Are you Gumby? Hypermobility, Joint Laxity and What’s Bad About Too Much Flexibility

Why This Matters:

I’ve struggled with the effects of hypermobility on lifting stability and strength. If you think you might be hypermobile, it’s essential you identify the issue and begin to find ways to correct movement, and become stronger and more stable. My experience shared in this post will put you on the right track. 

[Read time: 18 minutes]


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When I was a little girl, I had a Gumby toy. My absolute favorite thing about this toy  was the fact that you could twist him into all kinds of shapes. Him and his horse. I could sit him on his horse with his legs around his head and his arms being used as legs, or make him ride upside down. Good times. This toy, years later, has allowed me to come up with  a clever name for this blog post about being *too* flexible in your joints and ligaments, aka hypermobile. Thanks, Gumby.

Today, we have the article on hypermobility and “over-flexibility” that I have been promising you. I asked my friend and fellow coach Miguel Aragoncillo (CSCS, BA in Kinesiology, Cressey intern, and cool dude) to help me out with this post, since I had the pleasure of learning from him and having his help with my own movement and pain problems. His insights and evaluation added to my understanding of my body and why I was expericing certain nagging issues and what the underlying factors were. Right before my second powerlifting meet, which was in December of last year, I checked out Cressey Performance for the day (my meet was in Boston), where I got to meet Miguel and hang out at the facility for the day.

2015 Update: Miguel is now a fulltime coach at Cressey Performance and runs a blog about his approach to strength and conditioning. Check him out here.

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As you all know, Eric Cressey is so damn good at his job. That’s really the only way to put it. If you don’t read his blog, subscribe to his newletters or watch his videos, you are missing a wealth of information about how your body moves, performs, and common nagging issues that all lifters and exercisers experience. He balances being super smart and nerdy with simple explanations for form, exercises, and concepts. It’s no wonder that interning with would be a valuable experience.

Miguel was able to apply stuff he learned to me and my situation, which was a godsend! Miguel programmed for me for about 3 months, using correctives to help what he called “bringing me back to neutral” after identifying certain problems I kept having with my hips, posture, and proper muscular control. In the meantime, I grew in my knowledge of the body by leaps and bounds. Ladies, this post is directed to you mostly, because as you will see, we are the population who is affected the most by joint laxity (very general statement). I’ll turn the floor over to Miguel below, and my comments and add-ons are centered in italics.


Whether you are an athlete with several years of lifting experience, or beginner just getting started, knowing if you have symptoms of hypermobility is imperative to making sure you aren’t hurting yourself or doing further damage to your body during your workout routine. In the following article, I will discuss what it means to be hypermobile and what to do about it, along with what to avoid if you do have some symptoms of hypermobility.

What is hypermobility and joint laxity?

When discussing issues of mobility with clients and athletes, I am usually looking at the quality of their joints and ligaments and how they may allow extra movement during certain movements.

When someone wants to start on a strength training program, lifting weights specifically. It’s very important that they understand good movement. This is harder than it looks (take it from a shitty mover!), because well, who’s going to tell you that? You can watch videos, imitate, practice (all great ways), but sometimes without good coaching and a decent understanding of our joints and muscles, we still come across problems of:

“Well, I can’t get into this position.”

“I don’t feel I can get that low; it just stops”

“I feel weak and out of control trying to do that.”

“That exercise just doesn’t feel right.”

If you have ever asked yourself these questions, chances are that you are feel lacking in *mobility* aka the ability to move well. This is distinct from FLEXIBILITY, where you can touch your toes easy, twist your arms into a pretzel, etc. What Miguel watches for is how well you control your joints. If someone comes down into a deep squat, it’s not so much that they can get down there, it’s HOW they get down there. 

Follow along the numbered list and watch this accompanying video about Testing for Congentital Laxity and Hypermobility, and you can get a better visual of what hypermobility looks like.

  1. Flexion of the thumb to the forearm to make contact (L + R sides)
  2. Extension of the pinky finger to 90° past the hand (L + R sides)
  3. Hyperextension of the elbow past 10° or more (past neutral)
  4. Ability to touch palms to floor without bending of the knees
  5. Hyperextension of the knees past 10° or more

The video showed the quick tests to determine if you are hypermobile in certain joints. This is called the Beighton Laxity Test, and it is scored out of a possible scale of 9. Here, I pass the test with flying colors. (5/9 is a often sign of hypermobility. It is certainly possible to do a few of these things without diagnosing yourself as a hypermobile individual.

Guess what my score was? Basically a 9. No shit, Sherlock. 

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Generally speaking, our joints have a certain amount of “give” or looseness. Think about a few sports injuries, or rolling your ankle when running or jumping, and you can begin to see what I mean by “looseness.” Individuals with extreme looseness of joints may be described as having ligament laxity.

Anatomy lesson: Tendons and ligaments are connective tissue. They hold shit together. Ligaments hold BONE to BONE, whereas muscles turn into tendons and attach MUSCLE to BONE. Having loose ligaments means that the joint itself is flexible and loose. Outside of muscular considerations, this is someone who is naturally flexible. To give you an example, I stopped all my static stretching and aggressive hip mobility exercises after working with Miguel, and guess what? I can still touch my hands flat to the floor without bending my knees. I can still sit in a deep squat and hyperextend my knees/elbows. I have flexible joints.

While this is a clinical definition of hypermobility, there are other signs of it, such as doing splits pretty easily, or doing some crazy shoulder things as well. If you’re a part of Cirque du Soleil as well, then that might be another sign that you are hypermobile.

