Legacy Physical Therapy 2961 Dougherty Ferry Road Saint Louis, MO 63122
Call: 636-225-3649 Fax: 888-494-7074 Email: info@legacytherapystl.com

Physical Therapy during Pregnancy

Did you know that there are physical therapists who focus especially on female issues? In fact, there are physical therapists here in St. Louis who are Board Certified in Women’s Health Physical Therapy (WCS).

There are multiple times in a woman’s life in which physical therapy may be appropriate.     We will talk about 2 important time periods in this article: 1) during pregnancy, and 2) postpartum

DURING PREGNANCY
Physical therapy can be a wonderful adjunct care provider during pregnancy to help with common pain complaints such as:

  • Low back pain
  • Sacroiliac joint dysfunction
  • Carpal tunnel syndrome
  • Sciatica
  • Pelvic and pubic pain
  • Foot pain
  • Incontinence (bladder leakage)
  • Round ligament pain

Physical therapy treatment during pregnancy may include:

  • Posture education to avoid injury and decrease pain
  • Manual therapy to restore alignment and improve soft tissue guarding
  • Therapeutic exercises for improving muscle performance and posture
  • Abdominal and pelvic floor training
  • Fitting for various support belts to help with stability and pain

If you are like many pregnant women, you may have concern about what exercises are appropriate during pregnancy. A physical therapist is a great resource for instruction on the do’s and don’ts of exercise during pregnancy.

POSTPARTUM
The stresses of pregnancy, vaginal deliveries, and C-sections may lead to myofascial complications following the birth of the baby. Many women suffer in silence because they feel their symptoms are “Normal” after they have a baby.   Fortunately, many of these symptoms can be easily treated by a physical therapist specializing in postpartum care.
Common Postpartum Complaints include:

  • Low back and lower extremity pain
  • Upper back and neck pain associated with breastfeeding
  • Upper extremity pain or numbness associated with child care
  • Diastasis recti: Separation of the abdominal muscles which commonly occurs during healthy pregnancies.
  • Pain with intercourse or orgasm
  • Clitoral, vaginal, rectal, pubic, or tailbone pain
  • Pain and decreased mobility at scar of C-Section, episiotomy, or perineal tear
  • Pelvic floor weakness
  • Prolapse
  • Urinary or fecal incontinence
  • Urgency and frequency
  • Pelvic pain

How Physical Therapy Can Help:

  • Soft tissue mobilization, myofascial release, deep tissue massage
  • Therapeutic exercise for improving abdominal and pelvic floor muscle performance
  • Posture, lifting techniques and biomechanics
  • Home exercise program
  • Abdominal binder/brace fitting
  • Scar massage
  • Therapeutic ultrasound to breakup clogged milk ducts
  • Modalities for pain control
  • Instruction in return to exercise safely
  • Instruction in proper lifting/carrying of baby, stroller walking, and other activities of daily living to avoid injury

Pregnancy, childbirth and childcare are all events that result in significant physical changes and new stresses on a woman’s body. Women’s Health Physical Therapists are specifically trained to meet the special needs of women during this time of their lives and beyond.

Call us today at 636-225-3649 to set up your FREE SCREENING to see if physical therapy is right for you.

Help Repeal the Medicare Physical Therapy Cap

The American Physical Therapy Association (APTA) and fellow members of the Therapy Cap Coalition, a group of almost 50 associations, organizations, patient and consumer groups, are working together to make sure Congress addresses the Medicare therapy cap before December 31, 2013.

StopCap

APTA representatives have been a constant presence on Capitol Hill all year long, advocating for a permanent repeal of the Medicare therapy cap, but it’s crucial that legislators hear from their constituents. Thus, the Therapy Cap Coalition has created several coordinated grassroots opportunities to maximize impact.

Already, the coalition raised awareness with a 24-hour social media and e-mail effort on November 3, 60 days ahead of the expiration of the therapy cap exceptions process. But your help is still needed!

Take Action TODAY!!!

