Is Long COVID wreaking havoc on your nervous system? In episode 110 of The One Thing Podcast, Dr. Adam Rinde interviews Dr. Robert Groysman @SPMLongCovid an anesthesiologist (MD), and pioneer in treating dysautonomia (autonomic nervous system dysfunction) and post-viral illness. Discover groundbreaking therapies, including:
* **Vagal Nerve Stimulation (VNS):** Learn how affordable, transcutaneous VNS can help regulate inflammation and calm your nervous system ,
* **Stellate Ganglion Blocks:** Understand how this procedure, initially used for PTSD, is now offering relief from Long COVID symptoms.,
* **The EAT Procedure:** Discover a novel Japanese therapy (epipharyngeal abrasive therapy) targeting the root causes of inflammation, even stubborn conditions like tinnitus and Eustachian tube dysfunction.
Dr. Groysman shares his unique approach to treating Long COVID, focusing on four primary causes: dysautonomia, mitochondrial dysfunction, gut dysbiosis, and mast cell activation (histamine issues). He also discusses the importance of the vagus nerve in inflammation management and why standard treatments for POTS might not be enough to address the full scope of dysautonomia.
**If you're struggling with Long COVID, chronic fatigue, brain fog, or other post-viral symptoms, this episode is a must-watch!**
0:00 - Intro: Long COVID, Dysautonomia, and the Autonomic Nervous System
1:07 - Introducing Dr. Robert Groysman and His Journey
3:24 - Dr. Groysman's Medical Background and Interest in Long COVID
5:03 - Stellate Ganglion Blocks for PTSD and Connection to Long COVID
7:20 - How Dysautonomia Drives Long COVID Inflammation
9:19 - The Four Primary Causes of Long COVID
11:18 - Inflammatory Mediators and Brain Fog
12:25 - Defining Dysautonomia and the Role of the Vagus Nerve
14:28 - The Vagus Nerve and Its Anti-Inflammatory Pathway
16:43 - Vagal Nerve Stimulation as a Treatment for Inflammation
17:55 - Transcutaneous Vagal Nerve Stimulation (tVNS) Devices
19:16 - Accessing the Vagus Nerve Through the Ear
21:55 - How VNS Works in the Brainstem
23:40 - Vagal Nerve Dysfunction in Long COVID
24:29 - Anesthesiology Background and VNS Therapy
26:30 - Research Supporting Vagal Nerve Stimulation
27:25 - Ear vs. Cervical Vagus Nerve Stimulation
29:30 - Choosing the TENS 7000 for tVNS
31:28 - Real-World Patient Response to tVNS
32:45 - Measuring Dysautonomia: Heart Rate Variability and Resting Heart Rate
34:15 - Orthostatic Readings and POTS
35:38 - Pre-Selecting Patients for Vagal Nerve Stimulation
36:50 - VNS as part of an Integrative Treatment Program
38:35 - Dr. Groysman's Four-Pillar Approach to Long COVID
41:10 - Long COVID Centers and Lack of Root Cause Treatments
42:48 - Introducing the EAT Procedure (Epipharyngeal Abrasive Therapy)
45:18 - How the EAT Procedure Cleans Inflamed Nasal Tissue
47:00 - Diagnosing the Need for the EAT Procedure
47:55 - EAT Procedure Success Stories: Voice Changes
49:10 - The Connection Between Vocal Cord Problems and the Vagus Nerve
50:15 - LPR (Laryngopharyngeal Reflux) and Potential Connection to Vagus Nerve
51:19 - Dr. Groysman's Practice, Telehealth and Treatment Approach
53:03 - Unique Combination of EAT and Stellate Ganglion Blocks
53:37 - Final Thoughts on Vagal Nerve Stimulation & Education
55:01 - Outro and Podcast Info
Links:
Show notes: https://onethingpod.com/110-vagal-stim
Dr. Groysman's facebook page https://www.facebook.com/groups/longcovidsgb
Dr. Groysman's clinic https://covidinstitute.org/about-dr-groysman/
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