Autonomic Testing in
Manhattan, NYC
Autonomic testing — also called ANS testing, autonomic reflex test, or autonomic function test — helps evaluate
how well your autonomic nervous system is working. This part of the nervous system controls automatic functions such as heart rate, blood pressure, digestion, breathing, sweating, and bladder activity.
At Manhattan Medical Arts, we provide safe, non-invasive autonomic nervous system testing in NYC to
diagnose conditions like dysautonomia, POTS, diabetic neuropathy, Parkinson’s-related dysfunction, and other autonomic disorders.
We Accept Same Day Appointment and
Walk-in Appointment
Union Square
Forest Hills
What is Autonomic
Testing?
Autonomic nervous system testing measures how your body responds to different activities that stress or
stimulate the system. By observing your body’s responses, we can detect autonomic neuropathy, dysautonomia, and nervous system dysfunction early, allowing timely treatment.
These tests are sometimes called:
Autonomic Reflex
Screen
Autonomic Function
Test
Autonomic Nervous System Dysfunction Test
Who Needs Autonomic Nervous
System Testing?
You may need an autonomic test if you experience:
- Dizziness or fainting when standing
- Fluctuations in blood pressure or heart rate
- Numbness, tingling, or burning in feet and hands
- Excessive sweating or reduced ability to sweat
- Urinary problems, including urgency or incontinence
- Digestive issues such as constipation, diarrhea, or bloating
- Fatigue or exercise intolerance
Testing is recommended for patients with conditions such as:
- Diabetes
- Parkinson’s disease
- Postural Orthostatic Tachycardia Syndrome (POTS)
- Multiple system atrophy
- Small fiber neuropathy
- Autoimmune or neurological disorders
Types of Autonomic Nervous System
Tests We Perform
At Manhattan Medical Arts, our ANS testing in NYC includes:
Tilt Table Test (NYC)
Monitors heart rate and blood pressure as you change from lying down to standing. Used to diagnose fainting, POTS, and orthostatic hypotension.
QSART – Quantitative Sudomotor Axon Reflex Test
Measures the nerves that control sweating using mild stimulation. Helpful for diagnosing small fiber neuropathy and autonomic dysfunction.
Sudomotor Testing
Evaluates sweat gland function to detect nerve damage.
Deep Breathing Test
Measures heart rate changes while performing paced deep breathing. Assesses vagus nerve and parasympathetic function.
Valsalva Maneuver
Involves blowing into a mouthpiece while heart rate and blood pressure are monitored. Tests how the autonomic nervous system responds to sudden pressure changes.
Electrocardiogram (ECG) & Blood Pressure Monitoring
Records electrical activity of the heart and monitors circulatory responses during testing.
How to Prepare
for Autonomic Testing
To ensure accurate results, follow these preparation guidelines:
Avoid Caffeine, Alcohol, And Nicotine For 24 Hours Before Your Test
Wear Loose, Comfortable Clothing
Some Medications May Need To Be Paused Before Testing — Consult Your Doctor Before Making Any Changes
Stay hydrated
with water
Do Not Apply Lotions Or Oils On Arms Or Legs
What to Expect During the Test
Autonomic testing is done on an outpatient basis and usually takes 60–90 minutes. Our staff records baseline vitals
such as heart rate, blood pressure, breathing rate, and oxygen level. You will then undergo a series of safe tests — such as deep breathing, Valsalva maneuver, tilt table, and sudomotor testing — while measurements are continuously monitored.
The results are then interpreted by a board-certified physician to identify any dysfunction in your autonomic nervous system.
After the Test
Most patients can return to normal activities immediately. Some may feel temporary lightheadedness after the tilt table test, but this resolves quickly. Your doctor will review the findings and explain whether additional care is needed.
Why Choose Manhattan Medical Arts for Autonomic Testing?
- Local practice with offices in Manhattan and Forest Hills
- Same-day appointments and walk-ins welcome
- Faster scheduling and results compared to large hospital systems
- Insurance accepted for affordable care
- Board-certified physicians including Dr. Syra Hanif
- Convenient central NYC location
Schedule Your Autonomic Test in
Manhattan, NYC
Don’t delay if you’re experiencing symptoms of autonomic dysfunction. Book your autonomic nervous system test today at one of our convenient NYC locations:
Union Square
Forest Hills
Frequently Asked Questions
How much does autonomic testing cost?
Costs vary depending on insurance coverage. Our staff can help verify your plan and provide an estimate before testing.
What type of doctor does autonomic testing?
At Manhattan Medical Arts, testing is overseen by board-certified primary care and internal medicine physicians.
How do you test for autonomic dysfunction?
We perform a series of safe, non-invasive procedures such as tilt table test, QSART, sudomotor test, deep breathing, and Valsalva maneuver.
What does an autonomic reflex screen test for?
It evaluates how your body regulates heart rate, blood pressure, and sweating — helping detect conditions like POTS, dysautonomia, and neuropathy.
How is autonomic neuropathy diagnosed?
Diagnosis is based on a combination of autonomic testing results, medical history, and physical exam findings.
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