Hypermobility and MS with or without perimenopause

Good Afternoon!
This question is mainly for my fellow ladies with MS, but men with hypermobility please feel free to chime in.
How do you all manage your hypermobility and MS symptoms as a whole? I'm finding that my hypermobility has become worse with perimenopause and because MS has disrupted my ability to feel pain normally (It takes longer for me to recognize pain) I find myself getting injured doing simple tasks. Most recently I have damaged my rotator cuff while shoveling dirt, something I could have done without issue a decade ago.
It's extremely frustrating to not get a "stop" signal so I'm wondering how other people cope with this.