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Dr. Alexia Garcia | Pelvic Floor PT

Health & wellness website
@rootedwellpt
šŸ¤ Pelvic Floor | Pregnancy | Postpartum 🌷 Your mom best friend who happens to know all things women’s health šŸ‘¶Mama to two littles šŸ“ Miami
  • Healthcare
  • Following 741
  • Followers 7.5K
  • Engagement 4.05%
  • Avg comments 17

About Dr. Alexia Garcia | Pelvic Floor PT

Dr. Alexia Garcia | Pelvic Floor PT (@rootedwellpt) is a Health & wellness website creator on Instagram, also filed under Healthcare. The account has 7,527 followers and 201 published posts. Recent posts average 339 likes and 17 comments, an engagement rate of 4.05%.

Dr. Alexia Garcia | Pelvic Floor PT belongs to the nano tier, the band usually drawn between 1,000 and 10,000 followers. Dr. Alexia Garcia | Pelvic Floor PT follows 741 accounts, so the audience is roughly 10 times the size of the list followed. Dr. Alexia Garcia | Pelvic Floor PT uses an Instagram professional account. Flinque files Dr. Alexia Garcia | Pelvic Floor PT under Health & wellness website, with Healthcare as a secondary category.

The Instagram bio for Dr. Alexia Garcia | Pelvic Floor PT runs to 21 words across 4 lines. Emoji sit alongside the words. The latest activity Flinque has on record for Dr. Alexia Garcia | Pelvic Floor PT dates from January 2025.

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201 Posts

Of the 10 most recent posts shown for Dr. Alexia Garcia | Pelvic Floor PT, 8 are videos and 2 are carousels. That mix leans toward videos. 201 published posts give Dr. Alexia Garcia | Pelvic Floor PT a moderate archive on Instagram. Against the audience, that is roughly 37 followers for each post published. Dr. Alexia Garcia | Pelvic Floor PT also keeps 8 story highlights on the profile. All 10 carry captions, averaging 218 words each. The captions are written mainly in English. Words that recur across them include these, during, it’s, pelvis and isn’t.

This reel expands on my last post that shows 13 different peanut ball positions that are all options with an epidural (so check it out if interested!)

One important way to prepare for labor is to understand fetal stations and know how to create more space in the pelvis for the baby depending on what station they are in.

So before we go further, quick lesson on fetal stations:

Fetal station describes how far baby has descended into the pelvis.

It’s measured in relation to the ischial spines which are the narrowest part of the mid-pelvis.

Higher (negative numbers) = baby is still higher in the pelvis.
Zero = baby is at the mid-pelvis.
Positive numbers = baby is lower and moving toward birth.

If baby is still higher in the pelvis, the goal is often to create more space at the top — the pelvic inlet.

One simple way to remember is thinking about your thighs facing outward.

That external rotation bias can help maximize inlet space and support engagement and descent.

With an epidural, this can look like any of the positions shown in the video using the peanut ball.

Next up in part 2: what positions to think about when baby is rotating through the middle of the pelvis.

Save this for birth prep and stay tuned for part 2!
Comment ā€œBREAK IT DOWNā€ if you want me to make a video next explaining how to match positions to where baby is šŸ¤

One of the biggest misconceptions about epidurals?

ā€œThat means I can’t move anymore.ā€

Not true.

You absolutely CAN and SHOULD move with an epidural and a peanut ball is KEY for this!

You may not be walking but you can still:

• Change positions
• Adjust angles
• Rotate side to side
• Modify hip positioning

Staying in one position for hours isn’t ideal for labor progress.

Even with an epidural, you can:

• Be upright (head and shoulders elevated)
• Change positions every 20–30 minutes
• Be strategic about how you position your hips

Different positions open different areas of the pelvis.

If baby needs more inlet space, one strategy may help.
If baby needs more outlet space, another may be better.

Epidurals don’t have to limit physiology.
They just change how we work with it.

Choose a position.
Switch every 20–30 minutes.
Give your body options.

Remember to comment ā€œBREAK IT DOWNā€ if you want me to next break these positions down depending on where baby is in the pelvis ā¤ļø
A C-section is a major abdominal surgery but moms get minimal instruction on how to move and care for themselves afterward. The things in this reel would be taught at the hospital on day 1 after surgery but most hospitals don’t send PTs to the maternity ward šŸ™„

So here’s what I want every mom to know:

• Log roll when getting out of bed: instead of sitting straight up, roll onto your side first, moving your body as one unit instead of twisting through your abdomen. Exhale as you move. Log rolling reduces strain on your abdominal wall and decreases pain.

• Brace with a pillow when doing something (or when about to do something) that hurts: If you’re coughing, laughing, sneezing, or even standing from a chair, gently hug a pillow against your incision for support. It decreases pulling and makes movement feel safer. You’ll find that it can drastically decrease pain too.

• Slowly exhale through pursed lips during bowel movements: Inhale through your nose, then gently blow air out like you’re blowing out a candle. Avoid holding your breath or bearing down. This helps regulate pressure instead of forcing it downward into healing tissue.

