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Your Personal EDS Assistant

Ehlers-Danlos syndrome (EDS) symptoms, and how to feel more in control.

Joint instability, pain, fatigue and the conditions that often come with EDS. See the symptoms by type, print a checklist for your doctor, and know the warning signs that need urgent care.

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Last updated 11 October 2026

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EDS symptoms

What are the symptoms of Ehlers-Danlos syndrome?

EDS is a group of 13 inherited conditions that affect connective tissue. Most types share joints that move further than usual, stretchy skin, and skin that bruises or breaks easily. How much it affects someone varies a lot, even within one family. Hypermobile EDS (hEDS) is by far the most common type.

Hypermobile EDS (hEDS)

The most common type. Its old name is EDS type 3.

  • Joints that bend further than usual
  • Loose, unstable joints that partly or fully dislocate
  • Long-lasting joint and muscle pain
  • Extreme tiredness (fatigue)
  • Soft skin that bruises easily
  • Heartburn, constipation or other gut problems
  • Dizziness and a faster heart rate on standing
  • Bladder control problems

Diagnosis: a doctor’s examination using the 2017 criteria. There is no genetic test for hEDS yet.

Classical EDS (cEDS)

Less common than hEDS. It affects the skin more.

  • Very stretchy, smooth, velvety skin
  • Fragile skin that splits easily, especially on the forehead, knees, shins and elbows
  • Wounds that heal slowly and leave wide scars
  • Bruising easily
  • Hypermobile joints that can dislocate
  • Hernias or organ prolapse

Diagnosis: an examination by a specialist, usually confirmed with a genetic test.

Vascular EDS (vEDS)

Rare, and the most serious type, because blood vessels and organs can tear.

  • Bruising very easily
  • Thin skin with visible small veins, especially on the chest and legs
  • Facial features such as a thin nose and lips, large eyes and small earlobes
  • Hypermobile fingers and toes
  • Varicose veins at a young age
  • Fragile arteries, bowel and womb that can tear

Diagnosis: a genetic test that finds a change in the COL3A1 gene.

The other 10 types are rare. Kyphoscoliotic EDS, for example, causes a curved spine and weak muscle tone from early childhood, and fragile eyes. Most rare types are confirmed with genetic testing. The Ehlers-Danlos Society lists every type.

Printable EDS symptom checklist

Tick what applies and take it to your GP, family doctor, rheumatologist or geneticist. It covers what doctors ask about for hypermobile EDS and hypermobility spectrum disorder, the most common types.

EDS symptom checklist

Tick what you’ve noticed. Next to each one, jot down when it started and how often it happens.

The main signs

Joints

  • Joints that bend further than most people’s
  • Joints that partly or fully dislocate
  • Frequent sprains or strains
  • Clicking or unstable joints
  • Joint or muscle pain on most days for 3 months or more

Skin

  • Soft or velvety skin
  • Skin that stretches more than usual
  • Bruising easily
  • Wounds that heal slowly or leave wide, thin scars
  • Stretch marks without weight change

Energy, heart and balance

  • Extreme tiredness (fatigue)
  • Dizziness or a racing heart when you stand up
  • Poor balance or co-ordination
  • Headaches or migraine

Gut and bladder

  • Heartburn or reflux
  • Constipation, diarrhoea or bloating
  • Feeling full quickly when you eat
  • Bladder leaks, or needing to pee urgently

Other signs doctors ask about

  • Heavy or painful periods
  • Hernias, or a prolapse of the womb, bladder or bowel
  • Crowded teeth and a high, narrow roof of the mouth
  • Local anaesthetic at the dentist not working well
  • Small bumps on your heels when you stand
  • Dry eyes or strong short-sightedness
  • Poor sleep
  • A parent, brother, sister or child with EDS or very flexible joints

A checklist can’t diagnose EDS, but it helps you describe what happens.

Add any dates you remember, such as dislocations or your worst weeks. Our appointment one-pager helps you fit the rest on one page.

