ME/CFS
A worsening of symptoms after physical, cognitive, or emotional exertion that can last days.
What is post-exertional malaise (PEM)?
30
What is the bpm increase required from supine to standing to diagnose POTS?
Geneticist, rheumatologist or informed GP.
Who can diagnose HSD/hEDS?
ME/CFS & POTS
What is Long Covid behaving like a combination of?
Specific areas on the body that are unusually sensitive to pressure and were once used as a diagnostic criterion for fibromyalgia.
What are tender points?
The practice of learning someone's 'energy envelope' and helping them to live life within it.
What is pacing?
Hypermobility, low iron, history of low blood pressure, trauma, family history of POTS, being female
POTS, IBS, migraines, TMJ issues, scoliosis, flat footedness, neurodivergence.
What are common co-diagnoses of HSD/hEDS?
24-48 hours
What is the delay before PEM can occur?
The process in which the nervous system becomes heightened to all inputs, and creates more protective outputs.
What is central sensitisation?
Yoga nidra, vagus nerve stimulation, humming, meditation, diaphragmatic breathing
What are rest strategies which target the parasympathetic nervous system?
The strategy which aims to boost blood volume in POTS by helping the kidneys retain more fluid in the body.
What is sodium and water intake?
Increased cortisol = weakened collagen synthesis, potentially increasing tissue breakdown and joint laxity.
What is the connection between stress and hypermobility?
Sending a summary email after sessions, using PhysiApp (or similar), giving one cue at a time
What are ways we can help people with cognitive dysfunction/brain fog?
Giving clear explanations, setting expectations, providing options, inviting questions, asking permission, honouring privacy, providing validation
What are elements of trauma-informed care?