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QUESTIONS & ANSWERS

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We have compiled frequently asked questions about dysautonomia, neural reset, NPT, symptoms and treatment process.

Q01What kind of disease is dysautonomia?

Dysautonomia is a condition in which the balance between the sympathetic and parasympathetic nerves is broken, causing various symptoms such as palpitations, dizziness, indigestion, anxiety, and sleep disorders. It is characterized by multiple symptoms appearing simultaneously without any organic abnormalities.

Q02Is it possible to completely cure dysautonomia?

Changes in symptoms and function vary from person to person. The NPT program, Neural Reset Protocol, TMS, etc. are reviewed for application based on test and treatment results, and treatment aims to relieve symptoms and improve function. There is no guarantee of complete cure or return to normal range.

Q03How is dysautonomia tested?

We perform tests to objectively evaluate autonomic function, such as heart rate variability (HRV) analysis, standing tilt test, and Valsalva test. A comprehensive diagnosis is made along with analysis of symptom patterns.

Q04Another hospital said there was no problem. Can I get treatment at Osang?

A typical characteristic of dysautonomia is that a general test results in ‘no abnormality’. Osang Neurosurgery is equipped with testing equipment dedicated to the autonomic nervous system, allowing the diagnosis of functional abnormalities not found in existing tests.

Q05What is Neural Reset Protocol?

The Neural Reset Protocol is OSANG Neurosurgery's autonomic nervous system treatment system that systematically evaluates and recalibrates the 4 axes: CAN (Central Autonomic Network), brainstem/vagus nerve, peripheral autonomic nerves, and the neuro-immune-endocrine system.

Q06What symptoms occur when the autonomic nervous system is imbalanced?

Various symptoms that are difficult to pin to a specific diagnosis appear, including unexplained fatigue, palpitations, orthostatic dizziness, indigestion, sleep disorders, hyperarousal/anxiety, chronic headaches, and cold extremities. If you feel unwell despite being told tests show nothing abnormal, it may be an autonomic nervous system issue.

Q07Is it correct to receive autonomic nerve treatment at a neurology or neurosurgery clinic?

Autonomic problems can be treated in both neurology and neurosurgery. Because the autonomic nervous system is the area that regulates the functions of the brain and overall body, evaluation of the entire nervous system is important. Osang Neurosurgery confirms the patient's current condition through tests focusing on autonomic nerve treatment, and then selectively provides only the treatment necessary for the patient.

Q08What are autonomic nerve tests? How do I check?

Autonomic nerve testing is a process to comprehensively check the current state of nerve function through HRV testing, standing tilt testing, and electroencephalography (QEEG). The HRV test evaluates the body's tension and recovery status by analyzing minute changes in heart rate, and the standing tilt test checks the ability to control the autonomic nervous system through blood pressure and heart rate responses to changes in posture. Additionally, brain function and nerve status can be checked through electroencephalography. Based on the test results, the current condition is accurately identified and the treatment direction needed for the patient is determined.

Q09Do I need to have all 4 axes treated?

Not all patients receive treatment for all 4 axes. Through initial examination and consultation, we identify the most unstable axis and design a phased treatment plan according to priority.

Q10I think my symptoms are getting worse because I'm under a lot of stress. Can I get better with treatment?

Yes, stress-related symptom aggravation is closely linked to CAN (Central Autonomic Network) overload. The Neural Reset Protocol focuses on improving reduced stress tolerance and restoring the brain's autonomic regulatory capacity.

Q11How long do the treatment effects last? Won't it happen again?

The Neural Reset Protocol aims to consolidate treatment effects and prevent relapse at the AXIS 04 stage. By improving the neuro-immune-endocrine environment, the goal is not simply to suppress symptoms but to create a body state that resists relapse.

Q12How do you tell if it's chronic fatigue or an autonomic problem?

Through HRV testing, tilt table testing, and autonomic function tests, simple fatigue can be distinguished from autonomic dysfunction. Since treatment direction differs based on test results, precision testing is recommended first.

Q13What is the difference between the Neural Reset Protocol and the NPT program?

NPT (Neuro Pulse Therapy) is a non-surgical physical therapy that delivers stimulation directly to the autonomic and peripheral nerve pathways. The Neural Reset Protocol is an integrated program that addresses the entire autonomic nervous system based on autonomic nerve testing and symptom evaluation. The medical staff decides whether to apply it and how it is combined depending on the test results and the patient's condition.

Q14I have severe palpitations. Is there a heart problem?

It is often caused by sympathetic overactivity of the autonomic nervous system rather than abnormalities in the heart itself. If there are no abnormalities in the heart examination, it is recommended to undergo an autonomic nerve function test.

Q15I have recurring dizziness. What tests should I get?

You should check for ear-related problems such as otolithiasis and vestibular neuritis, as well as orthostatic hypotension and autonomic nerve dysfunction. At Osang Neurosurgery, the cause is determined through standing tilt tests and autonomic nerve function tests.

Q16Can anxiety and panic attacks be treated in neurosurgery?

Many factors may be involved in symptoms of anxiety and panic. After evaluating the state of the autonomic nervous system, the application of TMS, NPT, neural reset, etc. can be reviewed. Treatment response varies from person to person, so effectiveness cannot be guaranteed.

Q17I have had a long-standing sleep disorder. Can it be treated without sleeping pills?

The causes and conditions of sleep disorders vary from person to person. Depending on the results of examination and treatment, non-pharmacological options such as the NPT program and TMS may be reviewed, but the need for sleeping pills and response to treatment depend on the evaluation of the medical staff and cannot be guaranteed to improve without medication.

Q18Are indigestion and bloating related to the autonomic nervous system?

Yes, gastrointestinal motility is directly controlled by the autonomic nervous system (especially the vagus nerve). When sympathetic nerves are overactive, gastrointestinal motility may be reduced, resulting in indigestion, bloating, and abdominal distension.

Q19Are chronic fatigue and brain fog also eligible for treatment?

Yes, chronic fatigue and brain fog are related to decreased autonomic function, decreased cerebral blood flow, and nerve inflammation. After a detailed analysis of the cause, treatment is performed combining NPT, TMS, and neural reset.

Q20If I have recurring headaches, could it be related to my autonomic nervous system?

Yes, autonomic imbalance can cause or worsen headaches by affecting the regulation of cerebrovascular contraction and relaxation. Autonomic evaluation is especially important for tension-type headaches and chronic headaches.

Q21What is the process during the first treatment?

During the first visit, the procedure is conducted in the following order: symptom questionnaire → autonomic function test (HRV, etc.) → medical staff consultation → development of a customized treatment plan. The test and consultation together take approximately 60 to 90 minutes.

Q22Are treatment costs covered by insurance?

Some tests and treatments are covered by health insurance, and special treatments such as NPT, TMS, and neural reset are not covered. For exact costs, please refer to the non-coverage information page or receive information during your medical consultation.

Q23Are there any preparations before visiting the hospital?

If you have a list of medications you are currently taking and previous test results, it will be helpful to your treatment. No special fasting is required, and you can come in comfortable clothes.

Q24Is it possible to make an online reservation?

Consultations and reservations are available through KakaoTalk channel (@Osang Neurosurgery). You can also make a reservation by phone. When making a reservation, please briefly inform us of your desired date and symptoms and we will guide you to a suitable time slot.

Q25I am receiving treatment at another hospital. Can I do it concurrently?

Whether it can be combined depends on the medication you are currently taking and the content of your treatment. If you inform the medical staff of your medication and treatment details, interactions and risks will be reviewed to determine whether to use them together, and safety without conflict cannot be guaranteed in advance.