Hypermobility Types of HMS Joint Hypermobility Syndrome (JHS) While the 2017 criteria for HSD and hEDS are still being reviewed, validated, and made applicable to children, many medical professionals continue to use the term JHS. Until more progress is made in refining and validating the diagnostic criteria, JHS is still a valid diagnosis. The management, potential symptoms, and linked conditions are the same for JHS, HSD, and hEDS - although there are specific combinations of these common signs and symptoms which are needed to receive a diagnosis of hEDS under the 2017 criteria. Diagnostic criteria for JHS Major Criteria A Beighton score of 4/9 or greater (either currently or historically) Arthralgia (pain) for longer than 3 months in 4 or more joints Minor Criteria A Beighton score of 1, 2 or 3/9 (0, 1, 2 or 3 if aged 50+) Arthralgia (pain) (> 3 months) in one to three joints or back pain (> 3 months), spondylosis, spondylolysis/spondylolisthesis. Dislocation/subluxation in more than one joint, or in one joint on more than one occasion. Soft tissue rheumatism. > 3 lesions (e.g. epicondylitis, tenosynovitis, bursitis). Marfanoid habitus (tall, slim, span/height ratio >1.03, upper: lower segment ratio less than 0.89, arachnodactyly [positive Steinberg/wrist signs]. Abnormal skin: striae, hyperextensibility, thin skin, papyraceous scarring. Eye signs: drooping eyelids or myopia or antimongoloid slant. Varicose veins or hernia or uterine/rectal prolapse. JHS is diagnosed where someone has two major criteria, or one major and two minor criteria, or four minor criteria. Two minor criteria will suffice where there is an unequivocally affected first-degree relative. JHS is excluded by presence of another hypermobility syndrome, such as Ehlers-Danlos syndrome or Marfan syndrome) (Criteria Major 1 and Minor 1 are mutually exclusive as are Major 2 and Minor 2. ) Common Symptoms Pain Fatigue Frequent injuries, including dislocations, subluxations, sprains and microtraumas Poor proprioception/clumsiness Issues with bladder and bowel, the pelvic floor, and the autonomic nervous system (e.g. fainting, and dizziness when standing) are also common in people with JHS. There are also higher levels of hypermobility in the autistic population - but exactly what the link between them is, we don't yet know.