Chronic fatigue is commonly described in hypermobile EDS. It may be influenced by pain, disturbed sleep, deconditioning, autonomic problems and the extra muscular effort needed to stabilise joints, while unrelated conditions can also cause fatigue. That is why significant or changing fatigue deserves proper medical assessment rather than automatically being attributed to EDS. Pacing, sleep support, appropriate rehabilitation and treatment of contributing problems may form part of an individual management plan.
