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Hyperbaric Oxygen Therapy For POTS in the COVID-19 and Vaccine Era

hyperbaric oxygen therapy for pots

The COVID-19 pandemic has not only caused widespread illness but also appears to have a concerning impact on some individuals’ health beyond the acute infection.

Among these issues is a condition called Postural Orthostatic Tachycardia Syndrome (POTS), a perplexing condition that has gained increasing attention in the medical community due to a rise in cases.

We explore the Rise of POTS in the COVID-19 and Vaccine Era with a case study conducted by Sheramy Tsai.

Two Journeys, One Diagnosis

In the midst of this phenomenon, Phoebe Eaton and Aubrey George, two active women in their mid-20s, experienced their lives taking an unexpected turn due to the puzzling symptoms of POTS.

Phoebe Eaton, a 25-year-old teacher in training, noticed the onset of symptoms after receiving her initial COVID-19 vaccine. She faced recurring urinary tract infections, persistent fatigue, migraines, weight loss, and erratic blood sugar levels. Her health further deteriorated after her final vaccine dose, leading to fainting spells and seizures that forced her to abandon her teaching aspirations.

Aubrey George, who was previously known as the “Energizer Bunny,” faced her symptoms after enduring three concussions within six months. Chronic headaches, dizziness, and fatigue became her constant companions, significantly affecting her daily life.

hyperbaric oxygen therapy for pots

Unmasking the Hidden Disorder Called POTS

Postural Orthostatic Tachycardia Syndrome (POTS) falls under the category of disorders known as dysautonomia, which indicates a malfunction in the autonomic nervous system responsible for vital functions like breathing, digestion, and heart rate.

POTS is characterised by a significant increase in heart rate when moving from a sitting or lying position to standing.

Diagnosing POTS involves measuring heart rate increase by more than 30 beats per minute within 10 minutes of standing. For children and adolescents, the diagnostic threshold is even higher, requiring an increase of 40 beats per minute or more. POTS presents a wide array of symptoms, including fatigue, headaches, lightheadedness, heart palpitations, nausea, and cognitive disturbances.

Historically considered rare, POTS has seen a surge in cases, with approximately 6 million Americans affected, doubling since the COVID-19 pandemic began. However, due to the elusive nature of the disease and limited awareness, the actual prevalence might be significantly higher.

The variability of symptoms can drastically impact patients’ daily lives, with some managing their regular activities despite mild symptoms, while others struggle with routine tasks due to severe symptoms.

COVID-19 and the Unexpected POTS Increase

The COVID-19 pandemic has revealed an unexpected association with POTS, leading to many questions. The exact cause of post-COVID POTS is still under investigation, but potential theories include autoantibody production, direct toxic effects from the virus, or a stimulated sympathetic nervous system response.

Reports suggest a noticeable increase in POTS cases following mRNA COVID-19 vaccinations, with some individuals developing POTS without any previous symptoms. Researchers have identified potential links between POTS and COVID-19 vaccination, as well as residual effects of a SARS-CoV-2 infection.

The Health Care Hurdles Facing POTS Patients

Despite the growing number of POTS cases, many health care professionals remain unfamiliar with the disorder, leading to significant delays in diagnosis and treatment. POTS patients often face a backlog of over two years to receive appropriate care.

The lack of research funding presents a major challenge in advancing POTS care, hindering efforts to understand the condition better and develop effective treatments.

Multifaceted Treatment Approach for POTS Patients

Given the wide variations in symptoms among POTS patients, a personalized treatment strategy is essential. At the Johns Hopkins POTS Treatment Center, this approach includes fluid intake enhancement, lifestyle adjustments, physical therapy exercises, and medications targeting both POTS symptoms and underlying conditions.

Additionally, dietary modifications, compression stockings, and counseling play crucial roles in managing POTS symptoms and improving patients’ quality of life.

Addressing POTS With Holistic Approaches

Alternative treatments and deeper insights into POTS root causes have sparked a shift towards curative rather than purely symptomatic treatments.

Clinics like POTS Care in Texas and the Natural Heart Doctor clinic have successfully integrated biofeedback, specialised supplements, low-inflammatory diets, and holistic therapies to address POTS patients’ unique needs and improve long-term health outcomes.

Hyperbaric oxygen therapy can also be used as a natural alternative therapy to help treat some of the symptoms associated with POTS. As medical research continually progresses, new findings and treatment options may emerge. It’s essential to stay updated with the latest research and consult with medical experts to explore the most suitable and effective treatment options for POTS.


The COVID-19 pandemic has cast a concerning shadow on people’s health, revealing a link between the virus and POTS.

As cases continue to rise, it is essential for the medical community to increase awareness, research funding, and understanding of this enigmatic condition.

By embracing multifaceted approaches and holistic treatments, there is renewed hope for individuals affected by POTS to regain control of their lives and find relief from its debilitating symptoms.

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