Orthopedics Physical Therapy Joint Hyperextension Treatment, Recovery, and More Hyperextension injuries can occur in any joint but are common in the knees, shoulders, wrists, and elbows By Elizabeth Quinn Updated on March 26, 2024 Medically reviewed by Stuart Hershman, MD Print Table of Contents View All Table of Contents Range of Motion Recovery Exercise Hyperextension is an injury that occurs when a joint is forced beyond its normal, healthy range of motion. This can make the joint unstable and increase the risk and likelihood of dislocation or other potential joint injuries. Hyperextension can happen in any joint. For example, bending the knee backward can cause a ligament tear, and a sudden overextension of the neck can cause a whiplash injury. This article discusses joint hyperextension injuries, what causes them, and how they are treated. It also goes over what you can expect while you recover. Virojt Changyencham / Getty Images Hyperextension and Range of Motion Most of the body’s joints allow for certain movements. A few joints, like joints in the skull, do not. The joints that allow movements, such as the knee, ankle, and spine, have a range of motion. This range of motion describes how far a joint can move or bend comfortably in each direction, and it is usually measured in degrees. Each individual joint has a specific range of motion that is determined by the position of the bones, ligaments, tendons, and muscles that make up the joint. For example, you can move your neck to a certain extent in each direction, but if you turn your neck too far in one particular direction, you can feel pain, and injuries can occur. Hyperextension injuries are common in the following areas: KneeNeckShoulderElbowsWristsFingers Normal Range of Motion for Each Joint What is flexion? The opposite of extension is flexion. Flexion is defined as bending a joint so that the bones of the joint are moved closer together. During flexion, the angle between the bones of the joint is decreased. Flexion typically occurs when muscles contract and the bones move the nearby joint into a curved position. Flexion makes a joint angle smaller and extension increases it. Recovering From a Hyperextension Injury Hyperextension injuries are usually treated conservatively with rest and pain management. Your healthcare provider might recommend RICE, which stands for rest, ice, compression, and elevation. Avoid using the affected joint as much as possible. Apply ice at 10- to 20-minute intervals every hour (remove the ice when the area starts to feel numb). If possible, wear a compression sleep or an elastic bandage on the injury, and keep it elevated above your heart to reduce swelling. It may take a few weeks to a month to recover from a hyperextension injury. Check with your healthcare before resuming your normal activities. Hyperextension in Exercise In terms of physical fitness, hyperextension movements are often involved in exercises that are designed to restore a normal range of motion. For example, you may need range of motion exercises for your elbow while recovering from an injury. One type of hyperextension exercise can be performed by lying face down on the floor and then lifting the arms and the torso off the ground while keeping the hips and lower body even and grounded. This movement stretches muscles in the lower back. There are also types of equipment commonly found in gyms that can be used to perform hyperextension exercises. If you are unsure of which pieces of equipment to use for hyperextension exercises, ask a member of the staff at your gym. Summary Joint hyperextension is when the joint is forced to move beyond its normal range of motion. This can cause injury, such as a ligament tear in the knee. Hyperextension injuries are usually treated conservatively with rest and pain management. Hyperextension can also be used to describe certain stretching exercises that can help you recover from an injury. 2 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Gudavalli MR, Cambron JA, McGregor M, et al. A randomized clinical trial and subgroup analysis to compare flexion-distraction with active exercise for chronic low back pain. Eur Spine J. 2006;15(7):1070–1082. doi:10.1007/s00586-005-0021-8 Lawrence MA, Chin A, Swanson BT. Biomechanical Comparison of the Reverse Hyperextension Machine and the Hyperextension Exercise. Journal of Strength and Conditioning Research. 2019;33(8):2053-2056. doi:10.1519/jsc.0000000000003146 By Elizabeth Quinn Elizabeth Quinn is an exercise physiologist, sports medicine writer, and fitness consultant for corporate wellness and rehabilitation clinics. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit