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Get in Touch
Get in Touch

Hypermobility Physiotherapy

Whether managing joint hypermobility, recurrent injuries, or returning to performance, our Manchester clinic supports a structured, strength-led approach to building stability and confidence in your body.

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Two ballet dancers performing on a darkened stage under spotlights, representing hypermobility in dancers and performing artists
Two ballet dancers performing on a darkened stage under spotlights, representing hypermobility in dancers and performing artists
Ballerina standing on stage after performing ballet injury recovery exercises

Specialist Services

Our Hypermobility Physiotherapy in Manchester

Hypermobility physiotherapy at our clinic in Manchester begins with a focused assessment of joint mobility, strength, and movement control. We regularly support:

1. Hypermobile Athletes

Athletes with generalised joint hypermobility managing recurrent injuries, where the priority is building the strength and control needed to manage end-range movement under load.

2. Dancers and Performing Artists

Dancers and performers, for whom hypermobility is often a prerequisite for the discipline, managing the strength and control demands that extreme range places on the body.

3.Patients with Recurrent Injuries

Active patients experiencing repeated sprains, subluxations, or joint pain linked to hypermobility, where targeted strengthening reduces the frequency and severity of recurrence.

4. Patients with Joint Hypermobility Syndrome

Patients managing symptomatic joint hypermobility affecting daily activity, exercise, and quality of life, where a structured, progressive approach builds long-term resilience.

5. Active Patients Seeking Stability

Active patients who feel unstable, unsupported, or lacking confidence in their joints, where strength and motor control work restores control and confidence in movement.
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Ballerina standing on stage after performing ballet injury recovery exercises

How We Assess

How We Assess Your Hypermobility

At Elite Performance Physio MCR, our hypermobility assessments apply the same structured approach we use with elite and professional athletes, considering the demands of your sport or activity, your pattern of symptoms, and the physical capacity needed to manage your range without setback.

Our Assessment

By exploring a range of contributing factors, we identify what is driving pain, limiting performance, or increasing your risk of injury during training and daily activity. This may include evaluating:

  • Joint mobility, range, and the Beighton score where appropriate
  • Strength, motor control, and movement quality at end range and under load
  • Identification of the specific joints and patterns contributing to symptoms


This gives us clear direction for the next steps and which physiotherapy services to draw on, ensuring your rehabilitation aligns with the demands of your sport.

Why This Helps Our Physiotherapists

This allows our Manchester-based physiotherapists to:

  • Identify the specific joints and patterns driving symptoms rather than treating hypermobility as a single problem
  • Recognise where strength and control deficits are contributing to recurrence
  • Track measurable progress against objective criteria as rehabilitation progresses

As a result, your rehabilitation is structured around building genuine strength and control, bringing the same clinical depth we apply with elite and professional athletes to every client we work with.

Dan Turnell Physiotherapist consulting with a client
Dan Turnell Physiotherapist consulting with a client

Conditions We Treat

Hypermobility Scenarios that we specialise in

Hypermobility presents differently from person to person, depending on the joints involved, the demands of your activity, and how symptoms affect you. Our hypermobility physiotherapy supports the full range of presentations we see in practice.

Generalised Joint Hypermobility

Hypermobility affecting multiple joints across the body, where the priority is building strength and control to manage range under load rather than restricting movement.

Recurrent Joint Instability

Repeated sprains, subluxations, and instability linked to hypermobility, where targeted strengthening and motor control reduce the frequency and severity of recurrence.

Hypermobility in Performers

Hypermobility in dance and performing arts, where extreme range is a requirement of the discipline and the focus is on the strength and control needed to manage it safely.

See our dance and performing arts page for related performer complaints.

Hypermobility-Related Pain

Joint and soft tissue pain associated with hypermobility, where progressive strengthening and load management produce more reliable outcomes than rest or passive treatment alone.

Joint Hypermobility Syndrome

Symptomatic joint hypermobility affecting daily activity and quality of life, where a structured, progressive approach builds long-term stability and confidence in movement.
Ballet dancer in a white tutu posed with both arms raised on stage, demonstrating a confident return to performance after hypermobility physiotherapy
Ballet dancer in a white tutu posed with both arms raised on stage, demonstrating a confident return to performance after hypermobility physiotherapy

Our Approach

How Hypermobility Physiotherapy Works

Each stage of our hypermobility physiotherapy applies the same structured framework we use with elite and professional athletes, progressing you from instability through to genuine strength and control, with a focus on objective measures and progressive loading.

Step 1: Hypermobility Assessment

Your journey begins with a detailed assessment to understand your symptoms, the demands of your activity, and the specific joints and patterns involved, with the same clinical depth we bring to elite and professional athletes.

Step 2: Identifying Key Factors

We then conduct targeted clinical testing to confirm the specific joints, strength deficits, and movement patterns driving your symptoms, building a clear picture of where control is lacking.

Step 3: Targeted Treatment & Rehabilitation Planning

Using your assessment findings, we develop a personalised plan focused on building strength and control. This may include progressive strength training, motor control work, and AxIT muscle strength testing to track objective progress.

Step 4: Progressive Strengthening and Return to Activity

Rehabilitation is progressed in stages, building strength, control, and load tolerance at end range before introducing the higher-loading demands of sport, dance, or activity-specific work.

Step 5: Ongoing Support and Long-Term Stability

We provide ongoing support to help our patients maintain strength, monitor movement quality, and build long-term stability and confidence in their joints.

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What Our Clients Say

Our clients are at the heart of everything we do

Hear from clients who have elevated their performance and long-term well-being with our expert-led care.