Use e-mail and social media to flood Congress with messages on December 2, 30 days ahead of the expiration of the therapy cap exceptions process.

Ask your legislators to permanently fix the therapy cap or at the very least extend the exceptions process by December 31, 2013.

E-mail :Send a prewritten e-mail to your legislators using APTA’s Legislative Action Center (members) or Patient Action Center (nonmembers).

Download the APTA Action app (members and nonmembers). Search “APTA Action” in the Apple or Google Play app stores to download the app, then select the “Action Center” button to e-mail your legislators.

Urge at least one friend or family member to use the Patient Action Center to send a prewritten e-mail to their legislators.

We at Legacy Physical Therapy know how beneficial physical therapy can be for our patients. We do not want the therapy cap to limit patient’s ability to receive quality care here. Please take a minute to contact your legislator today!!

Thanksgiving Food Drive

The holiday season is fast approaching. Legacy Physical Therapy is excited to help a local organization, Circle of Concern cornucopiashare the spirit of Thanksgiving with struggling local families. We hope that you can help by donating canned goods and other non-perishable food items to help fill Thanksgiving baskets for over 650 local families in need.

Items are welcome any time up until November 15th at Legacy Physical Therapy.

Circle of Concern LogoCircle Of Concern feeds the hungry and provides long-term and emergency assistance to low-income families living in western St. Louis County. They create opportunities for needy families to re-establish themselves as productive members in our community. Each month Circle of Concern feeds over 2000 individuals and provides financial assistance to families on a case-by-case basis.

Especially needed items:

Canned Meat Canned Tuna Canned Pasta
Potatoes (canned or instant) Chicken Broth Canned Vegetables
Canned Pumpkin Canned Fruit Gravy (Jar or mix)
Stuffing Mix Tomato Products Breakfast Cereal
Jello Canned Milk Cranberry Sauce

NEW SERVICE offered at Legacy Physical Therapy

Legacy Physical Therapy is excited to announce that we are now offering health coaching services. Legacy’s owner, Brooke Kalisiak has had personal success with the Take Shape for Life program. Read her personal story below:

“When I had my son 7 years ago I put on 70 pounds and never really lost the baby weight. With the long hours of work involved in the opening and running Legacy Physical Therapy, my health got put on a back burner. Finding out that my best friend was getting married in Clearwater Beach, Florida in February 2014 was the motivation I needed to get healthy. On July 1, 2013 I started the Take Shape for Life program. I am still a work in progress, but as of October 1, 2013 I have lost 34 pounds. See my Before/During photos below. I have more energy, am sleeping better, and generally just feel better. I am passionate about the success I have had with the program and have therefore decided to pay it forward and assist other people in achieving optimal health.”

Brooke Before & During Photo
Result may vary. Typical weight loss is 2-5#/week in the 1st 2 weeks and 1-2#/week thereafter.

Legacy Physical Therapy’s Health Coaches help you understand your unique health risks and create a unique and individualized plan to optimize your health. The health revolution at Legacy Physical Therapy uses proven strategies and simple lifestyle changes that make your health and wellness wishes a reality. With the help of your FREE health coach you can:

  • Lose 2-5 pounds per week for the first 2 weeks and 1 to 2 pounds per week thereafter.
  • Learn how to keep it off with this physician recommended plan.

Contact one of our health coaches today at 636-225-3649 to develop a health improvement plan that works!

Click here if you are interested in learning more about loosing weight and creating longterm health!

Sex, Wine & Chocolate Event

Every taboo in one night! It’s just Girl Talk!

Come enjoy good wine & decadent chocolates as you learn all you want to know about sex from Dr. Cathy Naughton of the Center for Sexual Health, St. Louis Marriage Therapy’s Angela Skurtu, and Legacy Physical Therapy’s Brooke Kalisiak.  We will discuss common female sexual problems, helpful treatment strategies, how to develop sexual confidence and increase desire in your relationship long term. Come prepared with your questions about sex.

