Exploring the relationship between joint hypermobility and chronic pain in youth: Diagnostic challenges and the Beighton Scale

Hypermobility was a common finding in youth with chronic pain, highlighting the importance of assessing hypermobility during evaluations. However, this study raises concerns about the inconsistency in diagnosing and documenting hypermobility and variability in Beighton Scale scoring. These findings suggest a need for standardized diagnostic criteria and clinician training to improve diagnostic accuracy. Pain often extends beyond hypermobile joints, suggesting hypermobility may not fully explain chronic pain in this population. Providers should emphasize physical therapy and multidisciplinary treatment approaches in managing youth with chronic pain and hypermobility concerns.

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Publication Details

Journal
PM&R
Published
2025-11-06
DOI
https://doi.org/10.1002/pmrj.70050
Primary Topic
Connective tissue disorders research
Type
article
Field-Weighted Citation Impact
0.00
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article

Exploring the relationship between joint hypermobility and chronic pain in youth: Diagnostic challenges and the Beighton Scale

Melissa Crenshaw, Giovanni Cucchiaro, William S. Frye, Susan Ward
PM&R
Connective tissue disorders research
article

Exploring the relationship between joint hypermobility and chronic pain in youth: Diagnostic challenges and the Beighton Scale

Melissa Crenshaw, Giovanni Cucchiaro, William S. Frye, Susan Ward
article en

Abstract

Hypermobility was a common finding in youth with chronic pain, highlighting the importance of assessing hypermobility during evaluations. However, this study raises concerns about the inconsistency in diagnosing and documenting hypermobility and variability in Beighton Scale scoring. These findings suggest a need for standardized diagnostic criteria and clinician training to improve diagnostic accuracy. Pain often extends beyond hypermobile joints, suggesting hypermobility may not fully explain chronic pain in this population. Providers should emphasize physical therapy and multidisciplinary treatment approaches in managing youth with chronic pain and hypermobility concerns.

PM&R
Johns Hopkins University (US), Johns Hopkins All Children's Hospital (US)
Openalex Percentile: Top 65%
Connective tissue disorders research
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