Episode
170: Hypermobile Ehlers-Danlos, Fascia, and Pain (with Tina Wang) Listener Favorite
- Podcast
- The Thinking Practitioner
- Published
- May 13, 2026
- Duration seconds
- 3288
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Summary
🎙 Hypermobile Ehlers-Danlos, Fascia, and Pain (with Tina Wang) Listener Favorite Why do people with extra-flexible tissues often hurt more, not less? What does fascia actually look like on ultrasound in someone with hypermobility — and why did the findings surprise even the researchers? Dr. Tina Wang — a board-certified physical medicine and rehabilitation physician whose research uses ultrasound to study fascial dysfunction in hypermobile patients — joins Til and Whitney for a wide-ranging conversation about Ehlers-Danlos syndrome, the paradox of mushy tissue that won’t glide, and why the deep fascia may be where most myofascial pain actually lives. This is one of our most listened-to episodes ever — a listener favorite we’re bringing back for those who missed it and those ready for a second listen. Dr. Wang also offers a 1-hour class on hypermobility in the A-T subscription library (get a free month with code thinking: https://a-t.tv/subscriptions/) ✨ Topics covered in this episode include: • The hypermobility paradox: why people with EDS have tissue that feels “mushy” and spongy yet lacks fascial glide• The diagnostic framework for hypermobile EDS — Beighton scores, systemic manifestations, body proportions, piezogenic papules, and why 30% of the population is hypermobile without pathology• Dr. Wang’s ultrasound research: sternocleidomastoid fascia that was profoundly thicker in EDS patients than expected, and the surprising elastography findings about stiffness• Why the deep fascia — not muscle alone — appears to be the primary source of myofascial pain in 75% of cases• Ultrasound-guided fascial injections and the role of different tissue layers in pain• The connection between EDS, neurodivergence, autism, and ADHD — and Dr. Wang’s case that hypermobile EDS may be…