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Midsouth Therapy Group

physical therapy · Awareness

Hypermobility in Children: When “Double-Jointed” Needs Support

MTG Physical Therapy Team, Licensed Pediatric Physical Therapists

Written by MTG Physical Therapy Team, Licensed Pediatric Physical Therapists

Physical Therapy

Updated 2026-06-20

Plenty of children can bend their fingers back or do party-trick stretches — being “double-jointed,” or hypermobile, is common and often causes no problems at all. But for some kids, loose joints come with hidden costs worth understanding.

What is joint hypermobility?

Hypermobility means joints that move beyond the usual range. It's common in childhood because young connective tissue is naturally more flexible, and many children simply have bendy joints with no issues. For a subset, though, the extra looseness means muscles have to work harder to stabilize the body.

Signs that hypermobility may need support

  • Tires quickly or has poor endurance during activity.
  • Clumsiness, frequent falls, or awkward movement.
  • Joint or muscle aches, especially after activity or at night.
  • Avoids physical activity, or sits in unusual positions (like W-sitting) for stability.
  • Delayed motor skills or difficulty with handwriting from weak hand stability.

Most hypermobility is harmless. When it comes with pain, fatigue, or motor difficulty — or there's a family history of connective-tissue conditions — it's worth a conversation with your pediatrician, who can refer to therapy.

Bendy joints plus fatigue or clumsiness? An evaluation can help.

How therapy helps

Physical and occupational therapy help hypermobile children build the strength, stability, and endurance that take the load off loose joints — improving coordination, reducing aches, and making activity more comfortable. Both teams are accepting new families at MTG; a referral from your child's primary care provider is required (faxed to 901-589-9001).

Frequently asked

Is being double-jointed bad?
Usually not — many children are hypermobile with no problems at all. It only needs attention when it's paired with pain, fatigue, clumsiness, or motor difficulty.
Can hypermobility cause clumsiness or fatigue?
It can. When joints are very loose, muscles work harder to provide stability, which can show up as clumsiness, low endurance, and aches. Building strength and stability through therapy helps.
Do I need a referral for therapy?
Yes — physical and occupational therapy require a referral from your child's primary care provider, faxed to 901-589-9001.

Sources

These links point to external organizations for general education and are not a substitute for an evaluation by a qualified professional.

MTG Physical Therapy Team, Licensed Pediatric Physical Therapists

About the author

MTG Physical Therapy Team, Licensed Pediatric Physical Therapists

Our licensed pediatric physical therapists help children build strength, balance, coordination, and the gross-motor milestones that let them move with confidence. Physical therapy is a newer service at Midsouth Therapy Group, and we're accepting new referrals.

Meet the full team →

Loose joints holding your child back?

Our pediatric physical and occupational therapy teams build the strength and stability behind comfortable movement. Reach out.