Should Exercise Hurt if You Have hEDS or HSD?
Exercise does not need to be completely sensation-free, but severe pain is not a requirement for progress either.
Use the response over time
A mild familiar symptom during exercise may be acceptable for some people if it settles and function remains stable. A major flare lasting days suggests the dose may need changing.
Different pain deserves attention
Sharp pain, a slipping or dislocation sensation, new neurological symptoms or pain after a significant injury should not simply be pushed through.
Progress requires challenge, not punishment
Strength improves when exercise becomes sufficiently demanding. The goal is to find a useful training stimulus that you can recover from and repeat.
A structured next step
The 227-page HSD & hEDS Physiotherapy Exercise Guide brings together joint control, strength, proprioception, pacing and 39 adaptable exercises across four pathways. It is a £24.99 one-off digital purchase with immediate access.
This article provides general physiotherapy education and does not replace individual medical or physiotherapy assessment.
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