Every Connective Issues post starts with real evidence…not assumptions, hype, or half-truths. These are the studies and data behind the content you see on my feeds. For plain-English breakdowns and insights, follow along on social media.
1. Ehlers-Danlos Syndrome & Hypermobility Research
ANA Positivity in Hypermobility Disorders
Moy et al. Anti-Nuclear Antibody (ANA) Positivity and Nuclear Antigen Reactivity in Patients with Joint Hypermobility Syndrome/Hypermobile Ehlers Danlos Syndrome (JHS/hEDS). Biomedicines. 2025; 13(9):2134 Link
KLK15 implicated in hEDS
Gensemer et al. KLK15 Alters Connective Tissues in Hypermobile Ehlers-Danlos Syndrome. iScience 2025 Preprint
2021 hEDS Review
Gensemer et al. Hypermobile Ehlers-Danlos syndromes: Complex phenotypes, challenging diagnoses, and poorly understood causes. Developmental Dynamics. 2021; 250(3): 318–344 Link
Prolotherapy in hEDS
Montana et al. Prolotherapy For the Treatment of Sacroiliac Joint Instability in Patients with Ehlers-Danlos Syndrome. Advances in Integrative Medicine 2025 Preprint
Impact of Living with EDS Study
Foster et al. The Impact of living with Ehlers-Danlos Syndrome on health-related quality of life: A systematic review following the 2017 international EDS classification. Rare 3 (2025) 100107 Link
Immune System in hEDS Study
Griggs et al. Proteomic discoveries in hypermobile Ehlers–Danlos syndrome reveal insights into disease pathophysiology. ImmunoHorizons, 2025, 9(10), vlaf044 Link
hEDS GWAS (Genome-Wide Association Study)
Petrucci-Nelson et al. Complex Genetics and Regulatory Drivers of Hypermobile Ehlers-Danlos Syndrome: Insights from Genome-Wide Association Study Meta-analysis. MedRxiv Pre-print (Not peer reviewed yet) Link
Adipose Disorders and hEDS
Wang et al. Intersection between hypermobile Ehlers-Danlos syndrome and adipose disorders: investigating fascial remodeling with ultrasound imaging. Journal of Rare Diseases 2025;4,52 Link
hEDS & HSD in Pediatric Cohort
Felipe et al. Unveiling the Spectrum: Clinical and Molecular Insights from a Spanish Pediatric Cohort with Hypermobility Disorders and Ehlers-Danlos Syndrome. Genes 2025, 16, 925. Link
Fibronectin Biomarker in hEDS and HSD
Ritelli et al. Bridging the Diagnostic Gap for Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders: Evidence of a Common Extracellular Matrix Fragmentation Pattern in Patient Plasma as a Potential Biomarker. American Journal of Medical Genetics 2025; 197:1 e63857 Link
Retrospective analysis of treatment effectiveness and specialist referral patterns in HSD/hEDS patients at Mayo Clinic.
Wilson FC, et al. (2025). Treatment Modalities, Pain Response, and Referrals for Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders: A Retrospective Study. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 9(6):100672. Link
2. Pain Mechanisms and Translation
Overview of decades of mechanistic pain research breakthroughs and persistent gaps in patient outcomes and clinical translation.
Fields et al (2025). Lost in translation: past, present, and future of pain research PAIN, 166(11S):S47-S51. Link
Challenges the traditional 3-month threshold for chronic pain, proposing that earlier mechanistic transitions to pain chronicity occur.
Ghasemlou et al. (2025). Rethinking the temporal dynamics of pain: from 3 months to 3 hours? PAIN, 166(11S):S33-S36. Link
NIH Common Fund funded multi-site longitudinal study identifying biological signatures and biomarkers that predict acute-to-chronic pain transition.
Wager et al. (2025). Accelerating discovery in pain science: the Acute to Chronic Pain Signatures program. PAIN, 166(11S):S95-S98. Link
Identifies AKT/mTORC1-driven metabolic shifts in spinal cord that suppress autophagy and promote chronic pain; demonstrates dietary interventions can prevent transition.
Mabou et al. (2025). Metabolic reprogramming in the spinal cord drives the transition to pain chronicity. Cell Reports, 44(9):116261. Link
Demonstrates robust circadian patterns in pain sensitivity across population.
