3rd World Physical Medicine and Rehabilitation Conference

Postural orthostatic tachycardia syndrome (POTS) is the most common of several kinds of dysautonomia, characterized by dysfunction of the autonomic nervous system showing with signs of orthostatic intolerance with or without related orthostatic hypotension and extreme autonomic excitation. Along with musculoskeletal signs of POTS and its known associations with other clinical entities like Ehlers-Danlos syndrome, POTS constitute an unusual treatment challenge of which the orthopaedic surgeon, Physiatrist and other associated healthcare providers should be aware. Symptoms: Cardiac symptoms: ·          rapid palpitations ·          lightheadedness ·          chest discomfort ·          dyspnea Non-cardiac symptoms: ·          brain fog ·          headache ·          nausea ·          tremulousness ·          blurred or tunnelled vision ·          poor sleep ·          exercise intolerance ·          fatigue Many patients with POTS are women (80

To identify the 'physiatry' in a single word is tough. This may be due that physiatry originated from two different fields, physical medicine and rehabilitation and emphases on assisting the general improvement of functional recovery in disabled patients. In addition, physiatry has new fields to develop; health and welfare. Therefore, the individuality of physiatry will change depending on how physiatrists act in these fields. To endorse the progress of physiatry, physiatrists should apply their efforts in several directions. First, physiatrists must make efforts to treat the impairment itself in addition to use classical compensatory methods. Earlier, it was thought that the adult central nervous system was fixed and could not be repaired. Recently, growth of functional imaging techniques revealed that the adult central nervous system can get well from injury through neuroplasticity, and that this recovery can bring functional improvement. Because this recovery thro