Paradoxical response to exercise in Postural Orthostatic Tachycardia Syndrome (POTS) and Myalgic Encephalitis/Chronic Fatigue Syndrome (ME/CFS)

Thursday, February 19, 2026

3:30 PM - 5:00 PM AST

Location: 201 AB

Course Director(s)

Tae Chung, MD (he/him/his)

Associate Professor of Rehabilitation Medicine
Johns Hopkins University School of Medicine

Speaker(s)

Christina Kokorelis, MD

Assistant Professor
Johns Hopkins University
Alba Azola, MD (she/her/hers)

Assistant Professor
Johns Hopkins University

Brief Session Description : Exercise intervention for Postural Orthostatic Tachycardia Syndrome (POTS) and Myalgic Encephalitis/Chronic Fatigue Syndrome (ME/CFS) presents a unique challenge—it can be both beneficial and harmful. This session will explore the underlying mechanisms of paradoxical exercise responses in POTS and ME/CFS, along with rehabilitative strategies to optimize outcomes. As these conditions become increasingly prevalent post-COVID, physiatrists play a crucial role in their management. Attendees will gain insights into tailored rehabilitation approaches and participate in a hands-on demonstration led by a physical therapist, equipping them with practical skills for clinical application.