The goal of POTS Treatment Center located in Dallas, Texas aims to get to the root of many conditions by
controlling the Autonomic Nervous System (ANS). It used to be
thought that once the Autonomic Nervous System became dysfunctional
there were no known treatments of reversing this problem. Fortunately,
we now know that we can retrain the Autonomic Nervous Sytem with
advanced technology.
The Autonomic Nervous System (ANS) is the part of the peripheral
nervous system that controls the body’s visceral functions, including the
action of the heart, movement of the gastrointestinal tract, and secretion by
different glands, among many other vital activities. The ANS functions in an involuntary,
reflexive manner. For example, we do not
think about when blood vessels change size or when our heart beats faster. However, it is possible to be trained to
control some functions of the ANS such as heart rate or blood pressure. The ANS is composed of both the Parasympathetic (PNS) and the Sympathetic Nervous Systems (SNS). Most of the time, we are in “rest and digest”
mode thanks to the Parasympathetic Nervous System. In times of emergencies or in the presence of
danger, our Sympathetic Nervous System triggers the “flight-or-response” in hopes of survival. For POTS patients, the Sympathetic Nervous System is always active, causing many debilitating symptoms. The goal of biofeedback training at the POTS
Treatment Center is to learn how to disengage the SNS, and to bring our bodies
back into homeostasis through the PNS.
The training involves overcoming this over-stressed system by changing
the brain waves and allowing the body and mind to relax, reconnect and relearn
what is an appropriate response to stress.
When the SNS is active, it causes
symptoms throughout the body. For example, constant adrenaline release causes adrenal fatigue and can lead
to debilitating and chronic fatigue. The SNS
dilates pupils, causing light sensitivity and blurry vision. Tear glands are not properly stimulated
causing dry eyes, and mucus production is reduced in the oral and nasal mucosa. Weak stimulation of salivary flow can create
gluten intolerance because the enzymes (amylase) found in the saliva are not
present to break down gluten (starch) before it reaches the stomach. Arterioles are constricted to accelerate
heart rate, and causes poor blood flow in peripherals, and more blood flow to
the heart and brain causing migraines and brain fog. Bronchi in the lungs are dilated, which may
lead to asthma attacks. Stomach and
intestinal mobility and secretion are inhibited causing indigestion and other
stomach issues. Kidneys decrease urine
secretion, and the bladder does not properly contract. Sex drive and organs are also affected by
stress and the lack of proper blood flow.
The flight-or-flight response is great if it’s necessary, but for POTS
patients, every stimulation or stress is processed like it’s a life or death
situation. The parasympathetic nervous
system allows for homeostasis in the body, and releases feel good endorphins,
serotonin, and dopamine in the brain changing the body’s chemistry to feel better,
unlike the sympathetic nervous system.
The POTS Treatment Center in Dallas uses biofeedback, heart rate
variability, and other health and wellness procedures to relax the body and mind back
into homeostasis. The body can naturally
heal itself if it is relieved of its stressors, and given the proper nutrition
and support we need.
Biofeedback consists of a group of therapeutic procedures
that use electronic instruments to measure, process and then “feed back” data
of an individual’s neuromuscular and autonomic activity in real time. Biofeedback is like a mirror for patients to
become aware of their psychophysiological processes such as muscles tension,
skin surface temperature, brain wave activity, galvanic skin response, blood
pressure, blood flow, and heart rate.
Much like you may use a mirror to “fix up” your hair or face, this is a
mirror to “fix up” the ANS. To control
and regulate these processes, diaphragmatic breathing is used for successful
biofeedback treatment. Diaphragmatic
breathing is vital for blood oxygenation and the stimulation of the lymphatic
system. Once an individual can
voluntarily control their breath, their mind and body can relax at any time and
place, engaging the parasympathetic nervous system, thus relieving the many
debilitating symptoms of dysautonomia.
Currently, the POTS Treatment Center uses the following
peripheral biofeedback treatments:
1.
Thermal Biofeedback:
The SNS controls the smooth muscles in the blood vessels walls and therefore the diameter of the blood vessels. When epinephrine and norepinephrine are secreted from the brain to induce the sympathetic nervous system, the smooth muscle is constricted. As a result, this constriction of the peripheral blood vessels or arterioles the blood is forced back to the heart, which increases heart rate. The blood is also sent to the head causing the face to feel hot and the hands to get cold. When a person relaxes, the PNS takes over which causes vasodilation. The SNS activity decreases, the muscle relaxes and blood vessels dilate. This brings the body back to normal. Blood flows freely to the peripheral blood vessels and the hands feel warm again, while heart rate and blood pressure decrease allowing the body to return to homeostasis.
