*Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS* website.**
	Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or view any of our Previous A to Z Features.

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This Week - J : Joint Hypermobility Syndrome

Symptoms of joint hypermobility syndrome

You or your child may have joint hypermobility syndrome if you:

Some people with joint hypermobility syndrome do not have symptoms.

The GP will usually test for joint hypermobility syndrome by checking the flexibility of your joints using a test called the Beighton scoring system.

They may also refer you for a blood test or X-ray to help rule out any other conditions, like arthritis.

There's no cure for joint hypermobility syndrome.

The main treatment is improving muscle strength and fitness so your joints are better protected.

A GP may refer you to a physiotherapist, occupational therapist or podiatrist for specialist advice.

You can also pay for these services privately.

These physical therapies can help to:

Paracetamol and anti-inflammatory painkillers (like ibuprofen, which comes as tablets, gels and sprays) may help to ease pain.

Speak to a pharmacist about the best painkiller for you.

A GP may be able to prescribe stronger painkillers.

If you're in severe pain, a GP may be able to refer you to a pain clinic to help you cope with pain.

To help ease joint pain and stiffness, you can:

If you have joint hypermobility syndrome, there are things you can do to improve joint and muscle strength and reduce strain.

gentle exercise - start with low-impact exercise like swimming or cycling if you've not been active before (not doing any exercise can make your symptoms worse)
maintain a healthy weight
wear supportive shoes
wear special insoles (orthotics) in your shoes if a podiatrist has recommended them

do not overextend your joints just because you can
do not do repetitive exercises or activities - take regular breaks (called pacing)

Joint hypermobility syndrome can run in families and it cannot be prevented.

Usually, the joints are loose and stretchy because the ligaments that should make them stronger and support them are weak.

The weakness is because the collagen that strengthens the ligaments is different from other people's.

Most experts agree that joint hypermobility syndrome is part of a spectrum of hypermobility disorders which includes Ehlers-Danlos syndrome.

We'll have more information and advice next week on another topic in our A to Z of Gay Health. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features. If you want to find out more about this week's subject you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
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