• Lie flat and practice diaphragmatic breathing: Place your hands over your incision. Breathe in through your nose and let your ribcage expand. Slowly exhale through pursed lips. This reconnects your diaphragm, deep core, and nervous system while supporting circulation and healing. Lying flat is also extremely helpful for preventing the formation of adhesions around your incision.

All of these small daily things protect your abdominal wall and help with controlling pain.

If you’re in those first 2 weeks, save this.
If you know someone who is, send it to her ā¤ļø
Ab training and deep core training are often lumped together, but they’re not the same thing.

Most traditional ab exercises primarily train the superficial abdominal muscles. They’re great for producing movement and building strength, but they don’t automatically retrain how your system manages pressure or stabilizes during everyday tasks.

Your deep core is a coordinated system that includes your diaphragm, pelvic floor, and deeper trunk muscles. Its job isn’t to ā€œwork harderā€ but to work at the right time, with the right amount of tension, while you breathe, move, lift, and transfer load.

When that coordination is missing, it’s common to see things like doming or coning, persistent diastasis, pelvic floor symptoms, or the feeling that your core just never feels strong no matter how much you train. In those cases, the issue usually isn’t effort or discipline, it’s that the wrong system is being emphasized first.

This is why rehab and postpartum recovery shouldn’t start with harder ab exercises. Deep core control and pressure management come first. Once that foundation is in place, ab strength actually transfers and starts to feel supportive instead of frustrating.

Strong abs are not the same as a well-functioning core.
And feeling strong is about coordination, not just intensity.

This is the first thing I teach my patients whether they’re pregnant or postpartum. Want to learn how to activate your deep core? DM me and we’ll figure it out together šŸ¤Ž
As someone who had pubic symphysis dysfunction during both of my pregnancies, I know that it absolutely sucks šŸ˜–

SPD pain often flares with movements that twist, pull, or unevenly load the pelvis. These small changes help reduce irritation by keeping movement more supported and balanced throughout the day.

These modifications can make daily life more comfortable, especially on flare days. But my other big suggestion is to go see a pelvic floor therapist (one that specializes in obstetrics is a big bonus!) since we go a step further by helping your body better tolerate movement and pregnancy-related changes over time.

If you have SPD try these out and let me know if they helped! ā¤ļø
This is for my mamas that want to workout but just feel like it’s impossible with little ones!

As a lover of movement my entire life and being a physical therapist, its been hard to not get a chance to have the time for perfect hour long workouts since having kids šŸ˜µā€šŸ’«

In this season of two under two I’ve had to lower my expectations for what a workout will currently look like because otherwise it will literally just not happen!

So here is an accumulation of everything I’ve learned these past 5 months taking care of two babies while also trying to get exercise done for myself. I hope this helps other mamas out there struggling to get exercise inā¤ļø
Choosing an OB isn’t about finding a ā€œperfectā€ provider.
It’s about finding the right fit for you.

These questions aren’t meant to challenge or judge, they’re meant to help you understand how your OB practices, communicates, and supports patient choice.

You’re allowed to ask questions.
You’re allowed to want care that aligns with your values.

Why these questions matter šŸ‘‡

•Asking about C-section rates helps you understand practice patterns and how often surgery is used when labor doesn’t go as planned.

•Asking about pushing positions shows whether your provider supports biomechanics and flexibility during birth, not just convenience.

•Asking about episiotomy rates gives insight into how perineal protection and evidence-based care are approached.

•Asking about support for unmedicated birth reveals how your preferences are respected, even if plans change.

•Asking about pelvic floor physical therapy helps you see whether recovery and prevention are valued, not just delivery outcomes.

•Asking how slow labor or prolonged pushing is handled shows patience and thresholds for intervention

•Asking how decisions are made when plans change highlights whether care is collaborative or directive.

•Asking about early postpartum follow-up shows whether recovery is treated as an ongoing process, not a single 6-week checkpoint.

• Asking how your OB works with doulas reveals their approach to team-based, patient-centered care.

Care works best when it’s collaborative.
Save this for later or share it with a pregnant friend šŸ¤
Incorrect info is an unfortunate side effect of social media. And unfortunately I’ve noticed bad info spreads like wildfire online. So let’s debunk these myths so you know better if you come across wrong info online!

1. Avoiding core exercise during pregnancy seems to be rooted in the fear of creating a diastasis or making it worse (both are wrong). Poor pressure management is the problem not core work. The deep core (with the pelvic floor and diaphragm) actually helps support the spine, pelvis, and growing belly. Avoiding all core work often leads to more compensation, not fewer symptoms.

2. I find the myth of no twisting during pregnancy to be SO random. We rotate and twist every day of our lives to do simple tasks, it’s unavoidable! There is also no evidence that twisting causes issues during pregnancy

3. Ok as for no lifting greater than 20lbs…can we all agree how unrealistic this is?? (I myself was pregnant while also carrying around a 30lb toddler daily). There is no universal weight limit that applies to every pregnant woman. What matters is how the load is lifted, how it’s managed, and how the body responds.

4. Impact isn’t automatically unsafe. It depends on symptoms, pelvic floor function, and overall capacity. Some people tolerate modified impact very well during pregnancy. Others may not, and that’s okay!