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Women have a greater predisposition toward having these symptoms. Barring the argument based on genetics and previous instances of laxity in parents and grandparents, women in particular can exhibit certain hormonal-related laxity symptoms.

We all remember the cautions about EXTRA laxity in joints during pregnancy (which does not correspond to a good excuse to not exercise and act normal while baking a bun. Don’t start).

You’ve probably heard the term “Q-Angle” thrown around, especially when discussions involve females and knee injuries and the anterior cruciate ligament (ACL). This term involves the angle of the hip to the patella along the femur, and it is of specific interest to note that many ACL prevention injury protocols (often aimed at youth female athletes) involve some aspect of “teaching” proper movement of the legs and hips, such as landing from a jump. In other words, these programs teach us to move better at the hip level, along with reducing unwanted muscles from firing.

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Relaxin, estrogen, and progesterone have been scrutinized and further research is needed in order to determine if there is a link with the menstrual cycle and subsequent release of these hormones, and its relation to ACL-laxity (-1) in the knees.

— But in the meantime, it’s pretty safe to say that this shit happens to girls more.

There is some relation with pelvic laxity in women due to childbirth and hormonal reasons. “Hisaw … first demonstrated a pelvic laxity which was dependent on the female hormones. … He believed that the responsible agent was a hormone, relaxin, which was produced in the uterus” (-2).

Different populations are also affected by laxity to differing degrees. Chaitow and DeLany discuss in Clinical Applications of Neuromuscular Techniques: Volume 1 that this predisposition is also higher in those who have African, Asian, and Arab origin, not to mention the youth as well (due to developmental reasons).

“Hypermobility is more common in people of African, Asian, and Arab origins where rates can exceed as high as 30% (as compared with Caucasians +/- 6%).” (-3)

Interesting bit of research. From working with teenagers, I can say that this most certainly is extremely common in females and some of my males. Just about every adolescent girl that comes in to work with me has knee valgus, bad lumbo-pelvic control (aka their spine and pelvis are wiggling around), and no sense of core stability and neuromuscular control. Basically just beginners, but I notice that the males seem to have a faster “learning curve” for understanding control and stability and adjusting form. They typically are not as loose. 

Now, let’s discuss what you can do about your hypermobility, and how you can stop it from negatively affecting your movement and lifting.


In my research, discussions, and personal experiences with hypermobility, symptoms are often VERY individualized. For example, Joy’s specific patellar tracking and hip issues may be specific to herself and other repetitive patterns seen not only in training, but also in day-to-day activity. Her hypermobility symptoms are drastically different than mine, and even among other athletes, such as baseball pitchers or gymnasts. However, no matter the situation, there is almost always a way to work around hypermobility conditions, whether you to love to lift for aesthetic- or performance-based purposes.

-YOU! Yes, YOU sitting at home thinking, “but I work out at home doing simple shit,” this applies to you as well. Want to get strong pain-free and build shapely muscles? This is important to that.

Even when discussing good exercise technique, there are a few things you need before starting, specifically good positioning/good form, control of everyday posture, and an understanding of how to control your core well (or how to work up to it). What it comes down to is: For hypermobile athletes and general lifters, control of your abs and glutes is critical.

When in doubt, squeeze your glutes, and brace your abs.

See what I meant by simple? That region from your ribs to your ass is your CORE. Control and training of your abdominal muscles (front, side, deep), posture and breathing (diaphragm, inner ribcage muscles), low back muscles and the glutes (all three of them) are what comprise the core. It’s not just the strip of six pack running down the front! Bracing your abs is similar to what you do before you come down in a heavy squat. GET TIGHT. I like to use the cue “zip up your jeans.” It’s not just sucking in your stomach though, and it’s not holding air as tightly as you would in a squat. Just imagine your spine, and all those muscles listed up there “holding you up.” Good posture is using those muscle to hold you up.  Controlling them is so important to a stable pelvis and hip joint, a strong core (which means a nice waist too), and good movement.


First things first, control of the core is paramount to moving and performing at a higher level. Being hypermobile should naturally lend itself toward or away from certain exercises, depending on what someone needs more control of. Before prescribing any awesome exercises like lunges, squats, and deadlifts, I’d like to see control of the diaphragm – the parachute-shaped muscle that allows your lungs to move up and down in unison with breathing (inspiration and expiration).

Chest and diaphragm

Why the diaphragm, and not the elusive six-pack muscles? Your diaphragm will often control whether or not the rest of your upper body muscles are connecting properly to your abs, and then down toward your hips. While it is a little beyond the scope of this article to discuss the full function of the diaphragm, just know that if you tend to arch your lower back a lot, think of your obliques and diaphragm as the muscles that control and counteract the arch of the low back and help pull you away from this extension. This is what a having a functional core embodies!

Joy V Fall Park Shoot 046 Web Sized Watermarked

A little perspective for these photos from a couple of years ago. At the time, I could not actually walk in those heels. Literally. My knees were so loose and sore that I could only stand for short periods in heels. I actually had to hold the photographers arm to move to another setting for a shot. This position you see me standing in was very comfortable for me, but my knees had constant pain. I was working out regularly at this time, doing spin classes, machine strength training, while meeting occasionally with a physical therapist friend who first opened my mind to how weak I was. I had also already had both kids at this time in case someone was wondering. He doesn’t know it, but his simple comments and insights triggered my curiosity and determination that I could walk and move pain-free without surgery. He worked on me a bit as a favor to another friend, and though it’s taken awhile to get to where I am now (and boy, am I still learning!), thank you to Daniel Gallucci for giving me just a bit of proper info that the hordes of orthopedists and athletic trainers never even bothered to mention while wrapping me up, prescribing anti-inflammatories, and recommending I swim and not get too fat! 

