Hypermobility can cause joint instability and pain. We create tailored programs to improve strength, control, and body awareness—helping you move confidently and prevent future injury.
Resolving Symptoms
Hypermobility can cause joint instability and pain. We create tailored programs to improve strength, control, and body awareness—helping you move confidently and prevent future injury.
Specialized Physical Therapy for Hypermobility & EDS in Hillsboro, OR
At Pain & Performance Coach LLC, we understand that living with Joint Hypermobility Syndrome (JHS) or Ehlers-Danlos Syndrome (EDS) is about more than just "being flexible." It is a complex, often exhausting journey through a world that frequently misunderstands your symptoms.
If you have spent years searching for answers, only to be told your pain is "all in your head" or that you should just "stop stretching," you have found the right place. We provide evidence-based, trauma-informed physical therapy right here in Hillsboro, designed to help you regain control of your body and maximize your function.
We See You: Ending the Cycle of Medical Gaslighting
According to research on the lived experiences of those with JHS and EDS (Bennett et al.), many patients face a "diagnostic odyssey" characterized by:
The Struggle for Legitimacy: Being dismissed by healthcare providers who don't understand connective tissue disorders.
A Lack of Recognition: Having your chronic pain, fatigue, and "invisible" symptoms minimized.
Loss of Normalcy: Feeling like your body is a "betrayal" that prevents you from participating in life.
At Pain & Performance Coach LLC, we do not gaslight our patients. We recognize that your pain is real, your subluxations are exhausting, and your experience is valid. Our approach is built on a foundation of empathy and clinical expertise, ensuring your care is truly tailored to your unique collagen makeup.
Maximizing Function Despite Complex Pain
Hypermobility isn't just about joints that move too much; it’s about a nervous system that is often stuck in "high alert." Our goal isn't just to "fix" a joint, but to improve your overall quality of life.
1. Stability Over Flexibility
While traditional PT might focus on stretching, we focus on proprioception (your brain’s ability to know where your joints are) and dynamic stability. We use medical-grade technology to measure exactly how your muscles are supporting your joints, helping you build a "protective suit" of strength.
2. Managing "The Flare"
Living with hypermobility means dealing with unpredictable pain flares. We work with you to develop a "pacing" strategy, helping you stay active without crashing. We teach you how to differentiate between "injury pain" and "systemic flare pain," giving you the tools to manage symptoms at home.
3. Addressing the Whole System
Connective tissue is everywhere. We recognize that hypermobility often comes with "traveling companions" like:
Postural Orthostatic Tachycardia Syndrome (POTS)
Digestive issues (whether they are related to Mast Cell related disorders or not)
Chronic fatigue and "brain fog"
By acknowledging these systemic factors, we can adjust the intensity and type of your physical therapy to ensure we are helping, not hurting.
A Trauma-Informed Approach to Movement
Many of our hypermobile patients have had traumatic experiences in the healthcare system: either through physical injury or psychological dismissal.
We prioritize a collaborative environment. You are the expert on what you feel with your own body. We provide the clinical framework, but you are an active participant in determining the pace of your rehabilitation. Whether we are working on isometric loading to stabilize a shoulder or gait training to protect your hips, we move at a speed that feels safe for your nervous system.
Why Choose Pain & Performance Coach LLC in Hillsboro?
Local Care: No need to drive into Portland for specialized hypermobility care. We are your local Hillsboro experts.
Data-Driven Progress: We use objective testing to show you exactly how your stability is improving, giving you confidence in your body’s ability to hold itself together.
Validation First: We start every evaluation by listening. We want to hear your story, your frustrations, and your goals.
Reclaim Your Movement Today
You don’t have to navigate EDS or hypermobility alone. Let’s move past the "flexibility" and start building the performance and stability you deserve.
Contact Pain & Performance Coach LLC in Hillsboro, OR, to schedule your specialized hypermobility evaluation.
