The Role of Podiatric Care in Managing Ehlers-Danlos Syndrome Symptoms
- My Family Podiatry
- 4 days ago
- 4 min read
Ehlers-Danlos Syndrome (EDS) is a group of genetic connective tissue disorders that affect the skin, joints, and blood vessels. One of the most common challenges faced by individuals with Ehlers-Danlos Syndrome is joint hypermobility, which can lead to chronic pain, instability, and recurring injuries through the feet, ankles and legs.
Because connective tissues provide structural support to joints and ligaments, people with EDS often experience foot-related issues that impact their ability to walk comfortably and perform daily activities. These problems can lead to long-term mobility challenges if left unaddressed.
This is where podiatric care plays a crucial role. By working with Ehlers-Danlos Syndrome specialists, individuals with EDS can receive tailored interventions that help stabilise their feet, reduce pain, and improve their overall quality of life.
Understanding Ehlers-Danlos Syndrome and Its Effect on Feet
What is Ehlers-Danlos Syndrome (EDS)?
Ehlers-Danlos Syndrome (EDS) is a genetic disorder that affects collagen production, which is essential for strong connective tissues. This results in symptoms such as hypermobile joints, fragile skin, and increased risk of bruising or injury.
One of the most common subtypes is Hypermobile Ehlers-Danlos Syndrome (hEDS), which primarily affects joint stability and musculoskeletal function, leading to frequent foot and ankle problems.
How Hypermobile Ehlers-Danlos Syndrome Affects Foot Structure and Function
People with Hypermobile Ehlers-Danlos Syndrome often experience:
Flat feet due to ligament laxity, leading to foot pain and fatigue.
Joint hypermobility and instability, increasing the risk of subluxations (partial dislocations) or full dislocations.
Frequent sprains and dislocations due to weakened joint support.
Chronic foot pain and fatigue from muscle overuse and joint misalignment.
Given these challenges, working with a sports podiatrist or Ehlers-Danlos Syndrome specialist is essential for managing foot-related issues effectively.
Why Podiatric Care is Essential for Ehlers-Danlos Syndrome Feet
Because EDS affects joint stability and proprioception (body awareness in space), people with the condition often struggle with balance and mobility. Podiatric care provides targeted interventions to support foot function, prevent injuries, and enhance overall comfort.
The Role of a Podiatrist in EDS Foot Care
Diagnosing biomechanical abnormalities, including gait irregularities, arch collapse, and joint instability.
Improving mobility and pain management by addressing overuse injuries, muscle fatigue, and soft tissue damage.
Correcting gait abnormalities using custom foot orthotics, footwear advice and strengthening exercises to improve the position of the feet and ankles.
Preventing long-term complications by managing chronic foot conditions early to avoid worsening symptoms or permanent joint damage.
Working with Ehlers-Danlos Syndrome specialists, including podiatrists, rheumatologists, and physiotherapists, ensures a multidisciplinary approach to treatment.
Key Podiatric Treatments for Ehlers-Danlos Syndrome Supportive Therapy
A. Custom Orthotics for Foot Support
People with Hypermobile Ehlers-Danlos Syndrome often benefit from custom foot orthotics, which provide extra support and stability.
How Custom Orthotics Help
Reduce the excessive movement of joints that occurs due to joint hypermobility.
Improve foot alignment, especially for individuals with flat feet.
Absorb shock and pressure, reducing foot and ankle pain.
Choosing the Right Orthotics:
Every individual will have a unique foot position and the degree of control they need will differ. This is where custom foot orthotics are important. These will be designed to your unique foot structure and requirements with features including:
Shock-absorbing insole materials to cushion the impact of walking.
Support for the heel and arch of the foot to reduce excessive flattening of the feet and rolling of the ankles.
B. Supportive Footwear Recommendations
Wearing the right shoes is critical for EDS foot support. Features to look for include:
A firm heel counter to control the heel position.
Appropriate width through the forefoot to ensure the toes are not squashed. Long term use of narrow shoes can increase the risk of conditions such as bunions.
Enough depth and a removable insole to fit custom foot orthotics.
Footwear Tips
Avoid flexible, unsupportive shoes like ballet flats or thongs.
Opt for lace-up shoes with good ankle support.
Consider high-top sneakers or hiking boots for extra stability.
C. Strengthening Exercises
In people with hypermobility, the ligaments are excessively stretchy. We want to build as much strength into the muscles of the feet and ankles to provide some support and stability to these joints.
Strengthening Exercises
Toe curls and foot doming exercises to build intrinsic foot muscles and strength through the arch.
Toe swapping exercises: Lift your big toe while keeping your small toes down then lift your smaller toes while keeping your big toe on the ground.
Calf raises with a lower off a step build strength through the calf and Achilles tendon.
Massage Techniques
Stretching is often ineffective because the ligaments are so flexible. Massage techniques can be better using a foam roller, massage gun or trigger ball.
Calf and Achilles massage to relieve tightness.
Rolling the arch of the foot on a trigger ball to reduce tension through the foot.
Balance and Proprioception Training
Standing on one foot to improve coordination.
Use of wobble boards to train ankle stability.
D. Pain Management Strategies
Managing chronic foot pain in Ehlers-Danlos Syndrome can require a combination of protective strategies and therapy. These can include:
Taping Techniques
Kinesiology tape to support joints and prevent excessive movement.
Rigid taping for structures that require more support such as the ankle and arch.
Bracing and Compression Sleeves
Ankle braces to prevent sprains.
Compression socks to reduce swelling and improve circulation.
Alternative Therapies
Massage therapy to relieve muscle tension.
Hydrotherapy (water-based exercises) to support mobility while minimising joint stress.
When to See an Ehlers-Danlos Syndrome Specialist for Foot Issues
If you are suffering with the issues associated with Ehlers-Danlos Syndrome feet and experience persistent pain or instability, it’s important to consult a specialist podiatrist.
Signs You Need Podiatric Care
Frequent ankle sprains or dislocations.
Chronic foot or leg pain affecting daily life.
Difficulty finding supportive footwear.
Symptoms of plantar fasciitis, bunions, or flat feet.
How to Find the Right Ehlers-Danlos Syndrome Specialists
Look for podiatrists with experience in hypermobility disorders. A great resource is the Ehlers-Danlos Society Directory
Seek referrals from rheumatologists, physiotherapists, or genetic specialists.
Choose clinics offering EDS-specific treatments, such as custom orthotics and taping techniques.
Foot problems associated with Hypermobile Ehlers-Danlos Syndrome can significantly impact mobility and daily comfort. Podiatric care plays a vital role in managing pain, improving foot stability, and preventing long-term complications.
By working with an Ehlers-Danlos Syndrome specialist, individuals can access treatments such as custom orthotics, supportive footwear, exercise rehabilitation, and pain management strategies to enhance their quality of life.
If you’re experiencing foot pain or instability due to Ehlers-Danlos Syndrome, contact My Family Podiatry for expert care and custom treatment solutions.