Why do you need to worry about controlling core muscles? While your core musculature is certainly needed to get the elusive six-pack look, believe it or not, the integrity of the core is vital to controlling the forces produced during big movements such as squats, lunges, and push-ups and overhead presses. Why?  You can produce more force through the correct muscles when your core is lined up properly through activating the right muscles – in this case, your diaphragm and other ab muscles.

The minute I started on breathing exercises like the 90/90 Hip Lift and controlled breathing with a balloon, I felt a huge difference in how my glutes fired. In fact, I would say that prior to that, they were firing at less than half their capacity. The difference in how *in line* I felt while moving was amazing. Miguel has some estatic messages from me about this.

Beyond the realm of exercise technique, breathing without respecting the diaphragm may encourage an over-utilization of the accessory muscles, namely the scalenes, upper traps, and sternocleidomastoid, among others, while under-utilizing the abdominal musculature along with the diaphragm of course (-4).*

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P.S. I take NO responsibility for this horrid photo. Miguel chose it; at least it does show them rather clearly. 

You need the big muscles to move the weight, not the small ones! They are categorized by their importance; accessory muscles. If you do not have the big muscles do the big work, you will not lift as effectively, powerfully, or SAFELY. 

We need to use THE RIGHT muscles to move big weight to avoid injury, pain, frustration, and stalled progress.


You want to make sure you are firing the correct muscles for any given exercise. Believe it or not, certain movements can be performed incorrectly! For example, when doing a glute bridge, make sure to use your glutes, and not go into excessive extension of your lower back. If this basic idea isn’t followed, this could lead to possible injury in your lower back!

 Pretty duh, but it’s amazing how often when doing our everyday exercise we don’t pay attention to this. I can testify that for a long time I didn’t have the right “feel” to firing my glutes, lats, and abs. It’s a huge lesson now how underused the correct muscles really were, and it takes lots of practice to fix built-in strength of the wrong kind.

Posture can be affected not only by exercise activity, but also by passive activity, or day-to-day activities. If you find yourself having not only symptoms of hypermobility, but also nagging injuries, ask yourself, “What are some activities that could contribute to my [insert pain]?” For example, if you complain of hip/knee/ankle pain in your right side, check out the position of your desk at work, your choice of driving position, or even your shoe choice. These factors could definitely contribute to your issues, regardless of the amount of exercise that you do.

If you find yourself hanging out in that position from time to time, there is an easy fix – get out of that hyperextension by (you guessed it) squeezing your abs and glutes!

If you have a desk job and spend a lot of time sitting every day, stand up, walk around, flex the abs and ass, and quantify all that hard work in the gym!


Exercises such as deadlifts, squats, lunges, step-ups, and swings, along with the tools that we can use such as kettlebells, dumbbells, and barbells all serve a purpose – to help change our bodies. Whether your end destination is fat loss, muscle gain, or otherwise, you need to be aware that sometimes choosing some exercises may not be an optimal choice toward achieving that goal. If the path is riddled with hops, jumps, and an eventual dead end (injury), I’d like to steer away from that path and stick with a more basic path – one that takes care of certain issues right off the bat and allows for long-term progress.

The path you choose should involve the best exercise with the least risk. In this case, you can’t just go around low-bar back squatting high volume for days on end without experiencing some type of nagging pain in either the hips or shoulders. You have to ask yourself: What is the goal? If the goal is fat loss, or even just to feel better moving around, then perhaps you can look toward exercises such as kettlebell deadlifts or swings, or even just goblet split squats as an alternative for beginners or those who haven’t mastered good movment yet. Don’t be fooled either; split squats can get pretty intense when you control position, tempo, loading parameters, and other variables.

Just ask Joy…

Iso-hold Split Squats 40lb/Side

Ahhhhh the glory of variations!


1. Develop hyperstability to counteract hypermobility

Admittedly, I heard this advice from several coaches, and I’ve decided to run with it. If an individual is extremely loose, you need to equally be just as stable to overcome the extra mobility. For example, check out this picture of an Olympic lifter at the bottom of a snatch:

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He shows signs of elbow hyperextension, along with some pretty extreme knee and ankle mobility at the bottom of this snatch. Although he shows these signs of mobility at these joints, he still has the ability to hoist 381 lbs overhead – he has developed “hyperstability” and this allows him to be both strong and flexible (albeit subjective form, but it is a max attempt, I’m assuming).

2. Work on motor control

If you lack balance or don’t move very well, attacking your fat loss or other movement  goals might be difficult to accomplish without gaining some type of control of your joints. I’d like to refer to this as developing “motor control.” Motor control is imperative to not only performance, but to prevent being a walking unstable mess of a person! Control the big joints before the smaller joints, and certain movements should fall into place. If you’ve ever had knee issues, let’s look at the hip joint before attacking your knee pain. Combine looseness of your knee joint or hips involving the elusive Q-angle in women, and pelvic laxity due to hormones during certain times of the month, and I can begin to see a recipe for an alarming trend of knee- and hip-related joint laxity in many women for these reasons.