Related Research
Returning to Recreational Sports After Shoulder Replacement: What Helps People Succeed in Hillsboro, Oregon
Jan 31, 2026
By
Dr. Mike Makher
back-in-the-game-after-shoulder-replacement
Best Rotator Cuff Surgery Recovery in Hillsboro and Aloha, OR
Jan 28, 2026
By
Dr. Mike Makher
best-rotator-cuff-surgery-recovery-in-hillsboro-and-aloha-or
Getting Back to the Sports You Love After Hip or Knee Replacement in Hillsboro, Oregon
Jan 23, 2026
By
Dr. Mike Makher
total-hip-or-knee-return-to-sport
Why Pain & Performance Coach Is Redefining Physical Therapy in Hillsboro, Oregon
Jan 20, 2026
By
Dr. Mike Makher
pain-performance-coach-redefining-physical-therapy-hillsboro
Ankle Sprains Made Simple: How to Heal Strong, Stay Stable, and Avoid Repeat Injuries in Hillsboro, Oregon
Jan 19, 2026
By
Dr. Mike Makher
ankle-sprains-heal-strong
Understanding Ankle Sprains in Hillsboro: Modern Treatment Beyond RICE Protocol
Jan 15, 2026
By
Dr. Mike Makher
hillsboro-ankle-sprain-stop-the-rice
Why ACL Recovery Often Falls Short in Hillsboro
Jan 12, 2026
By
Dr. Mike Makher
why-acl-recovery-often-falls-short-in-hillsboro
Low Back Pain in Athletes: Science Applied In Hillsboro & Portland Sports Rehab
Jan 10, 2026
By
Dr. Mike Makher
athletic-low-back-pain
ACL Tear Symptoms and Recovery Timeline: Walking, Running, and Driving After Surgery
Jan 4, 2026
By
Dr. Mike Makher
misunderstood-acl-realities
Elbow Pain Recovery Explained: How Tennis Elbow and Golfer’s Elbow Actually Heal
Jan 2, 2026
By
Dr. Mike Makher
elbow-pain-explained-ii
Elbow Pain Is Rarely About the Elbow Alone
Dec 30, 2025
By
Dr. Mike Makher
elbow-pain-explained-i
Shoulder Pain Is Common, But It Is Not Simple
Dec 24, 2025
By
Dr. Mike Makher
hillsboro-shoulder-pt-near-intel
Tibia and Fibula Fractures From Skiing and Snow Sports
Dec 21, 2025
By
Dr. Mike Makher
tibia-fibula-fractures-skiing-rehab
Tendinopathy in Runners: What It Is and How to Fix It
Dec 18, 2025
By
Dr. Mike Makher
tendinopathy-in-runners-what-it-is-and-how-to-fix-it
Physical Therapy for Runners Portland: Your Complete Injury Guide
Dec 7, 2025
By
Dr. Mike Makher
physical-therapy-for-runners-portland-your-complete-injury-guide
Knee Pain Relief in Hillsboro, North Plains, Banks, and Aloha
Nov 28, 2025
By
Dr. Mike Makher
knee-pain-relief-in-hillsboro-north-plains-banks-and-aloha
Sleeping After ACL Reconstruction in the Hillsboro and Westside Communities
Nov 27, 2025
By
Dr. Mike Makher
sleeping-after-acl-reconstruction-in-the-hillsboro-and-westside-communities
Blood Flow Restriction Therapy, A Proven Method to Improve Physical Therapy Outcomes in Hillsboro, Oregon
Nov 23, 2025
By
Dr. Mike Makher
blood-flow-restriction-therapy-a-proven-method-to-improve-physical-therapy-outcomes-in-hillsboro-oregon
Hamstring Injuries in Elite Athletes: The Science of Getting Back in the Game
Nov 22, 2025
By
Dr. Mike Makher
hamstring-injuries-in-elite-athletes-the-science-of-getting-back-in-the-game
Osgood-Schlatter in Gymnastics: When Growth Meets Gravity
Nov 5, 2025
By
Dr. Mike Makher
osgood-schlatter-in-gymnastics-when-growth-meets-gravity
Sharing: "Bridging the Gap Between Strengthspan and Lifespan"
Nov 4, 2025
By
Dr. Mike Makher
sharing-bridging-the-gap-between-strengthspan-and-lifespan
The Myth of the Perfect Running Shoe
Nov 4, 2025
By
Dr. Mike Makher
the-myth-of-the-perfect-running-shoe
The Neck’s Moment in the Spotlight: What Formula One Teaches About Neglected Muscles
Nov 3, 2025
By
Dr. Mike Makher
the-neck-s-moment-in-the-spotlight-what-formula-one-teaches-about-neglected-muscles
