# Hypothesis paper: high prevalence of Tinel sign in hypermobile Ehlers-Danlos syndrome

**Authors:** Shahreyar Shar Hashemi, Dacre R. T. Knight

PMC · DOI: 10.3389/fneur.2025.1508176 · 2025-10-31

## TL;DR

This paper suggests that people with hypermobile Ehlers-Danlos syndrome may show a higher Tinel sign, indicating nerve sensitivity that could improve diagnosis and treatment.

## Contribution

The paper introduces a novel hypothesis about increased Tinel sign prevalence in hypermobile Ehlers-Danlos syndrome.

## Key findings

- Proposes testing for higher Tinel sign prevalence in hEDS individuals.
- Suggests this could indicate nerve sensitivity in hEDS.
- Aims to guide better diagnosis and treatment strategies.

## Abstract

Ehlers-Danlos syndromes (EDS) encompass a group of genetic connective tissue disorders that affect the structure and function of proteins and enzymes that provide stability to the body. The hypermobile subtype of EDS (hEDS) is the most common and is characterized by joint hypermobility, skin hyperextensibility, and widespread musculoskeletal pain. Neuropathic symptoms, including pain, numbness, tingling, and weakness, are increasingly recognized in this population. This paper proposes a study to test the hypothesis that hEDS individuals will have a higher prevalence of positive Tinel signs compared to controls, indicating heightened sensitivity to nerve irritation or compression in hEDS that can guide better diagnosis and treatment.

## Linked entities

- **Diseases:** Ehlers-Danlos syndromes (MONDO:0020066), hypermobile Ehlers-Danlos syndrome (MONDO:0007523), hEDS (MONDO:0007523)

## Full-text entities

- **Diseases:** numbness (MESH:D006987), weakness (MESH:D018908), joint hypermobility (MESH:D007593), tingling (MESH:D010292), EDS (MESH:D004535), musculoskeletal pain (MESH:D059352), skin hyperextensibility (MESH:D012871), pain (MESH:D010146), nerve irritation (MESH:D000080902)

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Source: https://tomesphere.com/paper/PMC12615188