Hypermobile Patient Symptom Diary

Instructions:

Use this diary to track your daily symptoms, their severity, and any possible triggers. Try to fill it out consistently to identify patterns in your condition.

Patient Information

• Name: ________________________

• Date Started: _______________

• Primary Concerns: (e.g., joint instability, chronic pain, dizziness, fatigue)

Daily Symptom Log

📅 Date: _______________

2. Symptom Tracking

(Use a 1-10 scale: 1 = Mild, 10 = Severe)

Symptom	Severity (1-10)	Description/Notes (Which joints? How long? Any triggers?)
Joint Pain
Joint Instability
Muscle Spasms/Tightness
Fatigue
Dizziness/Lightheadedness/Fainting spells
Neurological Symptoms (brain fog, tingling, numbness, sleep disturbance)
Headaches/Migraines
Gastrointestinal Issues
Other (specify)

3. Activity & Triggers

🔹 What activities did you do today? (e.g., standing, sitting long periods, walking, exercise, lifting, stress, weather changes, histamine-rich foods)

🔹 Did anything seem to trigger or worsen your symptoms? (e.g. poor sleep, stress, increased volume of activities or new activities, hormonal changes, MCAS or dysautonomia flare, dehydration, new medications or increased dosage, others mentioned in previous prompt)

🔹 Did you try any relief strategies? (e.g., rest, ice, heat, medication, compression, electrolytes & hydration, gentle soft tissue release, braces, splints or taping, mobility aids)

🔹 Are you noticing progress? There are many ways to measure progress. Sometimes you can notice an increase in function (see examples below) before noticing a decrease in pain

• Less frequent flare-ups

• Lower intensity of pain during a flare

• Less frequent subluxations/dislocations

• Shorter lasting flare-ups ie able to bounce back quicker from a flare 

• Able to do more exercise sessions, harder exercises, more sets or repetitions 

• Decreased reliance on braces/splints/mobility aids

• Increased participation in daily life e.g. walks, chores, hobbies, work

4. Additional Notes & Observations

• Did you notice any new symptoms today? _______________

• Any upcoming medical appointments or medication changes? _______________

• Questions for your doctor/physiotherapist? _______________