Start with what life feels like now
How can a plan account for unpredictable autonomic symptoms?
We help people with dizziness or a racing heart by examining their symptoms together so that they can work toward standing and walking more confidently.
How we look at the whole picture
Standing in a checkout line or taking a shower can leave you lightheaded, shaky or drained.
You want to do more, but you cannot always predict what your body will tolerate.
You do not need to know which treatment to ask for. Start with what has changed and what you want to be able to do again.
In their own words
We understand your experience of Autonomic Dysfunction (POTS & Dysautonomia)
People often describe it in their own words long before anyone gives it a name. If one of these sounds like you, you are in the right place.
“I feel faint, dizzy, and my heart races whenever I stand up.”
“My dizziness, fatigue, and brain fog are worst when I’m upright.”
“I’ve been told I have POTS but the treatment options feel limited.”
“My nervous system feels stuck in fight-or-flight since my illness.”
Illustrative experiences, in the words people commonly use. The portraits are AI-generated and do not show patients.
The 7 Domains of Recovery™
Your symptoms may belong in the same conversation.
The autonomic domain looks at responses such as heart rate and tolerance for being upright. We also consider energy, sleep, movement and the other domains that may be affecting your day.
Neuregen's proprietary 7 Domains of Recovery framework organizes that conversation around seven connected parts of your life and health. We consider all seven, then focus the evaluation on the questions your history raises.
Explore our clinical framework- 1Brain function & neural networks
What has changed in your memory, concentration, balance or sensory tolerance?
- 2Autonomic & nervous system regulation
What happens when you stand, move, rest or encounter stress?
- 3Immune function & neuroinflammation
What immune history, reactions or symptoms need a closer look?
- 4Brain energy & metabolic health
What affects your energy through the day and after activity?
- 5Structure, stability & body-to-brain signals
How do pain, posture, movement and stability affect what you can do?
- 6Psychological flexibility & behavioral recovery
How are mood, stress and patterns of coping affecting your day?
- 7Life, relationships & environment
What demands, relationships and support shape your recovery?
A plan starts with the things you want to do again.
We ask when symptoms occur, what makes them worse, how long recovery takes, and what has already been checked. Relevant examination and testing help us decide where to begin.
01
Tell us what you want your life to look like
We start with what has changed, what you have tried, and the activities you most want to return to.
02
Answer the questions the history leaves open
We review prior reports and select relevant assessments. You should understand what each assessment is meant to clarify.
03
Agree on the priorities and the first steps
We discuss the findings, possible approaches, costs and practical constraints. The plan sets an order that fits your situation.
04
Check what changes and adjust together
We compare your response with the starting point, including daily function. If something is not helping, we discuss what needs to change.
Only then do we discuss which therapies, if any, belong in your plan. The choice depends on the findings, the evidence, your preferences and how you respond.
Talk through your situationRecovery Pathway
Autonomic Dysfunction (POTS & Dysautonomia)
Rebuilding the nervous system’s ability to regulate itself
Conceptual artwork for the care discussion. Individual findings and treatment options require clinical evaluation.
What is happening in your nervous system
Dysautonomia — including POTS — involves disruption in the autonomic nervous system’s ability to regulate heart rate, blood pressure, vascular tone, and orthostatic tolerance. Domain 2 (Autonomic & Nervous System Regulation) is the primary domain: the sympathetic-parasympathetic balance is disrupted, producing the postural tachycardia, orthostatic intolerance, and fatigue that characterize POTS. Domain 4 (Brain Energy & Metabolic Health) interacts directly: reduced cerebral blood flow during orthostatic challenge impairs brain energy delivery, producing cognitive symptoms and brain fog common in POTS. Dysautonomia is frequently associated with prior infection, trauma, or environmental exposure — which is why the underlying driver must be identified alongside the autonomic picture.
Domains most involved:
Every plan starts from the same map: the 7 Domains of Recovery.
How it fits your plan
A structured autonomic rehabilitation program is the foundation: graded exertional reconditioning with appropriate pacing, fluid and electrolyte support where indicated, HRV biofeedback and vagal retraining, and sleep-autonomic rhythm restoration. Stellate ganglion block is a distinct tool in this program — labeled as preliminary evidence for dysautonomia — applied within the structured program, not as a standalone procedure. We identify whether the autonomic dysfunction is primary, post-viral, trauma-related, or secondary to structural or immune factors, and address the underlying driver alongside rehabilitation. We default to the simplest, lowest-risk intervention that can move a domain forward — and escalate to more advanced or interventional care only when the evidence and the patient’s course support it.
We review your history, explain the findings, agree on next steps and check how you respond.
Potential Therapies
We use established medicine where it works, and emerging medicine where it makes sense.
These are options to discuss after evaluation, not a predetermined treatment plan. Each label refers to the condition or indication described beside that therapy; evidence can differ for another use. An evidence label does not mean FDA approval.
- Structured Autonomic RehabilitationEvidence: Established
Graded exertional reconditioning, pacing, and autonomic retraining protocols.
- HRV Biofeedback & Vagal RetrainingEvidence: Established
Breath training and biofeedback to improve parasympathetic regulation.
- Nutritional & Metabolic SupportEvidence: Established
Fluid, electrolyte, and nutrient support for Domain 4.
- Stellate Ganglion Block (SGB)Evidence: Preliminary
Preliminary evidence for dysautonomia; applied within a structured program, not standalone.
- Psychotherapy & Behavioral InterventionEvidence: Established
Trauma-informed care when autonomic dysregulation has a psychological contributor.
- Precision Injection TherapiesEvidence: Emerging
The hub for SGB and related image-guided procedures, each labeled by its own evidence.
Where the evidence stands
Evidence varies by therapy and by condition. Each therapy on this page carries its own evidence label for this condition, from established to investigational.
How we grade evidence
Frequently asked questions
What is POTS?
Postural Orthostatic Tachycardia Syndrome (POTS) is a form of dysautonomia characterized by an abnormal heart rate increase upon standing — typically more than 30 beats per minute — accompanied by dizziness, fatigue, brain fog, and presyncope. It reflects disrupted autonomic regulation of vascular tone and heart rate.
Is SGB an established treatment for POTS?
Stellate ganglion block for dysautonomia is labeled as preliminary evidence at Neuregen — not yet a standard of care for this indication. It is applied within a structured autonomic rehabilitation program, not as a standalone procedure, and introduced when the clinical picture supports it.
What causes dysautonomia?
Dysautonomia can be primary or secondary to prior infection (including COVID), trauma, immune activation, or structural factors. Identifying the underlying driver is part of Neuregen’s evaluation — addressing the root cause is as important as rehabilitating the autonomic system itself.
How long does recovery from POTS typically take?
Recovery timelines vary significantly depending on severity, duration, and underlying drivers. Neuregen does not make outcome guarantees. A strategy consultation can give you a clearer picture of what your evaluation might reveal.
Start with a Strategy Consultation
A real clinical conversation, not a sales call. We review your history, answer your questions, and discuss with you whether Neuregen is the right fit.
8090 N. 85th Way, Suite 100, Scottsdale, AZ 85258 · Mon–Thu, 9:00 AM – 5:30 PM