Returning to Sport After ACL Surgery: What It Really Takes (And Why We’re Built for It)
Nov 2, 2025
By
Dr. Mike Makher
returning-to-sport-after-acl-surgery-what-it-really-takes-(and-why-we-re-built-for-it)
Personalized Physical Therapy for Shin Splints: Healing with Precision
Nov 2, 2025
By
Dr. Mike Makher
personalized-physical-therapy-for-shin-splints-healing-with-precision
How to Choose the Right ACL Rehab Clinic: What Equipment & Resources Really Matter
Nov 1, 2025
By
Dr. Mike Makher
how-to-choose-the-right-acl-rehab-clinic-what-equipment-resources-really-matter
Why Overuse Injuries Keep Happening For Runners
Nov 1, 2025
By
Dr. Mike Makher
load-management-and-injury-prevention-for-recreational-athletes-in-washington-county
What to Expect Before ACL Surgery: The Prehab Phase Explained
Oct 31, 2025
By
Dr. Mike Makher
what-to-expect-before-acl-surgery-the-prehab-phase-explained
Sever’s Syndrome in Young Gymnasts: How Strength Training Can Prevent Heel Pain in Hillsboro’s Youth Athletes
Oct 31, 2025
By
Dr. Mike Makher
sever-s-syndrome-in-young-gymnasts-how-strength-training-can-prevent-heel-pain-in-hillsboro-s-youth-athletes
Rotator Cuff Tear Recovery and Rehab in Hillsboro, Forest Grove, and Beyond
Oct 29, 2025
By
Dr. Mike Makher
rotator-cuff-tear-recovery-and-rehab-in-hillsboro-forest-grove-and-beyond
Why Strength Reference Values Matter After ACL Surgery: Setting the Bar for Safe Return to Sport
Oct 29, 2025
By
Dr. Mike Makher
why-strength-reference-values-matter-after-acl-surgery-setting-the-bar-for-safe-return-to-sport
ACL Rehab That Actually Works: The Performance-First Approach Inspired by The Best Around the World
Oct 28, 2025
By
Dr. Mike Makher
acl-rehab-that-actually-works-the-performance-first-approach-inspired-by-the-best-around-the-world
One Secret to Successful ACL Recovery? Smart Rehab
Oct 28, 2025
By
Dr. Mike Makher
one-secret-to-successful-acl-recovery-smart-rehab
Run Faster, Recover Stronger: Evidence-Based Sprinting Rehab in Hillsboro, Beaverton & Beyond
Oct 28, 2025
By
Dr. Mike Makher
run-faster-recover-stronger-evidence-based-sprinting-rehab-in-hillsboro-beaverton-beyond
Why Force Plate Jump Testing Matters for Basketball Players After ACL Surgery in Hillsboro and Beaverton
Oct 27, 2025
By
Dr. Mike Makher
why-force-plate-jump-testing-matters-for-basketball-players-after-acl-surgery-in-hillsboro-and-beaverton
Why Limb Symmetry Alone Isn’t Enough for ACL Recovery
Oct 27, 2025
By
Dr. Mike Makher
why-limb-symmetry-alone-isn-t-enough-for-acl-recovery
Hidden Concussions After a Car Accident: Why Proper Rehab Changes Everything
Oct 25, 2025
By
Dr. Mike Makher
hidden-concussions-after-a-car-accident-why-proper-rehab-changes-everything
Can ACL Tears Heal Without Surgery? MRI Evidence Is Giving Us New Hope
Oct 1, 2025
By
Dr. Mike Makher
can-acl-tears-heal-without-surgery-mri-evidence-is-giving-us-new-hope
Independent Medical Exams, Done Right
Sep 14, 2025
By
Dr. Mike Makher
independent-medical-exams-done-right
Creatine Supplementation in Youth
Sep 12, 2025
By
Dr. Mike Makher
creatine-supplementation-in-youth
From the Mat to Mastery: Professional Judokas’ Experiences with ACL Injury
Sep 2, 2025
By
Dr. Mike Makher
from-the-mat-to-mastery-professional-judokas-experiences-with-acl-injury
Tendinopathy (a.k.a. “tendinitis”/“tendinosis”): the loading science that actually heals
Aug 31, 2025
By
Dr. Mike Makher
tendinopathy-(a-k-a-tendinitis-tendinosis-)-the-loading-science-that-actually-heals
Can You Return to Competitive Sports After an Achilles Tendon Rupture?
