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POTS Syndrome

Those with postural orthostatic tachycardia syndrome (POTS) suffer from dizzy spells and may even faint if they change positions abruptly. This may occur when the person stands suddenly after being in a seated position or when they sit up after laying down. These symptoms can impede on people’s ability to successfully focus on work tasks, especially if the job requires them to be on their feet a lot or even move in and out of a seated position. For this reason, those with POTS may be eligible Social Security Disability benefits.

What is postural orthostatic tachycardia syndrome (POTS)?

Postural orthostatic tachycardia syndrome (POTS) is a disorder that affects blood circulation. It’s a common form of dysautonomia that affects millions of people. Typically, the blood flows at a steady pace even when a person moves around. However, if the pace of blood flow slows down when a person makes a sudden movement (like sitting up or standing up), that person may have a condition called orthostatic intolerance (OI). OI coupled with an increased heart rate indicates that the person has POTS. When a person with this condition stands up, most of the blood remains in the lower part of the body and the heart rate increases in an attempt to pump blood to the blood. While this is happening, the person’s blood pressure typically drops. While all of this is commonly experienced by those with this condition, the presence of other symptoms may present themselves differently per person.

Symptoms of POTS

Aside from the lightheadedness, fainting, increased heart rate, and decreased blood pressure, other symptoms that people may experience include:

  • Chronic fatigue
  • Chest pain
  • Nausea
  • Sweatiness
  • Heart palpitations
  • Shortness of breath
  • Anxiety
  • Difficulty sleeping
  • Difficulty concentrating
  • Tremors or shaking
  • Weakness

The severity of these symptoms will vary on the person. They can be mild or extremely debilitating.

Types of POTS

The cause of POTS isn’t isolated to one factor. Some people may come to learn that they have several factors that have lead to their condition. These factors can lead to different types of POTS. These can include:

  • Neuropathic POTS: This type is characterized by damaged nerves. Specifically, the nerves that are responsible for the constriction of blood vessels in the abdomen and limbs.
  • Hyperadrenergic POTS: This type is characterized by high levels of norepinephrine, which is a stress hormone.
  • Hypovolemic POTS: This type is characterized by extremely low blood volume.
  • Secondary POTS: This type of characterized by other conditions that cause autonomic neuropathy. These other conditions can include diabetes, lupus, or other autoimmune diseases.

Getting a proper diagnosis of this condition can be difficult. A tilt-table test is one common way doctors may try to diagnose this condition. This test requires the patient to be strapped to a table while a doctor tilts it various ways to create the symptoms of POTS. Doctors believe that if the patient’s heart rate increases by 30 or more beats per minute (bpm) or goes over 120 bpm within ten minutes of the sudden movement, the patient is likely to have POTS. Other tests may be performed to confirm that the patient has POTS and not another type of dysautonomia. These tests include an electorcardiogram (ECG) or an active standing test.

Treatment for POTS

Treatment for this condition should vary based on the individual and the severity of their symptoms. Unfortunately, there isn’t a cure. Doctors focus on treating the POTS symptoms rather than treating the actual condition. Some of these treatments include medication like beta blockers, midodrine, fludrocortisone, pyridostigmine, or even salt tablets. Doctors may even suggest wearing medical compression socks to encourage the blood to flow up the legs. Keeping fluids in the body to increase the amount of blood the body produces is also important, so doctors may encourage people to take on a diet high in salt and drink a lot of water. Walking or doing yoga can help the blood flow and maintain a healthy heart, so this may be something a person should consider if they don’t already exercise lightly. If a person’s symptoms are severe, doctors may suggest changing their lifestyle completely and this may include the type of work they perform. For example, if a person with POTS works as a server, a doctor may suggest that the person take on a job that requires less exertion. Unfortunately, this often means that people have a hard time finding work again. Luckily, those in this situation have an opportunity to get financial assistance.

Getting Social Security Disability Insurance (SSDI) for POTS

Unfortunately, POTS and other types of autonomic nervous system disorders aren’t explicitly listed in the Social Security Administration’s (SSA) Blue Book. Fortunately, the SSA allows applicants to prove that their symptoms still qualify them for the disability benefits. Typically, those who have a condition that’s listed in the Blue Book are automatically eligible for benefits. Those with conditions that aren’t listed in the book may need to submit more paperwork to prove that they’re eligible for benefits. This is the case for those with POTS.

In order to qualify for benefits, POTS patients will have to fill out the application, submit their medical records from their doctors, and complete the SSA’s residual functional capacity (RFC) assessment. The RFC assessment is performed to determine how much energy the applicant can exert and what limits the applicant has that will affect the types of jobs they can perform (if any). Once the RFC assessment is performed and the examiner determines what level of activity the applicant can perform, the next step is to examine the applicant’s work history. If the assessment shows that the applicant is able to perform the job they’re currently in, the SSA will state that the applicant is capable of working and will recommend that they stay in their current position or find a similar job. If the assessment shows that the applicant isn’t able to perform their regular duties in their current job or in a similar job, the SSA will grant SSI benefits.

How we can help

Filing a disability claim with the SSA can be extremely taxing. Having to deal with copious amounts of paperwork on top of managing a medical condition can be overwhelming. However, working with an experienced disability attorney can help ease the stress of the process. Our experienced disability lawyers at Osterhout Berger Disability Law firm can walk through the entire application process and help ensure that all of the paperwork is accounted for before the application is submitted. They can also help make sure that individuals are prepared for their RFC in the event they need to take the assessment. Our lawyers are great advocates for individuals applying for disability insurance, so schedule a free consultation today!

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Learn More

Learn more about long Social Security Disability Insurance, as well as appealing denials and how an attorney can help. These five resources will cover the basics: