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

This episode discusses a study led by Dr. Cathy Pederson on intensive exercise and rehabilitation programs for POTS patients. These inpatient programs typically last about three weeks and involve eight hours of daily therapy, including exercise, cognitive behavioral therapy, and biofeedback. Dr. Pederson's survey found that only 54% of POTS patients completed these programs, with mixed outcomes: 46% felt better, 37.5% felt the same, and 16% felt worse. The study highlighted that POTS patients with comorbid conditions like Ehlers-Danlos Syndrome (EDS) and Mast Cell Activation Syndrome (MCAS) were less likely to benefit, with these conditions linked to worse outcomes. The findings suggest the need for careful consideration of patient's individual medical profiles, especially comorbidities, before recommending these intensive programs. Additionally, exercise types may need to be tailored to individual needs to prevent triggering negative symptoms.