Hypermobility & Fatigue in the UK: How Remote Physio Can Boost Your Energy

Feeling tired all the time is one of the most common and frustrating symptoms of hypermobility syndrome and hypermobile Ehlers-Danlos (hEDS). Many people describe it as more than just being sleepy: it’s an overwhelming exhaustion that doesn’t go away with rest.

If you’re struggling with fatigue, you’re not alone. In fact, research suggests that up to 80% of people with hypermobility in the UK report persistent fatigue. This can make it harder to work, study, or even enjoy social life.

The good news? Physiotherapy can help. And thanks to remote physiotherapy, you can now access fatigue management support wherever you are in the UK.

Why Does Hypermobility Cause Fatigue?

There are several reasons why people with hypermobility often feel more tired than others:

• Joint instability → your muscles have to work harder to keep joints stable.

• Inefficient movement → poor proprioception means your body burns more energy for basic tasks.

• Pain and flare-ups → constant discomfort drains both physical and mental energy.

• Poor sleep → many patients report disrupted or unrefreshing sleep.

• Anxiety and low mood → chronic fatigue and pain can impact mental wellbeing, which in turn worsens tiredness.

  
  

👉 The result? A cycle of exhaustion where even light activity feels overwhelming.

Why Traditional Advice Often Falls Short

Patients are often told to “exercise more” or “rest when tired.” While well-meaning, this advice is too simplistic.

• Too much exercise → can trigger flare-ups and worsen fatigue.

• Too much rest → leads to deconditioning, making fatigue worse over time.

  
  

The real solution lies in finding the right balance - pacing, gentle strengthening and gradual progression. This is where physiotherapy, particularly remote physiotherapy, plays a vital role.

How Remote Physiotherapy Supports Fatigue Management

Online physiotherapy isn’t just about exercises - it’s about giving you tools to manage energy levels effectively. Here’s how it helps:

1. Personalised Exercise Plans

• Tailored to your energy levels and flare-up patterns.

• Focus on strengthening muscles that stabilise hypermobile joints.

• Start gently (sometimes just a few minutes a day) and progress gradually.

  
  

2. Pacing Strategies

• Learn how to break tasks into manageable chunks.

• Use activity diaries to spot patterns and avoid “boom and bust” cycles.

• Develop routines that reduce fatigue flare-ups.

  
  

3. Posture & Ergonomics

• Small adjustments to desk set-up, sleep positions or daily routines can reduce energy drain.

• Remote sessions allow advice in your real environment - not just in a clinic.

  
  

4. Breathing & Relaxation Techniques

• Support for better body awareness and relaxation to improve sleep quality and reduce fatigue.

  
  

5. Accountability & Support

• Having regular check-ins with a physio keeps you on track.

• Encouragement helps avoid both overdoing it and underdoing it.

  
  

Why Remote Sessions Are Perfect for Fatigue

When you’re already exhausted, the last thing you want to do is travel across town or the UK to an appointment. Remote sessions remove that barrier:

• No travel fatigue – save energy for the things that matter.

• Flexible scheduling – book sessions around your best energy times.

• Real-world problem solving – advice is tailored to your home, study, or work environment.

• Consistency – access the same specialist support wherever you are in the UK.

Practical Tips for Managing Hypermobility Fatigue UK

While physiotherapy provides a structured approach, here are some everyday strategies you can try right now:

• Plan your week, not just your day. Spread out demanding tasks.

• Use the Spoon Theory. Think of your energy like a limited number of spoons - budget them wisely.

• Prioritise posture breaks. Stand, stretch, or move every 30-40 minutes.

• Focus on quality sleep. Keep a consistent bedtime routine.

• Celebrate small wins. Progress is gradual, but every step counts.

  
  

Does Online Physio Really Work for Fatigue?

Yes. Fatigue management relies on education, pacing, and graded exercise all of which are highly effective when delivered online.

Research into telehealth physiotherapy shows comparable outcomes to in-person care for musculoskeletal conditions. And since fatigue management doesn’t rely on manual therapy, online sessions are an excellent fit.

Who Can Benefit Most?

• Students balancing study and fatigue.

• Professionals juggling long hours and desk-based work.

• Parents who need flexible support.

• People in rural areas without specialist access.

• Anyone who feels “always tired” despite trying to exercise or rest.

How to Get Started

1. Book a free 30-minute consultation.

2. Discuss your fatigue patterns, daily challenges, and goals.

3. Begin a tailored plan designed to reduce fatigue, improve strength, and give you back control.

👉 Book your free consultation today

Key Takeaways

• Fatigue is one of the most common and most disabling symptoms of hypermobility.

• It happens because your body uses extra energy to stabilise joints, manage pain, and cope with poor sleep.

• Standard advice often fails; what you need is tailored pacing and exercise strategies.

• Remote physiotherapy provides effective fatigue management across the UK without the added exhaustion of travelling.

• With the right plan, you can break the cycle of “boom and bust” and feel more in control of your energy.

• Learn more on our Remote Hypermobility Physiotherapy UK page

  
  

FAQs About Hypermobility & Fatigue