Autonomic & Nervous System

Neurocardiogenic Syncope

Fainting episodes that require medical evaluation.

Also called: Vasovagal syncope, Fainting.

Neurocardiogenic syncope refers to fainting caused by a temporary drop in blood pressure and heart rate, often triggered by standing, heat, or stress. Fainting of any kind is a medical matter and must be evaluated medically, including cardiac assessment where appropriate.

We do not treat fainting or diagnose its cause. Our role, where relevant, is limited to evaluating musculoskeletal findings that are unrelated to the fainting itself.

Why this matters

Where someone is already under medical care for fainting episodes, any separate musculoskeletal findings — such as neck pain from a fall during an episode — can be evaluated on their own terms.

Being clear about this distinction avoids any suggestion that chiropractic care addresses the underlying cause of fainting.

The brain & nervous-system connection

Where the nervous system fits in

Autonomic measurement may form part of the wider picture your medical team is building, offering a description of stress and recovery patterns alongside cardiac and other medical testing.

This measurement is supportive information only; the diagnostic workup for fainting is a medical process.

What we look at

We look for patterns, not a single test

  • Detailed health history and consultation
  • NeuroInfiniti Stress Response Evaluation
  • Posture and movement
  • Balance and coordination testing
  • Eye movement or neurological screening when appropriate
  • Grip or motor-function testing when appropriate
  • Palpation and spinal function
  • Other examination procedures based on the individual

Not every person receives every test. What we perform depends on your history, your age and what the examination shows as we go.

Scope of care

What this does — and doesn't — mean

What we do

  • We evaluate chiropractic and musculoskeletal function.
  • We look at nervous-system-related functional findings that fall within our scope.
  • We assess movement, balance and coordination findings.
  • We measure stress-response patterns with the NeuroInfiniti evaluation.
  • We make individualized chiropractic care recommendations and re-measure over time.

What we don't claim

  • We do not diagnose, treat or cure diseases.
  • Chiropractic care is not a treatment for dementia, Alzheimer's disease or other neurological diseases.
  • Chiropractic care is not a replacement for medical care, testing or medication.
  • No outcome is promised. Results vary from person to person.

This is a concern where medical evaluation, imaging or co-management may be the right first step. Dr. Mike Geran will say so plainly if that is what the history and examination suggest.

Common questions

Will I be adjusted on the first visit?
Generally no. The first visit is an evaluation visit. Dr. Geran reviews the findings and makes recommendations at the follow-up visit.
Do I need imaging before I come in?
Not usually. If your history or examination suggests imaging is needed, we will say so and help arrange the right next step.

When medical evaluation may be needed

Fainting requires medical assessment, including cardiac evaluation where indicated.

  • Fainting with chest pain or palpitations
  • Fainting during exercise
  • Fainting with injury or loss of consciousness lasting more than a minute

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