Orthostatic Hypotension - occurs when there is an inability for
the circulatory system to adapt to moving to an upright
position. When
an individual sits with the legs lowered, the body's blood pools
in the lower extremities. Blood pressure drops and the
individual feels dizzy, light-headed or like they are going to
faint. They may also have a tingling or burning in the legs or a
fast heart rate. Rising slower will help, but elastic stockings,
ace wraps and an elastic abdominal binder are necessary to
assist the body with blood circulation. Orthostatic hypertension
is most often felt after injury. It may take days to regain the
ability to sit upright. Early treatment with range of motion to
the limbs, use of a reclining wheelchair with elevating foot
rests, and a tilt table are some of the treatments to help the
patient adapt. A change in therapy later in rehabilitation, may
also contribute to the condition. With treatment, the condition
eventually resolves.
