The Concussion Nerds Podcast

EP 80:The Forgotten Part of the Vestibular System


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Is Your Patient’s Heart Rate the Problem—Or Just a Symptom?

Clinicians, have you ever focused on treating a patient’s heart rate without stepping back to see the full picture? If you’re only looking at tachycardia, you might be missing a crucial piece of the puzzle.

Too often, persistent concussion symptoms lead to a misdiagnosis of POTS (Postural Orthostatic Tachycardia Syndrome) when the real issue could be something else entirely—like orthostatic hypotension driven by vestibular dysfunction. Without addressing the root cause, your patient’s symptoms may persist, no matter how much salt and hydration they consume.

So, what if their vestibular system holds the key to better cardiovascular stability?

BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:

  • The key difference between POTS and orthostatic hypotension—and why it matters in concussion care.

  • How the vestibular sympathetic reflex influences blood pressure regulation.

  • Why dysfunction in the otolith organs can drive persistent symptoms like dizziness, brain fog, and fatigue.

  • How targeted vestibular interventions can stabilize heart rate and improve patient outcomes.

When working with concussion patients, it’s not just about managing symptoms—it’s about understanding their root cause. Tune in to learn how a deeper vestibular assessment can help you make breakthroughs where others have hit roadblocks.

 

Let’s connect!

 

Instagram: 

@concussionnerds https://www.instagram.com/concussionnerds/

@natasha.wilch https://www.instagram.com/natasha.wilch/

Email: [email protected] Website: https://www.natasha-wilch.com

Learn how to connect & understand your nervous system so you can have greater outcomes in your health & healing journey: Grab a copy of the workbookhttps://www.natashawilch.com/understanding-connecting-your-nervous-system-1

 

Join the Clinician’s Edge to have Your Weekly Taste of Neuro Wisdom  here: https://www.natashawilch.com/clinicians-edge

 

Join the Concussion Mini School and Membership! Get the support and resources you need for concussion recovery:

  • Mini School: https://www.natashawilch.com/concussion-mini-school

  • Membership: https://www.natashawilch.com/concussion-mini-school-the-membership

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The Concussion Nerds PodcastBy Natasha Wilch

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