Sex feels usually feels great, but what if it doesn’t? Painful sex is more common than you think—nearly 3 out of 4 women have pain during intercourse at some time during their lives. For some women, the pain is only a temporary problem; for others, it is a long-term problem. Pain during intercourse is known as Dyspareunia. It can make women avoid, reduce the frequency, or outright stop having sex. Women of all ages can experience dyspareunia.
Have you ever struggled with painful sex? You are not alone. Many women suffer in silence when sex starts to get painful. Others may be brave enough to bring it up with doctors, only to be given unhelpful advice such as “drink some wine,” “just relax,” “you had a baby recently this is normal,” or “just use more lubrication.” Each of these statements are real quotes from patients of ours here at Legacy Physical Therapy. We want to spread the word that there is hope and help!
Earlier this fall owner, Brooke Kalisiak had the pleasure of joining Angela Skurtu M.Ed, LMFT (AASECT) Certified Sex Therapist on her podcast About Sex. During this episode we discussed some of the common causes of painful sex, potential treatment options, and how pelvic physical therapy can help.
To listen to the episode you can go to:
Or you can watch the LiveStream Video below. Brooke Kalisiak brought along her pelvic anatomy model to the taping. Watching the video you will get to have a visual of some of the anatomy she is discussing.
If you or someone you know is dealing with painful sex, please know, first and foremost that you are not alone, and second that there is help. If you would like to learn more about potential treatment options for painful intercourse, you can reach us at 636-225-3649 to talk with one of our experienced pelvic physical therapists.
Dear friend and patient of Legacy Physical Therapy,
Please consider the following important issues impacting private practice physical therapy clinics such as ours. After reading this I hope that you will take action and contact your state senator and representative on our behalf so that we can continue to provide you with the top-notch care you have come to expect from Legacy Physical Therapy
Health Insurance Companies set up financial contracts with all healthcare providers in order to establish operating and reimbursement standards. These contracts are solely based on the bargaining power of the healthcare provider and the needs of the insurance company. These contracts have no relation to the quality of service provided by the hospital or clinic.
Over the last 20 years, large hospital systems have been given more favorable contracts than private practice clinics, especially in the field of physical therapy. Based purely on the size of the organization, insurance companies would be more willing to listen to the needs of the healthcare provider. More often than not, the needs of large hospital systems were taken into consideration because of the number of providers and services the system provided.
Conversely, the needs of private practice clinics and their owners are rarely taken into consideration when contracting reimbursement rates and patient co-pays. Without the benefit of having hundreds of providers and a multitude of services, private practice clinic owners are unable to negotiate for the basic needs just to maintain operations. Requests for reviews and appeals to the insurance companies routinely fall on deaf ears. Health Insurance companies are impeding Fair Trade Competition by deliberately paying large hospital systems more than private practice clinics for the same services.
Thus, we are taking our fight to the state legislature. We are fighting for fair pay and fair patient co pay amounts. The insurance industry routinely discriminates against small businesses by paying hospitals as much as 100% more than they reimburse for the same services we provide. I’m asking that you please contact your state senator and representative and respectfully request their support by co-sponsoring the bills that are at the bottom of this post. If you do not know your state representative or senator you may look them up at www.house.mo.gov and www.senate.mo.gov in the “Legislature Look-up” but a 4 digit zip code extension is needed. Your 4 digit zip code extension can be found at zip4.usps.com/zip4. For quick reference for Kirkwood patients:
Rep Dwight Scharnhorst (district 093) represents the Kirkwood area – 573-751-4392
Senator Eric Schmitt (distircit 015) represents the Kirkwood area – (573) 751-2853
Thank you for your help!
Brooke Kalisiak and the staff of Legacy Physical Therapy
After finding out your specific State Senator and Representative, please email, send a letter in the mail, or call to ask for their support on the following bills that are active in the 2012 Missouri Legislative Session (January thru Mid May):
Senate Bill 644, Sponsored by Senator Kurt Schaefer: Requires health carriers to reimburse a physical therapist in the same amounts as paid to a licensed physical therapist for rendering the same services regardless of the setting or venue. (Equal Pay for Equal Services Bill)
Senate Bill 687, Sponsored by Senator Eric Schmitt: Limits the copayment, coinsurance, or deductible imposed by a health insurer for physical therapy services by a licensed physical therapist to that for services provided by a primary care physician or osteopath. (Fair Co Pay Bill)
House Bill 1355, Sponsored by Rep. Donna Lichtenegger: Requires health carriers to reimburse a physical therapist in the same amounts as paid to a licensed physical therapist for rendering the same services regardless of the setting or venue. (Equal Pay for Equal Services Bill)
House Bill 1134, Sponsored by Rep. Dwight Scharnhorst: Limits the copayment, coinsurance, or deductible imposed by a health insurer for physical therapy services by a licensed physical therapist to that for services provided by a primary care physician or osteopath. (Fair Co Pay Bill)
What can Physical Therapy do for you?
