You can be hyper-mobile, strong, fit and active but it takes work! Exercise is good. Guidelines suggest gentle, non-impact exercise such as swimming or cycling and pilates.

Cycling is brilliant if you have this condition, low impact and aerobic as well. It may be best to avoid extreme mountain biking as a novice and stick to the roads or light trails!

Make sure you have a good set up on your bike to avoid extra strain on your knees if. For example, if your seat is set too high it will put your knee into extension when the knee is straight. A professional bike fit might be something you want to look into.

It is suggested that high impact activities such as running, rugby or skiing are avoided. However I have patients with HMS who are successful in all of these sports. What you should do is very dependent on each individual, the level of laxity.

The main aim for anyone with HMS is to increase the control and stability of the muscles surrounding the joints allowing them to act as a natural brace.

Strength training, using weights and resistance, are recommended but start slowly and work up. I would suggest you seek advice from a specialist physiotherapist, osteopath or strength and conditioning coach. They will look at your ability, levels of laxity and fitness and devise a program.

Jill enjoys cycling, swimming and running, and has taken part in several triathlons – check out her site here.