Personalised Dysautonomia Management

Supporting dysautonomia such as Postural Orthostatic Tachycardia Syndrome (POTS), Orthostatic Intolerance (OI), and other related autonomic conditions.

If you're living with dysautonomia, chances are dizziness, brain fog, fatigue and a racing heart are just part of your day, especially the moment you stand up. That's not deconditioning, and it's not in your head. It's a real physiological response, and however unpredictable it feels day to day, the plan to manage it doesn't have to be. We start by understanding your body's specific pattern, and build from there.

Working together usually includes…

✅ Education

Understanding why it feels like your body is constantly malfunctioning and learning how to work with it instead of against it.

✅ Nervous system education and regulation

Breathwork and regulation strategies to support a system that's already working overtime.

✅ Starting slow and low

A reclined bike or seated rowing, so your body isn't fighting gravity and exercise demand at the same time. Not on a fixed timeline. Duration before intensity, and expect to go backwards sometimes, which is normal, not a setback.

✅ Building your body's own pump

Leg and core strength genuinely help push blood back up against gravity. It's one of the few things you have direct control over.

✅ A deliberate cool-down, every session

Symptoms can often hit after exercise, not during it, so we finish seated or lying down and let your heart rate settle before you're back on your feet.

✅ Practical strategies

Fluid, salt, compression and other non-exercise strategies, coordinated with your GP or specialist rather than prescribed in isolation.

✅ A flare plan

What to do on the days your symptoms are worse than usual.

Why exercise matters…

Exercise is one of the few tools that genuinely helps your autonomic nervous system regulate itself better over time, whichever pattern you're dealing with. Depending on what's going on for you, that might mean expanding blood volume, building the muscles that push blood back to your heart, or helping your nervous system respond to position change more smoothly. Done the usual way, upright, high-intensity, straight in, it can also be the fastest way to feel terrible, regardless of the specific diagnosis. Done the right way, position, dose and progression matter more than effort.

If you’re looking for someone who will listen, understand, and create a personalised approach to help you feel your best, I’d love to work with you.