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POTS and Brainstem Function: Exploring the Impact of Atlas Misalignment


Postural Orthostatic Tachycardia Syndrome, commonly known as POTS, is a condition that affects the autonomic nervous system and causes symptoms such as dizziness, lightheadedness, rapid heart rate, fatigue, and brain fog when transitioning from lying down to standing up. It is often misunderstood and challenging to treat, especially since it affects multiple systems in the body. While medications and lifestyle modifications can provide some relief, many patients continue to search for underlying causes and natural support options.

One area of growing interest in the world of natural healthcare is the potential connection between POTS, brainstem function, and atlas misalignment. Upper cervical chiropractic care focuses on precisely correcting misalignments at the top of the spine, particularly the atlas vertebra, which surrounds and protects the brainstem. Understanding how this connection may influence symptoms of POTS offers new possibilities for those seeking comprehensive care.


What is POTS?

POTS is a form of dysautonomia, which refers to a dysfunction of the autonomic nervous system. The autonomic nervous system controls involuntary functions such as heart rate, blood pressure, breathing, digestion, and temperature regulation. In POTS, the body struggles to regulate these functions properly when changing positions, especially from sitting or lying to standing.

People with POTS may experience a rapid increase in heart rate, low blood pressure, fainting, shakiness, fatigue, and cognitive difficulties. The condition is more common in women and often begins during adolescence or early adulthood. While the exact cause of POTS is not always known, many cases are linked to viral infections, autoimmune issues, physical trauma, or chronic stress.


The Brainstem and Its Role in POTS

The brainstem is one of the most vital areas of the central nervous system. It controls essential automatic functions such as heart rate, blood vessel tone, respiration, and communication between the brain and body. The vagus nerve, which originates in the brainstem, plays a key role in parasympathetic regulation, helping the body stay calm, relaxed, and balanced.

When the brainstem is under stress or its communication is disrupted, the autonomic nervous system may become imbalanced. This can contribute to many of the symptoms associated with POTS, such as heart rate irregularities, dizziness, and difficulty regulating blood pressure.


The Atlas Vertebra and Brainstem Compression

The atlas, also known as the C1 vertebra, is the top bone in the spine and sits directly beneath the skull. It surrounds the brainstem at the critical junction where the brain and spinal cord meet. Due to its unique structure and range of motion, the atlas is highly susceptible to misalignment from accidents, falls, poor posture, or birth trauma.

Even a slight misalignment of the atlas can create subtle pressure or irritation around the brainstem and nearby nerves. This interference can alter the way the autonomic nervous system functions and contribute to or worsen symptoms of POTS.


How Upper Cervical Chiropractic Care May Help

Upper cervical chiropractic care is a specialized branch of chiropractic that focuses exclusively on the alignment of the atlas and axis, the top two bones in the spine. Unlike traditional spinal adjustments, upper cervical care is precise, gentle, and guided by advanced imaging to ensure corrections are tailored to each patient’s anatomy.

When an upper cervical chiropractor detects a misalignment in the atlas, they perform a specific correction to restore proper positioning. This gentle adjustment helps remove tension or pressure near the brainstem, allowing the nervous system to function more efficiently and clearly.

For patients with POTS, improved nervous system communication can potentially lead to:

  • Better autonomic regulation

  • Reduced dizziness and heart palpitations

  • Greater energy and reduced fatigue

  • Improved clarity and reduced brain fog

  • Enhanced overall adaptability to physical and emotional stress

While upper cervical chiropractic is not a cure for POTS, it can be a valuable part of a comprehensive wellness approach, especially for individuals seeking natural, non-invasive options to support their nervous system health.


Supporting the Whole Body

Many people living with POTS are sensitive to environmental and physical stressors. By focusing on restoring balance to the nervous system, upper cervical chiropractic care supports the body’s own healing processes and promotes overall resilience. This approach can be especially beneficial when combined with hydration strategies, dietary changes, graded exercise, and medical guidance.

It is essential to work with healthcare providers who understand the complexity of POTS and are willing to collaborate across disciplines. Upper cervical chiropractors often work as part of an integrative care team to ensure that each patient receives well-rounded, individualized support.


Upper Cervical Care and POTS: Frequently Asked Questions


What is the difference between upper cervical chiropractic and general chiropractic?

Upper cervical chiropractic care focuses specifically on the top two vertebrae of the spine. It uses precise imaging and light, targeted adjustments to support brainstem function. It does not involve twisting or cracking of the neck.


Can upper cervical care cure POTS?

There is currently no known cure for POTS. Upper cervical care is not a cure but may help reduce symptoms by improving brainstem and nervous system function. Many patients report improved quality of life when this care is part of their routine.


Is upper cervical chiropractic safe for people with complex medical conditions like POTS?Yes, upper cervical chiropractic is known for its gentle and non-invasive approach. Adjustments are tailored to the patient’s needs and performed with precision, making it a safe option for individuals with sensitive nervous systems.


How do I know if I have an atlas misalignment? Only a trained upper cervical chiropractor can determine this through a detailed exam, posture analysis, and specific imaging. Many people with misalignments are unaware until they are properly evaluated.


How many visits are needed before I see results? Every case is different. Some patients feel better within a few visits, while others notice gradual improvement over time. Consistency and follow-up care are important for lasting benefits.


Bringing the Body Back Into Balance, Naturally

POTS can be a frustrating and life-altering condition, but understanding its connection to the brainstem and nervous system opens the door to new possibilities. Atlas misalignment may be an overlooked factor that contributes to autonomic imbalance and the wide range of symptoms associated with POTS.

Upper cervical chiropractic care offers a gentle, precise, and holistic approach to restoring alignment and supporting nervous system function. For those living with POTS, this type of care may be a valuable part of a broader plan to feel more stable, energized, and in control of their health.

If you or someone you love is navigating POTS, consider scheduling a new patient visit with us to explore how this care may help support your body’s natural ability to regulate and heal.


Post courtesy of UCCNearMe.

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