Pelvic Congestion Syndrome and POTS with Dr. Steven Smith

In this podcast episode, Dr. Steven Smith, a retired interventional radiologist, discusses his observations of a link between Pelvic Congestion Syndrome (PCS) and Postural Orthostatic Tachycardia Syndrome (POTS). Dr. Smith suggests that some patients with POTS might experience symptom improvement after treating PCS, implying a potential connection between the two conditions. Using imaging techniques, Dr. Smith and colleagues have noted venous anomalies in POTS patients, suggesting that impaired pelvic vein function might be contributing to POTS symptoms. He emphasizes that, although these findings are promising, not all POTS patients will benefit from this discovery, as it primarily applies to a subset with comorbid PCS. Dr. Smith details interventional radiology techniques that might alleviate PCS by addressing issues in the pelvic veins, potentially offering new treatment avenues for some POTS patients. However, he underscores the need for more rigorous research to further explore these connections and validate his findings.