Exercise with POTS can feel intimidating — especially if you’ve crashed after trying to “push through.”
That’s why structured protocols like CHOP, Dallas, and Levine were developed.
The Children's Hospital of Philadelphia (CHOP) protocol, the Dallas protocol, and the Levine protocol are all based on a similar principle:
👉 Start horizontal. 👉 Build gradually. 👉 Train the cardiovascular system safely.
These programs focus on: • Recumbent cardio (rowing, recumbent bike, swimming) • Slow, structured progression • Lower-body strength training • Increasing upright tolerance over time
The goal isn’t intensity. It’s reconditioning the autonomic system without triggering flares.
For hypermobile women especially, pairing these protocols with joint stability work is key.
Exercise isn’t about proving toughness. It’s about retraining circulation safely.
Save this if you’ve been unsure where to start.