Aug 30, 2025
By
Dr. Mike Makher
can-you-return-to-competitive-sports-after-an-achilles-tendon-rupture
Why Early Mobilization Matters in Achilles Tendon Rehab
Aug 28, 2025
By
Dr. Mike Makher
why-early-mobilization-matters-in-achilles-tendon-rehab
Why You Should Avoid Clinicians Who Still Preach RICE
Aug 24, 2025
By
Dr. Mike Makher
why-you-should-avoid-clinicians-who-still-preach-rice
Is 9 Months the Magic Number for Returning to Sport After ACL Surgery?
Aug 23, 2025
By
Dr. Mike Makher
is-9-months-the-magic-number-for-returning-to-sport-after-acl-surgery
How Long Does It Take to Return to Sport After Achilles Tendon Repair?
Aug 23, 2025
By
Dr. Mike Makher
how-long-does-it-take-to-return-to-sport-after-achilles-tendon-repair
Is Heel Pain Holding You or Your Teen Back?
Jul 16, 2025
By
Dr. Mike Makher
is-heel-pain-holding-you-or-your-teen-back
ACL Surgery: Is Adding an Extra Procedure Called the LEAP Worth It for Active Teens and Adults?
Jul 13, 2025
By
Dr. Mike Makher
acl-surgery-is-adding-an-extra-procedure-called-the-leap-worth-it-for-active-teens-and-adults
How You Can Be the Boss of Your Own Pain
Jul 13, 2025
By
Dr. Mike Makher
how-you-can-be-the-boss-of-your-own-pain
Early vs. Traditional Rehab After Rotator Cuff Surgery—What the Evidence Really Says
Jul 12, 2025
By
Dr. Mike Makher
early-vs-traditional-rehab-after-rotator-cuff-surgery-what-the-evidence-really-says
Rebuilding Achilles Tendon Strength in Hillsboro & Portland: Safe, Science-Backed Steps to Recovery
Jul 7, 2025
By
Dr. Mike Makher
rebuilding-achilles-tendon-strength-in-hillsboro-portland-safe-science-backed-steps-to-recovery
ACL Recovery: Why 9 Months Might Not Be the Magic Number (and What Actually Matters)
Jul 3, 2025
By
Dr. Mike Makher
acl-recovery-why-9-months-might-not-be-the-magic-number-(and-what-actually-matters)
Why Your Tendon Pain Keeps Coming Back And What Actually Works to Fix It
Jun 26, 2025
By
Dr. Mike Makher
why-your-tendon-pain-keeps-coming-back-and-what-actually-works-to-fix-it
Can You Recover from an Achilles Tendon Rupture Without Surgery?
Jun 23, 2025
By
Dr. Mike Makher
can-you-recover-from-an-achilles-tendon-rupture-without-surgery
Blood Flow Restriction Therapy: The Game-Changer for Achilles Tendon Recovery
Jun 21, 2025
By
Dr. Mike Makher
blood-flow-restriction-therapy-the-game-changer-for-achilles-tendon-recovery
Can an ACL Tear Heal Without Surgery? What Parents and Adults Need to Know
Jun 20, 2025
By
Dr. Mike Makher
can-an-acl-tear-heal-without-surgery-what-parents-and-adults-need-to-know
Done with ACL Surgery? Here's Why Rehab Is the Real MVP of Your Recovery
Jun 19, 2025
By
Dr. Mike Makher
done-with-acl-surgery-here-s-why-rehab-is-the-real-mvp-of-your-recovery
Is Ice Still Good for Injuries? What Science Says About Icing for Pain Relief
Jun 18, 2025
By
Dr. Mike Makher
is-ice-still-good-for-injuries-what-science-says-about-icing-for-pain-relief
Why Change of Direction & Deceleration Testing Is After Sports Injuries (Especially ACL & Achilles Repairs)
Jun 17, 2025
By
Dr. Mike Makher
why-change-of-direction-deceleration-testing-is-after-sports-injuries-(especially-acl-achilles-repairs)
How Physical Therapy Helps People with EDS and Hypermobility Spectrum Disorders
