PATIENT Q&A
Frequently Asked Questions
We have compiled the most frequently asked questions from patients visiting OSANG Neurosurgery.
Dysautonomia General 4 items
Dysautonomia is a condition in which the balance between the sympathetic and parasympathetic nervous systems is disrupted, causing symptoms such as palpitations, dizziness, indigestion, anxiety, and sleep disorders. It is characterized by multiple symptoms appearing simultaneously without structural abnormalities.
Changes in symptoms and function vary from person to person. NPT, the Neural Reset Protocol, and TMS are considered according to examination and assessment results, with symptom relief and functional improvement as treatment goals. A cure or return to a normal range cannot be guaranteed.
We perform objective evaluations of autonomic function including Heart Rate Variability (HRV) analysis, tilt table test, and Valsalva maneuver. A comprehensive diagnosis is made along with symptom pattern analysis.
Receiving "no abnormalities found" on standard tests is a hallmark characteristic of dysautonomia. OSANG Neurosurgery is equipped with specialized autonomic nervous system testing equipment that can diagnose functional abnormalities that conventional tests may miss.
NPT / Neural Reset Protocol 3 items
NPT (Neuro Pulse Therapy) is a non-surgical physical therapy that delivers direct stimulation along autonomic and peripheral nerve pathways. Whether it is appropriate is determined after clinical assessment.
NPT (Neuro Pulse Therapy) directly stimulates autonomic and peripheral nerve pathways as a non-surgical physical therapy. The Neural Reset Protocol is a broader integrated program based on autonomic testing and symptom assessment. A clinician determines whether either or both are appropriate for each patient.
There is no fixed treatment period. Visit frequency and duration are determined after assessment and may change with the patient's condition and response; improvement within a particular timeframe cannot be guaranteed.
Symptom-Specific Questions 7 items
In many cases, the cause is sympathetic nervous system overactivation rather than a heart abnormality itself. If cardiac tests show no abnormalities, we recommend getting an autonomic function test.
Along with ear-related issues such as BPPV and vestibular neuritis, orthostatic hypotension and autonomic dysfunction should be checked. At OSANG Neurosurgery, we differentiate causes through tilt table tests and autonomic function tests.
Anxiety and panic symptoms can involve multiple factors. After assessing autonomic function, options such as TMS, NPT, or the Neural Reset Protocol may be considered. Responses vary by individual, so improvement cannot be guaranteed.
The cause and course of a sleep disorder vary by individual. Non-drug options such as NPT or TMS may be considered after assessment, but the need for medication and treatment response depend on clinical evaluation; medication-free improvement cannot be guaranteed.
Yes. Gastrointestinal motility is directly regulated by the autonomic nervous system, especially the vagus nerve. When the sympathetic nervous system is overactive, gastric motility decreases, potentially causing indigestion, bloating, and abdominal distension.
Yes. Chronic fatigue and brain fog are related to a complex interplay of autonomic dysfunction, decreased cerebral blood flow, and neuroinflammation. After precise analysis of the cause, we proceed with combined treatment using NPT, TMS, and Neural Reset.
Yes. Autonomic imbalance can affect cerebrovascular constriction and dilation, triggering or worsening headaches. Autonomic evaluation is especially important for tension-type headaches and chronic headaches.
Visit Guide 5 items
The first visit proceeds in the following order: symptom questionnaire, autonomic function test (HRV, etc.), doctor consultation, and personalized treatment plan. The entire process takes approximately 60-90 minutes.
Some tests and consultations are covered by national health insurance, while specialized treatments such as NPT, TMS, and Neural Reset are non-covered services. For exact costs, please refer to our non-covered services page or ask during your consultation.
Bringing a list of current medications and previous test results would be helpful. No special fasting is required; just come in comfortable clothing.
You can make consultations and appointments through our KakaoTalk channel (@OSANG Neurosurgery). Phone reservations are also available. Please let us know your preferred date and a brief description of your symptoms for proper scheduling.
Whether treatments can be combined depends on current medications and treatment details. Share this information with the clinician so potential interactions and risks can be reviewed before deciding; a conflict-free or risk-free plan cannot be guaranteed in advance.
Have more questions?
For questions not listed above, feel free to contact us via KakaoTalk.
Our consultation team will respond promptly.