Adults
Joint hypermobility without complications
Generalized hypermobility (common, about 10–30% of people) with pain but no recurrent dislocation or skin and vascular features.
What to look for
- Hypermobility with or without pain. No recurrent dislocations, skin fragility or vascular history.
What to do
- Reassure and refer to physical therapy for strengthening and proprioception.
- Manage pain and pace activity.
Refer if
- Recurrent dislocations, skin fragility or vascular events, which suggest a heritable connective tissue disorder. Genetics referral is often the right destination.
- Signs of inflammatory arthritis
About this urgency level
Common in referral queues. Many can be managed in primary care with the guidance below, though some rheumatology practices are happy to see them. A pre-referral e-consult can help decide.
Timeframes are typical targets. Local pathways, capacity and clinical judgment come first.