Bendy Bodies with Dr. Linda Bluestein

What if a child has joint instability but doesn’t actually look hypermobile? And when are “growing pains” a sign that something more is going on? In this episode of Bendy Bodies, Dr. Linda Bluestein sits down with Sarah Cohen Solomon, MD, a board-certified pediatrician at UVA Health specializing in Ehlers-Danlos syndromes (EDS), joint hypermobility, and related conditions, to unpack how connective tissue disorders can present differently in children and why they can be so easy to miss. Dr. Solomon, who was diagnosed with hEDS herself at age 20, explains why evaluating joint hypermobility in children requires more than a quick Beighton score. They discuss how muscle tension can mask joint instability, why coaches, teachers, and parents may notice problems before clinicians do, and when recurring “growing pains” deserve a closer look. The conversation also explores the significant overlap between hypermobility and neurodivergence, including ADHD and autism, as well as dizziness, orthostatic intolerance, and POTS in children and adolescents. Just as importantly, Drs. Bluestein and Solomon tackle a difficult question: How do we validate a child’s very real symptoms without increasing fears about their body being fragile? You’ll hear practical strategies for creating flare plans, using a traffic-light system to guide activity, choosing meaningful school accommodations for dynamic disabilities, and helping children remain active without repeatedly pushing them into symptom flares. Dr. Solomon also explains when pediatric patients should be referred to specialists, how a 10-minute standing test can help evaluate orthostatic symptoms, and why gentle, consistent physical therapy may be more successful than an aggressive “push through it” approach. The episode closes with a rapid-fire round covering pediatric red flags, favorite treatment strategies, and a surprisingly simple hypermobility hack for long flights and car rides.   Takeaways: • Can a child have unstable joints without looking flexible? Muscle tension and guarding may hide more than you think. • When are “growing pains” not just growing pains? Learn which patterns deserve a closer look. • Is the Beighton score enough to identify hypermobility in children? Dr. Solomon explains what this commonly used tool can miss. • Why do hypermobility, ADHD, and autism so often show up together? The overlap may be an important piece of the clinical puzzle. • Could a simple 10-minute standing test provide clues about dizziness, POTS, or orthostatic intolerance? Here’s what clinicians and families should know. • Can physical therapy actually make a hypermobile child feel worse? Learn why pushing too hard, too fast may backfire and what a more sustainable approach can look like. • What can schools do when a child’s abilities change from day to day? The right accommodations can support participation without unnecessarily limiting activity. • And what’s Dr. Solomon’s simple hypermobility hack for long flights and car rides? Stay to the end for her surprisingly practical tip. Want more of Dr. Sarah Cohen Solomon? Website: https://thebendypediatrician.com/ Instagram: @thebendypediatrician Want more Dr. Linda Bluestein, MD?Website:  https://www.hypermobilitymd.com/YouTube: https://www.youtube.com/@bendybodiespodcastInstagram: ⁠⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠⁠Facebook: ⁠⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠⁠X: ⁠⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠⁠LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠⁠Newsletter: ⁠⁠⁠⁠https://hypermobilitymd.substack.com/Shop my Amazon store ⁠⁠⁠ https://www.amazon.com/shop/hypermobilitymdDr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start Want to learn more about the UVA EDS Center? For Appointments and Questions: [email protected] EDS: https://www.uvahealth.com/healthy-practice/advancing-care-through-ehlers-danlos-clinicUVA EDS FAQ: https://www.uvahealth.com/support/eds/faq UVA Pediatric Integrative Medicine: https://childrens.uvahealth.com/specialties/integrative-health Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www\.bendybodiespodcast\.com/⁠⁠. YOUR bendy body is our highest priority!⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www\.human-content\.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠[email protected]⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Learn more about your ad choices. Visit megaphone.fm/adchoices

What if the virus is gone, but your body still has not recovered? Dr. Linda Bluestein is joined again by Dr. Ina Stephens, associate director of the UVA Health EDS and Hypermobility Disorders Center, to unpack what can happen after Epstein-Barr virus (EBV), especially when post-exertional malaise (PEM), autonomic symptoms, and repeated crashes continue long after the initial infection. Starting with a listener question from someone recovering from EBV who keeps crashing after activity, Dr. Stephens explains how EBV testing is interpreted, what IgM, IgG, early antigen, and EBNA may tell you, and why a “reactivation” result does not always mean the virus itself is the main problem. They also get into what may help recovery. The discussion includes antiviral treatment, pacing, sleep, anti-inflammatory nutrition, mitochondrial and muscle