Maybe you were the child who could do the splits without training, bend your joints farther than everyone else, or constantly roll your ankles. Perhaps you also dealt with frequent bruising, joint pain, instability, or fatigue that seemed normal at the time.
The 23 signs you grew up with Ehlers-Danlos syndrome can include unusual flexibility, repeated sprains or dislocations, chronic pain, soft or stretchy skin, easy bruising, digestive issues, and other connective-tissue-related symptoms. Looking back at these childhood experiences may help some adults recognize patterns they did not notice earlier.
However, the 23 signs you grew up with Ehlers-Danlos syndrome are not a diagnostic checklist. Many of these symptoms can occur without EDS, so proper diagnosis depends on medical history, physical examination, family history, and evaluation by a qualified healthcare professional.
Quick Answer: What Are the 23 Signs You Grew Up With Ehlers-Danlos Syndrome?
The 23 signs you grew up with Ehlers-Danlos syndrome may include childhood patterns involving joint hypermobility, repeated injuries, pain, skin differences, connective-tissue findings, and associated symptoms.
Possible childhood clues include:
- You were called “double-jointed.”
- You could do the splits or extreme stretches without training.
- Your knees or elbows bent backward.
- Your joints felt loose, unstable, or gave way.
- You repeatedly sprained or strained joints.
- Your joints partially or completely dislocated.
- Your joints frequently clicked or popped.
- Ordinary childhood activity caused unusual pain.
- Joint or muscle pain became a regular problem.
- You seemed unusually clumsy or unsteady.
- You had flat feet or unstable ankles.
- You had low muscle tone or delayed motor milestones.
- You tired much faster than your peers.
- Your skin felt unusually soft or velvety.
- Your skin stretched more than expected.
- You bruised unusually easily.
- Cuts healed poorly or left unusual scars.
- You developed unexplained stretch marks.
- Small bumps appeared around your heels when standing.
- You experienced recurrent hernias.
- Your teeth were crowded or your palate was high and narrow.
- Digestive problems followed you through childhood.
- Standing sometimes made you dizzy or caused a racing heartbeat.
EDS is a group of inherited connective-tissue disorders. Joint hypermobility is common across EDS, while skin, tissue, vascular, skeletal, muscular, dental, and organ involvement differs according to subtype.
Key Takeaways
- The 23 signs you grew up with Ehlers-Danlos syndrome should be viewed as possible clues rather than a self-diagnosis checklist.
- Ehlers-Danlos syndrome is not simply extreme flexibility.
- Many naturally flexible people do not have EDS.
- Joint instability, repeated atraumatic injuries, chronic pain, and connective-tissue findings can be more informative than flexibility alone.
- Childhood flexibility can decrease with age, so historical hypermobility may remain clinically relevant.
- Not everyone with EDS has dramatic skin stretching or repeated complete dislocations.
- There is currently no laboratory or genetic test that confirms hEDS.
- Children from age 5 through biological maturity are evaluated using the pediatric joint-hypermobility framework rather than simply applying adult hEDS criteria.
- As of August 5, 2026, the 2017 adult hEDS criteria remain in use. A revised international EDS/HSD classification is scheduled for publication in December 2026.
What Is Ehlers-Danlos Syndrome?
Ehlers-Danlos syndromes are a group of heritable connective-tissue disorders.
Connective tissue provides support and structure throughout the body, including in the:
- Joints
- Ligaments
- Skin
- Blood vessels
- Bones
- Muscles
- Internal organs
The current classification recognizes 13 types of EDS, including hypermobile EDS, classical EDS, vascular EDS, arthrochalasia EDS, kyphoscoliotic EDS, periodontal EDS, and several rarer forms.
The types do not all look the same.
- Hypermobile EDS (hEDS) is especially associated with generalized joint hypermobility, instability, musculoskeletal pain, and various connective-tissue features.
- Classical EDS (cEDS) is more strongly characterized by skin hyperextensibility, tissue fragility, and abnormal scarring.
- Vascular EDS (vEDS) can involve fragility of arteries and certain organs and requires very different clinical consideration.
That distinction is important when reading about the 23 signs you grew up with Ehlers-Danlos syndrome. No childhood symptom list can diagnose EDS or determine which subtype someone may have.
