POTS stands for Postural Orthostatic Tachycardia Syndrome. It basically means that I am often exhausted and my heart will race if I am upright and/or exercising. There are a lot of people with much worse symptoms than mine, and I have been making good progress over the last few years. When the condition first struck at age 13 I really couldn't get out of bed. Since then I have gradually improved through consistent exercise and patience. We haven't found any medication that helps me at this time, but we keep looking. Below are a couple of videos and links that help explain the condition. I am happy to answer questions about POTS and how I have managed to improve over time.
This is the best website for information about POTS and other similar conditions: Dysautonomia International: Dysautonomia Awareness, Dysautonomia Advocacy, Dysautonomia Advancement
Dr. Goodman, who is featured in the film is my doctor at the Mayo Clinic.
https://www.youtube.com/watch?v=hxyitX3R3KM
For me, exercise is the only treatment that has helped with my POTS at all. When I first started I could only walk for about 10 minutes at a slow pace. I gradually built up until I could walk for 30 minutes at a time, then I increased my speed, then I started adding weight to my backpack.
My current exercise routine (every day - I try not to skip):
- 30 minute walk coving 2 miles carrying 10 lbs (I have worked up to 20 before, but have had a setback)
- 30 minutes of some other similar upright exercise, usually cycling or playing a game like Spikeball
- 1 hour weight lifting (upper body only - I try to do this 4 days/week)
Clearly this is a lot of time exercising in a day, and I also spend at least 30 minutes, sometimes an hour recovering from my walks. It can make my days pretty short, but it is the only way I have found to improve.
I like to push myself, it was one of my defining characteristics before I developed POTS, but if I push myself at all with most upright exercise I will crash and my symptoms will become much worse - it can set me back weeks or even months. Interestingly I have figured out that it is only exercise that involves my calves that makes me feel awful. So I have started lifting weights. I can generally push myself pretty hard without becoming symptomatic and I am making good progress.
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