Hypermobile

The main thing about hypermobility is preventing an injury. Once an ankle or other part is repeatedly and permanently injured then it's set for osteoarthritis and other problems in the future.
Good shoes mainly and plenty of exercise such as cycling, running is obviously not a good idea.
Physio can certainly help.
You don't have to wrap them in cotton wool but just be careful.
Hypermobility affects the whole body, or can affect the whole body and this can include the stomach so you often find stomach pain and difficulty digesting is a problem too.

Yes, even just body weight type exercises stuff would help. With good technique! She will need to be careful with anything like Pilates or yoga as it’s possible to over extend, etc without realising. My osteopath said be careful as my lower back is already too hypermobile and he said the last thing I want to do is stretch more, make myself more mobile!

My DD is very hypermobile and has this with her knees. Essentially she will be helper greatly by starting to do exercises that concentrate on stability around her major joints. It does work.

I’m hypermobile, I’ve been diagnosed with Ehler Danlos syndrome. As a teenager my kneecaps used to pop round the side of my legs frequently, I used to try and tape them in place every day as shown to by a physio. In the end I had keyhole surgery to cut a little groove into them so they stayed in place better. I have major issues with ligaments and tendons, constantly rupturing tendons. Have had to have surgery to have them stitched back together. Never found any help on the nhs, no doctor or physio is interested in trying to help me stay in one piece. I have spent a lot on private physios and osteopathy but not had great help from them either to be honest. Best thing I’ve found is weightlifting as the stronger I can keep my muscles it takes strain off my ligaments and tendons. It does sound like your Dd has found someone who is interested in being proactive about helping.

Have you scored her yourself?
https://www.ehlers-danlos.com/assessing-joint-hypermobility/

I too would be very concerned due to the association with other conditions, potential for future joint pain/issues etc. Maybe your DH didn't realise the impact it can really cause?

I'm hypermobile although not too badly. Physio, pilates and ballet make an amazing difference. They reduce the number of times I injure myself by making me stronger and more stable so I spend less time in pain. I wouldn't need it if I didn't like sports and outdoor activities though, because I'm not bad enough to break myself just from normal life, only if I try to run marathons or climb mountains. I wasn't diagnosed until I was in my 30s though and just assumed it was normal to hurt all the time when I was younger.

My dd is hypermoblie 9/9 on that scale. I'm presuming you mean she hyperextends both knees, so they flick back? Basically, from what I understand, in hypermoblie people the collagen, which is like elastic around the ligaments is too loose and therefore muscles and joints are not well supported. Does she also have flat feet, handwriting difficulties, a bit clumsy eg falling over a lot, dropping things, problems cutting up food nicely?

@Hypermedi If it helps, i'm hypermobile, so is my mum (9/10 on the scale) and neither of us have ever had the physio that everyone always says you need.