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

Posts Tagged ‘Legacy Physical Therapy’

Fibromyalgia and Physical Therapy

Fibromyalgia is a clinical condition of unknown etiology characterized by chronic generalized body pain associated with fatigue and psychological distress. It typically presents in young to middle aged women and can result in sleep disturbance and significant impairment in activities of daily living.

Fibromyalgia trigger points

Fibromyalgia trigger points

While medical therapy for fibromyalgia exists and may to a limited extent be beneficial in managing pain, physical therapy plays a major role in treatment and rehabilitation. The aim of physical therapy is aimed at deconditioning and muscle weakness. There are different modalities of physical therapy aimed at treating different aspects of fibromyalgia.

1. Cadiovascular Fitness Training

Patients suffering from fibromyalgia are generally inactive and often become physically inactive over time. Exercise has shown benefits in long term management of fibromyalgia, with studies even showing an improvement in pain. In recent years, exercise remains one of the  most commonly recommended treatments.

Exercises are ideally low impact and could include Tai Chi, water exercise, and Qi Gong. Water based exercises seem to offer a small degree of advantage over exercises performed on land, but sometimes are not as convenient to perform. Based on patient function prior to initiating therapy, exercise programs can be tailored to the patient specifically.

2. Physical Therapy

Treatment is aimed at increasing overall muscle strength, and is aimed at reducing muscle weakness. Common advice and treatment may include:

  • Avoid muscle overloading- ie lifting heavy weights
  • Correcting body alignment
  • Muscle conditioning and stretching
  • Encouraging general activity

3. Muscle Massage

While this provides both psychological and physical relief to some extent, there is no strong evidence that it is useful as an individual treatment modality; rather it is better used in combination with other therapies.

4. Acupuncture

Randomized controlled trials have shown that acupuncture can provide significant improvement in pain reduction and a reduced perception of pain. However its long term benefits have not been adequately studied, and there is no clear guidance on how often treatment should be administered. It may be more beneficial as an adjunct therapy.

5. Transcutaneous Electrical Nerve Stimulation (TENS)

TENS is an electrical based pain reliever. It is more useful for localized pain, and hence its use for fibromyalgia may be limited. However it is an easy therapy that the patient can self administer at home.

Exercise and physical therapy are mainstay treatment options for fibromyalgia. Treatment options need to be tailored to the individual. With optimal therapy, patients can experience a significant improvement in symptoms.

Check Out Our Changes

If you have not already noticed, we wanted to point out that we have made some updates to our website to make it more user friendly. Now no matter what device you are using to view our website you should have an easier time viewing the content.

Key changes include:

  • Mobile friendly viewing
  • Easy sign-up for our newsletter
  • Easy access to our articles on our blog accessible off the home page
    • We will continue to have the Newsletter archive on our website for our newsletters from 2008-2015, but moving forward you can access the articles easily from our blog.
  • You can see any upcoming classes that we will be hosting on the right side of the screen.

We would love to hear from you on what you think of our changes. We want our website to be as helpful as possible for you, so if you want to see something different, let us know.

Curious About Essential Oils?

We are excited to start offering classes again at Legacy Physical Therapy. It has been a little while and we are glad to be back. Our first class back will be an introduction to essential oils.

Doterra Complete Offering

We hope that you can join us for this great basic essential oils class that will help explain what an essential oil is, what determines the quality of an essential oil, how they are used and some basic essential oil protocols for health and wellness. Class is Wednesday April 6th from 6:30pm-8pm at  Legacy Physical Therapy 2961 Dougherty Ferry Road Suite 105 63122. Register for this FREE event at 636-225-3649 or e-mail info@legacytherapystl.com

Do you have an idea for a class you would like us to host? Please let us know!

Brooke Goes to Washington

On Monday September 29 and Tuesday September 30, Dr. Brooke Kalisiak PT, DPT, WCS had a wonderful opportunity to represent the Private Practice Section of the American Physical Therapy Association at our Nation’s Capitol. She was among over 75 physical therapists business owners from across the country that  convened in Washington, DC September 29 – 30,2014 to lobby members of Congress. As part of the second annual event hosted by the Private Practice Section (PPS) of the American Physical Therapy Association (APTA), Dr. Brooke Kalisiak met with the office of Senator Claire McCaskill, Senator Roy Blunt, and Representative Ann Wagner to discuss hard-hitting issues affecting the future of healthcare, patients, and physical therapy businesses.

Mo Contingency in Front of Capitol Building Brooke in Front of Capitol Building

Check out the full press release at: http://interact.stltoday.com/pr/local-news/PR100214120918820

MONDAY WORKOUTS IN MAY!!

If you are like us here at Legacy Physical Therapy, this warmer weather is inspiring you to get outside and get more active! We thought what better way to get active than to do it together!! Starting MONDAY MAY 5th join us for MONDAY WORKOUTS in MAY!! That’s right, instead of picking up the margarita for Cinco de Mayo come break a sweat at Legacy Physical Therapy instead. Every Monday in May (except Monday May 26th for Memorial Day) you can come train with the physical therapists at Legacy from 6:15-7:15pm.

Time to get your workout on!!

Time to get your workout on!!

WHAT: Workouts will vary but will involve a mix of cardiovascular and strength training. Workouts will happen rain or shine, but weather permitting we will go outside. Feel free to bring a yoga mat and your own set of small hand weights if you have them, but not necessary. All fitness levels are welcome as workouts can be tailored to the individual.