23 Signs You Grew Up With Ehlers-Danlos Syndrome
The following 23 signs you grew up with Ehlers-Danlos syndrome focus on childhood experiences that may become more meaningful when several occur together.
| # | Childhood Sign | Main Area |
| 1 | You were called “double-jointed” | Joint hypermobility |
| 2 | You could do extreme stretches easily | Joint hypermobility |
| 3 | Your knees or elbows bent backward | Joint hypermobility |
| 4 | Your joints felt loose or gave way | Joint stability |
| 5 | You repeatedly sprained or strained joints | Musculoskeletal |
| 6 | Joints partially or completely dislocated | Musculoskeletal |
| 7 | Your joints frequently clicked or popped | Joints |
| 8 | Ordinary activity caused unusual pain | Musculoskeletal |
| 9 | Joint or muscle pain became persistent | Musculoskeletal |
| 10 | You seemed unusually clumsy or unsteady | Movement |
| 11 | You had flat feet or unstable ankles | Musculoskeletal |
| 12 | You had low muscle tone or delayed milestones | Development |
| 13 | You tired more easily than your peers | Associated feature |
| 14 | Your skin felt unusually soft | Skin |
| 15 | Your skin stretched more than expected | Skin |
| 16 | You bruised unusually easily | Skin/tissue |
| 17 | Cuts healed poorly or left unusual scars | Skin/tissue |
| 18 | You developed unexplained stretch marks | Skin/tissue |
| 19 | Small bumps appeared around your heels | Connective tissue |
| 20 | You experienced recurrent hernias | Connective tissue |
| 21 | You had dental crowding or a narrow palate | Oral/dental |
| 22 | Digestive problems followed you through childhood | Associated feature |
| 23 | Standing caused dizziness or a racing heart | Associated feature |
1. You Were the “Double-Jointed” Kid
Maybe unusual flexibility was one of your childhood party tricks.
You may have been able to:
- Bend your thumbs unusually far
- Twist your fingers into unusual positions
- Hyperextend several joints
- Perform flexibility tricks your friends could not
- Move joints much farther than other children
What people casually call being “double-jointed” is usually joint hypermobility.
Generalized joint hypermobility is central to hEDS, but flexibility by itself does not mean someone has EDS. Many people are naturally hypermobile without significant instability, injury, pain, or a connective-tissue disorder.
When evaluating the 23 signs you grew up with Ehlers-Danlos syndrome, unusual childhood flexibility becomes more meaningful when it occurs alongside instability, repeated injuries, pain, or connective-tissue features.
2. You Could Do the Splits or Extreme Stretches Without Training
Maybe other children needed months of gymnastics or dance practice to achieve movements that seemed effortless to you.
You might remember being able to:
- Do the splits
- Put your palms flat on the floor with straight knees
- Perform contortion-like movements
- Fold your limbs into unusual positions
- Show off flexibility tricks to friends
Childhood flexibility can remain clinically relevant even when an adult is much less flexible today.
Historical hypermobility questions used during assessment specifically ask about previous abilities such as doing the splits or unusual contortions.
This is one reason childhood memories matter when reviewing possible signs you grew up with Ehlers-Danlos syndrome.
3. Your Knees or Elbows Bent Backward
Some hypermobile children naturally stand with their knees extending farther backward than usual.
The elbows may do the same.
Hyperextension of the knees and elbows forms part of the Beighton score, a nine-point screening system used to assess generalized joint hypermobility.
As a child, however, you probably did not think of it as hyperextension.
You may simply have assumed everyone else’s joints moved the same way.
4. Your Joints Felt Loose, Wobbly, or Gave Way
Extreme range of motion is only one side of hypermobility.
For many people, instability is the bigger issue.
You may remember:
- A knee suddenly buckling
- An ankle repeatedly rolling
- A shoulder feeling as though it were slipping
- A hip feeling unstable
- Fingers shifting unexpectedly
- Needing to tense your muscles to keep a joint stable
Joint instability, subluxations, and dislocations are recognized hEDS features.
Children may also unconsciously change the way they walk, sit, run, or participate in sports to protect unstable joints.
Among the 23 signs you grew up with Ehlers-Danlos syndrome, repeated instability may be more clinically meaningful than simply being flexible.
5. You Were Constantly Spraining or Straining Something
Most active children experience an occasional injury.
The more noteworthy pattern is repeated soft-tissue injury from relatively ordinary activity.
Examples include:
- Recurrent ankle sprains
- Wrist strains
- Tendon problems
- Knee injuries
- Shoulder strains
- Repeated sports injuries
- Frequently needing braces or tape
The current pediatric hypermobility framework specifically considers recurrent musculoskeletal complications and soft-tissue injuries when evaluating symptomatic generalized joint hypermobility.
A single sprain means little. A persistent pattern alongside instability and generalized hypermobility provides more useful context.
6. Your Joints Partially or Completely Dislocated
A dislocation occurs when the bones forming a joint completely lose their normal alignment.
A subluxation is a partial loss of alignment.
In hEDS, subluxations, dislocations, and soft-tissue injuries may occur spontaneously or after relatively minor trauma.
You might remember:
- A kneecap repeatedly “slipping”
- A shoulder feeling suddenly out of place
- Fingers shifting partly out of position
- A hip feeling like it moved incorrectly
- A joint becoming painful during an ordinary movement
Repeated atraumatic dislocations or documented instability form part of the musculoskeletal component of current hEDS diagnostic criteria.
7. Your Joints Were Always Clicking or Popping
Clicking, cracking, and popping joints are common and often harmless.
