FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links
Join YOUR Bendy Bodies community at https://www\.bendybodiespodcast\.com/.
Learn more about your ad choices. Visit megaphone.fm/adchoices
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