support, and supplements such as creatine monohydrate, HMB, taurine, glutathione, and urolithin A. Dr. Stephens also explains why deep diaphragmatic breathing may help calm the autonomic nervous system and what to do when you are already in a PEM crash. Takeaways: EBV testing can be confusing, and the pattern of antibodies matters more than any single result. A positive marker for EBV reactivation does not necessarily mean active viral replication is driving symptoms. Antivirals are most likely to help when active viral replication is actually occurring. Pushing through PEM can make recovery harder, so pacing matters. Sleep, nutrition, breathing practices, and selected supplements may help support recovery. Want to learn more about the UVA EDS Center? For Appointments and Questions: [email protected] EDS: https://www.uvahealth.com/healthy-practice/advancing-care-through-ehlers-danlos-clinicUVA EDS FAQ: https://www.uvahealth.com/support/eds/faq UVA Pediatric Integrative Medicine: https://childrens.uvahealth.com/specialties/integrative-health Want more Dr. Linda Bluestein, MD?Website:  https://www.hypermobilitymd.com/YouTube: https://www.youtube.com/@bendybodiespodcastInstagram: ⁠⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠⁠Facebook: ⁠⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠⁠X: ⁠⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠⁠LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠⁠Newsletter: ⁠⁠⁠⁠https://hypermobilitymd.substack.com/Shop my Amazon store ⁠⁠⁠ https://www.amazon.com/shop/hypermobilitymdDr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www\.bendybodiespodcast\.com/⁠⁠. YOUR bendy body is our highest priority!⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www\.human-content\.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠[email protected]⁠⁠⁠ Part of the Human Content Podcast Network Go http://www.AquaTru.com now for 20% off (your purifier) using promo code BENDY. FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Chapter: 00:00 EBV Everywhere00:29 Welcome and Episode Roadmap02:10 Corey’s PEM Question02:52 What EBV Does in the Body06:03 Healing PEM From the Ground Up10:37 Vagus Nerve Breathing Tools16:31 Mitochondrial Supplements and Dosing29:36 EBV Labs Reactivation vs New Infection40:58 IgM and Monospot Memory42:07 Cold Sores and Antivirals44:47 Why Reactivation Varies49:21 Holistic Medicine Not Silos51:11 Vagus Nerve Breathing Basics55:00 Stress Hormones and Inflammation01:00:54 Urolithin A and Mitophagy01:08:49 PEM Recovery and Wrap Up Learn more about your ad choices. Visit megaphone.fm/adchoices

What if your hand pain, numbness, weakness, or grip problems aren’t actually coming from your hand or wrist? Orthopedic hand surgeon William Ericson, MD, joins Dr. Linda Bluestein to explain why people with Ehlers-Danlos syndrome (EDS) and hypermobility may experience overlooked median nerve entrapment near the elbow, carpal tunnel-like symptoms, thumb arthritis, and thoracic outlet syndrome—even when standard imaging or nerve testing doesn’t reveal the answer. Dr. Ericson, co-author of the 2017 American Journal of Medical Genetics article on orthopedic management of the Ehlers-Danlos syndromes, shares what he has learned from more than three decades of treating patients with complex upper-extremity symptoms. Why can someone have significant hand pain, weakness, numbness, tingling, or loss of grip strength even when imaging or standard nerve testing looks normal? Dr. Ericson describes a pattern of proximal median nerve entrapment near the elbow that he believes is extremely common in people with EDS and may frequently be mistaken for carpal tunnel syndrome, tendonitis, or unexplained pain. He explains how median nerve dysfunction can change the way the hand pinches and grips, potentially placing excessive stress on the thumb and contributing to thumb arthritis over time. He also discusses whether identifying and treating the underlying nerve problem could help reduce that risk. The conversation expands beyond the hand and wrist to the relationship between hypermobility, shoulder instability, scapular protraction, and thoracic outlet syndrome. Dr. Ericson explains why improving shoulder and scapular mechanics may sometimes be more important than operating directly on the thoracic outlet. You’ll also hear an important discussion about cortisone injections in EDS and hypermobility, including why injections may be appropriate for true tendon inflammation but potentially problematic when the underlying issue is joint instability. Just as importantly, Dr. Ericson explains why he evaluates the whole person before recommending surgery—including posture, shoulder mechanics, thoracic outlet involvement, stress, and mental health—and why persistent symptoms after surgery may sometimes reflect an unrecognized problem farther upstream. The episode closes with advice for anyone living with symptoms that have been difficult to explain: a good clinician does not have to know everything. Sometimes the most important words a healthcare professional can say are, “I don’t know—but I believe you, and I’ll help you figure out what comes next.” Want more of Dr. William Ericson? Website: https://www.williamericsonmd.com/ Ericson Hand and Nerve Center: https://ericsonhand.com/ Want more Dr. Linda