Daguet et al. (2022). Circadian rhythmicity of pain sensitivity in humans. Brain, 145(9):3225-3235. Link
Examines emerging neuromodulation technologies, brain–computer interfaces, and surgical innovations for pain management.
de Andrade et al. (2025). The future of pain research: neuromodulation and surgery. PAIN, 166(11S):S116-S120. Link
Proposes multidimensional pain outcome sets across acute, transitional, episodic, and chronic pain phenotypes.
Bova et al. (2025). Moving beyond pain intensity as the primary outcome measure: the INTEGRATE pain framework and beyond. PAIN, 166(11S):S91-S94. Link
INTEGRATE-Pain Framework
Bova G et al. INTEGRATE-Pain: A Framework for Multidimensional Pain Outcomes. PAIN 50th Anniversary Supplement. 2025; 166(Suppl 1):S145–S158. Link
Evidence-based resource addressing health inequities, structural barriers, and social context in pain management and research.
IASP Fact Sheet. (2025). Advancing Understanding and Action on the Social Determinants of Health for People with Pain. Published: October 27, 2025 Link
3. Cannabinoid and Pain Therapies
Tramadol for Chronic Disease Pain Relief
Seidmohammadi et al. The Effectiveness of Tramadol in Pain Relief in Chronic Diseases: A Review Based on Clinical Trials.Journal of Pain & Palliative Care Pharmacotherapy. 2025 Mar; 39(1): 139–161. [Link](- https://doi.org/10.1080/15360288.2024.2411239)
Cannabis Extract for Chronic Low Back Pain
Karst et al. Full-spectrum extract from Cannabis sativa DKJ127 for chronic low back pain: a phase 3 randomized placebo-controlled trial.Nature Medicine. 2025; Published online September 29. Link
Cannabis Extract vs. Opioids for Low Back Pain
Meissner et al. VER-01 Shows Enhanced Gastrointestinal Tolerability, Superior Pain Relief, and Improved Sleep Quality Compared to Opioids in Treating Chronic Low Back Pain: A Randomized Phase 3 Clinical Trial.Pain Therapy. 2025; Published online September 30. Link
CBD for Fibromyalgia Pain
Rasmussen et al. Cannabidiol versus placebo in patients with fibromyalgia: a randomised, double-blind, placebo-controlled, parallel-group, single-centre trial.Annals of the Rheumatic Diseases. 2025; Published online August 21. Link
CBD and Beta-Caryophyllene for Pain
Alnoud et al. Cannabidiol and Beta-Caryophyllene: chronic inflammatory pain.Pharmacological Research. 2025; 222:107987 Link
Diet and Pain
Ward et al. Exploring the role of diet quality and adiposity in the pain experience: a mediation analysis. European Journal of Nutrition 2025;64,266. Link
4. Gratitude, Emotion Regulation, and Mental Health
Gratitude Interventions Meta-Analysis
Diniz et al. The effects of gratitude interventions: a systematic review and meta-analysis.Einstein Journal. 2023; 21:eRW0371 Link
Gratitude and Mental Health Over 6 Weeks
Bohlmeijer et al. Gratitude as Mood Mediates the Effects of a 6-Weeks Gratitude Intervention on Mental Health and Well-being.Frontiers in Psychology. 2022; 12:799447 Link
Gratitude Meditation and Brain Connectivity
Wong et al. Effects of gratitude meditation on neural network functional connectivity and brain-derived neurotrophic factor.NeuroImage. 2016; 123:40-52 Link
Neuroimaging of Gratitude
Fox et al. Neural correlates of gratitude.Frontiers in Psychology. 2015; 6:1491 Link
Gratitude, Emotion Regulation, and Stress
Kraiss et al. Better emotion regulation mediates gratitude and increased stress in daily life.Stress and Health. 2024; 40(2):e3417 Link
5. Gastrointestinal and Comorbidity Research
Gastroparesis Guidelines (AGA, 2025)
Staller et al. AGA Clinical Practice Guideline on Management of Gastroparesis. Gastroenterology 2025;169:828–861 Link
AGA Clinical Practice Update in EDS
Aziz et al. AGA Clinical Practice Update on GI Manifestations and Autonomic or Immune Dysfunction in Hypermobile Ehlers-Danlos Syndrome: Expert Review. Clinical Gastroenterology and Hepatology 2025;23:1291–1302 Link
Dysautonomia in hEDS pediatrics
Namazi N, Einali M. The prevalence of orthostatic hypotension, orthostatic intolerance and postural orthostatic tachycardia syndrome in Ehlers-Danlos hypermobility syndrome in children and adolescents (2025). Rheumatology Research, 10(4):183–186. Link