Concierge medicine for patients with hypermobility, from physicians who understand.

For me, this is personal.

My name is Dr. Rani Gandham. I’m a practicing pediatrician in the state of New York who, through lived experience, became a rehabilitation expert in conditions such as dysautonomia, mast cell activation syndrome (MCAS), cervical and thoracic outlet-related issues, and hypermobility-related syndromes for all ages.

This work is personal. My adult son (now 34) and my young granddaughter (now 4) both have hypermobile Ehlers-Danlos Syndrome (hEDS), along with associated autonomic, venous compression, and mast cell issues.

When my son became sick, we struggled to get answers. After finally receiving a diagnosis, we traveled across the country seeing top specialists…regenerative medicine providers, GI doctors, rheumatologists, orthopedists, cardiologists, endocrinologists. Many of these clinicians were thoughtful and often correct in their own domains. But what was missing was integration.

Each system was being evaluated in isolation, even though the symptoms were clearly interacting. Nervous system dysregulation (POTS, dysautonomia, fatigue), immune activation (MCAS, histamine intolerance), and connective tissue instability do not operate independently. They amplify one another. Treating one without accounting for the others often leads to incomplete results.

From that experience, a framework emerged: a structured way of organizing treatment that prioritizes how symptoms interact across systems, the order in which those systems are addressed, and the amount of physiologic load a patient can safely tolerate. That framework helped my son get back to his normal life, and now it forms the basis of our medical practice: one that integrates detailed medical history, imaging, strength & rehabilitation guidance, pharmacological and natural treatment of MCAS & Dysautonomia, and most importantly…longitudinal tracking of symptoms through high-touch care for our patients.

Our clinic’s care team is able to provide robust, comprehensive care reflective of the complex nature of hypermobility and its related conditions. My husband is an ophthalmologist whose office provides retinal and optic nerve imaging to flag signs of intracranial hypertension—a hidden but often occurring issue in patients with autonomic dysfunction. My son, now a strength and rehab coach, brings both professional training and lived experience to the rehabilitation journey.

We built this practice so you can truly have a clinical home…where your care is coordinated and your whole picture is understood.

~ Dr. Rani Gandham