At 5’2″ and 110 pounds, I may look healthy, but on the inside, my body is waging endless battles. I live with Ehlers‑Danlos Syndrome (EDS), chronic migraines since age eight, and Postural Orthostatic Tachycardia Syndrome (POTS). Every day brings its own challenges—some visible, many hidden.
When I was eight, the first migraine struck in the middle of a busy Toys‑R‑Us aisle. I felt a wave of nausea and severe pain, and I silently begged my mom to go home. The next thing I knew, I was vomiting from the intensity. That moment marked the beginning of a lifelong struggle with migraines. Despite begging for help, I was dismissed repeatedly—too young to have migraines, my doctors said. Yet over time they worsened, evolving from once‑a‑month patterns to twenty or more attacks in a single month.
As I moved into adulthood, pain became my constant companion. Migraines persisted, but new pains surfaced—pelvic pain, throbbing back pain, unexplained bruises all over my body. I stretched and practiced yoga daily, yet my fascia felt “sticky,” my joints would dislocate, and I bruised at the slightest bump.
It was a massage therapist—not a doctor—who first raised the possibility of EDS and POTS. I was later officially diagnosed with EDS, and only recently (after a decade of racing heartbeats and faint spells) was I evaluated for POTS.
When the System Fails to See
The medical system often misses the mark. My labs were normal. My weight was ideal. I looked fine—and thus, so they concluded, I must be fine. But beneath the surface, everything was unraveling. At 2 pm most days, it’s like every cell in my body runs out of power. I get dizzy standing, see spots, and my pulse spikes. And yet, I position myself at the front of a yoga class, guiding breaths and postures, hiding the chaos inside.
When someone casually mentions, “Oh, I got a headache today,” or “I’m so tired,” it hits me hard. I don’t want to minimize their experience—but after years of silencing myself, it’s hard not to ache inside. I learned to laugh it off, to say I’m fine, even when I’m not. Silence became a survival mechanism. I didn’t learn to cope with pain; I learned not to mention it.
Chronic Pain, Emotional Exhaustion
Misdiagnosis and skepticism leave deep scars. Research shows that people with EDS and other invisisble illinesses commonly experience emotional trauma from being dismissed by healthcare providers. We become experts in our own bodies, but are still misunderstood. Silence becomes our refuge, but also our prisons.
Living with invisible illness is isolating. Sometimes I feel erased by well-meaning but unaware people who assume my life is easy. Other times, I feel ashamed to speak up—even in community—because I don’t want to be “that person” who complains. I carried this quiet suffering for years, until yoga began to shift something inside of me.
Rethinking Movement and Yoga
I’ve always loved yoga, but my body no longer fit the mold of mainstream practice. Hypermobility invites deeper connections but also discord—it’s easy to over-stretch, misalign, and injure. Doctors often warn people with EDS against traditional yoga (connect.mayoclinic.org). I needed a practice that offered connection, not collapse.
What I found was yoga shaped around mid-range, supported movement. Instead of extreme bends or flexible pretzel shapes, I welcomed flows guided by breath and aligned with mid-range engagement. In EDS and related conditions, building strength in that mid-range supports joints and calms the nervous system. These practices support balance, proprioception, and emotional well‑being—exactly what I needed (goodhealthphysicaltherapy.com).
Pacing became essential. POTS can mean sudden dizziness, fainting, or rapid heartbeats. Exercise pacing—small, manageable bursts—helps prevent crashes and build resilience over time . Breath became my medicine. Simple pranayama calms my nervous system and helps ease POTS symptoms—shifting from chaos to calm in the space of a single breath.
Adding props—blocks, bolsters, blankets—turned “traditional” yoga into a practice that felt safe for my nervous system and joints. Accessible yoga isn’t watered-down; it’s empowered. Props neither weaken the practice nor compromise its integrity. Instead, they deliver clarity and support . When I shift from pushing toward “ideal” postures to embracing what my body can do today, I find steadiness—even within pain.
Teaching Through the Invisible Storm
Even on days when my pulse races and the world blurs, I show up to teach. Every cue, voice shift, and physical demonstration requires effort. Sometimes I stand in front of a class with crossed fingers, hoping my legs don’t buckle mid-pose. But I’ve learned that showing up—even imperfectly—is powerful reclamation.
Research shows that yoga can improve mental wellbeing, reduce negative perceptions of illness, and support quality of life in people living with chronic conditions (pubmed.ncbi.nlm.nih.gov). It’s not about perfection—it’s not about Instagram snapshots or huge milestones. It’s about presence. Every breath, every moment of stillness, every safe posture is a thread sewn into a quieter, stronger narrative.
When someone shows up to my class and tells me they feel lighter—whether physically or emotionally—it matters. Even if I’m hurting underneath, that moment reminds me why I keep going. In teaching, I reclaim my voice and my story. And sometimes, I hear echoes of my own journey in others, and I realize I’m not alone.
How Pain Shapes Perspective
Comparison cuts deeper when your pain is invisible. Hearing someone say, “I can’t believe how tired I was!” after a restless night can feel alienating. Because I’ve known fatigue as a suffocating fog, as a near-collapse in quiet hallways, not just a sleep-deprived slump. It isn’t their fault—but after years of isolation, those words echo.
I’ve learned to resist self-blame for not sharing my pain. My silence was born of protection. I honed the skill of carrying everything quietly. But inside, I simmered with emotion—anger, grief, frustration. That internal tension taught me what empathy tastes like. It taught me that we need kinder responses to chronic illness: disbelief hurts. Validation heals.
What I Want Others to Understand
Invisible illness doesn’t mean invisible. Migraines, POTS, EDS—these aren’t choices or momentary bad days, but lifelong partners in struggle.
Normal labs don’t guarantee normal lives. Chronic illness often requires deeper clinical attention.
Yoga isn’t “one size fits all.” For many of us, it’s a practice that must adapt—one that builds, supports, and comforts.
Healing doesn’t just happen in doctors’ offices. It lives in safe spaces, belief, accompaniment—even without a cure.
Showing up isn’t about strength. It’s about honoring your existence, on days when your body tries to erase it.
Practical Yoga Tools for Invisible Illness
A gentle guide to make yoga safe, supportive, and meaningful, even when your body doesn’t cooperate:
- move within mid-range and avoid deep joint overextension
- rely on props like bolsters, blocks, straps, and chairs
- integrate awareness of breath: try 5-minute slow breathing or 4-6 rounds of box breathing
- pace your practice: shorter sessions more often instead of long sessions; build up gradually
- include rest transitions in every class—take a moment to stop, feel, and sense before moving on
- celebrate small victories: a calm breath, a headache-free hour, a gentle twist with ease
Our Stories Deserve to Be Heard
Living with hidden illness is hard, but it does not have to be silent. When we speak out, we build recognition and compassion. When I teach, I speak for myself—and those who haven’t found their voice yet.
In your voice, I hear resilience. Your story matters—even if the world doesn’t fully understand. When we share, we transform whispering pain into collective courage.
A Final Frame of Presence
Invisible chronic illness isn’t static—it’s a mosaic of small wins, quiet breaths, hidden tears, and triumphant presence. My body may hurt, my pulse may race, my energy may falter—but through yoga, through teaching, through showing up, I’m here.
And so are you.
If any part of this echoes with your own journey, please share. Let’s create space where invisible stories are seen, honored, and believed.
With Love and Compassion,
Mandy

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