Yoga Class for Hypermobility / Ehlers-Danlos Syndrome

  • Sundays at 7-8AM PST via Zoom
  • Monthly fee: $60/month. To sign up, email This email address is being protected from spambots. You need JavaScript enabled to view it. to sign up.
  • Drop in class: $20/class. Please email This email address is being protected from spambots. You need JavaScript enabled to view it. to sign up and arrive 10 minutes early for drop-in class.
  • Each class focuses on hypermobility related concerns using āsana (movement & body position), prāṇāyāma (breathing), mantra, Vedic chanting, meditation. Modifications are given to meet the unique individual needs and capacities of each person.

 

Diagnosis Visit for Joint Hypermobility / Ehlers-Danlos Syndrome

Diagnosis visits are 1 hour long and may include evaluation for postural orthostatic tachycardia syndrome (POTS), mast cell activation syndrome (MCAS), cranial cervical instability (CCI), and fascia pathology based on individual needs. The evaluation for hypermobile EDS is based on the 2017 diagnostic criteria for hypermobile EDS revised by the International EDS Consortium in 2017.

Ehlers-Danlos Syndrome (EDS) is heterogeneous group of heritable connective tissue disorders. It is characterized by joint hypermobility, skin hyperextensibility, and tissue fragility. For most of these subtypes, mutations had been identified in collagen-encoding genes, or in genes encoding collagen-modifying enzymes. The International EDS Consortium revised the EDS classification to 13 subtypes - each with a set of clinical criteria. The diagnosis of the hypermobile subtype relies on the clinical criteria.

  • Malfait F, Francomano C, Byers P, Belmont J, Berglund B, Black J, Bloom L, Bowen JM, Brady AF, Burrows NP, Castori M, Cohen H, Colombi M, Demirdas S, De Backer J, De Paepe A, Fournel-Gigleux S, Frank M, Ghali N, Giunta C, Grahame R, Hakim A, Jeunemaitre X, Johnson D, Juul-Kristensen B, Kapferer-Seebacher I, Kazkaz H, Kosho T, Lavallee ME, Levy H, Mendoza-Londono R, Pepin M, Pope FM, Reinstein E, Robert L, Rohrbach M, Sanders L, Sobey GJ, Van Damme T, Vandersteen A, van Mourik C, Voermans N, Wheeldon N, Zschocke J, Tinkle B. The 2017 international classification of the Ehlers-Danlos syndromes. Am J Med Genet C Semin Med Genet. 2017 Mar;175(1):8-26. doi: 10.1002/ajmg.c.31552. PMID: 28306229.

Diagnostic Fascial Based Manual Treatment

In-person Visit

This approach uses a coventional medical based diagnostic approach informed by fascial sequencing methodologies to treatment fascial dysfunctions that arise from hypermobility disorders.

1 HOUR VISIT The in-person visit itself is approximately 1 hour. The visit is guided by medical history, functional movement, ultrasound examination. 

 

Integrative Fascial Approach

Virtual or in-person Visit​

2 HOURS VISIT The visit itself is approximately 2 hours. We will go over you goals and history in-depth. This will be followed by an in-depth examination that includes functional movement, ultrasound examination, and POTS diagnosis when appropriate. To aid in diagnosis and prognosticate response, treatment starts at this first visit and includes self-care recommendations. This will be followed by in-depth counseling and an integrated plan per an Integrative Fascial approach tailored to your needs that will help you achieve your goals.

​REPORT Following your visit, you will receive 1 report with evidence based references and a descriptor of your treatment from the lens of an Integrative Fascial approach.

 

Ultrasound Elastography

Using ultrasound elastography, the deep fascia thickness and stiffness can be measured. The thickness is increased from excess extracellular matrix lay down. The stiffness as measure by elastography in hypermobile spectrum disorders is lower. 

SCM Fascia Thickness (normal < 1.5mm) SCM Strain index (normal SI approximately 2.1)

  • Stecco A, Meneghini A, Stern R, Stecco C, Imamura M. Ultrasonography in myofascial neck pain: randomized clinical trial for diagnosis and follow-up. Surg Radiol Anat. 2014 Apr;36(3):243-53. doi: 10.1007/s00276-013-1185-2. Epub 2013 Aug 23. PMID: 23975091.

  • Alsiri N, Al-Obaidi S, Asbeutah A, Almandeel M, Palmer S (2019) The impact of hypermobility spectrum disorders on musculoskeletal tissue stiffness: an exploration using strain elastography. Clin Rheumatol 38(1):85–95. https://doi.org/10.1007/s10067-018-4193-0

  • Rombaut L, Malfait F, De Wandele I, Mahieu N, Thijs Y, Segers P, De Paepe A, Calders P (2012) Muscle-tendon tissue properties in the hypermobility type of Ehlers-Danlos syndrome. Arthritis Care Res 64(5):766–772. https://doi.org/10.1002/acr.21592

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SCM Fascia Thickness (normal < 1.5mm) SCM Strain index (normal SI approximately 2.1)​

 

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The content on this website is for educational purposes only and should not be used as a substitute for medical advice. Please consult with your healthcare provider prior to initiating any of these treatments.