Wine and chocolate

PARTNERS ARE WELCOME
October 24, 2013
6 to 8 pm
Center for Sexual Health
450 North New Ballas
North Wing Lobby
Creve Couer, MO 63141

Tickets are $15 per person. Space is LIMITED. Call 314-973-7997 or go to www.TherapistinStLouis.com to reserve your spot today.

Welcome Karla Wente- Our Newest Team Member

Legacy Physical Therapy is excited to once again be partnering with Washington University Program in Physical Therapy for their Women’s Health Physical Therapy Residency. Karla Wente PT, DPT, CLT is the new Women’s Health Physical Therapy resident. She will be at Legacy Physical Therapy treating patients on Tuesdays and Fridays. We are very happy to have her with us this next year.

Karla Wente PT, DPT, CLT

Karla is a physical therapist with a strong desire to treating men and women with pelvic and abdominal dysfunction, as well as lymphedema, fibromyalgia, and osteoporosis. She received her Doctor of Physical Therapy from Washington University in St. Louis in 2013, and is currently the Clinical Resident in Women’s Health at Washington University in St. Louis for the 2013-2014 year. Karla received the prestigious Beatrice Schulz award for outstanding performance in clinical education in May 2013.

Karla is an active member in the APTA and the Section on Women’s Health. She has pursued coursework in treating pelvic floor dysfunction through Herman and Wallace Rehabilitation Institute, in treating the pregnant patient via coursework through the Section on Women’s Health, as well as in evaluating and treating patients with lymphedema through the Klose Training and Consulting Lymphedema Therapy Certification Courses.

At the end of her clinical residency, Karla will sit for the APTA specialist certified board exam to become a women’s clinical specialist (WCS). She hopes to serve women and men with these special conditions throughout the lifespan. Additionally, she hopes to pursue teaching to promote the specialty profession to future therapists.

We Need Your Help – Support SB 159

Awhile back we asked you to support a bill to take on the insurance company’s crazy high co-pays. SB 159 passed the Senate 34-0 and the House of Representatives 136-22, but it still needs the Governor’s signature.

That is why WE NEED YOUR HELP AGAIN!

Governor Nixon must sign or veto S.B. 159 by July 14th and your call/email could be the one that makes it happen!

Contact the Governor today! It is as simple as clicking on the link below to email the governor directly and emailing the statement below (copy and paste). It took me all of 30 seconds to do, soPLEASE take 30 seconds out of your day to email him today.

The e-mail link to contact the Governor is http://governor.mo.gov/contact/

Let Governor Nixon KNOW:

“I support the fair co-pay bill, Senate Bill 159 (S.B. 159) to ensure Physical Therapy copays are fair– the same as my doctor visit copays. Please sign this Bill.”

PHONE:
(573) 751-3222

The address to mail a letter is:
The Honorable Jeremiah Nixon
Governor of the State of Missouri
216 Missouri State Capitol Building
Jefferson City, MO  65101

Let’s make sure Governor Nixon knows Missouri cares about being able to afford and access physical therapy care!

Call, write or email and help make this fair copay bill a reality.

Carpe Diem

Brooke Kalisiak PT, DPT, WCS

Owner of Legacy Physical Therapy becomes a JailBird

Yep, I’m a Jailbird. And I’m pretty proud of it.

I’m taking part in the Kirkwood-Webster MO 2013 Lock-Up benefiting the Muscular Dystrophy Association. As a Jailbird, I’m working to raise my bail of $1000 via donations from my friends, colleagues, and family, all of which go to help MDA.

As of April 29th, I am 1/10th of the way to my bail goal of $1000.00 which need to be raised in total by May 16th.

MDA is dedicated to curing muscular dystrophy, ALS and other neuromuscular diseases. At the same time, the Association provides health care and support services for people living with these diseases — right here in our community.

Please consider supporting my fundraising efforts with a tax-deductible donation.
It’s easy — just click on this secure link.

