If you have hypermobility, feeling pain or stiffness in your joints is extremely common. This is especially likely after physical exercise, and may also be more apparent in the evenings. If you feel joint pain after exercising, you may want to change the type of exercise you do. High-impact exercises are particularly hard on hypermobile joints. For example, if you run, you may want to switch to a lower-impact exercise, such as biking, and see if you notice a difference. If you've frequently experienced joint dislocations, such as a dislocated shoulder, this may be a symptom of hypermobility syndrome. Recurring soft-tissue injuries, such as sprains or ligament tears, may also signal that you have hypermobility syndrome. The types of injuries you've experienced also depend on the type of activities you've done. For example, if you play soccer, recurring knee injuries may not necessarily be a sign of hypermobility syndrome, because soccer is really hard on the knees. Many digestive system problems, such as acid reflux, constipation, and irritable bowel syndrome (IBS) are also present in people who have hypermobility syndrome. Although doctors aren't entirely sure why, it is believed to be caused by weakened muscles in your digestive tract.  Occasional digestive issues aren't typically considered a symptom of hypermobility syndrome, even if you also have hypermobile joints. A chronic condition for which you are under medical care, on the other hand, could be considered a symptom. Urinary incontinence also may be a symptom of hypermobility syndrome. Many people who have hypermobility syndrome also have thin, stretchy skin that is fragile and easily damaged. If you have a tendency to bruise easily, or frequently develop stretch marks, that could be a symptom of hypermobility syndrome. Stretch marks and frequent bruising can also be symptomatic of other conditions, not necessarily hypermobility syndrome. For example, if you've recently lost a lot of weight or were recently pregnant, you may have stretch marks, but they wouldn't be considered a symptom of hypermobility syndrome. If you have hypermobile joints as well as more than one of the symptoms of hypermobility syndrome, schedule an appointment with your doctor. Tell them that you believe you have hypermobility syndrome and list the various symptoms that have led you to believe this. Your doctor may prescribe medications to ease your joint pain and stiffness or other symptoms. They may also suggest activities you should avoid or lifestyle changes you should make.  Hypermobility syndrome can be difficult to diagnose, especially if your doctor doesn't have your full medical history. Your doctor will test the flexibility of your joints and may order blood tests or X-rays to rule out other conditions before making a diagnosis. If you have a history of recurring joint dislocations or soft-tissue injuries, tell your doctor the injuries you've experienced and the context in which you were injured. They will evaluate whether the injuries are a possible symptom of hypermobility syndrome. Your doctor also may refer you to a geneticist or a rheumatologist for more specialized evaluation.
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