Bluestein, MD?Website:  https://www.hypermobilitymd.com/YouTube: https://www.youtube.com/@bendybodiespodcastInstagram: ⁠⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠⁠Facebook: ⁠⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠⁠X: ⁠⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠⁠LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠⁠Newsletter: ⁠⁠⁠⁠https://hypermobilitymd.substack.com/Shop my Amazon store ⁠⁠⁠ https://www.amazon.com/shop/hypermobilitymdDr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start Want to learn more about the UVA EDS Center? For Appointments and Questions: [email protected] EDS: https://www.uvahealth.com/healthy-practice/advancing-care-through-ehlers-danlos-clinicUVA EDS FAQ: https://www.uvahealth.com/support/eds/faq UVA Pediatric Integrative Medicine: https://childrens.uvahealth.com/specialties/integrative-health Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www\.bendybodiespodcast\.com/⁠⁠. YOUR bendy body is our highest priority!⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www\.human-content\.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠[email protected]⁠⁠⁠ Part of the Human Content Podcast Network Go http://www.AquaTru.com now for 20% off (your purifier) using promo code BENDY. FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Chapter: 00:00 Median Nerve Shocker00:29 Meet Dr Erickson01:47 Why He Focuses on EDS06:14 Listening Changed Everything13:52 Common Upper Extremity Complaints19:58 Median Nerve Elbow Explained25:06 Misdiagnosis and Thumb Arthritis28:16 Surgery Decision Protocol31:30 Ergonomics and Tool Hacks33:09 When Surgery Makes Sense33:57 Thoracic Outlet Surgery Risks35:29 Scapular Protraction Fix38:26 Red Flags Before Operating45:24 Activities That Trigger Symptoms47:30 Best Exercises for EDS50:05 Clinician Pitfalls and Wrap-Up Learn more about your ad choices. Visit megaphone.fm/adchoices

Patients are already asking AI the questions they cannot always ask their doctors. That creates enormous opportunity, but also real risk. AI can help people organize complex medical information, prepare for appointments, and better understand their health. It can also sound completely certain when the evidence is weak or the answer is wrong. In this live episode of Bendy Bodies, host Dr. Linda Bluestein speaks with Michael Turken, MD, an internist at UCSF and founder of My Doctor Friend, an AI health companion designed to support patients navigating medical complexity. Dr. Turken explores the growing gap between what patients need from healthcare and what traditional systems can realistically provide, especially between appointments. He explains where AI may help fill that gap, where it can go wrong, and why these tools should support rather than replace the patient-physician relationship. The conversation includes practical strategies for connecting medical records to AI platforms, checking what an AI model actually understands about your health history, keeping that information accurate and current, and recognizing situations where AI may be less reliable, particularly when the science itself is still evolving. Takeaways: AI chatbots are not healthcare providers, and many are not subject to HIPAA protections in the same way healthcare organizations and covered entities are. AI can sound highly confident even when its answer is incomplete, overly reassuring, or wrong. The conversation includes discussion of AI sycophancy, in which a model may reinforce a user’s assumptions or provide reassuring responses rather than appropriately challenging them. If you connect your medical records to an AI platform, periodically ask it to summarize what it believes about your diagnoses, medications, major medical events, and current health history. This can help uncover outdated, missing, or incorrect information. AI may be particularly useful in addressing the gap between what patients want from healthcare, such as the ability to ask questions at any hour, organize complex information, and prepare for appointments, and what traditional healthcare systems can currently provide. For medically complex patients, the quality of an AI answer depends heavily on the quality, completeness, and accuracy of the information the model is using. To get 2 months of Premium access to My Doctor Friend, use code "BENDY" Want to learn more about My Doctor Friend? Website: https://about.mydoctorfriend.ai/ Instagram: @mydoctorfriend.ai Want more Dr. Linda Bluestein, MD? Website: https://www.hypermobilitymd.com/ YouTube: https://www.youtube.com/@bendybodiespodcast Instagram: ⁠⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠⁠ X: ⁠⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠⁠ Newsletter: ⁠⁠⁠⁠https://hypermobilitymd.substack.com/ Shop my Amazon store ⁠⁠⁠ https://www.amazon.com/shop/hypermobilitymd Dr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start Want to learn more about the UVA EDS Center? For Appointments and Questions: [email protected] UVA EDS: https://www.uvahealth.com/healthy-practice/advancing-care-through-ehlers-danlos-clinic UVA EDS FAQ: https://www.uvahealth.com/support/eds/faq UVA Pediatric Integrative Medicine: https://childrens.uvahealth.com/specialties/integrative-health Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www\.bendybodiespodcast\.com/⁠⁠. YOUR bendy body is our highest priority!⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www\.human-content\.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠[email protected]⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Chapter: 00:00 AI as Malpractice00:28 Welcome and Guest Intro01:20 Boutique Sponsor Break01:54 Why Build My Doctor Friend05:52 Choosing AI Platforms07:15 Record Linking Pitfalls09:21 Always Ask What It Knows12:35 Three Models for Safety15:50 Privacy Reality Check19:29 Reassurance Trap Lawsuit21:47 Making One Model a Jerk23:27 Urgent Care MRI Story27:18 Fixing Sycophancy Prompts32:12 Doctors React to AI35:26 Avoiding AI Misinformation38:51 Privacy and Medical Records41:46 Finding EDS Savvy Doctors46:24 Talking AI With Your Doctor48:46 My Doctor Friend Demo55:31 AI in Medicine Next 5 Years58:41 Carbon Footprint and Wrap Up Learn more about your ad choices. Visit megaphone.fm/adchoices

What happens when doctors misunderstand Ehlers-Danlos syndromes (EDS) and hypermobility spectrum disorders (HSD)? Sometimes the consequences go far beyond frustration or delayed treatment. In this episode of Bendy Bodies with the Hypermobility MD, Dr. Linda Bluestein is joined by Dr. Ina Stephens, Associate Director of the UVA Health EDS and Hypermobility Disorder Center, to answer listener questions about MCAS, gut health, circadian rhythm, migraine, pediatric hypermobility, and more. They also confront a disturbing reality for some families navigating poorly understood conditions: medical gaslighting, misdiagnosis, and inappropriate Munchausen-by-proxy referrals. Can you support a healthy gut microbiome with MCAS if fermented foods trigger symptoms? Drs. Bluestein and Stephens discuss the role of dietary fiber, polyphenol-rich foods, exercise, and thoughtful antibiotic use, including why the narrowest effective antibiotic may be preferable when treatment is necessary. They also explain why resetting a disrupted circadian rhythm involves more than simply going to bed earlier, and how morning light exposure can help shift the body’s internal clock. Then the conversation turns to migraine management in hypermobile patients. Dr. Stephens shares her approach to supplements and medications, including magnesium glycinate, CoQ10, and CGRP-targeting medications such as ubrogepant (Ubrelvy,) while explaining why Botox (onabotulinumtoxin A) is not usually a first-line migraine treatment and may be problematic for people with significant craniocervical instability. The episode also tackles a question with major implications for the next generation: Should children be evaluated for hypermobile EDS earlier (hEDS)? Dr. Stephens explains how delayed recognition can contribute to years of orthopedic problems, psychological distress, inappropriate diagnoses, and missed opportunities for prevention and support. Finally, the episode closes with a Hypermobility Hack on low dose naltrexone (LDN): how it may work, why benefits can take time to appear, and why patience matters when evaluating whether it is helping. Takeaways: Could the wrong antibiotic choice create problems long after the infection is gone? Why might morning sunlight matter more than forcing yourself to go to bed earlier? When could Botox actually make headaches and neck symptoms worse in someone with hypermobility? How can missed or delayed recognition of hEDS in childhood affect orthopedic and mental health outcomes years later? What happens when physicians misunderstand EDS so profoundly that a family is suspected of fabricating illness? Why can low dose naltrexone seem like it is “not working” before it has had enough time to take effect? Want to learn more about the UVA EDS Center? For Appointments and Questions: [email protected] UVA EDS: https://www.uvahealth.com/healthy-practice/advancing-care-through-ehlers-danlos-clinic UVA EDS FAQ: https://www.uvahealth.com/support/eds/faq UVA Pediatric Integrative Medicine: https://childrens.uvahealth.com/specialties/integrative-health Want more Dr. Linda Bluestein, MD? Website: https://www.hypermobilitymd.com/ YouTube: https://www.youtube.com/@bendybodiespodcast Instagram: ⁠⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠⁠ X: ⁠⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠⁠ Newsletter: ⁠⁠⁠⁠https://hypermobilitymd.substack.com/ Shop my Amazon store ⁠⁠⁠ https://www.amazon.com/shop/hypermobilitymd Dr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www\.bendybodiespodcast\.com/⁠⁠. YOUR bendy body is our highest priority!⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www\.human-content\.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠[email protected]⁠⁠⁠ Part of the Human Content Podcast Network Go http://www.AquaTru.com now for 20% off (your purifier) using promo code BENDY. FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links. Chapters: 00:00 EDS Starts Early00:34 Meet Dr Ina Stephens02:12 Fermented Foods MCAS02:39 Microbiome Support Basics10:47 Antibiotics Probiotics15:49 Medical Distrust CPS Risk29:31 Migraine Treatments Botox41:16 Feverfew Dosage Basics41:30 Avoiding Rebound Headaches43:12 CGRP Rescue Meds Explained44:51 Why Diagnose EDS Early49:05 Early Intervention and Prevention56:42 Parenting Tips and Clinic Access01:06:54 LDN Patience and Closing Resources Learn more about your ad choices. Visit megaphone.fm/adchoices