To view the video on Facebook, click here.
To view his slides along with his talk, click here (only in IE or Firefox, does not play in Chrome) and play from slide#35.I enumerate here some issues discussed in this talk and some take home points:1. Definition. What is EDS, what are the subtypes, current estimates of prevalence rate of EDS-HT (seems to be around 1/100 – 1/500)
2. Diagnostic criteria of EDS-HT and the importance of clinical diagnosis
3. Confusion between JHS and EDS. Hypermobility syndrome was originally defined by rheumatologists, and EDS by geneticists. They are the same thing. JHS described a pain syndrome associated with joint hypermobility, and this joint hypermobility can arise from EDS-HT as well as some other conditions like Marfan’s syndrome.
4. Evolution of the disease. Kids have males = females ratio for asymptomatic hypermobility condition. With age, men improve while females around menarche start worsening.
Adults — Males:Females = 1:9. Testosterone improves, Estrogen & Progesterone worsen the quality of connective tissues and therefore the symptoms.
- Musculoskeletal : Chronic pain, joint dislocations, TMJ dislocation
- Dysautonomia and POTS (discussed well)
- GI dysfunction
- Chronic headaches
- Bruising and Bleeding
- Anxiety and Panic disorder
- Endocrine dysfunction, pelvic dysfunction, cardiovascular problems, immune system dysregulation incl. MCAD, chronic fatigue syndrome
8. Management. Aerobic conditioning and strengthening exercises are extremely important for dysautonomia as well. How POTS can be better managed by hydration and salt intake. Since exercising is difficult in EDS patients, what sort of exercises they can do. (Jump to Slide#107.) Swimming is highly recommended.
9. Causes and management of headaches and importance of hydration and posture. Includes discussion about Arold Chiari malformation in EDS-HT, slide#108
10. Gastrointestinal disorders and bleeding disorders in EDS-HT.