Always in pain? Why your body is failing: Ehlers-Danlos Syndrome medical steps | Ubie Doctor's Note

Always in pain? Why your body is failing: Ehlers-Danlos Syndrome medical steps

Reviewed by Yoshinori Abe, MD

Internal Medicine

Always being in pain may point to several conditions, with Ehlers-Danlos syndrome (EDS) being a key possibility. EDS is a collagen disorder that causes joint hypermobility, fragile tissues, fatigue, and widespread pain that often worsens with activity.

Key next steps if you're always in pain:

Document your symptoms (location, triggers, severity, duration)

Get a clinical evaluation for EDS criteria, including Beighton scoring and genetic testing for select subtypes

Request specialist referrals to genetics, rheumatology, and cardiology as needed

Begin stabilization-focused physical therapy and individualized pain management

Know the urgent red flags, especially for suspected vascular EDS (sudden severe pain, unexplained bruising, or signs of internal bleeding)

Because chronic, whole-body pain can stem from many overlapping causes—from EDS to autoimmune, neurological, or musculoskeletal conditions—identifying the right path forward starts with understanding your specific symptom pattern. A free, instant Whole body pain symptom check can help you clarify possible causes, prepare for your doctor's visit, and confidently decide your next steps—all in just a few minutes.

Reviewed for medical accuracy: 06/17/2026

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Explanation

Always in Pain? Why Your Body May Be Failing: Understanding Ehlers-Danlos Syndrome and the Right Medical Steps

If you feel like your body is constantly hurting — joints slipping out of place, muscles aching, fatigue that won't lift — you may have wondered: Why does my body feel like it's failing me?

For some people, the answer may be Ehlers-Danlos syndrome (EDS).

Ehlers-Danlos syndrome is a group of inherited connective tissue disorders that affect how your body makes collagen. Collagen is one of the most important building blocks in your body. It gives strength and structure to your:

Joints

Skin

Blood vessels

Organs

Ligaments and tendons

When collagen doesn't work properly, tissues can become fragile, loose, or unstable. This can lead to ongoing pain and other symptoms that are often misunderstood or dismissed.

Let's break down what Ehlers-Danlos syndrome is, how it affects the body, and what medical steps you should take if you suspect it.

What Is Ehlers-Danlos Syndrome?

Ehlers-Danlos syndrome (EDS) is not one single condition. It is a group of related genetic disorders. There are 13 recognized types, but the most common include:

Hypermobile Ehlers-Danlos syndrome (hEDS) – the most common type

Classical EDS – affects skin and joints

Vascular EDS – more serious, affects blood vessels and organs

Each type has different features and levels of risk.

Common Symptoms of Ehlers-Danlos Syndrome

While symptoms vary, many people with Ehlers-Danlos syndrome experience:

Joint Problems

Frequent joint pain

Joints that move beyond the normal range (hypermobile joints)

Recurrent dislocations or subluxations (partial dislocations)

Early arthritis

Chronic Pain

Widespread muscle and joint pain

Burning or nerve-like pain

Pain that worsens with activity

Skin Changes

Soft or velvety skin

Stretchy skin

Easy bruising

Slow wound healing

Fatigue and Whole-Body Symptoms

Severe tiredness

Dizziness when standing (possible autonomic dysfunction)

Headaches or migraines

Digestive issues

If you're experiencing ongoing discomfort throughout your body and want to understand what could be causing it, Ubie's free AI symptom checker can help you identify possible conditions in just a few minutes and prepare for a more informed conversation with your healthcare provider.

Why Does Ehlers-Danlos Syndrome Cause So Much Pain?

Pain in Ehlers-Danlos syndrome is not "just in your head." It has real biological causes:

1. Joint Instability

Loose ligaments can't properly support your joints. Muscles then overwork to compensate, leading to muscle strain and chronic tension.

2. Repeated Micro-Injuries

Even small daily movements may stress unstable joints. Over time, this creates inflammation and wear.

3. Nerve Sensitivity

Some people with Ehlers-Danlos syndrome develop increased pain sensitivity. The nervous system becomes more reactive, amplifying discomfort.

4. Associated Conditions

Many individuals with EDS also experience:

Postural Orthostatic Tachycardia Syndrome (POTS)

Mast cell activation symptoms

Gastrointestinal dysfunction

These overlapping conditions can intensify fatigue and body pain.

How Is Ehlers-Danlos Syndrome Diagnosed?

There is no single blood test that diagnoses all forms of Ehlers-Danlos syndrome.

Step 1: Clinical Evaluation

A doctor will:

Review your personal and family history

Examine joint flexibility (often using the Beighton score)

Evaluate skin features

Ask about dislocations, pain patterns, and healing

Step 2: Genetic Testing (For Certain Types)

Classical and vascular EDS can often be confirmed through genetic testing.