Joint noises alone are not evidence of EDS.
They become more relevant only when they appear alongside a larger pattern such as:
- Generalized hypermobility
- Instability
- Subluxations
- Recurrent injuries
- Persistent pain
The important clue is not the noise itself but everything happening around it.
That distinction is important throughout these 23 signs you grew up with Ehlers-Danlos syndrome because common symptoms should never be interpreted in isolation.
8. Normal Childhood Activity Left Your Joints Hurting
Perhaps gym class left your knees aching long after everyone else had recovered.
Maybe a school trip, afternoon outside, or shopping trip made your feet and legs hurt disproportionately.
You may remember saying:
- “My legs hurt.”
- “My feet hurt.”
- “Can we sit down?”
- “My knees hurt again.”
Current hEDS criteria include recurring musculoskeletal pain and chronic widespread pain within the musculoskeletal complication component.
Childhood pain has many causes, however, so pain by itself does not indicate EDS.
9. Joint or Muscle Pain Became Part of Everyday Life
For some people, discomfort eventually becomes routine.
You may remember pain after:
- Sitting through school
- Standing for long periods
- Writing
- Carrying a backpack
- Walking long distances
- Running
- Climbing stairs
- Participating in sports
Chronic musculoskeletal pain is common in hEDS, and repeated instability or soft-tissue injuries can contribute to persistent problems.
Persistence, severity, location, and impact on daily activities matter more than an occasional ache.
10. You Were Known as the “Clumsy” Kid
Maybe you frequently tripped, bumped into furniture, lost your balance, or struggled with movements that other children seemed to perform easily.
“Clumsiness” is not an hEDS diagnostic criterion.
However, instability in hypermobile joints may make movement control more difficult for some people.
Childhood experiences might include:
- Frequent falls
- Difficulty balancing
- Awkward running
- Trouble controlling limb position
- Bumping into furniture or doorframes
These problems also have many neurological, developmental, orthopedic, and benign explanations, so they should only be considered within the broader clinical picture.
11. You Had Flat Feet or Ankles That Rolled Easily
Flat feet are common in childhood and are not evidence of EDS by themselves.
But flat feet combined with generalized hypermobility, ankle instability, repeated sprains, and pain may form part of a broader musculoskeletal pattern.
You might remember:
- Ankles constantly rolling inward
- Shoes wearing unevenly
- Foot fatigue
- Arch discomfort
- Difficulty with long walks
- Needing orthotics or inserts
The Beighton score also does not measure every potentially hypermobile joint, so symptomatic ankles, feet, shoulders, hips, or other joints may require separate assessment.
12. You Had Low Muscle Tone or Reached Some Motor Milestones Later
Some children with connective-tissue disorders can have low muscle tone, or hypotonia.
A history might include:
- Being described as unusually “floppy”
- Sitting later
- Standing later
- Walking later
- Difficulty climbing stairs
- Reduced physical endurance
- Needing physical therapy
Significant hypotonia or developmental delays can also point toward neurological, muscular, genetic, or other conditions, so these findings should not automatically be attributed to hEDS.
13. You Tired Much Faster Than Other Kids
Maybe a normal school day followed by sports left you exhausted.
Perhaps you needed substantially more recovery time than your friends.
Chronic fatigue is frequently reported in hEDS, but it is an associated feature rather than a specific diagnostic sign.
Fatigue can also result from anemia, sleep disorders, thyroid problems, nutritional deficiencies, infection, medication effects, chronic pain, and numerous other conditions.
Persistent unexplained fatigue therefore deserves its own evaluation.
Fatigue can appear among the 23 signs you grew up with Ehlers-Danlos syndrome, but it is much less specific than generalized hypermobility, instability, or characteristic connective-tissue findings.
14. Your Skin Felt Unusually Soft or Velvety
EDS does not affect only joints.
Skin and other connective tissues can provide important clues.
Unusually soft or velvety skin is one of the systemic manifestations considered under current adult hEDS criteria.
You may never have noticed the difference because your skin had always felt that way.
15. Your Skin Stretched More Than Expected
Skin hyperextensibility means skin stretches farther away from underlying tissue than expected.
The degree matters.
Mild skin hyperextensibility is one possible hEDS feature. More marked skin hyperextensibility or significant tissue fragility may point toward another EDS subtype.
Skin findings should therefore be interpreted as part of the complete examination rather than through aggressive self-testing.
16. You Bruised Extremely Easily
Maybe bruises seemed to appear without an obvious reason.
Perhaps your legs or arms were regularly covered in marks even though you could not remember getting hurt.
Easy bruising can occur in hEDS and other EDS types.
Children naturally collect bruises during play, so the pattern becomes more noteworthy when bruising is:
- Very frequent
- Unusually large
- Triggered by minimal trauma
- Out of proportion to the injury
Blood disorders, medications, nutritional problems, and other medical conditions can also cause bruising.
