10/16/2026
Dizzy when you stand up. Heart racing for no reason. Brain fog, fatigue, and a tight, pressured feeling right at the base of your skull.
If you live with dysautonomia or POTS-type symptoms, that neck tension probably isnât random.
Your autonomic nervous system runs everything you donât think about: heart rate, blood pressure, digestion and how your body adjusts when you stand up. Much of it is regulated from the brainstem, which sits right where your skull meets the top bones of your neck.
That small area is also where:
â¨â The vagus nerve leaves your skullâ¨â The arteries that feed the back of your brain pass throughâ¨â Fluid flows between your brain and spinal cord
When the top of your neck is stiff, irritated or out of position, it can add stress to a system thatâs already struggling to regulate. Thatâs why so many people with these symptoms also carry constant tension under the base of their skull.
Thatâs the area we focus on as upper cervical doctors: making sure itâs aligned and moving the way it should, so your nervous system has one less thing working against it.
How many of these sound like you?
1. Dizzy or lightheaded when you stand
2. Heart races with little effort
3. Brain fog or fatigue that sleep doesnât fix
4. Tension or pressure at the base of your skull
5. Symptoms got worse after a fall, whiplash or head injury
To be clear: this isnât a cure for dysautonomia, and it doesnât replace your cardiologist or neurologist. Keep working with them. If you havenât been tested, ask your doctor about a standing or tilt table test. Get emergency care for fainting, chest pain or shortness of breath.
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