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Hypomobility

Written by Karolina Chmaj | Dec 12, 2025 8:02:23 AM

Hypomobility – When Joints Don’t Want to Move

If hypermobility is “too much movement in the joints,” hypomobility is the opposite – joints that move too little, that are stiff and limited. It’s like having hinges that have rusted and no longer want to open easily.

Sounds like typical “lack of stretching”? It might be something more. Here’s what you should know.

What is hypomobility?

Hypomobility is a condition in which a joint has a smaller-than-optimal range of motion. In other words – the joint does not move as freely as it should.

Imagine that most people can raise their arm to 180 degrees (straight up). A person with hypomobility might stop at 120 degrees – and that’s it. No further. Stiffness, pain, blockage.

Where can it occur?

Hypomobility isn’t limited to a specific area – it can affect any joint in the body, often leading to stiffness and pain that persist in the affected area. Most commonly it affects:

  • Spine (especially lower back, neck)

  • Shoulders

  • Hips

  • Knees

  • Sacroiliac joint (SI joint)

Why does it happen? Causes of hypomobility

Hypomobility can result from various factors, making it a common problem at any age and activity level. It often appears after injuries, chronic illnesses, or as a natural part of aging, and can significantly affect people’s lives, worsening over time if untreated.

Main causes:

  • Injuries: Sprains, fractures, and dislocations can cause joint stiffness, especially with prolonged immobilization. When a joint is immobilized (cast, brace), ligaments and muscles “forget” how to move. After removing the cast, the joint remains stiff.

  • Arthritis: Osteoarthritis and rheumatoid arthritis cause inflammation, reducing mobility and increasing pain. Cartilage (the cushion protecting bones) wears down, the joint swells, hurts, and moves less freely.

  • Surgical scars: Scar tissue is less elastic than healthy tissue. If surgery affected the joint area, scars may limit its mobility.

  • Lack of movement (sedentary lifestyle): “Use it or lose it” – if you don’t use a joint through its full range, you gradually lose it. Sitting 8 hours a day = hips that forget how to fully extend.

  • Muscle tension and imbalances: Overworked, tight muscles can “lock” a joint, limiting its mobility. Often this is the body’s defensive response to pain or poor posture.

  • Aging: Collagen fibers in ligaments bond more tightly with age, one reason many of us become stiffer over time. It’s a natural process – joints stop being as “lubricated” as they once were.

  • Posture habits: Chronic poor habits (e.g., slouching, forward head tilt) can lead to hypomobility in certain joints (e.g., closed chest, shoulders forward).

What are the symptoms of hypomobility?

Symptoms can include stiffness, pain, and difficulty performing everyday tasks.

Specifically:

  • Stiffness – especially in the morning or after long periods of sitting

  • Joint pain – especially when attempting movement

  • Limited range of motion – can’t bend, reach, or twist like before

  • Feeling “locked” – joint doesn’t want to move

  • Muscle tension – muscles around the joint are hard, tight

  • Difficulty with daily activities – putting on shoes, reaching high shelves, standing from a chair

Does hypomobility last a lifetime?

It depends on the cause.

  • If hypomobility results from injury or immobilization – it can often be reversed with physical therapy, stretching, and joint mobilization. It’s a matter of time and systematic work.

  • If it results from chronic illness (e.g., rheumatoid arthritis) – it cannot be completely cured, but symptoms can be managed, progression slowed, and mobility improved through therapy.

  • If it results from aging – it’s natural, but it can be slowed through movement, stretching, and maintaining flexibility.

Key: Hypomobility can seriously affect people’s lives and worsen over time if not treated properly.

Does it get worse?

Yes, if nothing is done.

Hypomobility works like a vicious circle:

  • The joint is stiff → it hurts to move

  • Because of pain, you avoid movement

  • Lack of movement → the joint becomes even stiffer

  • Back to point 1

The less you move, the more the joint “closes.” Over time, you lose range of motion, muscles weaken, and compensations in other joints (which work too much) lead to further problems.

But: If you work on mobility systematically, you can stop progression or even reverse the process.

What can happen if untreated?

Short-term:

  • Pain during daily activities

  • Reduced quality of life (harder to move, avoid activity)

  • Muscle tension and pain (compensations)

Long-term:

  • Progressive stiffness – smaller and smaller range of motion

  • Muscle weakness – lack of movement = muscle atrophy

  • Degenerative changes – immobile joints don’t “feed” cartilage (movement pumps synovial fluid)

  • Problems in other joints – body compensates, other joints overwork and overload

  • Difficulty with self-care – in extreme cases: walking, dressing, personal care

How injury-prone is hypomobility?

