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Practice Name

Noel Brain & Spine

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Primary Location
45 West Crossville Rd. Suite 503
Roswell, GA 30075
Phone: 770-870-0261
Fax: 678-840-0055

Office Hours

DayMorningAfternoon
Monday8am - 12pm2pm - 6:30pm
Tuesday8am - 6:30 pm
Wednesday8am - 12pm2pm - 6:30pm
Thursday8am - 6:30 pm
Friday8am - 12pm2pm - 6:30pm
Saturday9am - 4pm----
SundayClosed
Main Content

Postural Orthostatic Tachycardia Syndrome (POTS) is a condition in which the brain is not modulating the autonomic system properly.  As a consequence, a person with POTS may experience lightheadedness, fainting or near fainting, generalized weakness and potentially other symptoms related to dysautonomia.  The symptoms tend to appear when suddenly standing or be aggravated by standing.

Treatment

Tilt table is a great therapeutic procedure for POTS. 

First we look for changes in bilateral resting blood pressure and resting heart rate sitting, supine after 3 minutes, standing immediate and after 5 minutes.  A difference in blood pressure by 20 mm hg systolic or 10 mm hg diastolic is considered and/or a raise in heart rate of 30 beats per minute

Functionally if we a see sudden drop in blood pressure and/or raise in heart rate above normal parameters we want to consider pots or autonomic dysfunction.

We then want to establish at what angle the graviceptive/proprioceptive concomitants play a roll.  We will gradually raise the patient through 5 degree increments until changes in heart rate over max 10 beats, and often times less, are seen. 

At this point we will bring patient through ranges of to gradually allow the baroreceptors and proprioceptive mechanisms to engage appropriately.

Throughout these ranges we can also use person specific therapeutic modalities such as eye movements, insufflation in the external ear canal, or cerebellar integration to help regulate brainstem. 

A person with pots can also be taught drink least 2-3 liters of fluid per day to boost blood volume. As symptoms can be worse in the morning, it may help to boost fluids before getting out of bed. In an emergency, drinking 2 glasses of water quickly can rapidly elevate BP and lower heart rate. Avoid alcohol dilates blood vessels and may make symptoms worse. Avoid coffee and other caffeinated drinks may also worsen symptoms, although some find them helpful.

Increasing salt consumption and wearing compression stockings can help.

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Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonial

Dr. Noel has a vast knowledge of Chiropractic, nutrition and neuro health. My former chiropractor could not get the pain to go away and Dr. Noel had me fixed up in no time! As a chiropractic patient of 20 years i found his knowledge above and beyond most. His nutrition expertise really helped while guiding me to recovery..

-  Roswell, GA

Office Hours

DayMorningAfternoon
Monday8am - 12pm2pm - 6:30pm
Tuesday8am - 6:30 pm
Wednesday8am - 12pm2pm - 6:30pm
Thursday8am - 6:30 pm
Friday8am - 12pm2pm - 6:30pm
Saturday9am - 4pm----
SundayClosed

Contact

  • 770-870-0261
  • 45 West Crossville Rd. Suite 503 Roswell, GA 30075
  • Get Directions
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