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Condition · The Woodlands, TX

POTS and Dysautonomia Treatment in The Woodlands, TX

Your heart races just from standing up. Dizziness makes you afraid to leave the house. You have been told it is just anxiety. You wore a heart monitor for a week and got no real answers. Our team evaluates autonomic function directly, identifies the triggers behind your symptoms, and builds a structured recovery plan that treats the cause instead of the label.

Root Causes

Common Causes of POTS and Dysautonomia

Dysautonomia is rarely caused by a single factor. These are the most common drivers we identify during evaluation at Prince Health in The Woodlands.

Post-Viral Autonomic Dysfunction

Viral infections can damage autonomic nerve fibers or trigger immune responses that disrupt nervous system regulation. Many POTS cases develop within weeks or months of an acute infection.

Upper Cervical Misalignment

Misalignment at the atlas and axis vertebrae can compress or irritate the brainstem and vagus nerve, maintaining sympathetic dominance and impairing the body's ability to regulate heart rate on position change.

Autoimmune Autonomic Neuropathy

The immune system can produce antibodies that attack autonomic nerve receptors, disrupting the signals that control blood vessel constriction, heart rate, and digestion. This form of POTS often coexists with other autoimmune conditions.

Hypovolemia and Deconditioning

Low blood volume forces the heart to compensate with a faster rate. Prolonged bed rest or inactivity shrinks blood volume further and weakens the cardiovascular system, creating a cycle that worsens orthostatic symptoms.

Mast Cell Activation

Overactive mast cells release histamine and other inflammatory mediators that dilate blood vessels and trigger flushing, tachycardia, and blood pressure drops. This overlap with POTS is increasingly recognized in clinical research.

Post-COVID Dysautonomia

COVID-19 has become one of the most common triggers for new-onset POTS. Texas heat compounds the problem. High temperatures increase vasodilation and fluid loss, making orthostatic symptoms significantly worse for patients in The Woodlands and surrounding areas.

Symptoms

What Symptoms Does POTS Cause?

POTS and dysautonomia affect multiple body systems, not just heart rate. Symptoms can shift from day to day and worsen with heat, stress, dehydration, or prolonged standing. Prince Health evaluates the full clinical picture to build a treatment plan that addresses your specific symptom pattern.

  • Racing heart rate upon standing (30+ bpm increase)
  • Dizziness, lightheadedness, or near-fainting when upright
  • Exercise intolerance and post-exertional crashes
  • Brain fog, difficulty concentrating, and memory lapses
  • Chronic fatigue that does not improve with rest
  • Heart palpitations, chest tightness, or shortness of breath
  • Nausea, bloating, or gastroparesis symptoms
  • Temperature dysregulation, flushing, or excessive sweating
  • Tremors or shakiness, especially after standing
  • Sleep disturbances and unrefreshing sleep

At a Glance

POTS (Postural Orthostatic Tachycardia Syndrome) is a form of dysautonomia where the autonomic nervous system fails to regulate heart rate and blood pressure during position changes. Prince Health in The Woodlands treats POTS through functional medicine evaluation and chiropractic treatment, targeting autonomic triggers at the source. Schedule your evaluation to get started.

Why Prince Health

Why Prince Health for POTS?

The average POTS patient sees 7 doctors over 4 years before getting diagnosed. We evaluate autonomic function on your first visit. Our team performs orthostatic testing, reviews your full symptom timeline, and orders targeted lab work to identify the specific triggers behind your dysautonomia. No more guessing. No more being told it is all in your head.

Autonomic Root-Cause Analysis

We assess autoimmune markers, adrenal function, inflammatory panels, nutrient status, and metabolic function to identify every factor driving autonomic dysfunction.

Nervous System Restoration

Precise chiropractic adjustments in the upper cervical and thoracolumbar regions restore proper nerve signaling and support the shift from sympathetic dominance toward autonomic balance.

Structured Recovery Protocols

We track heart rate variability, orthostatic vitals, and functional capacity at regular intervals. Graduated exercise and lifestyle protocols are adjusted based on objective data, not guesswork.

