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Stop Fighting Your Body: Nervous System Care for hEDS and HSD

Written by EDS Connective | Nov 4, 2026, 9:10:00 PM
8 min read · Why nervous system care is the foundation with hEDS and HSD, plus practical tools to start today.
 

Medically Reviewed by

Dr. Dacre Knight, MD, MS, FACP
 

November 2026 · 8 min read

Adapted from Chapter 1 of When Your Body Needs More Care: A Practical Guide to Hypermobility, Connective Tissue Disorders, and Creating a Life That Works by Maggie Buckley, MBA, BCPA. Published by EDS Connective. Download the full eBook free →

If you've recently been diagnosed with hEDS or HSD, the urge to do everything at once can feel overwhelming: new terms, new appointments, new decisions, and a very real pull to fix it all right away. But moving forward well rarely begins with speed. It begins with calm, steadiness, and the kind of nervous-system regulation that makes it easier to think clearly, make decisions, and start building from there. That is where Maggie's first chapter begins.

 

Chapter 1: Calm Is the First Step Forward

When fear first rises, it can feel as though the only sensible response is speed — more research, more appointments, more solutions, more effort. But a body already under strain rarely settles through force. Before you add more tasks, more information, or more urgency, it helps to begin by quieting the system enough to see what is actually happening. Calm is not passivity, denial, or weakness. It is the first practical step in building steadiness, because it helps you notice what is already supporting you and what needs attention first. Before you chart a new course, you steady the boat you are already in.

This chapter is about helping your nervous system feel safer and steadier so you can build momentum. We'll talk about what stress does in the body, why getting stuck in "fight mode" can make symptoms louder and energy lower, and a few simple practices you can use anywhere to bring things down a notch.

If you're newly diagnosed, it can feel like you've been dropped into the middle of a storm: new terms, new appointments, new decisions — and a very real urge to fix everything right away. The frustrating truth is that lasting progress usually doesn't start with speed. It starts with steadiness. A more regulated nervous system gives your body and mind a better place to learn, heal, and make decisions.

Dr. Chad Shepherd

Clinical Psychologist

"In order to heal, the body needs safety. Safety comes in many forms — a good night's sleep, rest, and connection with our values. In our modern lives, there are always ongoing challenges, particularly with chronic health problems. A good place to start is by calming the nervous system."

From Fighting to Building

In healthcare, people often talk about illness like a battle: fight for your health, fight your body, fight the system. I understand why that language shows up. It can feel powerful in the moment. But it can also keep your body on high alert, as if danger is always present, even when the work in front of you is slow, steady, and deeply human.

If you're living with a heritable connective tissue disorder — or any chronic condition — this is not a short sprint. It is a long path with many chances to improve the quality of life. The community phrase "start low, go slow" exists for a reason: moving too fast can lead to burnout, symptom flares, and the discouraging feeling that nothing works.

Warrior Mindset

 

Fight for your health

 

Push through

 

Force progress

 

Always on high alert

Builder Mindset

 

Build skills that regulate symptoms

 

Create reliable strategies

 

Grow a support network

 

Work with your body

You don't need to prove you're tough. You're already strong: you've lived in this body for a long time, and you've found ways to cope. Nobody understands your day-to-day experience better than you do. That lived knowledge matters.

Calm Is a Skill

When clients come to me for patient advocacy, one of the first things we practice is nervous system regulation. Not because calm is simply "nice," but because calm is useful. It helps you think more clearly, communicate more effectively, and respond to symptoms based on what is really happening — not just what your brain fears might happen.

A simple place to start is a cleansing breath:

  • Breathe in slowly for a count of four.
  • Exhale slowly for a count of four.
  • Repeat 3–5 times.

As you try this, notice what changes — your heart rate, muscle tension, and how clear your thinking feels. Even a few breaths can create just enough space to choose your next step rather than react on autopilot.

Use Transitions to Practice Regulation

One of the easiest ways to build this habit is to pair it with transitions you already do every day:

  • Room-to-room transitions: as you walk from the bedroom to the kitchen, take 2–3 slow breaths.
  • Before and after calls: breathe before you dial; breathe again when you hang up to mark completion.
  • After any focused task: take a few breaths before switching to the next thing.

Injury, Flare, or New Pain: Pause Before You Problem-Solve

When something suddenly hurts, your nervous system often hits the gas. That urgency is understandable — but it can also lead to mistakes: moving too quickly, grabbing the wrong support, using heat when ice would have helped (or vice versa), or spending energy chasing ten possibilities instead of the one you actually need.