5. This myth came from the fact that prolonged time on your back in late pregnancy may lead to symptoms. But earlier in pregnancy this usually isn’t an issue. In addition you are not on your back for a prolonged period of time when doing just an exercise or two on your back. Just listen to your body with this one. If you tolerate it great! If you start having symptoms then modify.

6. As a physical therapist this one bothers me SO much! Just because you’re pregnant doesn’t mean you can’t start exercise. I’m not saying to start training for your first ever marathon or weightlifting competition. But simple exercise with the goal to improve health, function and recovery is most definitely okay!

Hopefully this clears up these common myths!
The deep core is literally the MVP. Activating your deep core isn’t about flattening your stomach or ā€œholding it in.ā€ It works as a system with your pelvic floor and diaphragm to manage pressure as your body changes during pregnancy and postpartum.

Why this matters:

• Helps manage pressure as your belly grows and tissues adapt
• Allows the pelvic floor to share the workload instead of overworking
• Reduces compensations that contribute to back pain, pelvic pressure, leaking, or heaviness
• Provides better support for your spine and pelvis during daily movement
• Lays the foundation for smoother healing and stronger core–pelvic floor coordination postpartum

This isn’t about doing more exercises. It’s about learning how to activate the right muscles so your body can work with you during pregnancy and recovery.

Any questions on the deep core you want me to answer? Leave a comment below! šŸ¤
Hello everyone! šŸ‘‹šŸ» There are a lot of new faces here (so happy to have you!) and I figured I needed to reintroduce myself.

My name is Alexia Garcia and I am a Women’s Health Physical Therapist. I’ve dedicated the majority of my career to specializing in pelvic floor therapy and obstetrics once I realized how behind and ignored most women’s health issues were in our society. Being able to improve pain or quality of life when the person is told that there is nothing to be done is a very rewarding part of what I do! I run my own practice in south Florida so come find me if you’re here!

I’m also a new mom to my 10 month old baby boy James and I’ve been loving the roller coaster that is motherhood. I’ve grown a lot personally with the journey and I also relate better to all of my mamas that come see me (I totally get it now).

Some random facts about me is that I’m also a dog mom to a goldendoodle (Piper), I love cold weather (would not be living in Miami if I had a choice), I love to exercise (literally get antsy and depressed when I can’t), I’ve had two hip surgeries from my previous dance life (the experience rehabbing from those has definitely helped shape me into the therapist I am today).

Again I’m happy that you’re here and I hope that you can learn helpful information about pelvic health, pregnancy and postpartum with my page! 😊

*Also how amazing are these photos from šŸ˜

Dr. Alexia Garcia | Pelvic Floor PT's engagement

Dr. Alexia Garcia | Pelvic Floor PT's engagement rate on Instagram is 4.05%, between 3% and 6%, or 3 to 6 likes and comments per 100 followers. On a typical post that comes to about 1 like or comment for every 25 followers. An average post collects 339 likes and 17 comments, close to 20 likes for each comment.

Engagement rate

4.05%

Avg likes
339
Avg comments
17
Interactions : followers
1 : 25

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Who is Dr. Alexia Garcia | Pelvic Floor PT?

Dr. Alexia Garcia | Pelvic Floor PT (@rootedwellpt) is a Health & wellness website creator on Instagram, also filed under Healthcare. Dr. Alexia Garcia | Pelvic Floor PT uses an Instagram professional account. The Instagram bio for Dr. Alexia Garcia | Pelvic Floor PT runs to 21 words across 4 lines.

How many followers does Dr. Alexia Garcia | Pelvic Floor PT have?

Dr. Alexia Garcia | Pelvic Floor PT has 7,527 followers on Instagram (7.5K). Dr. Alexia Garcia | Pelvic Floor PT follows 741 accounts, so the audience is roughly 10 times the size of the list followed. 201 published posts give Dr. Alexia Garcia | Pelvic Floor PT a moderate archive on Instagram.

What is Dr. Alexia Garcia | Pelvic Floor PT's engagement rate?

Dr. Alexia Garcia | Pelvic Floor PT's engagement rate on Instagram is 4.05%, between 3% and 6%, or 3 to 6 likes and comments per 100 followers. On a typical post that comes to about 1 like or comment for every 25 followers. An average post collects 339 likes and 17 comments, close to 20 likes for each comment.

What does Dr. Alexia Garcia | Pelvic Floor PT post about on Instagram?

Flinque files Dr. Alexia Garcia | Pelvic Floor PT under Health & wellness website, with Healthcare as a secondary category. Of the 10 most recent posts shown for Dr. Alexia Garcia | Pelvic Floor PT, 8 are videos and 2 are carousels. The 10 recent Instagram captions Flinque holds for Dr. Alexia Garcia | Pelvic Floor PT repeatedly use the words these, during, it’s, pelvis and isn’t. Dr. Alexia Garcia | Pelvic Floor PT writes those captions mainly in English. Dr. Alexia Garcia | Pelvic Floor PT keeps 8 story highlights, which open with a free Flinque account.

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