Jun 16, 2025
By
Dr. Mike Makher
how-physical-therapy-helps-people-with-eds-and-hypermobility-spectrum-disorders
The Missing Link in ACL Recovery: Why Mid-Stage Rehab Could Make or Break Your Return to Sport
Jun 16, 2025
By
Dr. Mike Makher
the-missing-link-in-acl-recovery-why-mid-stage-rehab-could-make-or-break-your-return-to-sport
Why Pain & Performance Coach is Different From Most Physical Therapy Clinics in Hillsboro and Beaverton
Jun 14, 2025
By
Dr. Mike Makher
why-pain-performance-coach-is-different-from-most-physical-therapy-clinics-in-hillsboro-and-beaverton
Your Guide to Achilles Tendon Surgery Recovery: How Physical Therapy Gets You Back on Your Feet
Jun 11, 2025
By
Dr. Mike Makher
your-guide-to-achilles-tendon-surgery-recovery-how-physical-therapy-gets-you-back-on-your-feet
ACL Rehab Starts Earlier Than You Think: Why the First Few Weeks Matter Most
Jun 10, 2025
By
Dr. Mike Makher
acl-rehab-starts-earlier-than-you-think-why-the-first-few-weeks-matter-most
Say Goodbye to Knee Pain! Your Fun Guide to Tackling Patellofemoral Pain
Jun 10, 2025
By
Dr. Mike Makher
say-goodbye-to-knee-pain-your-fun-guide-to-tackling-patellofemoral-pain
Arthrogenic Muscle Inhibition
Jun 9, 2025
By
Dr. Mike Makher
what-is-ami-(arthrogenic-muscle-inhibition)-and-how-do-you-fix-it
Medical Trauma Is Real for People with EDS and HSD — But Healing Is Possible
Jun 9, 2025
By
Dr. Mike Makher
medical-trauma-is-real-for-people-with-eds-and-hsd-but-healing-is-possible
Concussion Recovery is More Than Rest: Here’s What Actually Works
Jun 9, 2025
By
Dr. Mike Makher
concussion-recovery-is-more-than-rest-here-s-what-actually-works
Essential Vertical Jump Metrics for Post-ACL Surgery Sports Return
Jun 9, 2025
By
Dr. Mike Makher
https-www-painperformancecoach-com-research-essential-vertical-jump-metrics-for-post-acl-surgery-sports-return
Why Resistance Training Is a Game-Changer for People with EDS & HSD
Jun 8, 2025
By
Dr. Mike Makher
why-resistance-training-is-a-game-changer-for-people-with-eds-hsd
Sleep, Pain, and Mental Health in Kids with Ehlers-Danlos Syndrome (hEDS)
Jun 4, 2025
By
Dr. Mike Makher
sleep-pain-and-mental-health-in-kids-with-ehlers-danlos-syndrome-(heds)
What is Hypermobility Spectrum Disorder (HSD) — And Why It Matters
Jun 2, 2025
By
Dr. Mike Makher
what-is-hypermobility-spectrum-disorder-(hsd)-and-why-it-matters
Our Favorite Publicly Available ACL resources for your reference (a short list of resources)
May 29, 2025
By
Dr. Mike Makher
our-favorite-publicly-available-acl-resources-for-your-reference-(a-short-list-of-resources)
Revolutionizing ACL Recovery: The Impact of Force Plate Testing
May 19, 2025
By
Dr. Mike Makher
https-www-painperformancecoach-com-research-revolutionizing-acl-recovery-the-impact-of-force-plate-testing
Ankle Sprains: What You Need to Know in Hillsboro and Portland
May 19, 2025
By
Dr. Mike Makher
ankle-sprains-what-you-need-to-know-in-hillsboro-and-portland
Effective Ankle Sprain Prevention and Rehab in Beaverton & Hillsboro
May 19, 2025
By
Dr. Mike Makher
effective-ankle-sprain-prevention-and-rehab-in-beaverton-hillsboro














































