If you can, try this sequence:

  • Stop for a moment.
  • Take 2–4 slow breaths.
  • Assess. Is there bleeding? Swelling? A bruise forming? Are you dizzy? Is the pain changing as you breathe?
  • Respond appropriately. Choose the simplest next right step — specific support, first aid, rest, or calling for help.

This pause is not "doing nothing." It's vagus-nerve-supported regulation — creating enough safety in the body to think clearly and conserve energy.

Why Fight-or-Flight Can Worsen Symptoms

Sympathetic (Fight/Flight)

 

Mobilizes energy for immediate action

 

Heart rate rises, muscles tense

 

Digestion slows

 

Attention narrows toward perceived threat

Parasympathetic (Rest/Digest)

 

Supports digestion and recovery

 

Tissue repair and immune function

 

Steady nutrient and hydration absorption

 

Rest and restoration

In the wild, fight-or-flight is usually short-lived: danger passes, and the body settles again. With chronic illness — and chronic stress — that "always ready" state can become the default. Over time, constant muscle tension can lead to pain, and slower digestion can worsen GI symptoms and make it harder for your body to absorb the nutrients and hydration it needs for recovery and stability.

The goal is not to remove stress completely. The goal is flexibility: the ability to move out of fight-or-flight and back toward rest-and-digest when your body is safe enough to do that.

 

A Toolkit for Cultivating Calm

Regulation starts with noticing. That is the first skill. Pay attention to the early signs that your system is revving up — racing thoughts, a tight jaw, clenched muscles, shallow breathing, or a sense of urgency — and then choose one tool that fits the moment.

Breathing (fastest access)

Return to the 4-count inhale/4-count exhale, or simply make your exhale slightly longer than your inhale.

Movement and Vocalization

Dr. Melissa Koehl, PT, DPT

Living with hEDS · Founder, Chimera Health

"As a DPT living with hEDS, I've learned that nervous system regulation is essential for managing fatigue, pain, dysautonomia, GI symptoms, and mast cell issues. Meditation can be helpful for many people, but for me, it often worsens fatigue. For many of my patients and clients, especially those with autism or ADHD, the act of sitting quietly can actually feel more dysregulating or anxiety-producing. Instead, things like gentle movement, vagus nerve stimulation through vocalizing or humming, and short breathing exercises (even just one slow exhale) can be much more effective and efficient ways to help the nervous system feel safe and regulated. The beauty of this approach is that it can be sprinkled in several times over the course of a day, which also feels more manageable."

Visualization (building understanding and compassion)

Gently focus attention on the body area that feels "loud." The aim is not to judge or panic, but to understand what you're sensing and to separate threats from familiar sensations that are common for your body.

Jeannie Di Bon, MSc, MA

Movement Educator & Hypermobility Specialist · Founder, The Zebra Club

"The brain and nervous system love visualization. We can create sensations through imagined or emotionally associated experiences. In persistent pain states, the nervous system can become highly protective and sensitized. Gentle visualization can help shift the body from a state of threat toward one of safety and regulation. Calming imagery, positive sensory focus, and feelings of safety can influence breathing, muscle tension, stress hormones, and pain responses."

Guided imagery (finding safety through the senses)

If you like scripts or audio guidance, try a simple image such as a leaf on a branch. Imagine being that leaf: supported, connected, and anchored. Notice sensory details — warm/cool air, distant sounds, nearby smells. This kind of sensory refocus can help your nervous system return to the present moment.

Body scans (information without judgment)

With a steady breath (3–4 counts in, 3–4 counts out), slowly scan from the top of your head down to your toes. Notice sensations and alignment. Make small adjustments toward neutral, comfortable positions. Over time, this builds body knowledge: what needs support, what needs movement, and what needs rest.

These are accessible, self-directed practices. The more you practice when things are not urgent, the easier it becomes to use them when you really need them.

Conclusion

When you have more tools in your toolkit, the jumble of symptoms can feel less scary and less overwhelming because you have options. Each time you use a tool, and it helps, you give your brain evidence that you can handle what is happening. That sense of control can calm the nervous system and help create a steadier, less reactive cycle. In time, that steadiness becomes part of how you keep your footing when the water changes.

What to Remember

  • Calm is a foundation for clear thinking, better decisions, and sustainable progress.
  • Regulation is practice-based: small reps throughout the day add up.
  • Shifting toward rest-and-digest supports digestion, recovery, and energy.

Practice Prompt · 2 Minutes

  • Put one hand on your chest and one on your belly (or just rest your hands wherever is comfortable).
  • Inhale gently through your nose for a count of four.
  • Exhale slowly for a count of six (or simply make your exhale a little longer than your inhale).
  • Do 5 rounds. If your mind wanders, that's normal — just come back to counting.