17. Cuts Healed Poorly or Left Unusual Scars
Maybe every scraped knee seemed to leave a permanent reminder.
Scarring differs considerably among EDS types.
Atrophic scars may appear thin, widened, or sunken. Certain forms of atrophic scarring are included among current hEDS systemic features, while much more pronounced tissue fragility may suggest another EDS subtype.
Skin and scar differences are among the more recognizable connective-tissue features within the broader 23 signs you grew up with Ehlers-Danlos syndrome.
18. You Developed Stretch Marks That Did Not Seem to Make Sense
Stretch marks are common during:
- Puberty
- Growth spurts
- Pregnancy
- Weight changes
- Muscle growth
Ordinary stretch marks do not suggest EDS.
The hEDS criteria instead consider unexplained striae occurring without the expected body-size or weight changes under specific circumstances.
Context matters more than simply having stretch marks.
19. Small Bumps Appeared Around Your Heels When You Stood Up
Piezogenic heel papules are soft bumps that may appear around the heel when weight-bearing pressure pushes fat through underlying connective tissue.
They can occur in people without EDS.
However, bilateral piezogenic heel papules are one of the systemic features considered in current adult hEDS criteria.
20. You Experienced Recurrent Hernias
A hernia occurs when tissue pushes through a weakened area in surrounding muscle or connective tissue.
Current hEDS criteria include recurrent or multiple abdominal hernias among possible systemic manifestations.
Examples include:
- Umbilical hernias
- Inguinal hernias
- Other abdominal-wall hernias
A single childhood hernia does not indicate EDS. Repeated hernias alongside other connective-tissue findings carry more clinical context.
21. Your Teeth Were Crowded or Your Palate Was High and Narrow
Orthodontic problems may seem unrelated to flexible joints.
Sometimes they are.
However, the combination of dental crowding and a high or narrow palate is included in current adult hEDS systemic criteria.
Needing braces alone is not evidence of EDS.
22. Digestive Problems Followed You Through Childhood
Perhaps digestive trouble simply felt like part of everyday life.
You may remember:
- Constipation
- Reflux
- Heartburn
- Bloating
- Abdominal discomfort
- Irregular bowel habits
- Feeling full quickly
Functional gastrointestinal disorders are commonly reported in association with hEDS.
These symptoms are also widespread in the general population and have many potential causes.
They are associated symptoms—not proof of a connective-tissue disorder.
23. Standing Made You Dizzy or Sent Your Heart Racing
Perhaps your vision briefly darkened when you stood.
Maybe long lines or hot showers made you lightheaded.
Cardiovascular autonomic dysfunction is among the conditions reported in association with hEDS.
Possible experiences include:
- Lightheadedness after standing
- Feeling faint
- Rapid heartbeat
- Difficulty standing still
- Symptoms worsening in heat
This does not mean everyone with EDS has postural orthostatic tachycardia syndrome (POTS).
Dizziness and tachycardia have many possible causes and should be evaluated independently when persistent or concerning.
Together, these 23 signs you grew up with Ehlers-Danlos syndrome are most useful when they help identify a pattern rather than encourage readers to count symptoms.
Core EDS Features vs Associated Symptoms
One of the biggest problems with online symptom lists is treating every symptom as though it carries equal diagnostic importance.
It does not.
Understanding this distinction makes the 23 signs you grew up with Ehlers-Danlos syndrome much more useful.
| Feature | How to Interpret It |
| Generalized joint hypermobility | Central requirement for current hEDS diagnosis |
| Recurrent atraumatic instability | Important musculoskeletal feature |
| Recurrent subluxations/dislocations | Relevant when occurring without substantial trauma |
| Soft or mildly hyperextensible skin | Current systemic hEDS feature |
| Atrophic scarring | Significance depends on severity and EDS subtype |
| Unexplained stretch marks | Current systemic hEDS feature |
| Bilateral heel papules | Current systemic hEDS feature |
| Recurrent abdominal hernias | Current systemic hEDS feature |
| Dental crowding + high/narrow palate | Current systemic hEDS feature |
| Chronic musculoskeletal pain | Important musculoskeletal complication |
| Fatigue | Associated but nonspecific |
| Digestive symptoms | Associated but not diagnostic alone |
| Autonomic symptoms | Can occur alongside hEDS/HSD |
| Joint clicking | Common and highly nonspecific |
Current hEDS diagnosis requires all three major criteria: generalized joint hypermobility, sufficient additional systemic/family/musculoskeletal features, and exclusion of alternative diagnoses.
Why Childhood Hypermobility Can Still Matter in Adulthood

Someone who was dramatically flexible at age 10 may look considerably less hypermobile at age 40.
Range of motion can change because of:
- Age
- Injuries
- Surgery
- Arthritis
- Pain
- Muscle stiffness
- Changes in physical activity
That is why clinicians may consider historical hypermobility.
