EmpowerHeal Physical Therapy
Pelvic Floor Therapy and EDS physical therapy serving Bethesda and Washington DC surrounding metropolitan areas
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Pelvic Floor Therapy and EDS physical therapy serving Bethesda and Washington DC surrounding metropolitan areas
Postural Orthostatic Tachycardia Syndrome (POTS) is a form of autonomic dysfunction where the body has difficulty regulating heart rate and blood pressure—especially with changes in posture. Many people experience dizziness, rapid heart rate, fatigue, brain fog, nausea, temperature regulation issues, shortness of breath, and exercise intolerance. While POTS can feel overwhelming, the right physical therapy program can significantly improve function, reduce symptoms, and help you gain confidence in your daily activities.
POTS is a common co-morbidity in patients with connective tissue disorder such as as Ehlers Danlos Syndrome. Physical therapy is essential for POTS to address deconditioning, impaired circulation and autonomic dysfunction that contribute to symptoms.
A comprehensive assessment includes:
PT begins with exercises done in gravity-minimized positions such as:
Recumbent bike
Rowing machine
Supine core work
Side-lying leg strengthening
Pilates-inspired breathing and stabilization
These exercises help build cardiovascular endurance without provoking tachycardia.
As tolerance improves, PT gradually introduces:
Seated-to-standing drills
Standing balance work
Modified squats and lunges
Short upright cardio intervals
Functional activities like stairs and carrying tasks
The goal is to retrain the autonomic system without overwhelming it.
Many individuals with POTS have dysfunctional breathing patterns that worsen dizziness and tachycardia. PT incorporates:
Diaphragmatic breathing
Our clients visit from Bethesda, Washington DC, Chevy Chase, Rockville, Silver Spring, and Potomac. If you’re searching for pelvic floor therapy near me, we’re just a short distance away.