Syndrome with knees back.

 Rheumatologist visiting patients with aches in spine, joints, but nothing found as on blood test, x-ray, CT. Patient  is healthy, but keeping aches, what is it?

Tests are studies ,  and you are asking in patient again about aches character, that on physical loads he is having subluxation in shin or other joints as are same. And sometimes subluxation having  in haw top joint, as after yawned ,  he would not closed   mouth.

And reason are high flexibility, as a calling a over bending in knee joints, as inclined with straightened legs, with a palm easy touching floor, or you are enjoying watching circus acrobats , sporty gymnasts, ballets, and you are enjoying theirs flexibility, and knowing, that is leading by many years trains.

But you can remember and from relatives, who are sat on twine till adult, and bridge done, and how a wondering theirs flexibility, as on these years, that person is with hypermobility syndrome as with a high mobility and stretching.

Hypermobility syndrome are groups for genetical diseases for connective tissue and skeleton, and today theirs are 200. Skin of muscles, tensions, ligaments   containing from collagen tissues are ability to shortening and stretching, these processes are genetically programmed, if genes are mutated, are affecting for structure collagen tissues, thus theirs are destroying ability to shortening and developing a clinic  for genetically predisposition disease is syndrome hypermobility. Recognize his a easy.

With a few methods.

1. Bending out on a hand small finger, you cannot doing  this, finger keeping straight, but in hypermobility syndrome is other bending out.

2. Bend a big finger on the hand to the pre shoulder side, in pathology he is getting till bend.

3. Stretch hand with palm up, if you are looking over bending in elbow joint, this is a still kind for pathology.

4. Stand up, look on side on a knee, for hypermobility syndrome is matching calling as with knees back.

5. Take with two fingers a skin over elbow, stretch her, if you can to stretch on 2 and more cm ,thus is not saggy skin, this is a sign for genetic character.

What are charactering for patients with hypermobility?

Thin peoples, high height, long stretching flexibility fingers, like in Paganini calls, with longitudinal flat feet, often dislocation and subluxation, and was born with anomaly for hip joints.

And to the word, a destroying genetical for connective tissue ,  like in Italian violinist Paganini  are suffered presidents Lincoln, De Gole , writer Andersen.In  patients is concave breast cell with different bends ,  deviations   in vertebra, shifted vertebra for each other relative, thin stretching skin with stria, varicose, navel hernias   ,omission uterine and straight duct.  Non stability joints with joints diseases, tension apparatus, leading to micro injures, and inflammations. In meniscus   destroying structure for knee joint as of  often subluxation are inflammations possible, and often , faster osteoarthrosis displaying. With a not perfect bone forming is associating high bones fractures, contractures, teeths destroys. Hypermobility, having a few clinical types.

As skin, joint and having damages for cardiovascular system.

Prolapse as high elasticity mitral valve, which sometimes taking for rheumatic heart defect, destroying heart rhythm, enlarging left ventricle.When vessels are damages, these are a capillaries' fragility, veins arteries and Raunaud s syndrome. Eye variant for hypermobility syndrome are myopia, fragility sclera, omission top eyelid, intestine damage as his dysfunction.

 And for charactering clinical displays for hypermobility syndrome for diagnosis confirmation are doing special laboratory tests and rate for level for certain stats  and by changing ratios a collagen different types  are judge about a structure for tissue collagen.

And an importance question displaying after diagnosis putting. What I have to do?

And you need to realize , that this is genetical conditioned disease, and to corrects mistakes by nature we could not. Without complaints, a cure not needing ,  just limiting physical loads, as with fast unusual moves. And till diagnosis definition, thus a trying consulting in rheumatologist ,thus you can long time going by circle from therapeutist to neurologist, cardiologist, oculist, dermatologist..  Teenagers needing thinking about a profession selecting, but for peoples who are working, needing changing ,that is in risk for subluxations, injures, posture bad. Physical exercises and sport kind needing avoiding possible for injuring.

In flat feet wear special insoles, that fighting tension in hip and feet joints. In often subluxations, use orthosis for injured joints.If vertebra is curve,  thus doing special complex for exercises, strengthening muscles for spine  wear bandages.Thus in hypermobility syndrome are joints wearing out, preventing for courses using preparations, which improving structure for cartilage plate , as: chondroitin sulfate, glucosamine sulfate, and use micro elements are copper, zn, mg.

And very benefit is magnesium, he improves metabolism for collagen tissues and elastin, rising biosynthetic activity of fibroblasts, responding for normalization a tissue structures of connective tissue. Use by course vitamin B6, Calcium advance.

Add herbs with mg, or meal with mg. Eat local vegetables, greens, add in salads dill, basil, spinach, onion, use for dishes a coriander. Mg are rich in strawberry, tomatoes, watermelons, melons, seeds for sunflower, pumpkin, almond, fat fish. Drink tea with mint, cook of fresh leafs, and in his mg is rich, than in dry mass.

By Balabanova, professor, M.D.

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