A commonly used five-question screening tool asks about previous abilities such as:
- Putting the palms flat on the floor with straight knees
- Bending the thumb toward the forearm
- Doing the splits or unusual contortions
- Repeated shoulder or kneecap dislocations during youth
- Considering yourself “double-jointed”
Two or more positive answers can support a history of joint hypermobility, but this questionnaire is a screening tool rather than an EDS diagnosis.
For adults researching the 23 signs you grew up with Ehlers-Danlos syndrome, this is particularly important because childhood flexibility may no longer be obvious during adulthood.
What Does the Beighton Score Measure?
The Beighton score is a nine-point screening system used to assess generalized joint hypermobility.
| Movement | Possible Points |
| Right little finger hypermobility | 1 |
| Left little finger hypermobility | 1 |
| Right thumb toward forearm | 1 |
| Left thumb toward forearm | 1 |
| Right elbow hyperextension | 1 |
| Left elbow hyperextension | 1 |
| Right knee hyperextension | 1 |
| Left knee hyperextension | 1 |
| Palms flat on floor with knees straight | 1 |
| Maximum Score | 9 |
Under the current framework:
- A Beighton score of 6/9 or higher indicates generalized joint hypermobility in children before puberty.
- For biologically mature adolescents and adults age 50 or younger, the current hEDS threshold is 5/9 or higher.
- For adults older than 50, the threshold is 4/9 or higher.
The Beighton score does not diagnose EDS.
It also does not directly assess every potentially hypermobile joint.
Other hEDS Diagnostic Criteria to Know
The 23 signs you grew up with Ehlers-Danlos syndrome focus mainly on childhood experiences people may remember.
They are not a copy of the formal adult diagnostic checklist.
Other systemic hEDS features include:
Arachnodactyly
Arachnodactyly refers to unusually long, slender fingers.
Clinicians assess this using specific wrist and thumb signs rather than appearance alone.
Increased Arm-Span-to-Height Ratio
An arm-span-to-height ratio of 1.05 or greater is one of the systemic features included in the current adult criteria.
Certain Forms of Pelvic or Rectal Prolapse
Pelvic-floor, rectal, or uterine prolapse can count under specified circumstances when typical predisposing factors are absent.
Mitral Valve Prolapse
Mitral valve prolapse meeting defined echocardiographic criteria is another systemic feature.
Aortic Root Dilatation
Aortic-root dilatation with a Z-score above the specified threshold is also included.
A person does not need all of these features to have hEDS.
Feature A of the current criteria contains 12 possible systemic manifestations, and at least five are required when Feature A is being used as part of Criterion 2.
EDS Can Look “Normal” in an Entire Family
One reason the 23 signs you grew up with Ehlers-Danlos syndrome can be overlooked is that similar characteristics sometimes appear in several relatives.
- Maybe your mother was also unusually flexible.
- Perhaps your father frequently rolled his ankles.
- Your sibling may bruise easily, while a grandparent was known for being “double-jointed.”
When multiple relatives share similar traits, a child may assume:
“This is just how our family is.”
Family history is relevant in current hEDS assessment. A first-degree relative who independently meets the current hEDS criteria can satisfy the family-history portion of Criterion 2.
A known family history is not required in every case, and relatives may have different degrees of symptoms.
EDS vs Ordinary Hypermobility vs HSD
Being flexible does not automatically mean someone has Ehlers-Danlos syndrome.
| Condition | General Description |
| Asymptomatic joint hypermobility | Greater-than-average joint range without significant related problems |
| Hypermobility spectrum disorder (HSD) | Symptomatic joint hypermobility not better explained by another condition |
| Hypermobile EDS (hEDS) | A clinical connective-tissue disorder requiring specific criteria |
| Other EDS types | Distinct inherited connective-tissue disorders with subtype-specific criteria |
Adults with symptomatic hypermobility who do not meet hEDS criteria may be diagnosed with HSD after other explanations have been considered.
HSD can still cause substantial:
- Pain
- Instability
- Recurrent injury
- Reduced function
The distinction should therefore never be simplified to:
hEDS = serious, HSD = harmless.
Treatment should reflect the individual’s symptoms and functional needs.
Red Flags That May Suggest Another EDS Type
The 23 signs you grew up with Ehlers-Danlos syndrome largely overlap with topics commonly discussed in relation to hEDS, but EDS includes several distinct disorders.
Some findings may point clinicians toward another type of EDS.
| Finding | Why It May Matter |
| Pronounced skin fragility with abnormal atrophic scars | Can suggest classical EDS |
| Thin translucent skin with vascular fragility | Can occur in vascular EDS |
| Arterial aneurysm, dissection, or rupture | Major concern for vEDS |
| Unexplained intestinal rupture | Important vEDS feature |
| Congenital hip dislocation | Can occur in arthrochalasia EDS |
| Early progressive scoliosis with hypotonia | Can suggest kyphoscoliotic EDS |
| Severe early periodontal disease | Can suggest periodontal EDS |
| Significant corneal fragility | Can suggest brittle cornea syndrome |
Current hEDS criteria specifically require exclusion of unusual tissue fragility or other findings that suggest a different connective-tissue disorder.
