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The Functional Podiatrist
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Conditions  /  Hypermobility
Hypermobility & Foot Pain
Evidence-based assessment and treatment for hypermobile joints affecting the feet, knees and lower limbs. We identify how hypermobility is influencing your biomechanics and build a plan to keep you active and pain-free.
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Overview
What is hypermobility?

Hypermobility describes joints that move beyond the normal range of motion. Some people are naturally flexible and experience no symptoms. However, others develop pain, instability or fatigue because the muscles and ligaments must work harder to control joint movement.

In the feet and lower limbs, hypermobility can influence how the arch absorbs load, how the foot pushes off during walking and running, and how forces travel through the ankle, knee and hip. Many patients with persistent foot or knee pain have an underlying element of joint hypermobility affecting their biomechanics.

Classification
Different types of hypermobility
Generalised Joint Hypermobility
Multiple joints across the body move beyond the normal range of motion.
Localised Hypermobility
Excessive movement in a single joint or region of the body.
Peripheral Hypermobility
Commonly affecting the hands and feet — often the first area to become symptomatic.
Hypermobility Spectrum Disorder
When hypermobility causes pain, fatigue, instability or recurring injuries.
Hypermobile Ehlers-Danlos Syndrome
A connective tissue condition involving hypermobility alongside systemic features.
Biomechanics
How hypermobility affects the feet

The foot contains 33 joints and plays a key role in absorbing load and transferring forces during walking and running. In people with hypermobility, the arch and midfoot may be more flexible, which can lead to increased strain on surrounding tissues.

Arch fatigue and foot pain after activity
Increased pronation or arch collapse
Instability during walking or sport
Greater load through the forefoot
Poor force transfer during push-off
Linked conditions
Conditions associated with hypermobility

Hypermobility can contribute to several common lower limb conditions due to increased movement and reduced joint stability. If you experience pain in multiple areas, hypermobility may be influencing how your body manages load.

Assessment
How we assess hypermobility

A biomechanical and musculoskeletal assessment helps determine whether hypermobility is influencing your symptoms. This includes a full clinical history alongside evaluation of the foot, lower limb and movement patterns.

Joint range of motion assessment
Foot posture and arch control
Walking and running gait analysis
Strength and stability testing
Load distribution through the foot
Treatment
How we treat it

Treatment focuses on improving joint stability and load tolerance rather than restricting movement completely. The plan is tailored to your diagnosis, activity level, and goals.

Exercise Rehabilitation
Strengthening the feet, calves and hips to improve joint control and reduce load on hypermobile structures.
Orthotics & Insoles
Custom or semi-bespoke orthotics to support hypermobile arches and correct biomechanical contributors.
Taping
Rigid or flexible taping to support the foot and reduce strain during flare-ups or return to activity.
Soft Tissue & Joint Mobilisation
Manual therapy to restore tissue flexibility, improve joint range, and reduce local inflammation.
Footwear Advice
Guidance on appropriate footwear to provide structure and support for hypermobile feet.
Training Load Adjustments
For runners and athletes — managing load to prevent overuse and build resilience in hypermobile joints.
Self-care
What you can do at home
01
Avoid sudden increases in training or walking load
02
Build strength rather than relying only on stretching
03
Wear supportive footwear if your arches fatigue quickly
04
Use taping or orthotic support during flare-ups
When to act
When should I see a podiatrist?

If you experience recurring foot pain, knee pain, bunions developing early, or frequent ankle sprains, a biomechanical assessment may help identify whether hypermobility is contributing to your symptoms.

Early assessment helps prevent the cycle of partial recovery and re-injury that is common with unmanaged hypermobility. Don't wait for symptoms to escalate — addressing the underlying biomechanical contributors leads to faster, more lasting results.

FAQs
Common questions
Is hypermobility always a problem?
No. Many people are naturally flexible and never develop symptoms. Treatment is only required when hypermobility causes pain, instability, or recurring injury.
Can hypermobility cause bunions?
Yes. Hypermobility can reduce stability at the big toe joint, which may contribute to bunion development over time as the joint drifts under load.
Can hypermobility cause knee pain?
Yes. Increased movement at the foot and ankle alters how forces travel through the leg and can contribute to patellofemoral and other forms of knee pain.
Do I need orthotics if I am hypermobile?
Not always. Some patients improve significantly with strengthening alone, while others benefit from orthotic support combined with rehabilitation. Assessment determines which approach is right for you.
Ready to book your hypermobility assessment? We'll identify how hypermobility is affecting your biomechanics and build a plan to keep you active and pain-free.
Patient reviews
★★★★★ 5.0 on Google
“Will performed a miracle! I came with a longstanding tib post problem — I couldn't run for more than a couple of hours without my ankle swelling up. Through strengthening exercises and orthotics, Will got me to the start line of the 268 mile Spine Race and I finished in 11th place. I literally couldn't have done this without you.”
James
Google Review · Sports & Running