Because you may be extra-loose at certain joints often means you need to develop muscular control surrounding these joints. Hopefully, this connects a few dots, as developing control of your core will develop better control of your lower back (which could be prone to hyperextension aka “ducky butt.”) Loose hip joints mean you need better control of your glute muscles, as these are the muscles that control the bones of your hips!

To really harp on this, try this between your main exercises:

A1. Birddogs- 3×5 (Don’t arch your lower back!)

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A2. Glute Bridge – 3×10

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The second exercise can help activate a not-so-activated glute in between squats, which should theoretically help increase the amount of weight used, and help get a bigger booty in the process!

We all seem to be getting the point about a strong butt. But just a reminder; the function of the glutes and core are intertwined. Take it from someone who was doing lots of “glute gaining” exercises regularly, but missing the part about controlling the diaphragm and breathing to pull my core straight. What did that mean? My low back was still taking too much of the load and my abs and glutes were not being allowed to fire correctly. Take a look at this video. Here I am moving a lot of weight, but do you see all the movement going on in my low back and hips, and how far forward I am? My inability to understand HOW to control my core properly was seriously stalling my progress and stressing out my hips. 

3. Embrace partial range of motion movements

Pre-defined depths (tells you when to stop) to instill proprioception (managing your body in space) and to encourage motor control (having the right muscles control the weight) are a great choice for you if you have issues with control and balance of your joints. For example, box squats (or squats to a box), floor press, and rack pulls can be utilized to encourage appropriate learning and increased feedback, all within a certain range of motion that doesn’t go off into hyperextension (that nasty over arching again)! It’s like learning to walk before you sprint downhill.

Such a great tip. Full range of motion is NOTHING unless you can control it. That’s how you get injured. Yes, we want full range of motion, but if you lack control, shorten that a bit until you can get it down, then work up to it. Simple.

4. Don’t static stretch!

If you are hypermobile, then you more often than not do not need to stretch! Why is this? Because if we are in a state of hypermobility, stretching may not get rid of that tightness feeling. What you might be doing by stretching a “tight” hamstring is pulling on a hammie that is just in extension because it is “guarding” due to some type of compensation up or down the body.

Instead, try foam rolling more to get rid of the feeling of tightness and work on activating the correct muscles before any exercise.

Big problem right here. First off: If you are hypermobile, you are not really “tight” in the same way others who benefit from stretching are. You are the opposite, but the feeling your muscles give you when you try to move of “tightness” is not really tightness! You will juse make matters worse. Check out Eric Cressey’s important post about how NOT to stretch.

 Eric Cressey – 15 Static Stretching Mistakes

5. Increase your muscle mass. 

After taking the above into consideration, you should aim to increase muscle mass. This not only helps to burn fat at a quick pace, but theoretically, by increasing muscle mass, you create co-contraction of the muscles surrounding the joints. In other words, you will have more muscle to rely on in a passive state for motor awareness, which is better than having zero muscle on top of having zero clue where your joints lie, and possibly “hanging out on your joints” as a result of it all.


While all of the above is certainly a ton of information to digest at first glance, hopefully a couple of things stand out: 1) Muscular control – it just so happens to involve using your glutes and abs in an intelligent manner, and 2) Movement education of how your individual body moves. So whether or not you show signs of hypermobility, appreciating control of certain muscles during exercising will help facilitate your results and help you achieve your goals quicker and with fewer injuries.

 Miguel Aragoncillo has a BS, CSCS, & HFS. He graduated from Temple University with a Bachelor’s of Science in Kinesiology. His focus as a coach is to keep it simple: reduce stress, eat well, move properly, and move often. Besides training athletes and general population in the greater Philadelphia area, he also competes in powerlifting locally in New Jersey. He can be reached for consultations at his website and contacted through this e-mail.

So where do you take it from here? Here is an example of what your average, overly flexible female should do in a training session:

1. Warmup correctly. I will change out certain exericses occasionally in my warmup but the basic structure remains the same. I start with foam rolling and rolling with a lacrosse ball on all of my major body parts and then move on to simple exercises that get my muscles firing. Sometimes these are just lighter variations of what I plan to do that day, pushups, or bodyweight squats. Other times, I’ll throw in more targeted exercises like lat hangs or single-leg glute bridges to really get the right muscles firing.

2. Film yourself so you can get an idea of what you look like moving. Pay attention to where you FEEL an exercise later. Usually, this can mean pain or tightness and discomfort in the low back, front of the hips, front of the shoulders and upper traps/neck. Your body will have to adapt, and aches and pains here and there are normal. Don’t be a p—y. The point is: With a little attention to what you are doing, you can tell if some nagging problem/injury just does not go away and is not part and parcel of getting stronger.

3. Decide if perhaps a shorter range of motion, or a lighter load with better movement in a certain exercise will serve you well! Check your ego, and get it done right. Consider the following if you have:

  • Low back pain? Breathing exercises for core work and glute activation, work on your hip hinge.
  • Anterior hip pain? Glute activation, hamstring activation, breathing exercises for core, work on hip hinge and “pulling” yourself down into squat movements.
  • Sore neck or upper traps? Lat activation, lower trap work, scapular stability/mobility, lighter back work that helps you feel your lats being used (sometimes this means VERY light).
  • Sore knees (under the kneecap or in general)? Glute activation, glute medius activation, hamstring activation (so you can sit back into your hips properly), shorter range of motion squat/deadlift exercises until you can “take the knees” out of the equation, stick to non-impact strength training until your hips can properly take the load.
  • Weak abs and poor posture? Breathing exercises for core, glute control, stability core work (planks, hollow body holds, pallof presses) as opposed to core work where there are lots of movements (leg raises, russian twists, ab wheels).

