Dysautonomia Program

We work with our dysautonomia patients to find the root cause of their symptoms and then help them get back to living normal, healthy lives! Our Dysautonomia Program is catered to the individual, not the diagnosis. We combine all of our diagnostic and treatment modalities with our extensive knowledge and success working with dysautonomia patients. Going through our program will afford you the most up-to-date care and ensure that you are working with one of our doctors who specializes in dysautonomia. Please explore the information below and contact us if you have any questions or would like to schedule a complimentary consultation.

What is Dysautonomia?

Dysautonomia is the term used to describe a dysfunction of the autonomic nervous system. The autonomic nervous system regulates functions of your body that happen automatically, such as your heart rate, blood pressure, breathing, digestion, and temperature control. Since this system regulates a large portion of the body’s functions, a variety of symptoms can be felt when it’s not working properly. Physical symptoms include dizziness, fatigue, fainting, chronic pain, headaches, abnormal sweating, shakiness, breathlessness, nausea, vision issues and more. There are many types of dysautonomia, but the most common are postural orthostatic tachycardia syndrome (POTS), orthostatic hypotension and neurocardiogenic syncope.

POTS: Patients with POTS have tachycardia (or a fast heart rate) when standing, due to inadequate blood flow in their bodies. A comprehensive health history, physical examination, along with a tilt table test are usually used to diagnose the syndrome. During the test, the patient lays flat on a table as their heart rate, oxygen levels, and blood pressure is monitored. The table is then tilted slowly up to 90 degrees. Normally your heart rate should increase by around 0-10 beats per minute as your body adjusts to standing up. For adults, if your heart rate increases by more than 30 beats than you’re diagnosed with POTS. For children and adolescents, the heart rate would increase by more than 40 beats per minute. The tilt table test is taken into consideration along with subjective information and physical examination.

Orthostatic Hypotension: If your blood pressure drops against gravity that is known as orthostatic hypotension. If your systolic, or the top number in your blood pressure, drops more than 20 mmHg or if the diastolic, the bottom number, drops more than 10 mmHg then you meet the criteria to be diagnosed with orthostatic hypotension.

Neurocardiogenic Syncope: Neurocardiogenic syncope (also known as vasovagal syncope) occurs when your heart rate and blood pressure drop and cause you to faint. This could be mild to severe in nature and may cause further issues, such as concussions, which are common among people with neurocardiogenic syncope. A tilt table test is also used in the diagnosis of neurocardiogenic syncope.

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CFNC Dysautonomia Success Stories

CFNC Examinations / Diagnostics

Dysautonomia patients are most-typically found to have disruption in the communication between the central nervous system (CNS) and the cardiovascular system. Our brains are what control our ability to shunt blood appropriately to the brain and body. If there is nothing structurally wrong with the heart or cardiovascular system, then the issue lies within the CNS.

At CFNC, our goal is to help our dysautonomia patients understand where in the CNS that dysfunction is coming from. The majority of POTS patients have dysfunction of the brainstem regions either in the midbrain or the pontomedullary areas of the brain. We can also see cortical dysfunction that causes similar symptomatology. Our job as CFNC providers is to pinpoint the direct area of dysfunction and apply therapies to improve its functionality through neuroplasticity.

We know that once we locate the dysfunction in the brain, it is only a matter of time and repetition before the neuroplasticity that is created yields long lasting changes in symptoms and functionality. While there is no cure for dysautonomia, we help our patients have a more functional, less symptomatic life!

Diagnostic Testing for Dysautonomia Includes:

Orthostatic Autonomic Evaluation
Tilt Table Testing
Computerized Posturography
Neuro-Timing Evaluations
Blood Work
Other Lab Work as Needed

CFNC Treatment Program 

Dysautonomia treatment may include tilt table therapy, neuromodulation to activate different cranial nerves through sensory stimulation (such as the vagus nerve), eye movement exercises, vestibular rehabilitation, interactive metronome, hyperbaric oxygen therapy, nutritional counseling, and cognitive exercises.

Through neurological rehabilitation, we are able to correct dysfunctions of the nervous system to greatly decrease or eliminate symptoms. Our goal is to find the root cause of your symptoms, not mask them, and create positive changes in the brain, leaving you with little to no symptoms and back to living a normal, healthy life.

Common Treatment Modalities Used:

Tilt Table Therapy/ Orthostatic Re-training
Neurological Rehabilitation
Mild Hyperbaric Oxygen Therapy
Nutritional Counseling
Individualized Supplementation


We love helping our dysautonomia patients get back to living their lives! Read about our patients’ healing journeys.


Case Studies

Our case studies provide additional information about specific dysautonomia cases that we’ve treated.


Additional Resources

We strive to increase awareness and education about dysautonomia. Check out the additional resources to learn more. 


We treat dysautonomia patients at our Charlotte and Raleigh locations, and provide virtual options for out-of-town patients. Click below to schedule a complimentary consultation.

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