Google Reviews
Google Reviews

“Block book appointments to avoid disappointment! A professional vocalists best kept secret!! Dan has become a staple to my busy life as a performer. I try to book in as regular as possible if he has a slot available. Dan is amazing, the best in the business. I always leave feeling more relaxed, with clearer tone and ready for performance mode again. I have recommended him to other performers, reluctantly because i want to always make sure I can get an appointment. Thank you Dan!”

Chesqua - Professional Singer

10/10 physio! I first went to see Henry a few months ago as I started to experience shin splints while training for Manchester marathon. Henry took the time to understand what was going on, what my goals were, and what my strengths/weaknesses were, always structuring our sessions around my needs and preferences. Thanks to Henry, my pain was manageable throughout my training and I made it through the marathon pain-free! I thoroughly enjoyed our sessions and couldn’t recommend enough – thank you for everything! 🙂

Isabel Hague

“Dan is without doubt one of the best in his field of work. His knowledge and expertise is second to none. He has helped me not only physically by putting together a specialised plan for my injuries, but also mentally helping me understand by explaining everything throughly and intricately. Dan is warm, friendly and he genuinely cares about each of his clients. My sessions with Dan have not only begun to heal my injuries, but I have built strength, gained knowledge and it’s boosted my confidence. I come out of my sessions with spring in my step!”

Laura Harrison - Professional Music Theatre Performer

“After struggling with my knee for a few months, Dan popped round to make an assessment. He was clear, thoughtful, understood my lifestyle and my desire to get moving. He provided advice, guidance and hands on treatment that helped deal with the swelling and pain. I have recommended him to my son and you only do that when you trust someone to make a difference. Thank you Dan.”

Clare Hayward -Director At Cirus

Highly recommend!! Without a doubt the best Physiotherapy clinic i have been to. Outstanding! i had a shoulder injury which is so much better. Im back at the gym and loving each workout. Thank you Henry for all the treatments.

Mohammed Rauf

“I’ve had the pleasure of being treated by Dan on two separate jobs, where he looked after my feet and voice. In only a few sessions I regained total mobility in my feet in a physically intensive show, and more recently have been making use of his vocal massage skills for a vocally demanding role. Dan has an amazing way of finding the crux of the issue and will resolve it with ease, reassurance and expertise. I would recommend Dan to anyone!”

Jed Berry - West End actor

“Dan is an extraordinarily effective physio who has helped me immediately with various joint and muscle problems over the last year and a half. In addition to the treatment he clearly explains the cause of the problems and gives exercises focusing on prevention of reoccurrence and strengthening of the area involved. I feel in great shape thanks to the treatment, core exercises and the inspiration he has given me to get back to running and exercising.”

A. Zuntz - Professional violinist

“An actress friend recommended Dan to me as I needed a vocal massage. I was on tour and my voice was getting tired. I didn’t think I would find someone in Manchester but then my friend told me about Dan. He was amazing. A really nice guy, I immediately felt comfortable and relaxed and he was so good. My voice felt so much better the next day. After that I saw him weekly, not just for my voice but for all the injuries I was sustaining on tour. He fixed my neck, back and calf, and I can’t thank him enough!”

Hayley Tamaddon - Professional actor

“I was referred to Dan by an NHS Speech and Language Therapist for laryngeal physiotherapy. Not only has Dan really helped me with this side of things, but he has also provided manual therapy and exercises for symptoms caused by autoimmune conditions and chronic pain. I am appreciative that Dan has liaised with the other healthcare professionals involved in my care as part of a holistic approach, and they have also appreciated this. He is honest and will tell you if something is likely to help or not and what may be realistic, and reviews your goals with you regularly. I would recommend him to anyone.”

Alexandra Brown - NHS psychologist

Henry is a really great physio providing sound advice and he really listens to your issues wisely continually assessing progress to. Starting with the basics and fundamentals of strength to help my knee has been really helpful. Communications are clear and very understanding with bookings.

Declan Brady

“Daniel has a real ability to understand his clients’ needs and implement the most powerful and integrative treatments. Superb in communication and application, he makes a real and lasting difference for successful recovery and physical development. With specific and varying needs, I always come away feeling empowered and reinvigorated. Dan’s the man and I will travel far and wide to get an appointment. Thanks Daniel!”

Rik Makarem - Professional actor

“Dan has helped me a lot with my piano playing related injuries and has gone further than any other physio I’ve had to combat the problem. I return regularly not only to maintain my wellbeing but to have a catch up too. I highly recommend Dan to anyone!”

Mackenzie Paget - Classical pianist

FAQs

Your Questions About Hypermobility Physiotherapy

Can hypermobility be treated with physiotherapy?

Yes. Physiotherapy is the primary approach for managing symptomatic hypermobility. The focus is on building the strength and motor control needed to stabilise hypermobile joints, which reduces pain, instability, and the frequency of recurrent injury.

Should I avoid exercise if I'm hypermobile?

No. Avoiding exercise tends to make hypermobility-related symptoms worse over time. The right approach is structured, progressive strengthening that builds the control needed to manage your range safely, rather than restricting movement.

Is being too flexible the cause of my injuries?

Not directly. Hypermobility itself is common and often advantageous in some sports and disciplines. The issue is usually a lack of strength and control at the end ranges where injuries tend to occur, which is what rehabilitation addresses.

What is the Beighton score?

The Beighton score is a simple clinical assessment used to measure generalised joint hypermobility. It helps us understand the extent of your hypermobility, but it is only one part of the picture, alongside your symptoms, activity, and movement quality.

Do you work with dancers and performers with hypermobility?

Yes. Hypermobility is common, and often a requirement, in dance and performing arts. Our Manchester-based physiotherapists work with performers to build the strength and control needed to manage extreme range safely across their discipline.