Venous Insufficiency in POTS with Dr. Alexis Cutchins

In this podcast episode, Dr. Alexis Cutchins, a cardiologist at Emory University, discusses her comprehensive approach to treating POTS (Postural Orthostatic Tachycardia Syndrome). Dr. Cutchins emphasizes the importance of a thorough history and symptom evaluation, often considering comorbid conditions like mast cell activation syndrome, venous insufficiency, and connective tissue disorders. She discusses less-known treatments, such as oral contraceptives, gluten-free diets, and supplements like diosmin for venous insufficiency. Dr. Cutchins also highlights novel nonpharmacological strategies such as using leg elevation before bedtime and pneumatic compression devices to improve circulation and manage symptoms. The episode stresses that while these strategies are based on anecdotal evidence and clinical experience, they can provide substantial relief to POTS patients. However, formal research is still needed to validate these approaches. Dr. Cutchins advises patients to maintain open communication with their healthcare providers while being mindful of system constraints.