Thanks in advance for joining the fight against muscle disease. Remember, every breakout means more breakthroughs for MDA. Check back to the Legacy Physical Therapy Blog or Legacy’s Facebook page to keep posted on my progress.

Ponderings of Physical Therapist while Running the Go! St. Louis Marathon Relay

So this past Sunday, I along with 3 other teammates participated in the Go! St. Louis Marathon Relay. Each one of us runs roughly 6-7 miles of the 26.2 mile course and then passes the timing chip along to the next teammate. For those of you who know me, you know that I do not and have not ever considered myself a runner. Because of this, I found my mind wondering quite often while I was struggling through my 6 miles. I recorded these musing after the race and thought others might find them interesting. Hope you enjoy.

At 5:40 in the morning: Why did I sign up to run the first leg of this race?

At the start of the race: It’s really beautiful day for a race. Six miles won’t be too bad. Surely I can run as fast as most of these people.

First mile: This isn’t too bad. I can probably run my whole 6 miles and be okay.

Second mile: Why did I think running 6 miles today was a good idea? I have never really enjoyed running, what made me think I would start now.
If you have to stop and stretch it 2 miles it’s probably not going be a good race for you.
Just had the people who are going to win this race pass me as I’m still in my second mile.
I can’t believe the majority of these people are going to be running 13 or 26 miles today!
Look how much that lady rotates her torso. I bet her back hurts. I should give her my card.

Miles 3: Seriously I’m only halfway to my destination!
I didn’t think holy Hill was until mile six, but this sure feels like a holy hill!
I appreciate running through Anheuser-Busch but not sure I like the smell of hops to motivate me while running.
She really pronates her foot. I bet that she’s going to get plantar fasciitis.
He really wiggles his hip side to side I wonder he has IT band issues.
I walk faster than some of these people run, maybe I should just try walking this thing.

Mile 4: I get to see the person who most likely going to finish last and it reinvigorate me to keep running because I’m sure as hell going to beat him.
Really wish the first leg wasn’t so much of an out and back run. It is no fun seeing how far I have to go back.

Mile 5:   Look how much that lady adducts and medially rotates her femur. I bet that her knee really hurts.
I wonder where we can go get breakfast after the race because that sounds like a really good idea right now.

Mile 6: I am very happy for the shade and the crosswind provided by the buildings in downtown St. Louis it’s going to be hot today.
I am very happy that I am just about finished running especially when I hear them start announcing to get to the left for relay station!!
Yes, I see Megan, I am almost done running!!!
Living on a Prayer makes a great motivational song when you’re almost finished running!!
So there it is. The mad ramblings of a physical therapist while running! Hope you enjoyed! By the way, big thanks to my teammates: Megan, Sara, and Angela for putting up with me!!

Thanksgiving Food Drive

The holiday season is fast approaching. Legacy Physical Therapy is excited to help a local organization, Circle of Concern cornucopiashare the spirit of Thanksgiving with struggling local families. We hope that you can help by donating canned goods and other non-perishable food items to help fill Thanksgiving baskets for over 650 local families in need.

Items are welcome any time up until November 14th
at Legacy Physical Therapy
.

Circle Of Concern feeds the hungry and provides long-term and emergency assistance to low-income families living in western St. Louis County. They create opportunities for needy families to re-establish themselves as productive members in our community. Each month Circle of Concern feeds over 2000 individuals and provides financial assistance to families on a case-by-case basis.

Everyone who brings in a non-perishable food item to Legacy Physical Therapy before November 14th will be entered to win a
FREE 60 minute massage with Life in Balance Massage here at Legacy Physical Therapy.

ESPECIALLY NEEDED ITEMS:

Canned Meat Canned Tuna Canned Pasta
Potatoes (canned or instant) Chicken Broth Canned Vegetables
Canned Pumpkin Canned Fruit Gravy (Jar or mix)
Stuffing Mix Tomato Products Breakfast Cereal
Jello Canned Milk Cranberry Sauce