Intensive Pain/Exercise Programs for POTS with Dr. Cathy Pederson

In this podcast episode, Dr. Cathy Pederson discusses the outcomes of intensive hospital-based rehabilitation programs for POTS patients. These inpatient programs, typically lasting three weeks, emphasize intense physical exercise along with pain management and cognitive behavioral therapy. However, the study reveals that only 54% of participants complete these programs, and perceptions of effectiveness vary. Among completers, 46% felt improved, while 54% saw no change or worsened. Comorbid conditions, such as Ehlers-Danlos Syndrome (EDS) and Mast Cell Activation Syndrome (MCAS), appear to influence outcomes, with those having EDS or MCAS more likely to report no improvement or worsening. The discussion highlights the importance of considering individual patient comorbidities in deciding suitability for such programs, as benefits seem variable and sometimes limited.