Postural Orthostatic Tachycardia Syndrome (POTS) Treatment

Understanding POTS and Dysautonomia

POTS is a condition where the heart rate increases abnormally when moving from sitting or lying down to standing. It is part of a broader group of conditions known as dysautonomia, where the autonomic nervous system is not regulating functions like heart rate, blood pressure, and digestion as it should.

Because this system affects so many parts of the body, symptoms can feel widespread and difficult to predict.

Common Symptoms of POTS

Symptoms often occur or worsen with standing and may include:

• Lightheadedness or dizziness
• Rapid heart rate or palpitations
• Fatigue and reduced stamina
• Brain fog or difficulty concentrating
• Shortness of breath
• Shakiness or nausea
• Intolerance to heat or exercise

These symptoms can fluctuate from day to day and may be influenced by stress, hydration, and activity levels.

What Contributes to POTS?

POTS can develop for a variety of reasons, and often more than one factor is involved.

Common contributors include:

• Post-viral changes, including after illnesses such as COVID
• Periods of prolonged stress or physical deconditioning
• Autoimmune activity
• Mast cell activation patterns
• Connective tissue conditions such as Ehlers-Danlos Syndrome
• Hormonal imbalances

Understanding these underlying influences helps guide a more targeted and effective treatment plan.

A Root-Cause Approach to POTS Treatment

I begin with a detailed evaluation of your symptoms, history, and overall health. The goal is to identify both the drivers of your symptoms and the areas where your body needs support.

This may include:

• Comprehensive lab testing to evaluate thyroid function, hormones, and immune-related factors
• Assessment for related conditions, such as mast cell activation or other contributors
• Review of lifestyle patterns including hydration, nutrition, and activity levels

From there, we build a personalized plan designed around your needs.

Integrative Support for Nervous System and Circulation

Because POTS involves both the nervous system and circulation, care is designed to support these systems together.

Your treatment plan may include:

• Nutrition and hydration strategies, including electrolytes and mineral support
• Gentle, structured movement and pacing to gradually retrain the nervous system
• Targeted supplements and herbal therapies to support circulation, energy, and balance
• Acupuncture to help regulate autonomic function and improve resilience
• Neural therapy to support nervous system communication and recovery

These therapies are introduced gradually and adjusted based on your tolerance and progress.

Building Stability and Resilience Over Time

Recovery with POTS is often a gradual process. The focus is on helping your body become more adaptable and less reactive over time.

With consistent support, people can begin to experience:

• Reduced dizziness and heart rate fluctuations
• Improved energy and stamina
• Better tolerance to standing, activity, and heat
• Clearer thinking and reduced brain fog
• A greater sense of stability in daily life

This process is individualized, with care evolving as your body strengthens.

Moving Toward Recovery

POTS can feel limiting, but improvement is possible with the right approach. By addressing both symptoms and underlying contributors, we can help your body move toward greater balance and function.

If you are ready to explore a personalized approach to POTS and nervous system health, the next step is to schedule a consultation. This is where we begin with a plan designed specifically for your recovery.