Make it yours: If counting feels stressful, drop the numbers and just slow the exhale. If breathing through your nose is hard, breathe through your mouth. If sitting still isn't supportive, try this while walking slowly, rocking gently, or lying down with your knees supported. The goal is not perfection — it's giving your nervous system a clear signal: right now, I'm safe.

Keep reading: What This Diagnosis Means for You: hEDS, HSD, and Connective Tissue Disorders →

Ready for answers? Start your EDS Connective evaluation →

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Sources compiled from When Your Body Needs More Care by Maggie Buckley, MBA, BCPA. Copyright © 2026 EDS Connective. ISBN: 979-8-9963001-0-5.

About the Authors

Maggie Buckley, MBA, BCPA

Advocacy Advisor & Patient Representative 

Author · When Your Body Needs More Care

Maggie Buckley has been a health and patient advocate for over three decades while living with a chronic pain condition. A Board Certified Patient Advocate (BCPA) since 2019, she volunteers with the Ehlers-Danlos Society, the Loeys-Dietz Syndrome Foundation Canada, and the Loeys-Dietz Foundation. She has represented lived experience on research projects covering connective tissue disorders and pain management, testified at policy hearings, spoken at conferences, and coached hundreds of patients to self-advocate for better care. She is the author of When Your Body Needs More Care, published by EDS Connective in 2026.

View full bio →

Dr. Dacre Knight, MD, MS, FACP

Medical Director, EDS & Hypermobility Disorders Center · University of Virginia

Chief Medical Officer · The Ehlers-Danlos Society

Dr. Knight is the Medical Director of the EDS & Hypermobility Disorders Center at the University of Virginia, where he also serves as Associate Professor of Medicine and Chief Medical Officer of The Ehlers-Danlos Society. A board-certified internal medicine physician specializing in consultative and diagnostic medicine, he founded and led the Mayo Clinic EDS Clinic for over six years. He provided the foreword and medical review for When Your Body Needs More Care.

View full bio →

Important — Please Read

This publication is for informational and educational purposes only. The content in When Your Body Needs More Care is intended to provide general health education and awareness. It is not intended as, and shall not be construed as, medical advice, diagnosis, treatment, or a substitute for professional medical care.

About the author.

This guide was written by Maggie Buckley, MBA, BCPA, a board-certified patient advocate. Ms. Buckley is not a licensed healthcare provider. The content reflects her professional experience in patient advocacy and health education, not clinical guidance.

About the contributing providers and medical reviewer.

This guide contains contributions from physicians and healthcare providers and has been reviewed for medical accuracy by Dacre Knight, MD, MS, FACP. All provider contributions and Dr. Knight's review are limited to general educational content. They do not constitute individualized medical advice, do not create a provider-patient relationship with any reader, and do not constitute an endorsement of EDS Connective, its platform, or its commercial services. Any personal experiences, observations, opinions, or perspectives shared by contributors reflect their individual professional and/or lived experiences and should not be interpreted as guarantees of any particular health outcome.

About the publisher.

This guide is published by EDS Connective, LLC, a virtual health platform facilitating access to online hEDS and HSD diagnostic evaluation by independent physicians in all 50 states. EDS Connective is not a healthcare provider and does not render medical diagnoses, provide treatment, or practice medicine.

No guaranteed outcomes.

No representation is made that following any suggestion, recommendation, or information in this guide will produce any particular health outcome, improvement, or result. Every individual's health circumstances are unique. What is informative for one reader may not be appropriate for another.

Consult your healthcare provider.

Always seek the advice of your physician or other qualified healthcare provider before making changes to your healthcare, treatment plan, physical activity, diet, or medications. Never disregard professional medical advice or delay seeking it because of information you have read in this publication.

If you are experiencing a medical emergency, call 911 or your local emergency services immediately.

Disclosure: This blog was adapted from the eBook authored by Maggie Buckley, MBA, BCPA, and medically reviewed by Dr. Dacre Knight, MD, MS, FACP; both serve as advisors to EDS Connective and may receive compensation or travel reimbursement. Additional contributions were provided by EDS Connective advisors Dr. Alan Hakim and Jeannie Di Bon. In addition to her advisory role, Jeannie Di Bon maintains a business relationship with EDS Connective via The Zebra Club. Dr. Melissa Koehl maintains a business relationship with EDS Connective via Chimera Health. These financial and business relationships are disclosed in accordance with the FTC Endorsement Guides. The views expressed are those of the individual contributors and do not necessarily reflect the official positions of EDS Connective.