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Practice What Your Patient is Thinking

The health benefits of three wheels

BMJ 2019; 364 doi: (Published 02 January 2019) Cite this as: BMJ 2019;364:k5192
  1. Jenny Gristock
  1. jenny{at} (on Twitter @nulliusinverba)

A tricycle might not be the first thing that springs to mind as a solution to mobility problems, but Jenny Gristock explains how a “bucket bike” helped her

I live with hypermobile Ehlers Danlos syndrome, which, as the Royal College of General Practitioners’ toolkit explains, is a multi-systemic connective tissue disorder associated with lax joints; frequent subluxations and dislocations; chronic pain; autonomic dysfunction and gastrointestinal problems. I began having problems in my 20s. By 2015, the altered mechanics of my lumbosacral region caused so much pain I became housebound and unable to sleep in a bed. Sitting, standing, walking, and lying on a soft surface were all unbearable. Most of the time, I tried to reduce the pain by pressing the base of my spine into a hard floor, day and night.

Because I had other medical conditions that prevented me from driving, as my ability to walk worsened I became …

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