osteopathy for hEDS

What Is hEDS and HSD?

hEDS (Hypermobile Ehlers-Danlos Syndrome) and HSD (Hypermobility Spectrum Disorder) are connective tissue disorders that affect how strong, stretchy, and stable your body’s tissues are. Many people with these conditions don’t even know they have them—what they notice most is a history of chronic, unpredictable pain and a body that doesn’t “bounce back” like others.

People with hEDS/HSD have joints that are often extra flexible, but that flexibility comes with a price: pain, instability, lots of muscle tension, and sometimes a long list of weird symptoms—from GI issues to anxiety or big inflammation swings.

Most of the chronic pain clients I see with hEDS or HSD don’t walk in with a diagnosis. They arrive with chronic pain alongside a host of other symptoms and the very draining reality of navigating a medical system that compartmentalizes your body and refuses to see the bigger picture.

My Approach and Why It Works

  • Most of my chronic pain work originally grew out of the last ten years practicing massage therapy, where I learned how to engage fascia without triggering pain flares or nervous system crashes.

  • Over time, my practice evolved toward understanding sensitive systems—how fascia, nerves, and the immune system constantly communicate.

  • How to walk the thin line with my clients bodies — enough work to get the effects, not too much work that we push you into a flare.

  • Manual osteopathy now forms the foundation of my sessions because it allows me to work holistically—integrating joints, fascia, viscera, lymph, and the nervous system for long-term relief.

  • Every treatment blends fascia-focused osteopathy with the nervous system, recognizing that sustainable pain relief comes from working with, not against, your body’s sensitivity and adaptive patterns.


If this sounds familiar, you aren’t alone—there are real reasons your pain acts differently, and there are bodywork approaches designed just for you, even if the research is only just catching up to what many of us manual therapist have been figuring out with our clients over the years!

Reach out if you want to talk or learn more.

For Further Reading:

  • The Ehlers-Danlos Society. IMPACT REPORT US 2024 (Comorbidities and symptom variation in hEDS/HSD). 2025.

  • Sosa-Guggenheim M. An Overview of Hypermobile Connective Tissue Disorders. OHSU. 2025.

  • Chew MT. HOPE for Hypermobile Ehlers-Danlos Syndrome (hEDS). J Clin Med. 2025.

  • Chronic Pain Partners. New Study Reveals Immune Dysfunction in Hypermobile Ehlers-Danlos Syndrome. 2025.

  • Lee S, Chopra P. Diagnosing Ehlers-Danlos Syndrome: Challenges & Updates. Rheumatology Advisor. 2025.

  • Jones E, Carrieri D. Understanding the issues of hypermobility spectrum disorders and hypermobile Ehlers-Danlos syndrome in primary care: a qualitative integrative review. Disabil Rehabil. 2025.

  • Gastrointestinal problems in hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorders. The Ehlers-Danlos Society, 2017.

  • Digestive problems in the hypermobile Ehlers Danlos syndrome patient. Caring Medical, 2025.

  • Vagus nerve stimulation as a novel therapeutic approach in hypermobile Ehlers-Danlos syndrome. PubMed, 2025.

  • Chi Nei Tsang: What it is and How does it Work. Infinite Body Health, 2023.

Previous
Previous

menopause, fascia & osteopathy

Next
Next

Here & Now with Chi Nei Tsang