Autonomic Symptoms, POTS & Orthostatic Intolerance After Concussion

What it feels like

  • Heart racing or palpitations when you stand
  • Lightheadedness, “graying out,” or need to lie down
  • Fatigue, brain fog, heat intolerance, GI flares

Why can it trigger it

Head–neck trauma can irritate autonomic pathways and reduce cervical afferent accuracy, confusing the body’s blood-pressure and heart-rate control. Deconditioning and sleep disruption keep the loop going.

Our integrated approach

  • Screening: orthostatic vitals, symptom diaries, medication review
  • Foundations: fluids/electrolytes, compression, graded recumbent exercise
  • Targeted rehab: cervical stabilization + vestibular work to reduce sensory mismatch
  • Procedure support: selective nerve/occipital/facet interventions for headache/neck drivers
  • Collaborative care: cardiology or ENT partners when appropriate

Treat the autonomic and neck/vestibular systems, and function improves.

See us in NJ/NY. 201-894-1313 • www.alliedspineinstitute.com
Physicians: Dr. Dariusz Nasiek, MD & Dr. Ziad Chaudhary, MD

For additional information, please call or text:

"Pain may slow you down, but the right treatment helps you rise stronger."

Dr. Dariusz Nasiek, MDPain Management