Here is what I did to make this simple for myself and for programming general warmups for my athletes. I categorized certain warmup exercises and just pick a couple out of each category. Some I will use more than others; some were useful for a bit, and then I moved on. Once you get a better grasp of what good movement FEELS like, you will have less need for correctives and extra shit all the time. Some of them overlap in effectiveness (glute marches are great for core stability and glute activation). Instead of linking all these vids, I will tell you to head on over to Eric Cressey’s channel, where you will find most of them, and/or the Postural Restoration Channel for breathing, and Bret for glute/hamstring.

Core Stability/Breathing /Lumbar Spine

  • Birddogs
  • Deadbugs
  • Glute Marches w/ shoulders on a bench on on the floor (only do these if you have a proper glute bridge down already)
  • 90/90 Hip Lifts
  • Planks

Glute/Hamstring Activation

  • Glute bridges, or Hip Thrusts and/or single leg variations
  • Clamshells
  • Birddogs
  • Wall RDL’s
  • Bowler Squats
  • Single leg RDLs

Shoulder/Back/Thoracic Spine

  • Deadhang Lat Shrugs
  • Yoga Pushups
  • Wall Slides
  • Scap Pushups
  • Quadruped Triple Extension
  • Prone Lower Trap Raises

The best way to move well is to move well more. The only problem is when poor little you is stranded in the gym trying to figure out what moving well FEELS LIKE. That feel we want is the RIGHT muscles firing, and that’s what these exercises will help you accomplish. I want to explore this concept of “feel” later, having a wealth of experience in what moving WRONG feels like, versus what the changes felt like, but I won’t keep you too much longer. Remember that these exercises only serve an accessory purpose!

I hope this gave you a better idea of what hypermobility is and helped you determine whether it’s an issue for you. This is a starting point for how to fix it and get back to the important stuff –like squatting and building butts. A great side effect of being aware of undesirable looseness and flexibility in your movements is being able to more easily pinpoint great vs not-so-great movement in someone else. I can pick out people, athletes, and random lifters who move really well and learn from what they look like doing it. A great example is Kristin Clever. She is bloody efficient. There’s another ex-military dude I watch at my college gym who I can tell is tight in his hips (I would love to have him do hip mobility drills), but moves really well. Everything lines up, and his body and muscular development shows because of it. So if you ever catch me staring at you thoughtfully in a gym, just remember that I am appreciating or evaluating your mechanics. Not creeping. Well, maybe a bit.


*Granted, this study elicits pursed-lip breathing techniques, which looks to be a similar technique to blowing up a balloon. The population used is those with COPD, and it cited overall improvements in ventilation through a shift in the muscles used with inspiration and expiration of breathing. The question is, if this technique helped such an extreme population, how much more can this help an asymptomatic, yet largely lumbar extension based clientele?


1- Ned, Heitz A., MS. “Http://” Journal of Athletic Training 34(2) April (1999): 144-49. Hormonal Changes Throughout the Menstrual Cycle and Increased Anterior Cruciate Ligament Laxity in Females. Web. <>.

2- Carter, Cedric. “Persistant Joint Laxity and Congenital Dislocation of the Hip.” The Journal of Bone and Joint Surgery 46 B..No.1 (1964): n. pag. Persistant Joint Laxity and Congenital Dislocation of the Hip. Web. <>.

3- “Clinical Application of Neuromuscular Techniques, Volume 1: The Upper Body [Hardcover].” Clinical Application of Neuromuscular Techniques, Volume 1: The Upper Body: Leon Chaitow, Judith DeLany: 9780443062704

4- Breslin, Eileen H., R.N., D.N.S. “The Pattern of Respiratory Muscle Recruitment during Pursed-Lip Breathing*.” CHEST 101 (1992): 75-78. CHEST. Web. <>.

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  1. Joy I really appreciate this article as I have the extreme ducky butt problem as well.Firstly I want to say that you look amazing in your pictures above. its a shame you couldn’t move well at that time as you are so lean and gorgeous. The only issue I can see, which I also have a problem with is that your stomach sticks out a little bit. I find this is the case with me. I don’t like it. No matter what I do, my stomach is always sticking out even though I am lean around my abs. Is this related to the lumbar spine problems? i constantly get told by people that they are envious of my flexibility and my whole life i have grown up believing it is a desirable fitness trait. I always experienced so many problems because of it and I couldn’t figure out why everyone wanted to be flexible like me hahaha. The other question i have, and this is really more just a vain question. I look the look of my butt in lumbar hyperextension. I have a squarish shape butt naturally and when I purposely try to pull my glutes in and stand up straighter, i lose the roundness in my butt. This is really upsetting ot me even though I desperately want to fix my posture. I have a girlfriend who does crossfit and she has perfect posture, perfect alignment and she has this amazing bubble butt without even sticking her ass out (in ducky butt position). She has a perfectly flat abs because she doesn’t stick her butt out, and then this round butt aht pops out by itself. Is this something she has developed because she squats and moves well and with good posture? Every time she squats or deadlifts it looks beautiful, like art hahaha. She stays upright in her squat and gets so low with control. And if I put all of these tips into practice could I eventually get that same look with my butt and abs being so flat? sorry if these questions are vain hahaha. thank you so much for this article it is amaizng!!!