What are the symptoms of EDS in women?

The main symptoms are the same in women and men: flexible, unstable joints, pain, fatigue and skin that bruises easily. Women and girls tend to have more flexible joints than men and boys. Women with hypermobile EDS also often have:

  • Heavy or painful periods
  • Bladder leaks, or needing to pee urgently
  • Prolapse, where the womb, bladder or bowel drops down
  • Pain during sex

Studies suggest between 20% and 75% of people with hEDS have at least one pelvic floor problem. Pregnancy adds strain to loose joints and the pelvis, so tell your midwife or doctor about EDS early.

Vascular EDS makes pregnancy much riskier, because the womb and arteries can tear. If vascular EDS runs in your family, see a genetic counsellor before trying for a baby.

EDS symptoms in adults and children

People are born with EDS, but symptoms usually show in childhood. Children with hEDS may have leg pain often called growing pains, pain from repeated tasks such as handwriting, and poor co-ordination.

Most children are very flexible, so doctors are cautious. The 2017 hEDS criteria are for adults. Children with troublesome hypermobility are usually given a hypermobility diagnosis and checked again once they stop growing.

Joints tend to get a little less flexible with age. Long-lasting pain, fatigue, headaches and gut problems often become the main issue from the teenage years into the forties. Many adults are only diagnosed then.

Can you see EDS? Signs in the face, eyes, skin, hands and feet

Usually not. Most people with hypermobile EDS look like anyone else. Some signs you can see do help doctors, especially with the rarer types.

WhereWhat doctors look forMost linked with
FaceA thin nose and lips, large or prominent eyes and small earlobesVascular EDS
EyesA fold of skin over the inner corner of the eyeClassical EDS
EyesDry eyes, strong short-sightedness and loose eyelidsHypermobile EDS
SkinSoft, velvety skin that stretches and snaps back, with wide, thin scars on the forehead, chin, knees or shinsClassical EDS
SkinThin, see-through skin with visible veins, especially on the chestVascular EDS
SkinStretch marks without weight change, and easy bruisingHypermobile EDS
HandsLittle fingers that bend back past 90 degrees and thumbs that touch the forearmHypermobile and classical EDS
HandsHands that look older than your ageVascular EDS
FeetFlat feet, and small bumps of fat on the heels when you standHypermobile and classical EDS
MouthCrowded teeth and a high, narrow roof of the mouthHypermobile EDS

None of these signs means EDS on its own. Doctors look at the whole picture, including your history and your family.

Is it hypermobility, HSD or EDS?

Flexible joints on their own are common and usually harmless. Around 1 in 30 people have hypermobile joints, and most do not have EDS.

Hypermobility spectrum disorder (HSD) is when flexible joints cause problems such as pain, sprains or dislocations, but you don’t meet the criteria for a type of EDS. HSD can affect your life as much as hEDS, and it is treated the same way.

Doctors often start with the Beighton score. You get 1 point for each of these:

  • Each little finger bends back more than 90 degrees (1 point per hand)
  • Each thumb bends back to touch the forearm (1 point per hand)
  • Each elbow bends backwards more than 10 degrees (1 point per arm)
  • Each knee bends backwards more than 10 degrees (1 point per leg)
  • You can put your palms flat on the floor with your knees straight (1 point)

A score of 5 or more out of 9 suggests widespread hypermobility in adults up to 50. The cut-off is 4 over 50, and 6 in children before puberty. Shoulders, neck, jaw, hips and ankles aren’t in the score, but they can be hypermobile too.

When should you see a doctor about EDS symptoms?

See a GP or family doctor if you have several troublesome symptoms. They may refer you to a rheumatologist or a genetics service. You don’t usually need to worry about a few mild symptoms that aren’t causing problems.

Get medical help straight away for the vascular EDS warning signs above, or for sudden pain or bleeding you can’t explain, chest pain, trouble breathing, fainting when you stand, or sudden changes in your vision.