Why Vascular EDS Requires Special Attention
Vascular Ehlers-Danlos syndrome is associated with fragility of arteries and certain hollow organs.
Major suggestive findings include:
- Arterial aneurysm, dissection, or rupture
- Intestinal rupture
- Uterine rupture
- Family history of confirmed vEDS
Other findings can include thin translucent skin, easy bruising, pneumothorax, small-joint hypermobility, clubfoot, and early-onset varicose veins.
vEDS is established through molecular genetic testing identifying a pathogenic or likely pathogenic variant in COL3A1.
Conditions That Can Look Like Ehlers-Danlos Syndrome
A proper hEDS assessment also requires asking whether another condition better explains the findings.
Possible differential diagnoses include:
| Condition | Possible Overlap |
| Hypermobility spectrum disorder | Hypermobility, instability, pain |
| Other EDS types | Joint, skin, and tissue findings |
| Marfan syndrome | Joint laxity and connective-tissue features |
| Loeys-Dietz syndrome | Joint and vascular connective-tissue findings |
| Osteogenesis imperfecta | Connective-tissue findings and fracture susceptibility |
| Stickler syndrome | Joint problems with characteristic eye, hearing, or craniofacial findings |
| Neuromuscular disorders | Hypotonia, weakness, instability |
| Skeletal dysplasias | Joint laxity and skeletal differences |
| Some rheumatologic disorders | Pain and musculoskeletal symptoms |
The current hEDS criteria require exclusion of other hereditary and acquired conditions that can cause joint hypermobility or connective-tissue laxity.
This is another reason the 23 signs you grew up with Ehlers-Danlos syndrome should never be used as a self-diagnostic score.
Can Children Be Diagnosed With Hypermobile EDS?
Current guidance makes an important distinction between growing children and biologically mature individuals.
The 2023 Diagnostic Framework for Pediatric Joint Hypermobility applies from age 5 through biological maturity.
It evaluates:
- Generalized joint hypermobility
- Musculoskeletal complications
- Skin and tissue abnormalities
- Core associated conditions
- Whether other possible causes have been excluded
A Beighton score of 6 or higher is considered evidence of generalized joint hypermobility in children before puberty.
Under this framework, prepubescent children are not newly diagnosed with hEDS. They are classified within pediatric generalized hypermobility or pediatric hypermobility spectrum disorder categories and may be reassessed with adult hEDS criteria after reaching biological maturity.
Other genetically defined EDS types can still be investigated and diagnosed in children when appropriate.
What Does an EDS Evaluation Actually Include?
If several of the 23 signs you grew up with Ehlers-Danlos syndrome sound familiar, the next step is not to count symptoms. A clinical evaluation looks at the complete pattern.
There is no single universal “EDS test.”
An hEDS or HSD evaluation may include several parts.
1. Childhood and Medical History
A clinician may ask about:
- Childhood flexibility
- Dislocations and subluxations
- Frequent sprains
- Chronic pain
- Skin characteristics
- Bruising
- Scarring
- Hernias
- Dental history
- Digestive symptoms
- Orthostatic symptoms
- Previous orthopedic treatment
2. Family History
The clinician may ask whether relatives have:
- Confirmed EDS
- Significant hypermobility
- Recurrent dislocations
- Similar connective-tissue findings
- Unusual vascular events
3. Joint-Hypermobility Assessment
The Beighton score may be used to evaluate generalized hypermobility.
Historical flexibility and symptomatic joints outside the Beighton score may also be relevant.
4. Connective-Tissue Examination
Depending on the suspected condition, clinicians may examine:
- Skin texture
- Skin extensibility
- Scarring
- Heel papules
- Body proportions
- Palate shape
- Dental crowding
- Joint stability
- Skeletal features
5. Excluding Other Conditions
Other connective-tissue, genetic, skeletal, rheumatologic, and neuromuscular conditions may need to be considered.
6. Genetic Testing When Appropriate
Genetic testing may be recommended when another genetically defined type of EDS or a different heritable connective-tissue disorder is suspected.
hEDS remains a clinical diagnosis because there is currently no diagnostic molecular test for it.
Is There a Genetic Test for Ehlers-Danlos Syndrome?
It depends on the EDS type.
The other 12 currently classified EDS types have genetic tests available when their clinical features suggest a specific diagnosis.
Hypermobile EDS Is Different
As of August 5, 2026:
There is no validated laboratory or molecular genetic test that confirms or excludes hEDS.
Diagnosis remains clinical.
That distinction matters for readers investigating the 23 signs you grew up with Ehlers-Danlos syndrome, because a negative consumer or routine DNA result cannot be used to rule out hEDS.
Can 23andMe or Ancestry Diagnose Ehlers-Danlos Syndrome?