    • Eva you have basically come to all the right conclusions! As you can see in my pics in the post, it *appears* that I have a butt, but actually this was mostly arching my lower back NOT because I was effectively training my butt. If you don’t fix your posture, you will not be able to get the glutes and leg muscles firing properly to get an actual ass. This is because the only way to effectively shape your ass itself is to get it working. Bad posture and that lower back arching stands in your way. That is why your friend has flat abs and a bubble butt. Believe me, working on being straight, will then allow you shape your butt effectively and get the same. Because of your question, I took some pics today showing the difference. If you add me on FB at Joy Victoria, you can see the post. It will be up today. I showed what it looks like NOW for me to arch my back to get my butt to stick out vs keep straight tight posture and what my butt looks like doing that. I think you will appreciate the difference. Don’t wait to start, because the sooner you get stronger, the better you will feel and the sooner you can get your butt the way you want it.

  2. I usually tell people, “If you’d like to stick your own head up your own ass, then keep stretching. But looking around in there is a good way to get to know yourself”.

    Thanks for the info. Good stuff.

  3. Hi Joy,

    Thanks for the wonderful article! I stumbled onto your blog today while looking for exercise workouts for those of us “blessed” (I think “cursed” in more appropriate) with joint hypermobility.

    I am 22/M and score an easy 4/9 on the Beighton Test (2 pinky fingers and 2 elbow joints) and perhaps a 5-6 if I include my thumbs which don’t quite touch my forearm but go far more than “normal”. I have been strength training on and off for the past 2 yrs. My off periods were due to injury sustained primarily because I wasn’t aware of my existing hypermobility and pushed the weights far too much, too quickly which absolutely destroyed tendons in my shoulders. elbows and wrists. All this made sense only a month ago when I discovered that I am hypermobile due to some comments made by my physio.

    Seeing as you have considerably more experience dealing with hypermobility, I was wondering if you could suggest lifting movements that are conducive to our condition seeing as how very few strength/bodybuilding programs out there cater to people with hypermobility.

    • Hey AReb,

      I would just shorten the range of motion in certain lifts, and throw in movements that require you to train for stability and learn to really control your glutes and abs. So

      Trap Bar Rack Pulls
      Front Squat to a box
      Glute Bridges
      All kinds of planks/pallof press
      Floor Presses
      Cable Rows

      With focus on good form, you should be able to do those no problem and get a good feel for contracting the right muscles.

  4. AngelaN says:

    This is such a great post I keep getting back to it to show it to friends and tell them “SEE!! I’m NOT CRAZY!”. I began accumulating pains and “syndromes” (ITT, piriformis, etc) too early due to years of taekwondo with crappy movement patterns and hypermobility. I have spent years trying to find out how to fix myself (because i live in a crappy place with no movement professionals near) and be able to go back to do resistance training without hurting myself… And got to many conclusions similar to yours, which I’m currently implementing. Breathing is very very very important! Motor control! And stay the f*ck away from yoga and “lots of stretching” and “lots of core exercises”. No amount of 90-90 hip flexor stretching is going to be able to relax the only thing that is actually keeping me from falling down (thank god)… No amount of planks (on its own) are going to fire what needs to fire in the order it needs to fire… Trying to activate glutes it’s useless unless I fix my eyes-neck-head first… Etc.

    Hope your research goes well… So I can hire you in the future and get strong without hurting myself! 🙂

    Happy to have found your blog.

    • Hey Angela,

      Thanks for the feedback! I can definitely sympathize with the frustration. I am still learning so much and having to “unlearn” some stuff as well about movement and muscular control to do everything I want to do with my body. Better late then never eh. If you are in Toronto, we can arrange some training sessions for sure!
      Thanks for following.


  5. Thank you for your article! I wondered if you could tell me how to do a 90/90 hip lift. I couldn’t find the description of it in the article but may have just missed it 🙂 I am 50 years old and have had constant trapezius/neck/scalene pain, have scoliosis since I was young, now I have knee pain in both knees – the rheumatologist told me today he thinks my problem is hypermobility. So, I am interested in the core exercises, etc. Thanks again.

  6. Sarah Hespe says:

    Thank you for this post! There are others out there like me. Great advice too. I am sick of my hips and shoulders being unstable so I injure myself all the time. I work out but always get hurt due to the instability.

  7. Hi,

    Thanks for your great post. I am hypermobile and no expert in the area, I am definitely still learning. I recently completed my yoga teacher training, so I have a background in yoga rather than weights/typical gym work. I agree that hypermobile people should be more careful in stretches, but it is a misconception that yoga is all about stretching; it is also about strengthening and finding alignment, ie all the stuff you are discussing. Nevertheless, as I mentioned, I’m still starting my journey and have a long way to go to get my body into a peak state. I wonder if there are any specific yoga poses that you would advise against for hypermobility?

    • Nikki,

      Anything that puts your joints in extreme ranges of motion, especially the hips and shoulders. Yoga can be useful for sure, it was just a common example to use.

  8. I have a physical disability, and this article may even apply even more so to me. If you’re not proactive in any effort to minimize your injury potential, you’re not doing yourself any good. If you’re unsure of what you can be doing there are always ways to find out. A simple google search for physical therapy is a great place to start, really.

    It will point you to information similar to this;

    Or ask your doctor.