Understanding Your Condition

Understanding POTS and Dysautonomia

POTS is a disorder of the autonomic nervous system that causes an abnormal heart rate increase upon standing, along with dizziness, fatigue, and brain fog. Prince Health in The Woodlands, TX treats POTS with functional medicine evaluation and chiropractic nervous system care to address the underlying triggers and restore autonomic regulation.

The autonomic nervous system runs in the background. It controls heart rate, blood pressure, digestion, temperature, and dozens of other functions you never think about. Dysautonomia is the umbrella term for conditions where this system breaks down. POTS is the most common form, affecting an estimated 1 to 3 million Americans, the majority of them women between ages 15 and 50.

Standing up should not feel like running a sprint. In a healthy body, the heart rate increases by 10 to 15 beats per minute when you move from sitting to standing. POTS patients experience a sustained jump of 30 or more beats per minute within the first 10 minutes of standing. That surge brings lightheadedness, palpitations, chest tightness, tremors, and nausea. Some patients faint. Many describe the feeling of their body working at maximum effort just to stay upright.

Triggers vary widely. POTS often develops after a viral infection, surgery, pregnancy, or a period of prolonged bed rest. COVID-19 has become one of the most common new-onset triggers. The condition is also associated with Ehlers-Danlos syndrome, mast cell activation, and autoimmune conditions. Identifying the specific trigger matters, since treatment that targets the underlying driver produces better outcomes than symptom management alone. Functional medicine testing can uncover these root causes.

Diagnosis is frequently delayed. Symptoms overlap with anxiety, deconditioning, and panic disorder. Many patients spend years being told nothing is wrong before someone performs a simple standing test with heart rate monitoring. Structural factors play a role as well. Upper cervical misalignments can compress the brainstem and vagus nerve, maintaining the sympathetic overdrive that keeps POTS patients stuck. Chiropractic treatment addresses these structural contributors directly.

Our Evaluation Includes

  • Orthostatic vital signs assessment
  • Autoimmune and inflammatory marker panels
  • Adrenal function and metabolic testing
  • Upper cervical and spinal alignment evaluation
  • Viral history and trigger assessment
Our Approach

How Prince Health Treats POTS and Dysautonomia

Prince Health treats POTS and dysautonomia in The Woodlands with functional medicine evaluation and chiropractic nervous system care. Our approach identifies the specific triggers behind autonomic dysfunction and builds a structured recovery protocol to restore regulation.

We do not hand you a beta-blocker prescription and tell you to drink more water. Our approach starts with a thorough functional medicine workup that investigates every potential trigger. Then we build a treatment protocol that targets the cause, not just the heart rate number.

Functional medicine testing reveals the drivers that standard cardiology workups miss. We evaluate autoimmune markers, adrenal function, inflammatory panels, nutrient deficiencies, and metabolic function. For post-viral POTS, we assess for persistent immune activation and infection-driven inflammation. These findings shape a targeted protocol instead of a generic symptom management plan.

Chiropractic treatment addresses the structural component. The autonomic nervous system is directly connected to spinal function, particularly at the upper cervical spine and thoracolumbar junction. Misalignments in these regions can maintain sympathetic dominance and impair vagal tone. Precise adjustments restore proper nerve signaling and support the shift from chronic fight-or-flight activation toward autonomic balance.

Lifestyle protocols complete the picture. We develop individualized plans for graduated exercise (starting with reclined or seated movements), fluid and electrolyte optimization, dietary modifications to stabilize blood sugar and reduce inflammatory triggers, and sleep hygiene. Every protocol is adjusted based on objective data. We track heart rate variability, orthostatic vitals, and functional capacity at regular intervals so progress is measured, not assumed.

60min
Initial Evaluation
Autonomic
Testing on First Visit
Non-Pharm
Treatment Protocols
New Patient
Appointments Available
Your Visit

What to Expect at Your Visit

01
Step 01

Comprehensive Evaluation

Detailed history review, orthostatic vital signs testing, autonomic symptom assessment, and evaluation of potential triggers including viral history, autoimmune markers, and spinal alignment.

