Exercise Intolerance

What is Exercise Intolerance?

Exercise intolerance refers to the inability to perform physical activity at a level that would typically be expected for a person’s age, fitness, or health status. This condition is often marked by excessive fatigue, dizziness, shortness of breath, or an exaggerated heart rate response during or after exercise. While exercise intolerance can have multiple causes, it is frequently associated with underlying conditions like dysautonomia and Postural Orthostatic Tachycardia Syndrome (POTS).

row of black dumbbells in a gym

The Link Between
Exercise Intolerance, Dysautonomia, & POTS

Dysautonomia is a dysfunction of the autonomic nervous system, which regulates involuntary bodily functions like heart rate, blood pressure, respiration, and digestion. One common type of dysautonomia is POTS (Postural Orthostatic Tachycardia Syndrome), characterized by an excessive heart rate increase upon standing and symptoms like dizziness, fatigue, and brain fog. For individuals with POTS, exercise intolerance can result from the body’s inability to regulate blood flow and maintain adequate oxygen delivery during physical activity.

In these cases, even mild exercise can provoke symptoms, making it difficult for individuals to engage in regular physical activity without significant discomfort or prolonged recovery times.

Other Causes of
Exercise Intolerance

Concussion

A concussion can disrupt normal brain function, including the communication between the brain and the autonomic nervous system. This disruption can lead to exercise intolerance, as the body struggles to regulate heart rate, blood pressure, and energy levels during physical exertion.

At Clarity Brain and Body Clinic, Dr. Timko is an expert in concussion diagnosis, treatment, and management. She is also trained in return-to-play protocols, ensuring that patients with exercise intolerance due to a sports concussion receive comprehensive care and guidance tailored to their recovery needs.

Long COVID

Long COVID is another condition linked to exercise intolerance. Individuals recovering from COVID-19 may experience lingering symptoms like chronic fatigue, shortness of breath, and dysautonomia, all of which can impair their ability to tolerate physical activity. The inflammation and nervous system damage caused by the virus are thought to contribute to these challenges.

winding road with green trees on both sides

Diagnosing
Exercise Intolerance

At Clarity Brain and Body Clinic, we take a comprehensive approach to identifying the underlying causes of your exercise intolerance.

Diagnostic methods may include:

  • Autonomic Nervous System Testing: To evaluate heart rate and blood pressure responses during activity.

  • Comprehensive Neurological Evaluation: To assess brain function and its role in autonomic regulation.

  • Gait and Balance Analysis: To evaluate movement patterns and identify any imbalances contributing to physical limitations.

  • Balance and Coordination Testing: Analyze your body's ability to maintain equilibrium and perform coordinated actions.

  • Vestibular Testing: Assess inner ear function and its connection to balance and spatial orientation.

Functional Neurology’s
Role in Treatment

Functional neurology offers a personalized, non-invasive approach to addressing the root causes of exercise intolerance. By focusing on the interplay between the brain, nervous system, and body, our treatments aim to restore balance, improve cardiovascular efficiency,
and enhance overall physical function.

Treatment at Clarity Brain & Body Clinic

Our tailored treatment plans may include:

  • Autonomic Nervous System Rehabilitation

  • Graded Exercise Therapy

  • Concussion Rehabilitation

  • Vagus Nerve Stimulation

  • Stress Management and Biofeedback

  • Postural and Balance Training

Why Choose Clarity Brain and Body Clinic?

At Clarity Brain and Body Clinic, we understand how debilitating exercise intolerance can be. Dr. Timko is dedicated to providing compassionate, individualized care that empowers you to regain your physical capabilities and improve your quality of life. Using cutting-edge functional neurology techniques, we address not just the symptoms but the root causes of your exercise intolerance.

Take the First Step Toward Recovery

If exercise intolerance is limiting your daily activities or quality of life, we’re here to help. Contact Clarity Brain and Body Clinic today to schedule a free discovery call and begin your journey toward getting your life back.