Is hypermobility syndrome (HMS) a contributing factor for chronic unspecific wrist pain in a musician? If so, how is it evaluated and managed?

Issue title: Performing Artists, Part 1

Article type: Research Article

Authors: Quarrier, Nicholas F.

Affiliations: Department of Physical Therapy, Ithaca College, Ithaca, NY 14850, USA. Tel.: +1 607 274 3053; Fax: +1 607 274 3514; E-mail: nquarrie@ithaca.edu

Abstract: Objectives: The musician complaining of chronic pain commonly presents with subtle and complicated findings. Joint hypermobility is common in these individuals. The diagnosis of joint hypermobility syndrome (HMS) does not merely involve joint laxity, but connective tissue impairment throughout the body as well as perhaps involving the neurological system. As the aging process gradually reduces joint laxity, chronic pain and various impairments may linger. This report investigates HMS as it relates to a case study involving a musician suffering with chronic joint pain and HMS. Methods: Literature review and case description. Results: HMS involves more than just joint laxity and may be the cause of various chronic pain dysfunctions. The prognosis for recovery from HMS is poor, but the education and psychological aspect is extremely beneficial to the patient's health and well-being. Conclusions: This case report identified a musician with CUWP and HMS. Joint hypermobility syndrome does not merely involve joint laxity, but involves connective tissue impairment throughout the body as well as perhaps involving the body's neurological system. Joint hypermobility is common in musicians.

Keywords: Joint hypermobility, performing arts medicine, musican's health, wrist pain

DOI: 10.3233/WOR-2011-1239

Journal: Work, vol. 40, no. 3, pp. 325-333, 2011