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What is orthostatic hypotension?

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“Since the 7th of last month, orthostatic hypotension has developed and I can hardly go to school.”

A high school student was brought to the hospital by his mother.


Many children who cannot go to school due to orthostatic hypotension visit our hospital.



Orthostatic hypotension is an autonomic imbalance that occurs in adolescence, and when it develops, it is difficult to get up in the morning, but if you force yourself to wake up, you will suffer from headaches and abdominal pain.

In severe cases, it is not uncommon to be unable to get up until after noon.


After that, some children have no symptoms at all, but some children suffer from headaches and fatigue all day long.


How does orthostatic hypotension occur?


Adolescence is a time when the balance between sympathetic and parasympathetic nerves is unstable.

In childhood, the parasympathetic nervous system is dominant, but as we grow older, the sympathetic nervous system becomes dominant, but adolescence is an intermediate period.

That’s why the balance of autonomic nerves is easy to collapse.

This is one of the reasons why orthostatic hypotension is more likely to occur.


and another reason

due to strain on the heart



To this child and mother

“Did you do anything before the onset of orthostatic hypotension?”

I just heard

“I ran about 5 kilometers in class.”

I did it with.


Besides this

“I worked hard at soccer practice during the summer vacation, but after entering the second semester, I couldn’t get up.”


“I enjoyed shopping with my friends and when I got home, I couldn’t stand up.”

“I practiced hard, played games, and when the tournament was over, I couldn’t get up.”

There are many cases where orthostatic hypotension develops after overdoing it.



“What does orthostatic hypotension have to do with the heart?”

I would say, but the relationship is great.


Orthostatic hypotension is caused by the inability to control blood pressure when sleeping and when standing.

So to speak, orthostatic hypotension can be said to be cardiac autonomic imbalance.


“My classmates and other people did the same exercise, but why did only my child do it?”

It’s because the posture of the child who developed it was bad.


The autonomic nerves of the heart are located in the spine.

Especially in the upper part of the spine (first thoracic vertebrae).

This spine is distorted when facing downwards.


Children with orthostatic hypotension are facing down.

Especially if she keeps looking down while playing games or using her smartphone, her first thoracic spine will be distorted and her heart’s autonomic nervous system will weaken.

If you train in club activities in that state, the load on the heart becomes too high and orthostatic hypotension develops.


How can orthostatic hypotension be treated early?

First of all, please don’t look down.

And if you spend the day in a good posture, the autonomic nerve of the heart will improve faster.


When it’s really hard, it’s okay to sleep, but try to get up as much as possible during the day and spend your time in a good posture.

good posture

Place the back of your hand on your waist.
Tighten the muscles on both sides of the spine just above the back of the hand and arch the spine. there is).
Only this.

“Is it okay if I don’t puff out my chest?”

Yes, please don’t push yourself.

Pushing your chest out can make things worse.


Specialized in depression and autonomic imbalance

Autonomic nerve specialist Nobuhiro Miyajima

Nishifuna Reset Manipulative Clinic


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院長 宮島信広