POTS Care in Onalaska
Standing up shouldn’t feel like this
If you have POTS, your heart races when you stand. Your vision goes gray. You sit back down before you fall down.
You’ve been told it’s anxiety, or that your labs look fine.
There’s a mechanism behind this, and it’s worth looking at.
Your struggle is real, and it matters
You’re not imagining it and you’re not being dramatic. When you stand, your autonomic nervous system is supposed to move blood back up toward your brain automatically. With POTS, that response is dysregulated, so your body compensates by spiking your heart rate.
HERE’S WHAT WE LOOK AT
- Heart rate response when you change positions
- Hydration, sodium, and blood volume
- Gut function, thyroid, and hormones
- What happened in the months before symptoms started
- Movement your body can actually tolerate right now
HOW WE APPROACH POTS
POTS isn’t one thing, which is why one approach rarely works. We start by understanding which pattern is driving yours.
Functional medicine looks at the whole picture. Physical therapy handles the movement side, and the order matters — standing exercise usually makes things worse early on, so our licensed physical therapists start from positions you can tolerate and build from there.
Then the daily strategy: hydration, sodium, meal size and timing, heat, and how you get out of bed in the morning.
Care designed for life in Onalaska, WI
Heat makes it worse. So does a big meal, and so does the first hour of the morning. Wisconsin summers and long winters both make their own demands on a body already working overtime to keep circulation up.
We see people at our Onalaska clinic and across the greater La Crosse area. Virtual appointments are available for parts of the functional medicine work.
What our patients say
“I went from afternoon crashes and racing thoughts to consistent energy and a calmer mind. The plan was simple and finally made sense for my body”
“I felt heard for the first time. The step-by-step approach improved my sleep, mood, and focus in weeks, and the changes are still sticking.”