  9. Joy,

    Amazing article, I’m a 23 year old guy who has scored 9/9 on the Beighton test, I’ve always been flexible but did not know of hypermobility condition until recently. I have been dogged with lower body pain and injury all my life, my feet are especially bad but have never been diagnosed with properly until recently. It’s unusual for a guy like me to be so mobile as I have quite a big build. Do you have any advice? I have only recently started seeing a physio who is going through body alignment and understanding my posture. I regular attend the gym and do heavy lifting. I just want to reduce the pain I am in. Would doing the exercises you stated above as a full workout help? Or are they meant to be just warmups?


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  21. This was a big help — I’m hypermobile and someone once told me I’d have joint problems at age 30+ and I freaked out.

    I have a question. I’ve read on multiple places that stretching is bad for hypermobile folks. Is yoga bad? Is stretching for the splits, backbend, etc, bad for us? I used to do this and it gave me great flexibility but my joints always hurt. My lower back hurt a lot. I’d love to be really flexible, properly flexible, not hypermobile flexible, but I need to know whether it’s bad for me so I don’t ruin my body. 🙁

  22. Hey Joy,

    Thank you so much for sharing this post with us. For the past several years, especially as of recent months, I’ve had issues with my hypermobility and building muscle due to workouts hitting my joints before the targeted muscle group. Often times I would share with others that I’m flexible, they’d ask to prove it and I’d show the classic “touch your toes” move… except I’d touch my elbows to the floor, which results in an appropriate freaking out phase. I will certainly try to give all of these recommendations a shot. Hopefully these changes will help me and my joint and lower back pains.


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  36. Thank you so much for writing this article! I just completed a career training “boot camp”for a job with the Federal government. While I consider myself to be physically fit, and I have been in a physcially engaging occupation (dance) for more than a decade; I also have hypermobility syndrome. The P.T. standards were a rude awakening and testament to the realities of militaristic, male centric, approach to fitness… I don’t mean to imply that this is a bad thing, just that different bodies need different approaches to fitness, and when this is neglected, the potential for injury and exhaustion increases exponentially. Presently, I’m experiencing sciatica-like symptoms, and spasm (which I have had in varying intensity before). I will be forwarding this link to the Regional director of their fitness programs for possible consideration in adapting their techniques. Again~ thanks so much for sharing this information it is vital for those of us who are differently abled to continue to be and become assets!

    • Brennan, thanks for your feedback! I have another post on this coming out soon, much more updated and with helpful stuff for coaching yourself or others.

  37. Hi!

    This post was extremely useful and informative. I have hypermobility and it has affected the way I move all my life; I used to stumble and twist my ankles in daily basis. A couple of years ago started to practice yoga and it improved my motion problems at the point I did not pay attention to it anymore, however, right now I am practicing HapKiDo and I have found very difficult to stay in control while making the running/kicking combos and also present weakness in my kicking. I do all the exercises that you recommend for core and glutes, but I would like to know if there are exercises to gain equilibrium and explosive strength? Also, strength for the shoulders (to make headstands). Thanks

    • Hi Lin, I suggest you find a strength coach for some basic strength building. I train Muay Thai, so I understand what you mean. Of course, a strength coach *should* take into consideration your sport and help you train your whole body to better produce and handle the movements you want to do! Yoga probably won’t cut it much simply because you will be training different qualities than what you would need in HapKiDo. Balance is at the core of being able to explode, and also being able to create appropriate muscular tension in your arms, legs and core for kicks/punches/combos etc.

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  45. Thank you so much for this article!

    I’ve always struggled with hypermobility but I have typically been able to curtail the painful effects (mainly hip dysplasia which leads to my knees, ankles, and back going out) with either playing Rugby or through ballet classes where I’ve focused more on strengthening than flexibility. Since I’ve gotten pregnant I haven’t been able to play Rugby and my normal exercises don’t seem to be doing the trick.

    I’m so excited to try these exercises out and practice improving my core (which has always been a struggle for me). I threw out my hip last week walking so I am going to start trying these out today.

    Thanks again for taking the time to write this article!

  46. Danielle says:

    So glad to have come across this post.
    I have just recently been diagnosed with hyper-mobility. Jaw, fingers, knees, hips, shoulders. My right side is significantly more mobile. The joints easily slide in and out of their sockets with little effort. I am looking forward to putting these exercises into practice to fix my hips and core and whatnot, but I am curious if you knew of any exercises to help tighten up the shoulder area?


  47. My physio has suggested this too me as an possibility for why I get sore. I get sore if I don’t exercise, or if I do too much exercise but if i do a resistance type training 3 times a week then I seem to manage ok without any issues. Is this something you have noticed with yourself or clients?

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    The new thing for me here is the traps photo. This could be me! I’m female, and generally curvy rather than scrawny but this is how my neck and shoulder area looks and I don’t feel good about it… So I scurried away to find further info about how to ‘correct’ this specifically and found…nothing. Can you advise further? Thanks!

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  54. Hi! Thank you so much for your article and clear, plain language information on hypermobility. My seven-year-old daughter has been diagnosed with Joint Hypermobility Syndrome by her pediatrician. She is headed to a specialist, where I assume they will do an official Beighton score; however, she is at the very least a 7/9. The only thing I’m not sure about is her knees. Everything is else is definitely hypermobile.

    The reason I am writing is she loves Brazilian Jiu Jitsu and MMA. She was diagnosed after straining her left elbow 5 times in as many months, ironically, only one of the strains was actually practicing BJJ. She even injured herself tripping over a friend in a library!

