Quick gainer theory
Hello all. I’m a musculoskeletal doctor and one of the things I often see in my practice is something called benign hypermobility syndrome. It’s on a spectrum with Ehlers Danlos Syndrome (EDS) - think contortionists - but without the systemic manifestations. The disorder involves having somewhat defective collagen which produces the hypermobility symptoms. The way you evaluate it is through something called a Beighton Score and Brighton criteria (no that’s not a typo - it’s Beighton with an “e” and Brighton with an “r”).
The Beighton score has a maximum of 9/9. First you pull your thumb towards your forearm. If you can touch you get one point per thumb. Next you check elbows and knees. If they go backwards at all (beyond straight when in the locked position) you get one more point per joint. If you can touch both palms to the floor while standing that’s one point. And finally if you can bend any of your metacarpal phalangeal joints past 90 degrees you get a point per left and right side. If you have at least four of those positive you get 1 major criteria towards the Brighton Score. You need two major criteria or two minor and one major criteria to have a diagnosis of benign hypermobility syndrome. Joint pain in four or more joints for longer than three months is another major criteria. Minor criteria include things like purple striae (stretch marks), marfanoid habitus (think Abe Lincoln), varicose veins, among others that you can look up.
It’s odd that some top gainers can grow as much as a couple inches within a year whereas others might grow a quarter of that in several years. My theory is a difference in collagen makeup - i.e. benign hypermobility syndrome vs EDS.
If any of the fast gainers on this forum could do a self assessment for the above criteria we could quickly get a sense for whether or not this theory holds any water.
Thanks!