If you live with hypermobile Ehlers-Danlos Syndrome (hEDS) or Hypermobility Spectrum Disorder (HSD), you've probably heard some version of "your labs are normal" more times than you can count.
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Meanwhile the sprains keep coming, the fatigue is real, your heart races when you stand, and no one seems to be connecting the dots.
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At Neuroveda Health, hypermobility and Ehlers-Danlos are core specialties - not an afterthought. We take the time, do the testing, and treat your whole connective tissue story: joints, nervous system, immune system, gut, and all.
Seattle clinic with telehealth options for Washington State. We also collaborate with your existing specialists.
What is hypermobile Ehlers-Danlos Syndrome (hEDS)?
Hypermobile Ehlers-Danlos Syndrome (hEDS) is a heritable connective tissue disorder in which the collagen that holds the body together is more elastic and fragile than it should be. Because collagen is everywhere - joints, skin, blood vessels, gut, and the tissues around nerves - hEDS causes far more than flexible joints: chronic pain, frequent sprains and subluxations, fatigue, digestive problems, and dizziness on standing are all common.
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Hypermobility Spectrum Disorder (HSD) describes symptomatic joint hypermobility that doesn't meet full hEDS diagnostic criteria. Here's what matters:
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HSD can be every bit as disabling as hEDS, and it deserves the same level of care. At Neuroveda, we treat both with equal seriousness.
Common signs of hEDS & HSD
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Joints that bend beyond normal range, with frequent sprains, strains, subluxations, or dislocations
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Chronic joint, muscle, or nerve pain that started young and never fully resolved
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Soft, stretchy, or fragile skin; slow wound healing; easy bruising
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Fatigue that rest doesn't fix
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Racing heart, dizziness, or brain fog when you stand up (signs of POTS or other dysautonomia)
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Flushing, hives, food reactions, or chemical sensitivities (signs of MCAS)
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Bloating, reflux, constipation, or slow gut motility
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Headaches, neck instability, or symptoms that worsen with certain head positions
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If several of these sound like your daily life, you're in the right place.
Hypermobility is a whole-body condition. Your care should be too.
Most clinics treat hEDS one joint at a time - if they treat it at all. But hypermobility rarely travels alone. It commonly arrives with a cluster of interconnected conditions that mainstream medicine tends to silo into separate specialties:
Dysautonomia & POTS - when lax connective tissue and nervous system dysregulation make blood pressure and heart rate hard to control. We offer complete in-office autonomic nervous system testing, 1 of only 3 locations in Washington State with the full 4-test evaluation.
Craniocervical instability (CCI) and upper cervical instability - when ligament laxity affects the junction between skull and spine.
Gut dysfunction - motility problems, SIBO, reflux, and food intolerances rooted in connective tissue and autonomic involvement.
MCAS (mast cell activation syndrome) - overactive immune cells that drive flushing, hives, food reactions, and inflammation, frequently co-occurring with hEDS and POTS.
Tethered cord syndrome - abnormal attachment of the spinal cord we commonly see alongside hEDS and HSD, contributing to back pain, leg symptoms, and bladder issues.
Small fiber neuropathy - burning, tingling, and autonomic symptoms from a class of nerve damage standard tests miss. We test for it with a simple in-office skin biopsy.
This is exactly the kind of complexity Neuroveda Health was built for. As an integrative clinic with roots in neurology, we understand how your nervous system, immune system, and connective tissue talk to each other - and we design one coordinated plan instead of ten disconnected referrals.
How we diagnose hEDS & HSD
Many of our patients arrive after years of being dismissed, misdiagnosed, or told it's anxiety. Getting the right diagnosis changes everything - it validates your experience, opens the door to targeted treatment, and helps your whole care team take your symptoms seriously.
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Our evaluation starts the way all care at Neuroveda starts: with a real conversation. Then we layer in testing strategically - the fewest tests that illuminate the most meaningful answers.
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Clinical evaluation using the 2017 international diagnostic criteria for hEDS, including the Beighton score for joint hypermobility, skin and tissue findings, and family history
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Autonomic nervous system (ANS) testing - tilt table, heart rate deep breathing, Valsalva, and QSART - to diagnose POTS and dysautonomia that so often ride along with hypermobility
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Skin biopsy for small fiber neuropathy - a 30-minute in-office procedure that detects nerve involvement standard studies can't see
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Genetic testing (Invitae connective tissue panel) when the picture suggests a rarer form of EDS or another hereditary connective tissue disorder that would change management
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Targeted lab work for MCAS, inflammation, nutrition, hormones, and gut function, drawn from our full specialty testing menu
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You don't need to arrive with a diagnosis. You don't need to have figured anything out. That's our job - together.
