Lower Extremity Presentation in HSD/EDS

Presented by Heather Purdin and Patricia Stott

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Video Runtime: 130 Minutes, Learning Assessments: 43 Minutes

A patient with hypermobility spectrum disorder or Ehlers-Danlos syndrome (HSD/EDS) commonly experiences pathologies developing in the lower extremity due to laxity combined with movement faults. Laxity, subluxations, and dislocations can be more common in those with HSD/EDS, and increased joint play can lead to guarding, pain, and further subluxation. Finding the appropriate individualized support and therapeutic strategies for lower extremity issues in HSD/EDS can improve not only function and pain but also quality of life.

Meet your instructors

Heather Purdin

Heather Purdin has been a practicing PT in an outpatient setting for 26 years and has a special interest in chronic pain, fibromyalgia, and connective tissue disorders. She is president of the Oregon Area Ehlers-Danlos Society. She is also president of Good Health Physical Therapy & Wellness, a private practice specializing…

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Patricia Stott

Patricia Stott treats primarily those with HSD/EDS and those considered highly sensitive patients at her own practice, Elevation Wellness, outside the Denver metro area in Colorado. Also trained in functional and herbal medicine, she works on health and wellness through holistic strategies with these patients, both in person…

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Chapters & learning objectives

Common Pelvis Presentations in the HSD/EDS Population

1. Common Pelvis Presentations in the HSD/EDS Population

Laxity in the pelvis can affect circulation, organ function, and joint alignment and function. This chapter explores common pathologies in the pelvis as well as treatment suggestions.

Common Pelvis Subluxations and Orthopedic Presentations in the HSD/EDS Population

2. Common Pelvis Subluxations and Orthopedic Presentations in the HSD/EDS Population

Laxity in the pelvis can affect joint alignment and tracking, muscle guarding, and function. This chapter explores common orthopedic pathologies in the pelvis as well as treatment suggestions.

Hip Pathologies in the HSD/EDS Population

3. Hip Pathologies in the HSD/EDS Population

This chapter explores common hip issues with HSD/EDS. Examination to screen for pathologies and tracking difficulties will be explored, along with treatment options.

Knee Pathologies in the HSD/EDS Population

4. Knee Pathologies in the HSD/EDS Population

Knee subluxations can go unnoticed by the patient and therapist. Often the knee hurts when the hip or ankle is subluxed. Differentiating between femur, tibial, and fibular subluxations will help direct treatment for success. Common subluxations and options for treatment will be reviewed.

Ankle Pathologies in the HSD/EDS Population

5. Ankle Pathologies in the HSD/EDS Population

Patients with HSD/EDS complain of lack of proprioception, which makes them more prone to ankle sprains and associated subluxations and tissue damage. Tips for aiding proprioception and interventions for assessing and aiding normal alignment and tracking will be reviewed.

Foot Pathologies in the HSD/EDS Population

6. Foot Pathologies in the HSD/EDS Population

Subluxations in the foot are very common in HSD/EDS. Strategies to manage subluxations and teach self-management will be reviewed. Screening for custom orthotics versus OTC arch supports will also be reviewed.

HSD/EDS Lower Extremity Case Presentation

7. HSD/EDS Lower Extremity Case Presentation

Videos integrating information from this course will be shared. An example of lower extremity examination and treatment will solidify knowledge from this course.