02
Step 02

Functional Lab Testing

Advanced panels evaluating autoimmune markers, adrenal function, inflammatory markers, nutrient status, and metabolic function to identify the specific drivers behind your autonomic dysfunction.

03
Step 03

Personalized Treatment Plan

A clear plan combining chiropractic nervous system care, functional medicine protocols, graduated exercise programming, and dietary and lifestyle optimization tailored to your specific triggers.

04
Step 04

Progress Tracking

Regular monitoring of orthostatic vitals, heart rate variability, functional capacity scores, and lab markers to document improvement and refine your protocol at each reassessment.

Take Control of POTS Symptoms

Schedule your evaluation at Prince Health in The Woodlands, TX. We evaluate autonomic function, identify your triggers, and build a structured recovery protocol.

FAQ

Frequently Asked Questions

What is POTS and what causes it?

POTS (Postural Orthostatic Tachycardia Syndrome) is a form of dysautonomia where the heart rate spikes abnormally upon standing. Common triggers include viral infections (including COVID-19), autoimmune conditions, and spinal misalignment. Our evaluation identifies which underlying factors are driving your autonomic dysfunction.

Is exercise safe with POTS?

Yes, and it is one of the most effective interventions. The key is starting with reclined or seated exercises and building tolerance gradually. Abrupt intense exercise can worsen symptoms. We design a graduated program based on your current functional capacity.

What dietary changes help manage POTS symptoms?

Increased fluid intake (2 to 3 liters daily) and higher salt consumption are standard recommendations. Small, frequent meals help avoid post-meal blood pressure drops. Our functional medicine evaluation identifies additional dietary modifications based on your lab results and specific triggers.

How does chiropractic care help POTS?

Upper cervical misalignment can directly affect the vagus nerve and brainstem, which regulate autonomic function. Chiropractic treatment targeting the upper cervical spine can improve vagal tone and reduce the severity of POTS episodes in many patients.

Can POTS be cured or does it last forever?

Many patients achieve significant improvement or full remission with the right treatment approach. Recovery timelines vary based on the underlying cause. Post-viral POTS often has a better prognosis than autoimmune-driven forms. We track autonomic function markers to measure your progress objectively.

What does POTS treatment cost?

Treatment costs depend on the specific evaluation and therapies recommended for your case. Standard office visits and many diagnostic tests are covered by insurance. We provide transparent pricing for any services that fall outside your coverage.

Is POTS treatment safe for teenagers?

Yes. POTS commonly develops during adolescence, and our approach is adapted for younger patients. Gentle chiropractic techniques, nutritional support, and graduated exercise programs are all appropriate for teens. We work closely with families to ensure the treatment plan fits their daily routine.

Our patients consistently report meaningful improvement in autonomic symptoms and quality of life through our functional medicine and chiropractic approach. We track every outcome with measurable benchmarks so progress is documented, not assumed.

Prince Health and Wellness

Dr. Ashley Prince, DC · The Woodlands, TX

Visit Us

Prince Health in The Woodlands

Our office is located at 10847 Kuykendahl Rd #350 in The Woodlands, TX 77382, easily accessible from Woodlands Parkway, Kuykendahl Road, and the I-45 corridor.

We serve patients from Alden Bridge, Cochran's Crossing, Creekside Park, Sterling Ridge, Panther Creek, Grogan's Mill, and surrounding communities.

Office Hours

  • Monday 8:00 - 18:00
  • Tuesday 9:00 - 12:00
  • Wednesday 8:00 - 18:00
  • Thursday 9:00 - 12:00
  • Friday 8:00 - 12:00
  • Sat - Sun Closed

Contact

(281) 545-5067

10847 Kuykendahl Rd #350
The Woodlands, TX 77382

Ready to Take the Next Step?

Schedule your appointment at Prince Health in The Woodlands, TX. We listen first, evaluate thoroughly, and build a plan that fits your goals.