The Ehlers-Danlos syndrome (EDS) is a group of heritable systemic diso
rders of connective tissue manifesting joint hypermobility skin extens
ibility, and tissue fragility. Although the presence of pain has been
documented in the various types of the EDS, its natural history, distr
ibution, and management have not been defined. me conducted a structur
ed interview in 51 individuals affected with different types of EDS. A
ffected individuals reported chronic pain of early onset involving mos
t frequently the shoulders, hands, and knees. Pain wets generally refr
actory to a variety of pharmacologic and physical interventions. Chron
ic pain is a common manifestation of EDS. (C) U.S. Cancer Pain Relief
Committee, 1997.