    Her dojo has offered to accommodate her hypermobility so that she doesn’t have to quit, but we are learning somewhat by trial and error what her restrictions should be (no arm-bars, Americanas, or rolling with younger kids). She was devastated when she thought she had to quit, so I’m trying to help her keep doing what she loves.

    I guess the reason I’m writing is to ask if you have suggestions for specifically helping strengthen her arms to avoid further strains (or worse, potential dislocation)? And also, do you know of any ways for me to help her learn proprioception with her arms?

    Thank you again for all the great advice in your article. I’m looking forward to implementing a lot of this with my daughter!

    • I’ve been a tennis coach for some 20 years, and would like to offer what helped my family. Be sure that she is not in need of any physical therapy instead, if she still has any pain or is recovering from any injuries.

      Having this condition myself, I can attest to how effective strength-training which targets the muscles around the joints can be (not just the traditional muscle groups). I dd these things with my daughter around the same age as yours, who got involved with gymnastics and thought she had to quit from the hypermobilty-related injuries, too.

      Can’t stress how important a strong core is for hypermobile people. Have her practice holding in her stomach while she is standing and walking – that means when she is not sitting – all the time, everywhere she walks, the stomach should be taught. After a month, this will become second nature to her. Practicing proper posture now (shoulders rotated back, chest high (not out), spine and hips controlled while walking, while tightening the stomach muscles) will help with so many other issues later. A strong core also helps develop strong hips and shoulders. For us, its all about joint control, and not allowing anything to “flop” around.

      For elbows, ask your dojo to work on exercises for controlling muscles to control arm movements, and strengthen her fore-arms with muscle flexing and control exercises (isometric, no weights). Deliberate, controlled, slower actions with the arms, while keeping arm muscles flexed or taught, helps strengthen stabilizing muscles (think tai chi, with muscles taught, mimicking the martial arts motions which are usually done quickly, with repetitions).

      For shoulders, to avoid rotator-cuff injuries (been there, done that), ask her dojo to focus on pushing and pulling exercises, isometrically. Pushing against a wall, or pushing against a large band that she is standing on with arm extended, and to the side, will help several shoulder muscles. There are many variations to these to target specific shoulder muscles groups. I’m sure there is a lot on the internet about isometric shoulder exercises.

      Isometric exercises focus on strengthening muscles around joints, without moving the joints, which helps them heal while you continue to strengthen them. For a young child who is still developing, isometric is really the way to go. Her muscles will strengthen by using her own body weight, so there is no danger of “over lifting” as there can be with weights..I recommend developing a plan with the dojo on a good exercise regimen, modified using isometrics and slower deliberate motions.

      Once her muscles are stronger around the joints (you and she will both be able to see the difference, as she will be showing more control of her body movements), then she can slowly begin the arm-bars and such again which put stress on the joints. But – she should never quit the stabilizing exercises…unfortunately, those will be necessary for the rest of her life.

      • This is amazing advice! Thank you so much for taking the time to write this and share your experience! My daughter is now up to 8 left elbow strains, 2 right elbow strains, and 2 right foot strains. Her left arm has biceps tendinitis. She tells everyone like it’s a sport statistic. She’s​ in PT for her left arm.

        I’m going to take your post and make a checklist and start working on these things with her a bit at a time and reach out to her dojo. She’s currently restricted by her orthopedist from BJJ, but we are still working to get her back.

        Thank you, again. Your kindness is overwhelming.

  55. Thanks for sharing this information. I was a college athlete, and unfortunately, my trainers had no clue about this condition (back in the ’80’s), so I suffered many injuries, PFPS, and today have all kinds of knee/ankle/joint problems – totally ruining my chances as a pro. I am now rigorously exercising for stability and strength just to counter-act the stiffness you’ve discussed, especially in my neck and back, and have become aware of oh so many other issues all linked to joint laxity..

    I’m also really tired of so-called medical websites which dismiss hypermobility as nothing more than being really flexible. Several studies of hypermobility-associated symptoms was conducted in both London and Switzerland, proving there are correlations between hypermobility and migraines, sleeplessness, heavy menstruation, loose skin…the list goes on and on. Laxity in the ligaments can mean laxity in all tissues of the body, including the intestines and heart- IBS and mitral-valve prolaspe are also more common in hypermobile people. Yes, it is genetic – my father had it, as do I, and my son and daughter.

    For those of us who have overcome our “clumsiness” as children from joint instability, and became athletes (having naturally quick reflexes), we’ve also developed a high tolerance to pain because we are used to it. We are also more likely to be resistant to anesthetics, and have “extra nerves” in our mouth and skin…
    Anyway, thanks again for bringing this condition out in the open; the more we talk about it, the more we can find solutions to it, and bring better awareness to coaches, trainers, and the medical community.

  56. (HELP) Hi just like to say thanks for a start! I’m Matt 21 after 15 years of playing rugby I decided to move sports, I went into powerlifting to start and have now moved too strongman, I am also hypermobile in the hamstrings and hip area this means I really struggle to generate power with deadlifting! This is weird as I’m a 290lb guy and I can reach a good 15inchs past my toes, I’m reaching out for (HELP) as in all of my other lifts I could be very competitive if you could have a look at my form it would be great my Instagram (Instagram account name is mattojones) has some videos of me stretching and has some videos of my deadlifts and other lifts if someone can have a look and give me some feedback I’d really appreciate it thank you!


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