Ehlers-Danlos Syndrome

High vitamin C foods (citrus, berries, bell peppers, broccoli, kiwi) at every meal for collagen synthesis, adequate protein for amino acids (collagen peptides, bone broth, grass-fed meats, wild fish, eggs), avoid foods that interfere with collagen (high sugar damages collagen cross-linking), anti-inflammatory diet (many EDS patients have mast cell activation), some need low-histamine diet, adequate salt and hydration if POTS present, avoid alcohol (affects collagen quality and worsens joint laxity), bone broth daily, vitamin C-rich smoothies.

Physical therapy focusing on muscle strengthening to support hypermobile joints (NOT stretching - already too flexible), avoid hypermobility (learn to move within normal range), joint protection techniques, bracing for unstable joints, avoid contact sports and activities with high injury risk, pacing (avoid overexertion and crashes), pain management (multiple modalities), sleep optimization (special pillows for neck instability), compression garments if POTS, avoid extreme temperatures, careful with massage (can cause subluxations), genetic counseling if planning children.