Integrative treatment for hypermobility & Ehlers-Danlos
There is no single pill for hEDS - but there is real, meaningful treatment. Our approach blends evidence-based modern medicine with the wisdom of Ayurveda and Chinese medicine to stabilize joints, calm inflammation, regulate the nervous system, and give you back function.
Every plan is personalized, because no two hypermobile bodies are the same.
Stabilize:
regenerative joint therapy
Hypermobile ligaments and tendons strain, sprain, and never quite hold. Regenerative medicine works with your body's own healing response to strengthen and thicken the connective tissue itself:
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Prolotherapy - a particularly good fit for hypermobile tendons and ligaments prone to strains and sprains, stimulating collagen-building repair that reinforces lax tissue and improves joint stability
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Platelet Rich Plasma (PRP) - concentrated growth factors from your own blood to heal ligament instability and overuse injuries
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Perineural Injection Therapy (PIT) - gentle dextrose injections that calm chronically irritated nerves and neurogenic pain
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A2M, prolozone, trigger point injections, and shockwave therapy - for arthritis prevention, stubborn pain patterns, and tissue repair
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Led by Dr. Carley Squires, ND, LAc, who specializes in hypermobility spectrum disorders, craniocervical instability, and regenerative injection therapy.
Release:
Fascial Counterstrain and hands-on care
Fascial Counterstrain is a gentle, non-forceful manual therapy that releases protective tension patterns in fascia, nerves, vessels, and organs - without the aggressive manipulation hypermobile bodies can't tolerate. It's one of our most-loved therapies for EDS-associated pain, POTS, and tethered cord syndrome, and it pairs beautifully with regenerative treatment.
Regulate:
calming a stressed nervous system
Living in a body that hurts and won't hold itself together keeps the nervous system on high alert - which worsens pain, mast cell activation, and fatigue. We help you downshift:
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Acupuncture & Chinese herbal medicine for pain, sleep, and system-wide balance
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Safe and Sound Protocol (SSP) - a non-invasive auditory intervention that improves vagal tone, emotional regulation, and resilience
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Vagal nerve stimulation and breath-based practices
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Ketamine therapy and non-opiate pain management for chronic pain that has outlasted everything else
Restore: nourishing the foundation
We may include:
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Ayurvedic consultation - personalized diet, lifestyle, and cleansing therapies matched to your constitution
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IV therapy for hydration and nutrient support - especially valuable in POTS, where blood volume matters
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Hyperbaric oxygen therapy (HBOT) to support tissue repair and recovery
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Therapeutic Plasma Exchange (TPE) for select patients whose picture includes significant immune-driven illness such as MCAS or autoimmunity - at Seattle's longest-running private TPE clinic
Care from people who truly get it.
Hypermobility and Ehlers-Danlos care at Neuroveda is provided by a team that treats these conditions every day - including a provider who lives with hEDS herself and understands this journey from the inside.
ND, LAc
naturopathic physician and acupuncturist specializing in hypermobility spectrum disorders (HSD/EDS), craniocervical instability, dysautonomia, MCAS, and regenerative joint medicine. Dr. Squires also heads our TPE program.
DMSc, PA-C, ATC
extensive experience in hEDS, MCAS, POTS, upper cervical instability, and spinal fluid leaks. As a person with hypermobile EDS herself, Brianna's lived experience shapes how our whole program cares for hypermobile patients. (Currently not accepting new patients.)
complex chronic care management for EDS, MCAS, POTS, and long COVID, alongside myofascial pain treatment and trigger point injections.
PA-C, FNTP, MMS
treats MCAS, POTS, and hEDS through a functional medicine lens, alongside chronic pain and autoimmune conditions.
LMFTA, MA Psyc, LMT
trauma-informed Fascial Counterstrain practitioner supporting EDS-associated pain, POTS, and the emotional weight of chronic illness.