No.
Direct-to-consumer services such as 23andMe and Ancestry are not appropriate for diagnosing EDS or HSD.
These services examine a relatively limited set of genetic variants and cannot replace clinical genetic testing ordered and interpreted by qualified medical professionals.
A consumer genetic report that does not mention EDS therefore does not rule out hEDS.
Important 2026 Update: EDS Diagnostic Criteria Are Being Revised
The EDS/HSD classification system is undergoing its first major international update since 2017.
As of August 5, 2026, the existing adult hEDS criteria remain the framework currently in use.
A revised international EDS/HSD classification is scheduled for publication in December 2026, with additional diagnostic and management resources expected afterward.
Because the revised framework has not yet officially replaced the 2017 criteria, websites claiming that entirely new 2026 hEDS criteria are already in routine clinical use should be interpreted cautiously.
This article and its discussion of the 23 signs you grew up with Ehlers-Danlos syndrome reflect information available as of August 5, 2026.
Why EDS Can Go Unrecognized Until Adulthood
EDS does not suddenly begin in adulthood.
Recognition can simply happen much later.
This helps explain why searches for the 23 signs you grew up with Ehlers-Danlos syndrome often come from adults looking back at experiences they did not recognize as unusual when they were younger.
Childhood Flexibility May Be Seen as a Talent
Children who can do the splits or unusual flexibility tricks may receive praise rather than medical attention.
Children Are Naturally More Flexible
Normal childhood flexibility can make clinically significant hypermobility harder to distinguish.
Symptoms May Be Treated Separately
One person might see different professionals over the years for:
- Ankle sprains
- Knee pain
- Digestive symptoms
- Orthodontic problems
- Fatigue
- Dizziness
- Skin concerns
Without recognizing a broader connective-tissue pattern, these problems may appear unrelated.
Family Traits May Feel Normal
If multiple relatives are flexible, bruise easily, or have unstable joints, nobody may recognize the pattern as unusual.
Flexibility Can Decrease With Age
Someone who no longer looks dramatically hypermobile may still have a strong childhood history.
hEDS Has No Confirmatory Laboratory Test
Clinical assessment remains essential because there is no single blood or genetic test that confirms hEDS.
Instead of asking only:
“Was I flexible?”
a more useful question is:
“Did unusual flexibility occur alongside instability, recurrent injuries, persistent pain, connective-tissue features, and possibly a relevant family history?”
What If You Have EDS Symptoms but Don’t Meet hEDS Criteria?
Not meeting hEDS criteria does not mean symptoms are unimportant.
Some people with symptomatic joint hypermobility may instead meet criteria for a hypermobility spectrum disorder.
HSD can involve:
- Joint pain
- Instability
- Recurrent injuries
- Reduced function
- Historical hypermobility
- Problems in joints outside the Beighton score
Adults can be diagnosed with HSD when symptomatic hypermobility remains after other explanations are considered and hEDS criteria are not met.
Treatment should be based on actual symptoms and functional needs rather than assuming one diagnostic label is automatically more significant than another.
So even if several of the 23 signs you grew up with Ehlers-Danlos syndrome apply to you, the eventual clinical explanation may be hEDS, HSD, another connective-tissue condition, or something else entirely.
When Should You Talk to a Doctor About Possible EDS?
Consider discussing hypermobility with a qualified healthcare professional when several meaningful features occur together, especially:
- Generalized joint hypermobility
- Repeated atraumatic dislocations or subluxations
- Significant joint instability
- Frequent soft-tissue injuries
- Persistent musculoskeletal pain
- Unusual skin elasticity or fragility
- Abnormal scarring
- Easy unexplained bruising
- Recurrent hernias
- Multiple connective-tissue findings
- A first-degree relative with confirmed EDS
- Symptoms substantially affecting daily activities
If several of the 23 signs you grew up with Ehlers-Danlos syndrome fit your history, documenting those experiences may help provide useful context during an appointment.
The goal is not to prove you have EDS yourself.
It is to give the clinician enough accurate information to evaluate the whole pattern.
What to Write Down Before an EDS Appointment
A simple timeline can make your history easier to understand.
Childhood Flexibility
Record whether you could:
- Do the splits
- Bend your thumbs unusually far
- Place your palms flat on the floor with straight knees
- Hyperextend your knees or elbows
- Perform unusual flexibility tricks
Injury History
Record:
- Sprains
- Dislocations
- Subluxations
- Tendon injuries
- Repeated sports injuries
- Orthopedic procedures
Pain History
Note:
- Where pain occurs
- When it began
- How frequently it happens
- Activities that worsen it
- Whether it affects sleep, work, school, exercise, or mobility
Skin and Tissue History
Include:
- Easy bruising
- Unusual scars
- Poor wound healing
- Unexplained stretch marks
- Hernias
- Skin hyperextensibility
Family History
Document relatives with:
- Confirmed EDS
- Significant hypermobility
- Recurrent dislocations
- Similar connective-tissue features
- Serious unexplained vascular events
Old medical records or photographs that happen to demonstrate previous flexibility may also provide useful context.