The SNS controls the smooth muscles in the blood vessels walls and therefore the diameter of the blood vessels. When epinephrine and norepinephrine are secreted from the brain to induce the sympathetic nervous system, the smooth muscle is constricted. As a result, this constriction of the peripheral blood vessels or arterioles the blood is forced back to the heart, which increases heart rate. The blood is also sent to the head causing the face to feel hot and the hands to get cold. When a person relaxes, the PNS takes over which causes vasodilation. The SNS activity decreases, the muscle relaxes and blood vessels dilate. This brings the body back to normal. Blood flows freely to the peripheral blood vessels and the hands feel warm again, while heart rate and blood pressure decrease allowing the body to return to homeostasis.
2.
Electroymyographic (EMG) Biofeedback:
EMG muscle scanning is a diagnostic tool to
locate the areas of excessive or asymmetrical muscle activity throughout the
periphery of the body. Muscle tension
and relaxation can be measure and feedback by the EMG. Sensors placed on the
skin over a muscle will detect electrical activity of the muscle. The patient can be trained to lower muscle
activity to normal or near normal levels.
3.
Galvanic Skin Response (GSR) Biofeedback:
GSR measures the adrenaline response in the
body through the changes in the sweat gland activity on the surface of an
individual’s palm or hand. The GSR sensor is usually wrapped around a finger on
the surface of the skin. Relaxed hands are dry and therefore there is no
moisture to conduct electricity. Measurements are used to see how relaxed a
patient is. If the sympathetic response is still engaged, patients will be
anxious and the sweat glands will produce moisture. If the parasympathetic
nervous system is kicked back on, patients will be relaxed and their hands will
be too dry to conduct electricity.
The goal of the biofeedback program is to
help patients retrain their inappropriate physiological processes caused by the
overactive sympathetic nervous system in the presence of unchangeable, daily
stress.
Heart Rate Variability
Heart Rate Variability (HRV) is a measurement of naturally occurring, beat-to-beat changes in heart rate. System-oriented models propose the HRV is an important indicator of both physiological resiliency and behavioral flexibility, reflecting the individual’s capacity to adapt effectively to stress caused by a medical condition or environmental demands. HRV is a powerful, objective and noninvasive tool to explore the dynamic interactions between an individual’s processes. POTS patients tend to have erratic heart rates, and through breathing techniques and visualization the brain can reset the heart rate to a smoother and more effective pattern and rate. This alleviates the orthostatic intolerance and tachycardia.
Health and Wellness
Heath and Wellness Procedures modify the cognitive and social factors identified as important to the patient’s physiological functioning, disease status, and overall health and well-being. The POTS treatment center addresses anxiety, depression, and other issues associated with chronic disease or significant trauma through counseling and other relaxation techniques. Cognitive and behavioral approaches for initiation of an appropriate physician-prescribed diet and exercise regimen are also included in their approach. Once the body starts to regain homeostasis, exercise intolerance is alleviated and new exercise regimes can be introduced.
All of these treatments have a cumulative effect, and patients will see progress with practice over time. Success is dependent on the patients engagement and dedication to the treatment.
Anxiety:
Anxiety,
Depressions
Generalized
Pain
Agoraphobia
– with and without panic attacks
Simple
Phobia
Back/Neck
Problems:
Cervicalgia
Muscle
Spasms
Low
Back Pain Syndrome
Headaches:
Cephalgia
Migraine
Muscle
Contraction/Tension
Skin
Disorders:
Dermatitis
Respiratory
Disorders:
Asthma
Disorders
of Respiratory Distress - Muscle
Cardiovascular:
Tachycardia
Essential
Hypertension
Raynaud’s
Disease
POTS
(Postural Orthostatic Tachycardia Syndrome)
Gastrointestinal
Disorders:
Colitis
Duodenal
Ulcer (without obstruction)
Cluster
Irritable
Bowel Syndrome
Peptic
Ulcer
Stomach
Ulcer (without obstruction)
Muscle
Disorders:
Spasms
Parkinson’s
Disease
Spasmodic
Torticollis
Tourette’s
Disease (Motor-Verbal tic)
Urinary
Incontinence (Sphincter Muscle Re-education)
Other
disorders:
Arthritis
Diabetes
Insomnia
Pain,
psychogenic
Trigeminal
Neuralgia
Stuttering
Attention
Deficit Disorder
Weight
problems (stress related)
Dental:
Temporomandibular
Joint syndrome
Myofacial
pain
Watch my video about the treatment here: