{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:29:26Z","timestamp":1787758166857,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Postural orthostatic tachycardia syndrome (POTS) is a form of dysautonomia that\u2019s characterised by an abnormal heart rate response to a positional change. A 50-year-old female presented with lightheadedness, palpitation, and neck pain for 3 years. Lightheadedness and palpitation occurred when shifting from a prolonged seated or lying position. Standing radiographs showed spinal misalignment with cervical kyphosis and thoracic scoliosis. Continuous static stress on these minor variants could aggravate biomechanical and autonomic disorder like POTS. After ruling out cardiovascular, neurological, or vestibular pathophysiology, a multicomponent treatment approach was adopted including the use of thermal ultrasound therapy, cervical and thoracic spinal manipulation, and intermittent motorized cervicothoracic traction to manage her neck pain complaints. Following 3 months of regular treatment, the patient reported a full resolution of neck pain, dizziness, and POTS. At 12-month follow-up, all radiographic metrics showed improvement, including improvement of cervical alignment and thoracic curvature. POTS is a prevalent, under-diagnosed dysautonomia. This study might arouse the alertness of clinicians that symptoms related to POTS may be erroneously attributed to other neuro-cardiovascular disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_2108_21","type":"journal-article","created":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T05:11:16Z","timestamp":1659330676000},"page":"4006-4009","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Relief of postural orthostatic tachycardia syndrome with chiropractic rehabilitation"],"prefix":"10.4103","volume":"11","author":[{"given":"Eric Chun Pu","family":"Chu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andy Fu Chieh","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-102-20240828","doi-asserted-by":"crossref","first-page":"74","DOI":"10.3934\/Neuroscience.2021004","article-title":"Postural orthostatic tachycardia syndrome in patients of orthostatic intolerance symptoms:An ambispective study","volume":"8","author":"Chouksey","year":"2021","journal-title":"AIMS Neurosci"},{"key":"R2-102-20240828","doi-asserted-by":"crossref","first-page":"102836","DOI":"10.1016\/j.autneu.2021.102836","article-title":"Postural orthostatic tachycardia syndrome (POTS):Priorities for POTS care and research from a 2019 National Institutes of Health Expert Consensus Meeting-Part 2","volume":"235","author":"Raj","year":"2021","journal-title":"Auton Neurosci"},{"key":"R3-102-20240828","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.autneu.2018.06.004","article-title":"Management of headache and chronic pain in POTS","volume":"215","author":"Cook","year":"2018","journal-title":"Auton Neurosci"},{"key":"R4-102-20240828","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.pcad.2020.03.010","article-title":"Postural orthostatic tachycardia syndrome (POTS):A critical assessment","volume":"63","author":"Olshansky","year":"2020","journal-title":"Prog Cardiovasc Dis"},{"key":"R5-102-20240828","doi-asserted-by":"crossref","first-page":"102828","DOI":"10.1016\/j.autneu.2021.102828","article-title":"Postural orthostatic tachycardia syndrome (POTS):State of the science and clinical care from a 2019 national institutes of health expert consensus meeting-Part 1","volume":"235","author":"Vernino","year":"2021","journal-title":"Auton Neurosci"},{"key":"R6-102-20240828","doi-asserted-by":"crossref","first-page":"236","DOI":"10.3390\/jcm7090236","article-title":"Association of arrhythmia in patients with cervical spondylosis:A nationwide population-based cohort study","volume":"7","author":"Lin","year":"2018","journal-title":"J Clin Med"},{"key":"R7-102-20240828","doi-asserted-by":"crossref","first-page":"629","DOI":"10.4103\/jfmpc.jfmpc_68_18","article-title":"Long-term relief from tension-type headache and major depression following chiropractic treatment","volume":"7","author":"Chu","year":"2018","journal-title":"J Family Med Prim Care"},{"key":"R8-102-20240828","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.jmpt.2009.03.003","article-title":"Heart rate variability modulation after manipulation in pain-free patients vs patients in pain","volume":"32","author":"Roy","year":"2009","journal-title":"J Manipulative Physiol Ther"},{"key":"R9-102-20240828","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/j.jmpt.2006.03.010","article-title":"Effect of chiropractic care on heart rate variability and pain in a multisite clinical study","volume":"29","author":"Zhang","year":"2006","journal-title":"J Manipulative Physiol Ther"},{"key":"R10-102-20240828","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1177\/0883073820916260","article-title":"Pediatric-onset postural orthostatic tachycardia syndrome in a single tertiary care center","volume":"35","author":"Staples","year":"2020","journal-title":"J Child Neurol"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2108_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:08:10Z","timestamp":1787756890000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2108_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":10,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_2108_21","relation":{},"ISSN":["2249-4863"],"issn-type":[{"value":"2249-4863","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}