Sources

  1. NHS: Ehlers-Danlos syndromes
  2. NHS: Joint hypermobility syndrome
  3. Mayo Clinic: Ehlers-Danlos syndrome, symptoms and causes
  4. GeneReviews: Hypermobile Ehlers-Danlos syndrome (updated 2024)
  5. GeneReviews: Classic Ehlers-Danlos syndrome (updated 2024)
  6. GeneReviews: Vascular Ehlers-Danlos syndrome (updated 2025)
  7. Malfait F, et al. The 2017 international classification of the Ehlers-Danlos syndromes. American Journal of Medical Genetics Part C, 2017
  8. The Ehlers-Danlos Society: EDS types
  9. The Ehlers-Danlos Society: hEDS diagnostic checklist
  10. The Ehlers-Danlos Society: What is HSD?
  11. The Ehlers-Danlos Society: Hypermobile EDS, clinical description and natural history (for non-experts)
  12. The Ehlers-Danlos Society: Myths and facts about EDS and HSD
  13. The Ehlers-Danlos Society: Emergency care for people with EDS and HSD
  14. Ehlers-Danlos Support UK: Frequently asked questions about EDS and HSD
  15. Patient experiences of receiving a diagnosis of hypermobile Ehlers-Danlos syndrome. American Journal of Medical Genetics Part A, 2024
  16. Farley M, et al. Mast cell activation disorders among patients with POTS and Ehlers-Danlos syndrome: a systematic review. Annals of Allergy, Asthma & Immunology, 2025
  17. Hypermobility Syndromes Association: Pain management
  18. West Suffolk NHS Foundation Trust: Hypermobility in children (PDF)
  19. ADA.gov: Introduction to the Americans with Disabilities Act
  20. Social Security Administration: Disability evaluation, general information
  21. GOV.UK: Definition of disability under the Equality Act 2010
  22. GOV.UK: Personal Independence Payment (PIP)

Last updated 11 October 2026. This page is general information and does not replace advice from your own clinician.

Quick answer

What is the best way to track EDS symptoms?

The best way to track Ehlers-Danlos Syndrome is to separate symptoms by domain, log what changed when it happened, and connect each entry to triggers, treatment, and daily impact. Juno turns low-effort voice or text check-ins into a timeline your geneticist, rheumatologist, or physiotherapist can review.

Starting today? Use the free symptom tracker to log pain, fatigue and what came before them.

Dizzy when you stand? The free at-home POTS standing test records your heart rate for your doctor.

  • Symptom timing
  • Possible triggers
  • Treatment response
  • Appointment questions

What should your EDS symptom tracker record?

A strong Ehlers-Danlos Syndrome tracker records separate symptom domains, timing, triggers, treatment context, and functional impact. For Ehlers-Danlos Syndrome, the most useful entries are subluxations and dislocations (per joint), pain location and intensity, fatigue, injuries and recovery, activity load.

How does tracking Ehlers-Danlos Syndrome help at appointments?

Tracking gives your geneticist, rheumatologist, or physiotherapist a cleaner timeline than memory can provide. It turns scattered day-to-day notes into onset, duration, recovery, possible triggers, medication context, and the questions you need answered.

When should new Ehlers-Danlos Syndrome symptoms be escalated?

New, sudden, severe, or worsening symptoms should be shared with your clinical team promptly, especially when they affect daily safety, function, medication response, or a body system your care team is already monitoring. Juno helps you record what changed, but your clinician decides what needs urgent care.

What should you log?

  • Subluxations and dislocations (per joint)
  • Pain location and intensity
  • Fatigue
  • Injuries and recovery
  • Activity load
  • Flares and crashes
  • Sleep
  • Mobility and stability

What patterns matter?

  • Activity load and next-day pain or instability
  • Injury patterns clustered at specific joints
  • Fatigue trends across weeks
  • Overlap with POTS or GI symptoms in the same window

What should you bring?

