Treated at all four Suffolk County offices

POTS Support on Long Island

Standing up should not cost you the rest of the day. We work alongside the cardiologist or neurologist who diagnosed you, on graded reconditioning that starts lying down, and we offer acupuncture as supportive care for the symptoms that grind you down.

Does this sound like you?

  • Your heart races within a few minutes of standing
  • Lightheaded, faint or greying out when you get up
  • Brain fog that worsens the longer you stay upright
  • Wiped out after ordinary activity, sometimes for days
  • Shaky, nauseated or sweaty when upright
  • Better lying down, worse in heat or after eating

If you recognized yourself in more than one of those, that is enough to book. You do not need a diagnosis to come in, and you do not need a referral to start.

How we treat pots

Most people do best on a combination. Your first visit sorts out which of these you actually need, and in what order.

Physical Therapy

A slow, graded reconditioning plan that starts recumbent, on a rowing machine or recumbent bike, well before any upright work. Heart specialists currently rate structured exercise as the most effective approach that is not a medication. We go at your pace and we watch for post-exertional crashes rather than pushing through them.

Acupuncture

Offered as supportive and palliative care for the symptoms that come with POTS, such as nausea, poor sleep, headaches and pain. There are no controlled trials of acupuncture in POTS, so we will not tell you it treats the condition itself. Many people want it and find it helps them cope, and we treat you lying down.

What happens when you come in

1

We work out the cause

A full history and a hands-on exam. We look at how you move, not only where it hurts, so the plan targets the thing driving the pain.

2

Treatment starts the same day

You are treated on the first visit in most cases. No waiting for a second appointment to begin.

3

We reassess as you go

We check progress at set points and adjust. If something is not working we change it or tell you honestly that we are not the right fit.

Your plan probably covers this

We accept The Empire Plan/NYSHIP, BlueCross BlueShield, Aetna, Cigna, Medicare and UnitedHealthcare, and other plans that have out-of-network coverage. We check your benefits before your first visit and tell you what you will owe, so nothing lands on you at the front desk.

We handle the billing. In most cases you pay a co-insurance amount at the visit and we take it from there.

Not every plan covers every service, and coverage depends on medical necessity. A few plans place us outside their network. When that happens we still file the claim for you and give you the cost in writing before you book.

Plans we accept

What the research says

Heart Rhythm Society consensus rates a regular, structured and progressive exercise program as effective for POTS, and that is the part of what we do with real backing behind it. It is hard work, dropout in the published programs runs high, and it needs your physician to clear you first. Acupuncture has not been tested in controlled trials for POTS. We offer it as supportive care for symptoms, and we would rather say that plainly than dress it up.

Source: Heart Rhythm Society expert consensus statement on POTS, and a 2025 systematic review of exercise programs in Frontiers in Neurology

POTS is diagnosed by a physician, usually cardiology or neurology, and we work alongside that diagnosis rather than making it. Fainting that injures you, fainting on exertion, chest pain or a new irregular heartbeat need cardiology before anything else. In the clinic we treat you lying down, sit you up slowly and never leave you alone on the table, because feeling faint during a session is the real risk.

Questions people ask us

Can you diagnose POTS?

No. That is a physician's job and it needs proper standing heart rate testing. If you suspect POTS and have not been assessed, start with your doctor and we will work alongside whatever they find.

Does acupuncture treat POTS?

There is no controlled research showing that it does, and we are not going to claim it. What people tell us is that it helps with the nausea, the sleep and the pain that come along with it. If that is useful to you, we are glad to offer it.

Is exercise not the thing that makes me crash?

If it is done the usual way, often yes. A POTS program starts lying down and builds by very small steps, and we back off when you flare rather than pushing you through it.

I also have hypermobility or long covid symptoms. Does that change things?

It changes the pace, quite a lot. Tell us at the first visit so we plan for it instead of finding out the hard way.

What happens if I feel faint during treatment?

You will be lying down, someone stays with you, and we stop. It is a common enough thing that we plan for it rather than react to it.

Where we treat pots

Four offices across Suffolk County. Call the one nearest you, or request an appointment and we will route it.

What our patients say

Excellent
Thrive Health of Smithtown4.9
Based on 92 reviews
Mary D.
5 days ago
Love this place
Sheila W.
1 week ago
I love Thrive in Smithtown. The entire team is so professional, wise, kind, and caring! It’s like having an extended family of support for your health. Thank you to Mayra, Stacy, Chris, Monica, Lindsay, Jane, Justin, Carolyn, Jake, Lindsay, Gabby, Sam, Rowland, Gina and if I missed someone it’s because I don’t see them based on my schedule! Even the ultrasound tech’s are the kindest people! The best place for PT, Acupuncture, Massage and so much more!
PhatAndFabulous
1 week ago
Thrive gets my back & shoulders feeling better every time.
Audrey A.
1 week ago
Chris (massage therapist) and Stacy (acupuncturist) are amazingly skilled practitioners and genuinely just lovely, kind people. I’m currently pregnant and Chris has gone above and beyond be able to continue massaging me safely throughout my pregnancy. Stacy has been so sweet and invested in my journey as well, it really makes this place special. I think check-in has taken a hit since losing Sabrina, she was great. But otherwise this place is awesome.
Cami D.
3 weeks ago
Annamaria I.
3 weeks ago
Professional and kind people who truly care for their patients
Melissa N.
3 weeks ago
Very helpful, clean, organized and friendly staff that are effective with treatment for my sciatic and lower back pain.
Mike K.
3 weeks ago
I am a person that has many physical issues. I found Thrive of Smithtown, on an post that Doreen had put up on Facebook. I figured I would give this physical therapy office a shot. All the folks at this office are professionals and have helped me with all my medical issues. You have to put the time in to feel the results. I like the hands on approach at this PT office. The other PT offices I have used, put some heat and stim on the area of concern, then send you to the equipment and see ya later. If you are looking for a change or if you think you should have better results. Check them out!
Melanie S.
8 months ago
Veronica J.
8 months ago

Stop planning your week around it

Tell us what is going on and we will get you in. Most plans accepted, and we check your coverage before you come.

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