Reduced movement (hypomobility) of the sacroiliac joint can lead to muscle tension, limited mobility, and pain.

Risk of injury:

  • Muscle strains and tears – stiff joints make muscles work harder and more prone to injury

  • Compensations in other joints – e.g., stiff hips = lower back overwork = back pain

  • Poor proprioception – the brain “forgets” how to control the joint, increasing risk of falls and injuries

  • Sudden movements – attempting a quick movement in a stiff joint can cause a sprain or strain

But: Hypomobility is not as injury-prone as hypermobility. The problem occurs when you suddenly try to do something your body isn’t prepared for (e.g., bend quickly when hips have been stiff for years).

Hypomobility and yoga – how to practice safely

Problem: Yoga requires mobility.
Yoga often requires good joint mobility – bends, twists, backbends. For someone with hypomobility, this can be frustrating – “everyone else can do it, but I can’t.”

But: Yoga is ideal for hypomobility – if practiced wisely.

How to practice safely:

  1. Warm-up is key
    Treating hypomobility includes techniques to improve joint function and reduce stiffness. Cold joints don’t want to move. Start with:

  • Gentle movement (marching in place, cat-cow)

  • Warm bath before practice (heat relaxes tissues)

  • Slow, gentle movements through as much range as possible

  1. Don’t force – work gradually
    Hypomobility won’t disappear in a day. Work gradually, increasing range millimeter by millimeter, not centimeter by centimeter.

  • Today you reached 90° in a forward bend? Great. Tomorrow maybe 92°

  • Don’t compare yourself to others – you work on your body at your own pace

  1. Use props – they are your friends
    Blocks, straps, blankets, bolsters – not “cheating.” They let you work safely.

Examples:

  • Stiff hips in a forward bend? Put hands on blocks; you don’t need to touch the floor

  • Stiff shoulders? Use a strap in poses requiring hands behind the back

  • Stiff spine? Bolster under the back in reclined poses

  1. Long holds (but gentle)
    Time matters more than intensity. For hypomobility, long, gentle stretches work better than short, intense ones.

  • Yin yoga is great (passive, long holds 3–5 minutes) – connective tissue needs time to “open”

  • Restorative yoga (supported poses with props) – perfect for stiff joints

Note: Stretch gently, without pain. “Pleasant discomfort,” not “painful suffering.”

  1. Breath – your key to relaxation
    Deep breathing signals the body: “It’s safe, you can relax.” Tight muscles (common in hypomobility) start to release.

  • Exhale = relax

  • Inhale = prepare

  • Go deeper in the pose always on exhale

  1. These poses are your friends
    Hip stretches:

  • Pigeon (with props under hips if needed)

  • Butterfly (gently, don’t force knees down)

  • Happy Baby (knees to chest)

Spine mobilizers:

  • Cat-cow (gentle spine movement)

  • Gentle twists (lying, prop under knees)

  • Sphinx (gentle backbend)

Chest and shoulder openers:

  • Child’s pose with knees wide

  • Arm stretch with strap

  • Lying on a bolster along the spine (opens chest)

  1. Strengthen too, not just stretch
    Hypomobility often comes with weak muscles. Strengthening helps stabilize joints and improves function.

  • Standing poses (warriors) – strengthen legs and hips

  • Planks – strengthen core and arms

  • Balances – improve proprioception

For yoga teachers working with hypomobility:

  1. Give time and patience – more time to enter poses and open tissues

  2. Encourage props – “not cheating, smart practice”

  3. Don’t show them as “example of lack of flexibility” – each body is different

  4. Offer alternatives – modify forward bends, lunges, or shoulder poses with props

  5. Watch for pain – adjust if the student shows discomfort

  6. Pay attention to tricky poses – deep forward bends, lunges, arm-intensive poses

Opposite of hypomobility: hypermobility

Hypermobility (hyperextension) = joints move too far, loose and elastic ligaments

Hypomobility Hypermobility
Stiff joints Loose joints
Limited ROM Excessive ROM
Tight ligaments Loose ligaments
Needs strengthening Needs stretching/mobilization
Difficult to enter poses Easy to enter poses (but unstable)
Pain when moving Pain after moving (overload)

Fun fact: Most people are a mix of hypo- and hypermobility – one joint may be stiff, another hypermobile. The body compensates one problem with another.