The goal is to document a pattern over time, not arrive with a self-calculated diagnosis.
What Happens If EDS Is Diagnosed?
There is currently no single cure for Ehlers-Danlos syndromes.
Management depends on the EDS subtype, symptoms, and individual functional needs.
For hEDS, treatment may include:
- Physical therapy
- Strength and stability exercises
- Proprioception training
- Joint-protection strategies
- Occupational therapy
- Appropriate braces or splints
- Individualized pain management
- Treatment of digestive symptoms
- Management of autonomic symptoms
- Dental care
- Evaluation of other associated conditions
Management of other EDS types can differ substantially, particularly when vascular, skeletal, eye, or organ complications are involved.
Recognizing the 23 signs you grew up with Ehlers-Danlos syndrome may help someone begin asking questions, but management should always be based on the actual diagnosis and symptoms rather than an online checklist.
What Not to Do If You Think You Have EDS
Reading about the 23 signs you grew up with Ehlers-Danlos syndrome can help you recognize a possible pattern.
It should not encourage aggressive self-testing.
Avoid repeatedly trying to prove hypermobility by:
- Forcing your knees backward
- Pulling fingers as far as possible
- Repeatedly forcing thumbs toward the forearm
- Performing painful contortion tricks
- Intentionally making a joint sublux
- Intentionally dislocating a joint
If a movement is painful or feels unstable, stop.
A clinician can evaluate hypermobility without requiring repeated stress on an unstable joint.
Why These Childhood Signs May Have Felt Completely Normal
Something can feel ordinary simply because it has always been part of your life.
If you have always been flexible, flexibility feels normal.
If your ankles have always rolled, you learn to compensate.
If long walks have always made your knees hurt, you may assume everyone experiences the same thing.
If standing has always made you lightheaded, you may not think to mention it.
And if several relatives experience similar issues, the pattern can feel even more ordinary.
That is why the value of the 23 signs you grew up with Ehlers-Danlos syndrome is not in counting how many boxes you can check.
The useful question is whether multiple findings form a coherent clinical pattern involving:
- Generalized joint hypermobility
- Joint instability
- Recurrent musculoskeletal problems
- Connective-tissue findings
- Chronic pain
- Relevant family history
- Other systemic features
That pattern tells a healthcare professional much more than any individual symptom.
Conclusion: 23 Signs You Grew Up With Ehlers-Danlos Syndrome
Looking back at childhood through the lens of connective-tissue health can make experiences that once seemed unrelated begin to fit together.
Being unusually flexible, repeatedly rolling your ankles, dealing with persistent pain, bruising easily, developing unusual scars, or struggling with unstable joints may have seemed completely normal at the time.
But the 23 signs you grew up with Ehlers-Danlos syndrome should be viewed as possible clues—not a diagnostic scorecard.
No single symptom tells the whole story.
The real value of understanding the 23 signs you grew up with Ehlers-Danlos syndrome is recognizing whether several experiences form a consistent pattern involving:
- Generalized joint hypermobility
- Joint instability
- Recurrent musculoskeletal complications
- Chronic pain
- Skin or connective-tissue findings
- Relevant systemic features
- Family history
- Exclusion of other possible causes
If that pattern sounds familiar, documenting your childhood flexibility, injuries, pain, tissue characteristics, and family history can provide useful information for a qualified healthcare professional.
23 Signs You Grew Up With Ehlers-Danlos Syndrome FAQs
1. What are the most common signs of Ehlers-Danlos syndrome in childhood?
Common signs include unusual flexibility, joints that bend backward, repeated sprains, joint instability, easy bruising, chronic pain, soft skin, fatigue, and unexplained dislocations.
2. Do the 23 Signs You Grew Up With Ehlers-Danlos Syndrome confirm a diagnosis?
No. The 23 Signs You Grew Up With Ehlers-Danlos Syndrome are possible clues, not diagnostic criteria. A qualified healthcare professional must evaluate your symptoms and medical history.
3. Can childhood hypermobility disappear in adulthood?
Yes. Flexibility may decrease with age, injury, pain, arthritis, or reduced activity. A history of doing the splits, bending joints backward, or being “double-jointed” may still be clinically relevant.
4. Is frequent joint clicking a sign of Ehlers-Danlos syndrome?
Joint clicking alone is common and does not confirm EDS. It becomes more meaningful when combined with hypermobility, repeated injuries, instability, dislocations, or persistent musculoskeletal pain.
5. When should you see a doctor about possible Ehlers-Danlos syndrome?
Seek medical advice when hypermobility occurs with repeated dislocations, chronic pain, unusual scarring, easy bruising, frequent injuries, unstable joints, or a family history of Ehlers-Danlos syndrome.