Hi - wonder if anyone has seen this anywhere else.

I've been asked to see a young female patient with 'orthostatic intolerance' and 'hypermobile' joints. She has been using a wheelchair for many years due to these symptoms and says she is now unable to work. On meeting her, she reports she has never fainted or lost consciousness so isn't at risk of syncope, and that hypermobility is the reason for the chair. Scores 2/9 on Beighton scale. Refuses to even attempt to walk or use a stick or frame for fear of damaging wrists, but self-propels in the chair no problem. Is on new treatment for orthostatic symptoms that has significantly helped other patients with orthostatic hypotension - but she makes no improvement in mobility after months of treatment.

Now says a neuro has mentioned 'vestibular' problem, but I can't see that justifying being chair dependent. Also was never prescribed a chair, but bought it herself.

Any suggestions on where to go from here?

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