Treatment of hypomobility – what can be done?

  • Physical therapy: Tailored plan with stretching and strengthening exercises to stabilize and protect joints. Manual therapy and mobilization reduce inflammation and pain, restoring joint function.

  • Regular stretching: 10–15 minutes daily works wonders over weeks.

  • Heat: Warm baths, sauna, heating pads relax tissues and aid stretching.

  • Movement: Safe, regular movement – walking, swimming, yoga, pilates.

  • Painkillers if needed: Paracetamol or NSAIDs (e.g., ibuprofen) for temporary relief, but these only reduce symptoms.

Summary: Hypomobility is not a life sentence

Hypomobility can be frustrating, painful, and limiting, but it’s not permanent.

Key facts:
✅ Hypomobility = limited joint range of motion
✅ Causes: injury, arthritis, immobilization, lack of movement, aging
✅ Symptoms: stiffness, pain, difficulty in daily activities
✅ Permanent? Depends – often reversible with therapy
✅ Progression? Yes, if ignored – but can be stopped
✅ Injury risk: moderate – mainly due to compensations and weak muscles
✅ Yoga: warm-up, gradual practice, props, long gentle holds
✅ Opposite: hypermobility (loose, unstable joints)

Most important:
If you have hypomobility, don’t give up on movement. Yoga, therapy, stretching – all help. Work gradually, be patient, use props.

Stiffness isn’t forever. It’s just an obstacle to overcome – step by step, breath by breath. 💚🧘‍♀️

Sources of information used in the hypomobility article:

Aging and cross-linking of skin collagen - PubMed https://pubmed.ncbi.nlm.nih.gov/3130057/
Collagen, cross-linking, and advanced glycation end products in aging human skeletal muscle - Journal of Applied Physiology https://journals.physiology.org/doi/full/10.1152/japplphysiol.00670.2007
Age-related changes in collagen from mouse tail tendon - PMC https://pmc.ncbi.nlm.nih.gov/articles/PMC7397091/
The role of collagen crosslinks in ageing and diabetes - PMC https://pmc.ncbi.nlm.nih.gov/articles/PMC4241420/
Mechanical properties and collagen cross-linking of patellar tendon in old and young men - Journal of Applied Physiology https://journals.physiology.org/doi/full/10.1152/japplphysiol.00291.2009
Crosslinking by advanced glycation end products increases stiffness of collagen - PubMed https://pubmed.ncbi.nlm.nih.gov/11822407/
Physical Therapist's Guide to Sacroiliac Joint Dysfunction https://www.myactionpt.com/physical-therapist-s-guide-to-sacroiliac-joint-dysfunction
Exercise for Sacroiliac Joint Pain Relief - Spine-Health https://www.spine-health.com/wellness/exercise/exercise-sacroiliac-joint-pain-relief
Sacroiliac Joint Dysfunction: Diagnosis and Treatment - American Academy of Family Physicians (AAFP) https://www.aafp.org/pubs/afp/issues/2022/0300/p239.html
Sacroiliac Joint Syndrome - Physiopedia https://www.physio-pedia.com/Sacroiliac_Joint_Syndrome
Treatment Options for Sacroiliac Joint Dysfunction - Spine-Health https://www.spine-health.com/conditions/sacroiliac-joint-dysfunction/treatment-options-sacroiliac-joint-dysfunction
SI Joint Dysfunction Treatment Physical Therapy - Wright Physical Therapy https://wrightpt.com/si-joint-dysfunction-treatment-physical-therapy/
Sacroiliac Joint Injury - StatPearls - NCBI https://www.ncbi.nlm.nih.gov/books/NBK557881/
Sacroiliac Joint Dysfunction - Cedars-Sinai https://www.cedars-sinai.org/health-library/diseases-and-conditions/s/sacroiliac-joint-dysfunction.html
Pediatric generalized joint hypomobility and musculoskeletal complaints - PubMed https://pubmed.ncbi.nlm.nih.gov/15060217/

On a side note

What I share here is my personal reflection and knowledge from various sources — not medical advice. Every body is different, so if you have health issues, hormonal concerns, abdominal pain or other symptoms, it’s always best to consult a doctor or specialist. Listen to your body and treat this information as inspiration, not diagnosis. 💚

The articles I create are my way of deepening my knowledge about yoga, bodywork, anatomy, and the mechanisms behind how and why our body responds the way it does. I’m not medically trained — these texts are more like my personal knowledge base and a space for conscious growth.