  • A subluxation/dislocation log per joint
  • Pain and fatigue trends
  • Notes on overlapping conditions (POTS, MCAS, GI)
  • Physiotherapy adherence and response
  • Specific questions for your geneticist, rheumatologist, or PT

Tracker comparison

What makes Juno different from a generic tracker?

Generic trackers often flatten complex symptoms into one daily score. Juno keeps the details separate enough for pattern recognition and clear enough for appointments.

NeedGeneric trackerJuno
Per-joint instabilityNo concept of subluxationSubluxations and dislocations logged per joint, over time
Comorbidity overlapEach condition lives in a different appEDS, POTS, MCAS, GI tracked side by side
Activity toleranceGeneric step counterActivity types logged against pain and instability
PT responseManual recallPT adherence and symptom response in one view
Multi-specialist prepRepeat the whole story each timeOne timeline you can hand to anyone

Key benefits

Four ways Juno makes life with EDS a little easier.

Spot Ehlers-Danlos Syndrome flare patterns sooner

Track shifts in subluxations and dislocations (per joint), pain location and intensity, fatigue, injuries and recovery before they blur together by the next appointment.

Track symptoms automatically

Tell Juno what happened in plain language and it turns that into a clear symptom timeline without extra admin.

Protect your energy

See what tends to push you past baseline so you can pace the week with less guesswork around ehlers-danlos syndrome.

Show up prepared

Turn daily notes, symptom changes, and context into something your geneticist, rheumatologist, or physiotherapist can actually use.

Features

Built for the everyday reality of managing EDS.

Juno is designed to take some of the admin load off with calmer check-ins, clearer pattern tracking, and support that stays useful between appointments.

Flare support

Manage flares

Keep one calm place for what changed, what felt worse, and what might have triggered it so ehlers-danlos syndrome flare days do not blur together.

  • Track what changed and when
  • Keep notes in plain language
  • Spot context around tougher days
Juno flare tracker for Ehlers-Danlos Syndrome
Low-effort tracking

Track symptoms automatically

Voice or text check-ins turn subluxations and dislocations (per joint), pain location and intensity, fatigue into a structured timeline, so you do less manual logging on already hard days.

  • Turn check-ins into clear logs
  • Keep details without filling forms
  • Build a timeline for appointments
Juno home screen for Ehlers-Danlos Syndrome
Community

Join a community of 60,000

Find people who understand the day-to-day reality of ehlers-danlos syndrome and feel less alone between appointments.

  • Feel less alone between visits
  • Read what helps other people cope
  • Stay connected on lower-energy days
Juno community groups screen
Energy pacing

Manage your energy

See what is draining you and pace the week more gently around ehlers-danlos syndrome, especially when triggers start to stack up.

  • Protect tomorrow before it crashes
  • Notice patterns around triggers
  • Plan the week around your baseline
Juno pace screen showing remaining energy

From people using Juno

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Such an incredible help

I was recently diagnosed with MS, and Juno has been a lifesaver. It helps me track everything from sleep to pain and remember what to tell my doctor.

Lvhb

Anxiety killer

Facing a doctor and needing to be assertive is hard. Juno helps me put questions into words and think more clearly about pacing.

Ginmail

Game changer

It feels like having someone who understands chronic illness with me all the time. Juno logs symptoms, remembers what helped before, and keeps cheering me on.

Jay-B23

Really great app

I can talk naturally while Juno quietly logs symptoms, mood, pain, and what I need to raise with my doctor. Tracking everything finally feels easy.

HnAWhite

Complex illness support

This is the first app that has been able to juggle all of my chronic illnesses. It helps with symptom logging, spotting correlations, and preparing for appointments.

Old ink fan

Genuinely helpful

It has actually helped me log things and understand the data myself. Sometimes Juno makes connections in my symptoms that I would have missed.

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Less alone

I have Multiple Sclerosis, and Juno has genuinely changed how I manage my days. It helps me pace my energy, track symptoms, and feel heard when I'm struggling.

