Living with hypermobility spectrum disorders (HSD) or Ehlers-Danlos Syndrome (EDS) can be frustrating, especially when traditional rehab or healthcare approaches leave you feeling dismissed, confused, or stuck in recurring cycles of pain and flare-ups.

At Apex Spine & Performance, we provide rehab-focused chiropractic and sports medicine care for individuals navigating hypermobility, EDS, chronic pain, instability, and movement-related limitations in Bend, Oregon.

Our goal is not simply to reduce symptoms temporarily, but to help patients better understand their bodies, improve resilience, build confidence in movement, and stay active long term.

A Different Approach to Hypermobility & EDS

Many hypermobile individuals are repeatedly told:

  • to stretch more
  • avoid activity
  • stop exercising
  • or rely solely on passive treatment

In reality, many people with HSD/EDS often need the opposite approach.

At Apex, we recognize that hypermobile individuals frequently benefit from:

  • individualized strength and stability work
  • load management
  • nervous system-informed care
  • gradual movement exposure
  • improved movement confidence
  • education around pacing and recovery

We also understand that “more mobility” is often not the answer.

What Makes Apex Different?

Movement & Rehab Focused
Our approach emphasizes movement assessment, exercise rehabilitation, strength and conditioning principles, and nervous system-informed care rather than passive treatment alone.

Longer One-on-One Appointments
Initial evaluations are approximately 1 hour and 45 minutes long and include detailed orthopedic, neurological, and movement assessment.

Individualized Treatment Plans
No cookie-cutter protocols. Every plan is built around your symptoms, goals, tolerance, lifestyle, and movement capacity.

Neurocentric Approach
We recognize the important role the nervous system plays in pain, movement sensitivity, fatigue, and recovery.

Advanced Education in Hypermobility & EDS Care
RJ and Tim have pursued continuing education related to hypermobility and Ehlers-Danlos Syndrome through The Ehlers-Danlos Society and continue to stay current on evolving approaches to movement, rehab, and nervous system-informed care for hypermobile individuals.

HumanTrak 3D Movement Analysis
We utilize HumanTrak 3D movement analysis alongside movement assessment to evaluate mobility, movement mechanics, asymmetries, and movement-related limitations.

Education & Long-Term Resilience
We believe hypermobile individuals are capable of building strength, resilience, and movement confidence through individualized and appropriately progressed care.

Symptoms & Concerns We Commonly Help With

  • Chronic pain
  • Joint instability
  • Recurrent injuries
  • Persistent muscle tension
  • Fatigue related to movement intolerance
  • Shoulder instability
  • Low back pain
  • Neck pain
  • Nerve-related symptoms
  • Exercise intolerance
  • Fear of movement
  • Recurrent flare-ups

Our Approach May Include

  • Orthopedic and neurological assessment
  • Movement assessment
  • HumanTrak 3D movement analysis
  • Exercise rehabilitation
  • Dynamic Neuromuscular Stabilization (DNS) principles
  • Strength and conditioning concepts
  • Load management strategies
  • Gradual movement progressions
  • Neurodynamic approaches
  • Hands-on care when appropriate
  • Education around pacing, recovery, and movement confidence

Frequently Asked Questions

Should hypermobile individuals avoid strength training?
Not necessarily. Many hypermobile individuals benefit greatly from appropriately progressed strength training and movement exposure.

Do you only perform adjustments?
No. Apex Spine & Performance is heavily rehab-focused and combines movement assessment, exercise rehabilitation, sports medicine principles, and hands-on care when appropriate.

Can hypermobile individuals improve stability and resilience?
Yes. While every case is unique, many people with HSD/EDS can improve movement tolerance, strength, confidence, and overall function with individualized rehab and load management strategies.

What if previous rehab hasn’t worked?
Many hypermobile individuals have had negative experiences with rehab that progressed too quickly or failed to account for nervous system sensitivity, fatigue, or recovery capacity. Our approach emphasizes individualized progression and meeting patients where they are currently at.

Move With Confidence

At Apex Spine & Performance, we help individuals navigating HSD/EDS and hypermobility better understand their bodies, build resilience, and continue doing the things they love with confidence through individualized rehab-focused care.