WHEN: Monday May 5th, May 12, May 19th & Tuesday May 27 (Because of Memorial Day) from 6:15-7:15pm

WHERE: Legacy Physical Therapy 2961 Dougherty Ferry Road Suite 105 63122

COST: Space is limited to 10 participants each class. To reserve a space, call us at 636-225-3649 and ask to sign up for any of the dates above. Classes are $8/person/class if you call ahead to reserve a spot. Classes are $10/person/class if you walk in without reserving a spot ahead of time (We cannot guarantee a spot). Whether you reserve a spot ahead of time or not payment is due at the time of class, CASH or CHECK only.

If this is well received we may continue the workouts throughout the summer! Please call 636-225-3649 with questions or to reserve your spot!

Better Bone Health for All Ages!

If only it was just our funny bone we had to worry about.

BONE HEALTH FOR ALL AGES:

Why does bone health matter?

Healthy bones can help you stay strong and active throughout your life. If good bone health is achieved during childhood and maintained, it can help to avoid bone loss and fracture later in life. For bones to be healthy, it is important to maintain physical activity with a healthy, balanced diet full of calcium, vitamin D, and other supplements as needed.

Calcium and Vitamin D as part of a Balanced Diet: May require supplementation. Best bet is to contact your physician!

So what is a physical therapist’s role in bone health?

Physical Therapists are experts in the movement system. They can help patients achieve peak mobility and strength, all while keeping your individualized care in mind. The advanced knowledge of PTs is especially important for patients who already have compromised bone health or risk for fracture like: osteoporosis, female athlete triad, fad dieters, obesity, post-menopause age, long-term steroid therapy, cigarette smoking, high alcohol intake. This is not a complete list! Based on information HERE: Fracture Risk Factors!

What is osteoporosis and what does it have to do with physical therapy?

Osteoporosis is a common bone disease that affects both men and women (mostly women), usually as they age. It is associated with low bone mass and increased fragility of bones, making them more susceptible to breakage. This is typically diagnosed by a physician with a bone mineral density scan, taking into account blood levels of vitamin D, calcium, and history of prior fracture. For more information about osteoporosis in general look at: National Osteoporosis Foundation!

Physical therapists are the ideal providers to create an exercise program for those individuals who have osteoporosis, osteopenia (low bone density, but not quite osteoporosis), or those who have risk factors for fracture or falling. PTs are trained, as part of their 3 year doctoral program, to understand postural alignment, movement, gait analysis, balance, and the importance of weight bearing exercise to increase bone density and prevent injury.

So what are weight-bearing exercises and how can I do them?

First off, noone who is at risk for falls, fracture, or who has a known medical condition should start an exercise program without the consultation of a physical therapist or physician first!

Second, weight-bearing exercise includes anything the stresses the bones through their long axis. This includes:

  • Walking (best results for strengthening the femoral neck, thereby decreasing risk for hip fracture)
  • Yoga (Controversial: may provide whole body weight-bearing, however, can increase risk of lumbar bending which can increase compression fractures; Additionally, fall risk should be assessed before performing higher level balance exercises.) Read more here: Yoga, vertebral fractures, etc.
  • Dancing (Those dancing with the stars celebrities are protecting their bone density!)
  • Tai Chi (TONS of benefits, see effects on bone density HERE)

So, isn’t this just for “older” people?

NO! Starting healthy habits sooner ensures more compliance later. It is much more difficult to start an exercise program after diseases or injuries have already occurred, so better sooner than later! Additionally, your peak bone mass is about 18 in women and 20 in men…. so START NOW!

For fun activities for your loved ones who are younger check out: Best Bones FOREVER!

What does posture have to do with it?

Obviously, as a physical therapist, I am biased about good posture. However, I know how hard it is to make this a habit. The reason it is so important is that proper posture can prevent injury, pain, falls, and FRACTURE. This is critical for those high risk people! Here are some tips:

  • Remember the plumb line: Keep ears in line with shoulders in line with hips in line with ankles. See PLUMB LINE!
  • Use pillows when sitting or lying to support yourself in a good position.
  • Bend your knees and keep your back relatively straight while you lift things. Always keep loads close to your body.
  • Maintain regular fitness as staying active can prevent injuries.

Remember: By 2020, over 50% of Americans are expected to have osteoporosis. Let’s try to keep that number lower and reduce fracture risk in the future!

If you feel you are at risk or you already have osteoporosis, call us today at Legacy Physical Therapy to set up an appointment to see how physical therapy can help. 636-225-3649

Carpe Diem,

Karla Wente, PT, DPT, CLT

Legacy Physical Therapy

Clinical Resident in Women’s Health Physical Therapy at Washington University in St. Louis

 

Read More

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.

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

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

Legacy PT is the Newest Sponsor for My Mommy Meetup- St. Louis

Legacy Physical Therapy is proud to be the newest sponsor of My Mommy Meetup-St. Louis. My Mommy Meetup is a group for mothers in the St. Louis area who are interested in getting together with other moms.

From their site:

Join other moms in playing, learning and sharing as we build friendships, have fun with our kids and grow. If you are a mom that listens to your inner wisdom, if you listen for and to your child/ren, if you are new to St. Louis or new to parenthood, this is the Meetup for you!

Join our regular monthly Meetups (generally for moms of kids ages 0 to 5) to play, walk, drink coffee, chat, learn infant massage, yoga and more, all important parts of parenting. Members share on topics like ritual, bonding, playtime, sleep, stress, exercise, relationships and nutrition, finding inspiration, friendship and support from other mom members. Our Meetups make parenting fun, bringing like-minded moms together and starting friendships that last a lifetime.

We are excited to be partnering with My Mommy Meetup and look forward to hopefully hosting some events at our clinic in the near future.