Yes POTS is Postural Orthostatic Tachycardia syndrome - basically I'm fainty
![Grin ;D](https://www.menopausematters.co.uk/forum/Smileys/extended/grin.gif)
and my bp drops when I stand up. I take meds to keep it stable. Always worse during hormonal changes - puberty, throughout my 20's particularly bad, and pregnancies weren't too bad as my bp was a bit higher.
I see a physio for the Achilles issue (I've also had x2 lots of gluteal tendinitis) and he's recommended exercises. My POTS specialist said I need to be doing strength training, and the physio also recommended this so I do x2 gym sessions and pilates once a week.
The places where I used to be pretty flexible are now stiff (the curse of hypermobility as you get older), and I'm 100% sure that all these things are linked.
The tender points have come and gone throughout my menopause (going on for around 15 years now...) but no one seems to know how to deal with them or the recurrent tendinitis issues I'm getting.