How does physical therapy help with postural orthostatic tachycardia syndrome?

Postural orthostatic tachycardia syndrome (POTS) can significantly impact your daily life, leaving you feeling dizzy, fatigued, and often unable to fully participate in the activities you enjoy. But what if there was a way to manage your symptoms, improve your energy levels, and regain control of your body? Physical therapy can be your powerful ally in the fight against POTS, offering a personalized and non-invasive approach to alleviate symptoms and improve your overall well-being.

What is Postural Orthostatic Tachycardia Syndrome (POTS)?

Postural orthostatic tachycardia syndrome (POTS) is a common condition that affects the autonomic nervous system, the part of the nervous system that controls involuntary functions such as heart rate, blood pressure, and digestion. When you stand up from a seated or lying down position, your body normally sends signals to your veins to constrict and to your heart to beat faster. This helps to maintain blood flow to your brain and other vital organs. In people with POTS, these signals are not working properly, and when they stand up, blood pools in their legs and feet instead of returning to their hearts. This can cause a rapid increase in heart rate, dizziness, lightheadedness, and fainting.

Postural Orthostatic Tachycardia Syndrome Symptoms

POTS is not a life-threatening condition, but it can be very disruptive to daily life. Symptoms can vary in severity from person to person and from day to day. The most common symptoms of POTS include:

  • Fast heart rate: Your heart rate may increase by more than 30 beats per minute within 10 minutes of standing up.
  • Dizziness or lightheadedness: This is the most common symptom of POTS. It can be mild or severe and may be accompanied by nausea or vomiting.
  • Fainting: This is less common than dizziness, but it can occur if your blood pressure drops too low.
  • Tiredness: People with POTS often feel tired even after they get enough sleep.
  • Other symptoms: Other possible symptoms of POTS include blurred vision, headaches, chest pain, and difficulty concentrating.

Postural Orthostatic Tachycardia Syndrome Symptoms Cause

The cause of Postural orthostatic tachycardia syndrome is unknown, but it is believed to be caused by a combination of genetic and environmental factors. POTS is more common in women than men, and it may be triggered by certain events such as pregnancy, infection, or surgery.

Postural Orthostatic Tachycardia Syndrome Symptoms Treatment

There is no cure for POTS, but there are treatments that can help manage the symptoms. These treatments may include:

  • Fluids: Drinking plenty of fluids can help to increase blood volume and prevent blood from pooling in the legs.
  • Salt: Eating more salt can also help to increase blood volume.
  • Exercise: Regular exercise can help to strengthen the muscles in your legs and improve blood flow.
  • Medications: Several medications can be used to treat POTS, such as beta-blockers and fludrocortisone.

How Physical Therapy Can Improve Your Life

Postural orthostatic tachycardia syndrome (POTS) is a condition characterized by a rapid increase in heart rate upon standing, often accompanied by dizziness, fatigue, and fainting. While there’s no cure, physical therapy plays a crucial role in managing symptoms and improving quality of life.

Physiotherapy is important for cerebral palsy

How Does Physical Therapy Help with POTS?

  1. Building Cardiovascular Endurance: Physical therapists design personalized exercise programs that gradually increase your tolerance to upright positions. This helps improve blood flow and reduce symptoms like dizziness and lightheadedness.
  2. Strengthening Muscles: Specific exercises target core and lower body muscles, enhancing blood flow return to the heart and mitigating orthostatic hypotension (low blood pressure upon standing).
  3. Improving Balance and Coordination: Balance exercises enhance proprioception (body awareness) and stability, reducing the risk of falls and injuries often associated with POTS.
  4. Breathing Retraining: Controlled breathing techniques can help manage anxiety and hyperventilation, which can exacerbate POTS symptoms.
  5. Education and Empowerment: Physical therapists provide valuable information about POTS, empowering patients to manage their symptoms effectively through self-care strategies.

Benefits of Physical Therapy for POTS Patients

  • Reduced severity and frequency of symptoms
  • Improved daily functioning and activity tolerance
  • Increased energy levels and stamina
  • Enhanced mood and reduced anxiety
  • Improved sleep quality
  • Greater independence and self-management

Finding the Right Physical Therapist

  • Look for therapists with experience and expertise in treating POTS.
  • Choose someone who understands the complex nature of the condition and can create a customized treatment plan.
  • Ensure the therapist works in collaboration with your doctor for holistic care.


  • Physical therapy for POTS requires patience and commitment.
  • Start slowly and gradually increase the intensity and duration of exercises.
  • Listen to your body and avoid pushing yourself too hard.
  • Regular communication with your therapist is crucial for optimizing results.

Living with POTS can be challenging, but physical therapy offers a powerful tool to manage symptoms and improve your overall well-being. By working closely with a qualified therapist, you can regain control of your life and embrace a more active and fulfilling future.

Does exercise help POTS fatigue?

Yes, exercise can help with POTS fatigue. While it may seem counterintuitive, regular physical activity can improve energy levels and reduce fatigue in people with postural orthostatic tachycardia syndrome (POTS).


Living with POTS can be challenging, but it doesn’t have to define you. Physical therapy offers a powerful and non-invasive approach to manage symptoms, improve cardiovascular function, and enhance your overall well-being.

Through personalized exercise programs, education, and support, physical therapists empower individuals with POTS to regain control of their bodies, reduce limitations, and embrace a more active and fulfilling life. While the journey may require dedicated effort, the rewards of improved energy, reduced symptoms, and increased independence are worth the investment. So take the first step towards reclaiming your life with POTS and explore the transformative power of physical therapy.

 | Website

I am a highly skilled and experienced content writer with a Doctorate in Therapy degree. With a deep understanding of the human body and a passion for health and wellness. I combines my clinical expertise and writing skills to create valuable and engaging content.

7 thoughts on “How does physical therapy help with postural orthostatic tachycardia syndrome?”

  1. Pingback: How does physical therapy heal the rotator cuff? - Problem Therapist

Leave a Comment

Your email address will not be published. Required fields are marked *