knee bending backward right knee bending backward left elbow bending backward right elbow bending backward left thumb touching the forearm right thumb touching the forearm left little finger bending backward past 90 degrees right little finger bending backward past 90 degrees beighton test in a person with a 9/9 score treatments physical therapy it is important that hypermobile individuals remain fit – even more so than the average individual – to prevent recurrent injuries. regular exercise and exercise that is supervised by a physician and physical therapist can reduce symptoms because strong muscles increase dynamic joint stability. low-impact exercise such as closed kinetic chain exercises are usually recommended as they are less likely to cause injury when compared to high-impact exercise or contact sports. heat and cold treatment can help temporarily to relieve the pain of aching joints and muscles but does not address the underlying problems. medication medication is not the primary treatment for hypermobility, but can be used as an adjunct treatment for related joint pain. nonsteroidal anti-inflammatory drugs are the primary medications of choice. narcotics are not recommended for primary or long-term treatment and are reserved for short-term use after acute injury. lifestyle modification for some people with hypermobility, lifestyle changes decrease symptom severity. in general, activity that increases pain is to be avoided. for example: typing can reduce pain from writing. voice control software or a more ergonomic keyboard can reduce pain from typing. bent knees or sitting can reduce pain from standing. unwanted symptoms are frequently reduced by some forms of yoga and weightlifting. use of low impact elliptical trainer machines can replace high-impact running. pain-free swimming may require a kickboard or extra care to avoid hyperextending elbow and other joints. weakened ligaments and muscles contribute to poor posture, which may contribute to other medical conditions. isometric exercise avoids hyperextension and contributes to strength. other treatments bracing can be helpful for temporarily protecting unstable joints. epidemiology hypermobile joints occur in about 10 to 25% of the population.