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Amazing for pacing

I had been desperate for something to track symptoms, activities, medications, and mood. Juno gives me clearer data to bring into my doctor appointments.

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FAQs

A few common questions.

How can you tell if someone has EDS?

You usually can’t tell by looking. A doctor checks how far the joints bend (the Beighton score), looks at the skin, scars and bruising, and asks about dislocations, pain and family history. Hypermobile EDS is diagnosed this way using the 2017 criteria. Most other types are confirmed with a genetic test.

What age does EDS usually start?

EDS is genetic, so people are born with it, but symptoms often show in childhood and become clearer with age. In a 2024 survey of people with hEDS, symptoms began at a median age of 10 and diagnosis took about 10 years. In vascular EDS, the first serious problem often comes in early adulthood.

What are the common symptoms of EDS type 3?

EDS type 3 is the old name for hypermobile EDS (hEDS), the most common type. Typical symptoms are joints that bend further than usual and may partly or fully dislocate, long-lasting joint and muscle pain, fatigue, soft skin that bruises easily, gut problems such as heartburn or constipation, and dizziness with a faster heart rate on standing.

What are the diagnostic criteria for hEDS?

There are three parts. First, joints that bend more than usual, usually a Beighton score of 5 or more, or 4 over age 50. Second, two of these three: signs in the skin and body, a close relative with hEDS, or long-lasting pain or repeated dislocations. Third, other conditions have been ruled out.

Can you be hypermobile and not have EDS?

Yes. Around 1 in 30 people have hypermobile joints, and most don’t have EDS or any problems from it. If flexible joints cause pain, sprains or dislocations but you don’t meet the criteria for EDS, doctors may diagnose hypermobility spectrum disorder (HSD), which is managed in the same way as hEDS.

Does EDS have flare-ups?

Yes, many people with EDS have flare-ups, when pain, fatigue or joint instability get worse for days or weeks. Pacing your activities can help you avoid them. In a flare, people often use braces, gentle movement, heat or cold, and TENS, alongside any medicines their doctor advises. Get checked for a new dislocation or muscle weakness.

What are surprising symptoms of EDS?

Some symptoms seem to have nothing to do with joints. People with hEDS often report fatigue, dizziness on standing, reflux and constipation, heavy periods, bladder leaks, dry eyes, poor sleep, and local anaesthetic that works poorly at the dentist. Small bumps on the heels when standing and unexplained stretch marks are also common.

Can I get genetic testing for EDS?

Yes, for most types. Classical, vascular and the rarer types can be confirmed with a genetic blood test, usually arranged through a genetics service. There is no genetic test for hypermobile EDS yet, so it is diagnosed by examination using the 2017 criteria. Ask your GP or family doctor about a referral.

How do people with EDS sit?

There is no single way. Many people with hypermobile joints find it hard to sit still and shift position often. Some, especially children, sit in positions that push joints to the end of their range, such as W-sitting. Physiotherapists usually advise changing position often and using support such as a seat wedge or lumbar roll.

Is EDS a disability?

It can be. What counts is how it affects you, not the diagnosis itself. In the US, the ADA covers an impairment that substantially limits a major life activity. In the UK, the Equality Act covers a substantial, long-term effect on daily activities. Benefits such as Social Security disability or PIP depend on how it affects you.

What is Ehlers-Danlos syndrome?

EDS is a group of 13 inherited conditions that affect connective tissue, which supports the skin, joints, blood vessels and organs. The types share features such as joint hypermobility, stretchy skin and tissue fragility, but differ in their genetic cause, severity and the organs involved.

I have hEDS plus POTS and gut symptoms. Can Juno track them together?

Yes. That overlap is the point. Juno keeps symptoms from different conditions on one timeline, so you do not have to split your history across several apps.

Will Juno diagnose hypermobility or any EDS subtype?

No. Diagnosis is a clinical and genetic process. Juno helps you bring an organised picture into that conversation.

Other conditions

Get started with Juno.

Download the app to track symptoms, spot patterns, and feel more supported between appointments.

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