#101- Differentiating Common Neurologic Conditions in EDS with Brianna Cardenas, DMSc, PA-C

In this episode of the Neuroveda Podcast for Complex Health, Gillian Ehrlich, family nurse practitioner certified in Ayurveda and functional medicine, welcomes one of Neuroveda Health’s own clinicians, Brianna Cardenas, DMSc, PA-C, ATC, CSC1.

Dr. Cardenas is a specialist in Ehlers-Danlos syndrome (EDS), hypermobility spectrum disorders, and complex neurologic and immunologic comorbidities, including dysautonomia, mast cell activation syndrome, spinal CSF leaks, craniocervical instability, venous outflow disorders, tethered cord, adhesive arachnoiditis, and related pressure disorders. She sees patients at Neuroveda Health and provides remote consultations worldwide through her company, Healed and Empowered.

Together, Gillian and Brianna explore one of the most complex and often misunderstood areas of connective tissue disease: how to differentiate common neurologic conditions in EDS and related connective tissue disorders. They discuss why these conditions are so often missed in conventional medicine, how connective tissue impacts the nervous system, and why patients are frequently shuffled between specialties without anyone seeing the full picture.

This conversation covers the role of connective tissue, fascia, and the extracellular matrix in neurologic symptoms; how pressure disorders can show up as high pressure, low pressure, or fluctuating “spiky” patterns; why symptoms may worsen with position changes, head turning, lying flat, or being upright; the overlap between craniocervical instability, Eagle syndrome, Chiari-like presentations, CSF leaks, venous congestion, tethered cord, and arachnoiditis; why standard imaging is often inadequate for hypermobile patients; what symptom tracking can reveal; and practical ideas for diagnostic workup and imaging requests that may help patients and clinicians move closer to answers.

Dr. Cardenas also shares how her own lived experience with severe chronic illness has shaped her clinical work and deepened her commitment to helping patients who so often fall through the cracks receive rigorous, compassionate, and collaborative care.

In addition to her clinical work, Dr. Cardenas serves as an Assistant Professor in the MEDEX Northwest Physician Assistant Program at the University of Washington, where she teaches future physician assistants. She has lectured nationally and internationally on EDS and related comorbid conditions and is one of fewer than 100 certified fascial counterstrain practitioners worldwide.

This episode is especially for patients, caregivers, and clinicians trying to make sense of symptoms that do not fit neatly into one specialty. It is an invitation to think more broadly, more collaboratively, and more compassionately about complex chronic illness.

*Please note: This podcast is for educational purposes only and is not a substitute for individualized medical care. A podcast cannot replace a one-on-one medical visit, physical exam, or personalized diagnostic workup.