Behind them stands our full integrative team: functional medicine, Ayurveda, Chinese medicine, and integrative neurology. Because complex conditions deserve more than one set of eyes.
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“I am getting better care than I ever had in my 25 years of chronic pain, and I have been able to acquire the necessary testing to figure out my way forward.”
What your first visit looks like
Connect.
Fill out our inquiry form and tell us your story. We'll match you with the right provider and confirm scheduling and pricing up front.
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Deep-dive consultation.
Your initial visit is a real evaluation - your whole history, your symptoms, what you've tried, and what questions most need answering. No 12-minute appointments here.
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A personalized plan.
Every first visit ends with a collaboratively-determined assessment and treatment plan - testing to pursue, treatments to begin, and a clear path forward. You stay in the driver's seat.
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We see patients in person at our Seattle clinic and via telehealth for Washington State residents. Many patients travel to us for evaluation and testing, then continue much of their care from home.
Frequently asked questions about hEDS & HSD treatment
What is the difference between hEDS and HSD?
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Hypermobile Ehlers-Danlos Syndrome (hEDS) is diagnosed when a person meets the full 2017 international diagnostic criteria, which include generalized joint hypermobility, specific tissue and systemic features, and family history. Hypermobility Spectrum Disorder (HSD) is diagnosed when someone has symptomatic joint hypermobility but doesn't check every hEDS box. The symptoms - and the suffering - can be identical, and both respond to the same treatment approach. We treat hEDS and HSD with equal care.
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Is there a genetic test for hypermobile EDS?
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Not yet. Hypermobile EDS is the one type of Ehlers-Danlos Syndrome without a known genetic marker, so it's diagnosed clinically using the 2017 criteria and the Beighton score. Genetic testing still has an important role: we use the Invitae connective tissue panel to rule out rarer EDS types (like classical or vascular EDS) and other hereditary connective tissue disorders when your history suggests it.
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Can hypermobility and Ehlers-Danlos be treated?
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Yes. While there's no cure for the underlying collagen difference, the symptoms and downstream effects of hEDS and HSD are very treatable. Regenerative therapies like prolotherapy strengthen lax ligaments, Fascial Counterstrain relieves pain and fascial restriction, autonomic and mast cell treatment addresses POTS and MCAS, and nervous system regulation improves pain, sleep, and energy. Most patients can meaningfully improve function and quality of life with the right coordinated plan.
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Is prolotherapy safe for people with EDS?
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In experienced hands, yes - and it's one of the more useful therapies for hypermobile joints. Prolotherapy stimulates the body's own repair response to thicken and reinforce ligaments and tendons, addressing the instability at the root of many EDS pain cycles. Because hypermobile tissue behaves differently, it matters that your provider specializes in hypermobility - ours do.
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Do you treat POTS and MCAS along with hypermobility?
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Yes - and we'd argue you can't properly treat one without the others. hEDS, POTS, and MCAS travel together so often they're sometimes called a triad. We offer complete in-office autonomic testing to diagnose POTS, targeted evaluation and treatment for MCAS, and one coordinated plan that treats the whole cluster rather than referring each piece to a different specialist.
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Do I need a diagnosis before booking?
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No. Many of our patients come to us suspecting hypermobility or EDS without a formal diagnosis - or with symptoms nobody has explained. Evaluation is part of what we do. If you already have a diagnosis, we'll build on it rather than starting from scratch, and we're happy to work alongside your existing neurologist, rheumatologist, or cardiologist.
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Do you offer telehealth for EDS care?
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Yes. We're licensed to treat patients located in Washington State, with telehealth available pending provider availability. In-office services - like autonomic testing, skin biopsy, regenerative injections, and Fascial Counterstrain - take place at our Seattle clinic, and many patients combine periodic in-person visits with telehealth follow-up.
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Will insurance cover my care?
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Neuroveda is a direct-pay clinic; we provide Superbills and billing codes so you can seek reimbursement from your insurer. Some components - like skin biopsy pathology - are frequently covered by insurance. We keep pricing transparent so you can plan ahead; provider rates are listed on each provider's page.
You deserve care that connects the dots
You've spent enough time being bounced between specialists, doubted, and handed another referral. Whether you're newly suspicious that your bendy joints explain a lifetime of symptoms, or you're years into an hEDS diagnosis and need a team that can actually treat it - we're here for all of it. We're here for you.