Online Learning Module Designed for Our Patients
The GoodHope Ehlers-Danlos Syndrome Clinic has developed a specialized learning module to better prepare our patients for treatment at the clinic.
The aim of this module is to provide information on EDS, G-HSD, services at the clinic, expectations for care, and self-management approaches. If you have EDS or are supporting someone with EDS, we hope this resource will be a helpful companion to their treatment.
To access our interactive learning module, please click on the title below:
General recommendations
Physical activity
It is very important to keep moving!
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Daily exercise (up to 30 minutes of low impact physical activity 3-5 days per week)
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Avoid contact sports, especially in cases of know joint instability
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Recommended activities include Pilates, swimming/water aerobics, and recumbent biking
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Focus on improving strength, proprioception and general conditioning.
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Consider referral to Physiatry for detailed musculoskeletal assessment in patients with multiple musculoskeletal related concerns
Pain Management
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Learn about and understand the mechanisms of chronic pain
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Over the counter pain medications as tolerated (avoid daily use of NSAIDS)
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Daily exercise
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Mental health support with referral to psychiatry or psychology as required
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Bracing as required (used only as needed in addition to strengthening exercises) to support unstable joints
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Referral to comprehensive, multidisciplinary pain management specialists as required (for example, TAPMI in Toronto)
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For chronic headaches/migraines consider using www.mychronicmigraine.ca to find a local headache specialist
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The Arthritis Society has resources for patients with hypermobility which may include limited physiotherapy and occupational therapy support
Psychology
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Addressing the psychological aspects of illness can change how the illness is experienced
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Psychology can help you manage your symptoms and pain through
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Mindfulness
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Cognitive behavioural therapy
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Dialectical behavioural therapy
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Acceptance and commitment therapy
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Clinical hypnosis
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Seek support in your community through your primary care teams, psychologists, social workers, counsellors, online supports (for example Mindbeacon), family and peers
Nutrition
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Every patient is different, but some EDS/G-HSD patients find benefit from low histamine, low FODMAP, gluten or lactose-free diets
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Increase salt and fluid intake for those with orthostatic/postural symptoms (discuss with your primary care practitioner before making any dietary changes)
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Consider dietitian referral for assistance in identifying food triggers and developing appropriate dietary plans