@dr.zac.spiritos: What does it mean when your doctor says you’re hypermobile, but your whole body feels tight? A lot of people with hypermobility also have very tense, overworked muscles. When connective tissue provides less passive stability, the muscles may compensate by working harder to stabilize the joints. Over time, that constant effort can contribute to: • Muscle tightness and guarding • Charlie horses and muscle cramps • Chronic neck and jaw tension • Aching, fatigue, and feeling “stuck” Physical therapy is often one of the most important pieces. A physical therapist familiar with hypermobility can work on strength, coordination, joint control, and movement mechanics rather than simply stretching already-mobile joints. Some people benefit from dry needling, too. For a subset of people whose muscle tightness looks more like dystonia, rigidity, or abnormal sustained muscle contraction, an emerging (and off-label approach) sometimes considered is low-dose Sinemet (carbidopa/levodopa). This is not an established treatment by any means, but can be very helpful for the right person. Levodopa crosses into the brain and is converted into dopamine, which plays an important role in how the brain regulates movement and muscle tone. For the right person, it can help them feel less rigid and tense. This is far from an established therapy in this space, so it should be considered an individualized, clinician-guided treatment rather than routine hypermobility therapy. DISCLAIMER: I do not have hypermobility. I’m demonstrating these movements for educational purposes only. This post is for education and awareness and is not medical advice. #mcas #heds #hypermobility #dysautonomia #dystonia

Dr. Zac Spiritos

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Friday 28 August 2026 21:28:29 GMT