Hypermobile EDS currently has no confirmed genetic marker and is diagnosed clinically.

Step 3: Rule Out Other Conditions

Doctors may order:

Blood tests

Imaging (X-rays, MRIs)

Cardiac evaluation (especially if vascular EDS is suspected)

If you suspect Ehlers-Danlos syndrome, it is important to seek evaluation from a healthcare professional familiar with connective tissue disorders.

Medical Steps to Take If You Suspect Ehlers-Danlos Syndrome

If your body feels like it's constantly breaking down, here's a clear plan:

1. Speak to a Primary Care Doctor

Start by discussing:

Chronic joint pain

Repeated dislocations

Family history of similar symptoms

Skin and healing issues

Be specific. Bring notes if needed.

2. Ask for Specialist Referrals

Depending on symptoms, you may need:

A geneticist

A rheumatologist

A cardiologist (to assess heart and blood vessels)

A pain management specialist

3. Begin Physical Therapy

Physical therapy is often the cornerstone of managing Ehlers-Danlos syndrome.

Focus areas include:

Joint stabilization

Muscle strengthening

Proprioception (joint awareness)

Low-impact exercise plans

Aggressive stretching is usually not recommended for hypermobile patients.

4. Pain Management

Pain treatment may include:

Physical therapy

Bracing or supportive devices

Anti-inflammatory medications

Nerve pain medications (when appropriate)

Cognitive behavioral therapy for chronic pain coping

Opioids are generally avoided for long-term management due to risks and limited effectiveness in chronic connective tissue pain.

5. Monitor for Serious Complications

In vascular Ehlers-Danlos syndrome, blood vessels and organs can be fragile. Warning signs that require urgent medical care include:

Sudden severe chest or abdominal pain

Shortness of breath

Signs of stroke

Severe unexplained bleeding

If you experience any of these, seek emergency medical attention immediately.

Can Ehlers-Danlos Syndrome Be Cured?

There is currently no cure for Ehlers-Danlos syndrome. It is a lifelong genetic condition.

However, many people significantly improve their quality of life with:

Targeted physical therapy

Lifestyle adjustments

Pain management strategies

Proper monitoring

Early recognition can prevent unnecessary injuries and complications.

Lifestyle Adjustments That Help

Living with Ehlers-Danlos syndrome often means working with your body instead of pushing against it.

Helpful strategies include:

Low-impact exercises like swimming or cycling

Strength training under supervision

Joint protection techniques

Pacing activities to avoid flare-ups

Good sleep hygiene

Adequate hydration

Learning your limits is not weakness. It is smart disease management.

When to Speak to a Doctor Immediately

While many symptoms of Ehlers-Danlos syndrome are chronic and manageable, some can signal something serious.

Speak to a doctor urgently if you experience:

Sudden severe pain unlike your usual pain

Unexplained fainting

Rapid heart rate with dizziness

Severe abdominal pain

Chest pain

Neurological symptoms like weakness or slurred speech

Never ignore symptoms that feel life-threatening or dramatically different from your baseline.

The Emotional Side of Ehlers-Danlos Syndrome

Living with constant pain can affect mental health. Many patients report:

Feeling dismissed

Being told "it's just anxiety"

Frustration from delayed diagnosis

Your pain is real. But it's also important to approach it calmly and methodically. Anxiety can worsen pain perception, and proper medical guidance can help clarify what is happening.

Final Thoughts

If you are always in pain and feel like your body is failing, Ehlers-Danlos syndrome may be one possible explanation — especially if you have hypermobile joints, frequent injuries, and chronic fatigue.

The key steps are:

Document your symptoms

Consider a structured symptom check

Speak to a qualified doctor

Ask about evaluation for Ehlers-Danlos syndrome

Follow a long-term management plan

Most importantly, do not self-diagnose and do not ignore serious warning signs. Some forms of Ehlers-Danlos syndrome, particularly vascular EDS, can be life-threatening and require medical supervision.

If you suspect anything serious or life-threatening, speak to a doctor immediately or seek emergency care.

You are not weak. You are not imagining it. And with the right medical support, many people with Ehlers-Danlos syndrome build stable, informed, and meaningful lives.

(References)

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* Chopra P, Tinkle B, Hamonet C, Brock I, Gompel A, Bulbena A, Francomano C. Pain management in the Ehlers-Danlos syndromes. Am J Med Genet C Semin Med Genet. 2017 Mar;175(1):212-219. doi: 10.1002/ajmg.c.31553. Epub 2017 Feb 21. PMID: 28306016.

* Levy HP. Hypermobile Ehlers-Danlos Syndrome. 2004 Feb 27 [Updated 2023 Feb 16]. In: Adam MP, Feldman J, Mirzaa GM, Pagon RA, Wallace SE, Bean LJH, Gripp K, Amemiya A, editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2024. PMID: 20301456.

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