Dysautonomia refers to dysfunction of the autonomic nervous system, which controls automatic processes such as:

• heart rate

• blood pressure

• digestion

• temperature regulation

• circulation

 

One of the most common forms of dysautonomia is Postural Orthostatic Tachycardia Syndrome (POTS).

Common symptoms include:

• dizziness when standing

• rapid heart rate

• fatigue

• brain fog

• exercise intolerance

 

Research has shown that POTS is more common in people with hypermobility and EDS. One reason may be that connective tissue differences can affect blood vessel elasticity and circulation, which influences how the body regulates blood flow when standing.

 

How Can Physical Therapy Help Dysautonomia and POTS?

 

• nervous system regulation

• improving circulation

• increasing tolerance to upright activity

• graded exercise for strengthening muscles that support circulation

• improving overall activity tolerance with recumbent exercise progression

 

While symptoms can be complex, understanding how the nervous system and musculoskeletal system interact can help guide more effective treatment and support long-term stability. Connective tissue differences can affect joint stability and the autonomic nervous system, which may contribute to conditions like chronic pain and POTS. That’s why clinicians often treat these conditions through a multisystem approach involving connective tissue, nervous system regulation, and movement stability.