18/07/2026
5 Evidence-Based Tips for Exercising with Hypermobility
Hypermobility doesn't mean you should avoid exercise, it means your exercise should be targeted.
If you're unsure where to start, a physiotherapist can help design an individualised programme that matches your symptoms and goals.
1. Prioritise strength over flexibility.
Individuals with hypermobility often have sufficient, or excessive, joint range of motion. Rather than increasing flexibility, exercise programmes should focus on improving muscle strength, joint stability, and neuromuscular control to support the joints.
Evidence: Current expert consensus for hypermobility spectrum disorders (HSD) and Ehlers-Danlos syndromes (hEDS) recommends progressive strengthening as a cornerstone of management.
2. Avoid exercising at end-range joint positions.
Repeatedly loading joints at their end range may increase stress on passive structures such as ligaments and joint capsules. Aim to maintain a controlled, mid-range position where muscles, not ligaments, provide stability.
3. Train movement quality before increasing load.
Good motor control and proprioception are often impaired in people with hypermobility. Focus on slow, controlled movement with appropriate technique before progressing resistance, speed or complexity.
4. Progress gradually
Research supports graded exercise rather than avoiding activity altogether. Gradually increasing resistance and training volume allows tissues to adapt while reducing the likelihood of symptom flare-ups.
Aim for:
Progressive overload
Adequate recovery
Consistent training rather than sporadic high-intensity sessions
5. Exercise should be guided by symptoms, not fear.
Some muscle fatigue after exercise is normal. However, persistent pain lasting more than 24–48 hours, recurrent joint instability, or repeated subluxations may indicate that your programme needs modifying. The goal is to build confidence and resilience, not avoid movement.
Remember: Pain does not always equal damage, but it should inform how you progress your exercise programme.
Do you have hypermobility? What's been the biggest challenge with exercise? Let me know in the comments.