With significant joint hypermobility the patients joints will most likely have changed significantly in 15 years, and not in a normal pattern of anatomical ageing. Quite to the contrary. There may be cartilage tears, ligament and capsule damage from subluxations or dislocations that need addressing. Without imaging, how do you know what you’re dealing with?
As I stated above, my professional opinion is that a Rheumatologist should be involved. Let the specialist decide which joints need scanning. An MRI with referral from a specialist on a Medicare-eligible machine is in my experience closer to $300 out of pocket and for pensioners, either no out of pocket or up to $100.
It appears that my logic is opposite yours. I think, why waste hundreds or thousands of dollars on treating things blindly when science and modern technology allows us to see with more accuracy than ever what’s going on? Then, by all means, treat what is needed. I’m a huge fan of physio and work extremely closely with them, I just do not believe in blindly treating a hypermobile body without checking what’s really going on.
Occupational therapists and physios often see things from opposite perspectives, and when joint hypermobility is involved even more so!
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