POTS
When Your Autonomic Nervous System Loses Stability
The Brain & Body Clinic – St. Petersburg, FL
Dr. Theo Berlingeri, DC
POTS (Postural Orthostatic Tachycardia Syndrome) is not “just dizziness.”
It is not “just anxiety.”
It is not “just dehydration.”
POTS is an autonomic nervous system (ANS) disorder, where the body struggles to regulate blood flow, heart rate, and balance when moving from lying or sitting to standing.
Patients describe it like:
“I stand up and feel like I’m going to float away.”
“My heart races but I’m not anxious.”
“I feel extremely fatigued and wired at the same time.”
“My body doesn’t feel grounded.”
“Lightheaded, shaky, nauseous… it’s unpredictable.”
The truth is: POTS is a brainstem + autonomic regulation issue, and the upper cervical spine plays a major role in how the ANS functions.
Why the Upper Cervical Spine Is Critical in POTS
The atlas (C1) sits over the lower brainstem, where major autonomic centers live:
Heart rate regulation
Blood pressure stability
Sympathetic/parasympathetic balance
Vagal tone
Baroreceptors (blood pressure reflexes)
Vestibular autonomics (orientation → circulation)
If the atlas becomes misaligned, irritated, or unstable:
✔ Blood pressure regulation becomes inconsistent
Leading to dizziness or faintness when standing.
✔ The sympathetic system becomes overactive
Causing heart racing, shaking, overwhelm, or anxiety-like symptoms.
✔ Vagus nerve signals become disrupted
Affecting digestion, nausea, breathing, and grounding.
✔ Proprioceptive input becomes distorted
Making the world feel “off,” floaty, or unstable.
✔ Brainstem communication is stressed
Creating the hallmark POTS feeling of being ungrounded, unbalanced, and exhausted.
This is why so many POTS patients say their symptoms began after:
A concussion
Whiplash or a car accident
A fall
A viral illness
Chronic stress
A traumatic event
Long periods of screen or desk work
POTS is neurological — and the upper neck is deeply involved.
Understanding POTS Through the Brain–Body Lens
Most POTS patients experience a mismatch between sensory systems:
Heart rate
Blood pressure
Balance
Proprioception
Breathing
Vision
Inner ear
Neck input
If one of these systems is “off,” the others must work harder to compensate.
The result is autonomic overload.
Your brain is doing the best it can — it’s just exhausted.
How The Brain & Body Clinic Approaches POTS
Healing POTS requires stabilizing the autonomic nervous system, improving brainstem function, restoring proprioceptive accuracy, and reducing sympathetic overload.
Our method integrates:
Upper Cervical Chiropractic (Advanced Orthogonal)
Functional Neurology (vestibular + autonomic reflexes)
Applied Kinesiology (neuro-muscle testing)
TRT (Torque Release Technique)
NET (Neuro Emotional Technique)
Postural and sensory integration strategies
Let’s break it down.
Upper Cervical Chiropractic (Advanced Orthogonal): Resetting the ANS at Its Source
The atlas correction is gentle and non-invasive — no cracking or twisting.
Why is it so important for POTS?
Reduces brainstem irritation
Improves blood flow to and from the head
Balances sympathetic/parasympathetic output
Enhances vagus nerve communication
Restores proprioceptive accuracy
Calms dizziness and lightheadedness
Improves grounding and stability
Many POTS patients describe the correction as if someone “turned the lights back on” in their nervous system.
👉 https://www.drtheochiropractic.com/upper-cervical
Functional Neurology: Stabilizing the Autonomic Loops
We evaluate the systems that directly affect POTS:
Vestibular-autonomic reflexes
Eye movement + balance integration
Proprioception from the neck and body
Cranial nerve function
Sympathetic triggers
Vagal tone
Postural reflexes
This shows us why your autonomic system isn’t regulating properly — and how to rebuild stability.
Applied Kinesiology for Stress, Muscles & Circulation
AK helps identify:
Muscle inhibition patterns
Breathing mechanics issues
Jaw/cranial tension affecting the vagus nerve
Neck coordination affecting blood pressure regulation
Emotional or limbic overload
Correcting these improves grounding + circulation.
👉 https://www.drtheochiropractic.com/applied-kinesiology
TRT (Torque Release Technique): Calming the “Fight-or-Flight” Loop
POTS often includes:
Racing heart
Wired-but-tired feeling
Overreactive stress response
TRT helps regulate the spinal cord tension patterns driving sympathetic overload.
👉 https://www.drtheochiropractic.com/torque-release-technique
NET (Neuro Emotional Technique)
Many POTS patients have a history of:
Trauma
Chronic stress
Emotional overwhelm
Anxiety after illness
Post-concussive emotional patterns
NET helps release the emotional–neurological stress loops that can exacerbate POTS.
👉 https://www.drtheochiropractic.com/net
Signs Your POTS Is Upper Cervical or Brainstem-Driven
You may be in the right place if you experience:
POTS + neck pain
POTS + dizziness or vertigo
POTS after a car accident
POTS after a viral illness
POTS after a concussion
Difficulty standing for long periods
Faintness with heat
“Floating” or ungrounded sensations
Visual overstimulation
Chronic fatigue + wiredness
Temperature sensitivity
These patterns strongly indicate atlas involvement.
Why POTS Patients Choose The Brain & Body Clinic
✔ One of the only Advanced Orthogonal doctors in St. Pete
✔ A neurology-based, autonomic-focused approach
✔ Emphasis on restoring stability + grounding
✔ Gentle, precise adjustments
✔ Integration of emotional, structural, and sensory systems
✔ Ideal for complex, chronic conditions
This is where people come when they’re tired of being dismissed, misdiagnosed, or told it’s “just anxiety.”
You Deserve a Nervous System That Feels Safe Again
POTS can feel overwhelming — but your body is not broken.
It’s simply dysregulated.
Let’s help your system find balance, grounding, and stability.
👉 Book Your First Visit
https://www.drtheochiropractic.com/contact
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