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    POTS and Dysautonomia Care

    POTS Treatment in San Diego - Real Autonomic Care

    Already diagnosed with POTS or dysautonomia but still struggling?

    You've increased fluids and salt. You've tried electrolytes, compression, structured exercise or rehabilitation, and maybe medications. You've seen the specialists. You already have the diagnosis.

    But you're still not where you want to be. That's the type of patient we work with.

    Our goal is to take a closer look at how your nervous system is regulating your body, where those problems may be showing up, and what areas may still need support.

    (619) 344-0111
    Illustration of the autonomic nervous system connecting the brain to the heart and blood vessels

    Quick Answer

    If you already have a POTS or dysautonomia diagnosis but still struggle after standard care, our San Diego team takes a broader look at how your nervous system is regulating your body. We use positional orthostatic testing and a detailed clinical assessment to build individualized rehabilitation around your findings.

    You've Already Tried the Standard POTS Plan

    Most of the people who come to us have already tried:

    Increased fluids
    More salt and electrolytes
    Compression garments
    Structured exercise or rehabilitation
    Medications through medical providers
    Cardiology or neurology evaluation

    These can all be important parts of POTS care.

    But sometimes you can do all of the right things and still feel limited by your symptoms.

    Racing heart when standingLightheadedness or feeling faintFatigue and brain fogExercise or heat intoleranceFeeling worse after activityDizziness or balance problemsDifficulty staying upright

    We want to understand how your nervous system is regulating your body and where those problems are showing up.

    How We Look at POTS Differently

    You already have the diagnosis. Our job is not to tell you that you have POTS again.

    We look at how your nervous system is regulating your body and where those problems are showing up.

    From there, we build a more focused rehabilitation plan around the areas that may need the most support.

    Your nervous system and cardiovascular system are constantly communicating. Many areas of your brain, spinal cord, and body help coordinate that process. That is why our assessment looks at more than one system.

    A More Complete Look at How Your Body Is Regulating

    Because many parts of your nervous system help control heart rate, blood pressure, balance, movement, and other automatic functions, we look at several areas rather than relying on one test.

    Here are some of the tests you can expect during your assessment:

    Positional Orthostatic Testing (Modified Tilt)

    Carotid Reflex Testing

    Valsalva Response Testing

    Grip Testing

    Video Nystagmography (VNG)

    Posturography

    Neurological Examination

    Musculoskeletal Examination

    The goal is not to find one abnormal test. It is to put the pieces together so we know where to focus your rehabilitation.

    What to Expect

    A clear path from your first call through ongoing progress checks.

    01Free Discovery Call15 minutes. Free. See if we're a good fit.

    Start with a free 15-minute discovery call with our team. Tell us what you've been dealing with, what you've already tried, and what you're hoping to improve. You'll speak directly with a clinician, and we'll help you understand whether our approach may be a good fit.

    02Comprehensive AssessmentSee how your nervous system is regulating.

    We take a detailed look at how your nervous system is regulating your body and where those problems are showing up.

    03Findings ReviewUnderstand what we found.

    We sit down with you and explain what we found in clear, simple terms.

    04Personalized PlanBuild rehab around your results.

    We use your findings to build a program around you. You are not simply given the same POTS protocol as everyone else.

    05RehabilitationWork on the areas that need the most support.

    Your program focuses on the areas identified during your assessment. Not every patient receives the same therapies.

    06Progress ChecksRe-test, adjust, and progress.

    We continue to evaluate how you're responding, re-test important areas when appropriate, and adjust the program as you progress.

    Ready to See If We're a Good Fit?

    Start with a free 15-minute discovery call.

    What Your Rehabilitation May Include

    Your program is built around what we find during your assessment. Not every patient receives every therapy.

    Autonomic & Upright Tolerance

    Balance, Vestibular & Visual Rehabilitation

    Breathing & Recovery Support

    Musculoskeletal & Supportive Therapies

    The important part is that your rehabilitation plan is built after the assessment, not before it. We use what we find to decide where to focus your care.

    Two People Can Have POTS and Need Very Different Rehabilitation

    POTS is the diagnosis. It does not tell us everything about how your nervous system is functioning.

    One person may struggle mostly with standing and cardiovascular regulation. Another may also have balance, visual, exercise, migraine, post-concussion, or neck-related problems. That is why we do not give every patient the same rehabilitation program.

    Who This Approach Is For

    • You already have a POTS or dysautonomia diagnosis
    • You have already tried the standard recommendations
    • You are still limited by symptoms
    • You want a more detailed look at how your nervous system is functioning
    • You are interested in an active rehabilitation approach
    • You want care that can work alongside your existing medical treatment

    Functional Neurology Trained

    Our chiropractors have training in neurologic rehabilitation.

    Meet Our Doctors

    Care that works alongside your medical team

    Our goal is not to replace your cardiologist, neurologist, primary-care doctor, medications, or other appropriate medical care.

    We look for additional areas of nervous system function and rehabilitation that may still be worth addressing.

    Hear From a Patient

    An individual experience with POTS care at our clinic.

    Real patient story

    "I finally found a team that took my POTS seriously and actually helped me get my life back."

    Charlie · POTS patient

    Disclaimer: Individual results vary. Testimonials and patient stories reflect personal experience and are not a guarantee, promise, or prediction of outcome. Results depend on each patient's condition, adherence to care, and other factors.

    "
    I felt hopeless, but now I can do so much more without getting dizzy. This team understood POTS like no one else and helped me feel human again!

    Individual results vary. Testimonials reflect personal experience and are not a guarantee of outcome.

    Rowena V.

    POTS Patient, San Diego

    Our clinical team includes professional members of the Vestibular Disorders Association.

    Comparison of a normal heart rate response to standing versus the excessive heart rate spike seen in POTS

    Still Struggling After Doing Everything You Were Told?

    You have already tried the basics. If you are still struggling with POTS or dysautonomia and want to know whether there may be additional areas we can evaluate and support, start with a free 15-minute discovery call.

    • No referral needed
    • No obligation, no pressure
    • Speak directly with a clinician

    Understanding POTS

    The rest of this page goes deeper into what POTS is and why symptoms can look so different from one person to another.

    What Is POTS?

    Postural orthostatic tachycardia syndrome (POTS) is a form of dysautonomia. It involves an excessive heart rate increase after moving upright, along with ongoing symptoms of orthostatic intolerance. A medical evaluation considers heart rate, blood pressure, symptoms, history, and other possible causes.

    POTS affects how the autonomic nervous system manages automatic functions such as heart rate, blood pressure, digestion, sweating, and temperature. The condition can affect daily activities even when routine testing looks normal.

    Why Standing Can Be Difficult

    When you stand, your body must quickly adjust heart rate, blood pressure, blood-vessel tone, and muscle activity to maintain circulation. In POTS, that adjustment can be less effective. Heart rate may rise substantially while symptoms such as lightheadedness, palpitations, weakness, brain fog, or nausea appear.

    This is why positional orthostatic testing looks at several measures together. A heart-rate change alone does not explain every symptom or establish one specific mechanism.

    Nervous System and Cardiovascular Regulation

    The autonomic nervous system uses sympathetic and parasympathetic activity to help your body respond to position, movement, stress, meals, temperature, and exercise. These systems work with the cardiovascular system, brain, spinal cord, muscles, breathing, and balance systems.

    Research sometimes discusses measures such as heart rate variability when studying autonomic function. This is general education and is not a clinic assessment or monitoring service.

    Commonly Described Physiologic Patterns in POTS

    Neuropathic features

    May involve changes in small nerve fibers that help blood vessels respond when upright.

    Hyperadrenergic features

    May include increased norepinephrine with tremor, palpitations, or a blood-pressure rise in some patients.

    Hypovolemic features

    May involve lower blood volume and difficulty maintaining circulation while upright.

    These patterns can overlap, and classification varies. They are interpreted with clinical history and appropriate medical evaluation.

    Associated Conditions and Possible Contexts

    POTS or related dysautonomia symptoms may appear after a viral illness, including COVID-19 and Long COVID, or after concussion, surgery, pregnancy, puberty, or prolonged inactivity. Some people also have migraine, joint hypermobility or Ehlers-Danlos syndrome, mast cell activation syndrome, autoimmune conditions, thyroid problems, vestibular symptoms, or cervical complaints. An association does not prove that one condition caused another, and medical evaluation may be appropriate.

    Comorbidity Screening

    We review the history for commonly associated conditions, including Ehlers-Danlos Syndrome or joint hypermobility, mast cell activation syndrome, autoimmune conditions, and thyroid dysfunction. When appropriate, we recommend medical evaluation or coordinate with other healthcare providers.

    The Basics Still Matter

    Fluids, salt, compression, exercise, and medications can all have an important role in POTS care when appropriate. Many of our patients are already doing these things before they come to us.

    Our goal is not to replace your medical team or tell you to stop something that is helping. We look for additional areas that may still be worth addressing and recommend co-management or further medical evaluation when needed.

    Frequently Asked Questions

    Common questions about POTS, dysautonomia, assessment, and individualized rehabilitation.

    Related Conditions

    Concussion

    Post-concussion autonomic dysfunction and dysautonomia.

    Learn about Concussion

    Vertigo & Dizziness

    Orthostatic dizziness and vestibular overlap with POTS.

    Learn about Vertigo & Dizziness

    Migraine

    Autonomic dysfunction headaches and migraine overlap.

    Learn about Migraine

    Treatments That May Help

    Vagus Nerve Therapy

    Non-invasive stimulation intended to support autonomic regulation when clinically appropriate.

    View service

    Vestibular Therapy

    Balance rehabilitation for orthostatic intolerance.

    View service

    Coordination & Balance

    Gait training and postural control for POTS patients.

    View service

    You Already Have the Diagnosis. What Comes Next?

    If you have already tried the standard POTS approach and you are still struggling, the next step may be taking a broader look at how your nervous system is regulating your body and where additional support may be possible.

    Our goal is to understand your individual pattern and build a rehabilitation plan around what we find.

    Start with a free 15-minute call, or call (619) 344-0111. More questions? Visit our FAQs page.

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