Do you know who your physical therapist is? When asked, people can usually name their doctor, dentist, podiatrist, or OBGYN, but they may be hard-pressed to name their physical therapist. We want to take this opportunity to educate you on how physical therapy can be an important part of your healthcare team and why you should get to know your physical therapist!
- Recovery from a sports injury
- Balance problems
- Pregnancy- related pains
- Common aches and pains of muscles and joints
- Urinary/fecal incontinence
- Spine problems
- Recovery from a stroke, brain injury, or spinal cord injury
- Pediatric developmental issues
- Running and overuse injuries
- Cardiopulmonary problems
- Work related injuries/ Work station ergonomics
- Post surgical recovery
- Pre & Post Mastectomy Issues
You are the most important member of your own health care team, and you are entitled to choose the most appropriate health care professional to meet your goals. The role of a physical therapists is to improve and restore motion to your life. As you make the important decisions about health care for you or your family, it is important to remember that physical therapists:
- Significantly improve mobility to perform daily activities;
- Provide an alternative to painful and expensive surgery, in many cases;
- Manage or eliminate pain without medication and its side effects, in many cases.
When it comes to health care, one size does not fit all. A physical therapist’s extensive education, clinical expertise, and “hands on” approach brings you a unique, individualized approach. When you are in the hands of a physical therapist, you have a plan of care that is safe and appropriate and addresses your individual needs and pre-existing conditions.
Freedom of Choice
You have the freedom to choose your own physical therapist. Most states allow you to go directly to a physical therapist without getting a physician’s referral first. In Missouri a physical therapist can evaluate you without a physician referral, but a referral is necessary for treatment. Keep in mind that your insurance policy may require a visit to the primary care physician first or may limit your access to preferred providers only so it is best to check with your insurance plan ahead of time.
You physician may make recommendations of where to go for physical therapy, but you as the consumer HAVE THE RIGHT TO CHOOSE WHERE YOU GO. You are not obligated to receive physical therapy in any specific facility and you want to find one that best fits your needs.
How to Choose a Physical Therapist
Make sure that you receive physical therapy from a licensed physical therapist. Physical therapists are professional health care providers who are licensed by the state in which they practice. When choosing a physical therapist you want to ask if the clinicians specialize in working with your specific condition. Not all physical therapists work with all types of conditions For example, if you were seeking treatment for your urinary incontinence it would be important to ask if the facility had therapists that specialize in pelvic rehabilitation or bladder problems.
Ask the physical therapist’s clinic if it participates with your insurance company. Receiving care from a participating physical therapist should minimize your financial responsibility. There may be good reasons, however, to see a physical therapist who does not participate with your insurance plan. If you need a physical therapist who has special skills related to your particular condition-or if the location or other aspects of the care or the facility meet your needs-this may be a good choice for you.
Ask whether the physical therapist’s clinic will submit claims on your behalf to your insurance company. Some policies require copayments for services, and the amount of the copayment will depend on whether the physical therapist is part of the insurer’s provider network. You also will have to meet your deductible. Your physical therapist’s clinic should be able to help you calculate an estimate of your financial responsibilities.
Your first visit should include an evaluation by the physical therapist. Your physical therapist will perform an examination to identify current and potential problems. Based on the results of the examination, and considering your specific goals, your physical therapist will design a plan of care to include specific interventions and will propose a timetable to achieve these goals and optimize your movement and function. Your physical therapist will likely provide you with instructions to perform exercises at home to facilitate your recovery.
You should feel comfortable asking your physical therapist any questions regarding your course of care, including specifics regarding interventions and expectations. You physical therapist should be a partner in your healthcare goals!
We at Legacy Physical Therapy look forward to a chance to partner with you in your healthcare. Call us any time to schedule your FREE screening/consultation to see if physical therapy is right for you! 636-225-3649
Back in May, I posted about my own personal fitness challenge for National Women’s Health week. It is now almost 2 months later and I realized that I have not updated anyone on my status. If you remember I signed up for the Rock ‘n Roll St. Louis half marathon on October 23rd.
These past 5 weeks I have been trying to keep up with a training schedule for a 5K race, so that when it comes time to start the training for the half marathon at the beginning of August, I am in decent enough shape to do so. In this training program I am supposed to be running at least 3 days a week. I have to say that I am not succeeding at this too well. I am lucky if I get in 2 times per week.
It took me until now to make the connection, but now it is pretty obvious to me that my poor running and update frequency are linked! From now on I am going to use this link to help hold me accountable. Starting today, I will post weekly what I did in my training program, as well as give updates on how the running and attempt at weight loss are going. What better way to be held accountable than to openly post about your progress and get your friends and supporters involved. SO HERE GOES…
WEEK 5 Training
2 2.5 mile runs completed, both on the treadmill, which is not my favorite at all. I still have to do a run/walk combination, but that is getting better.
WEEK 5 Body Stats
Weight: 230 lbs Height 6’2″
Biceps 15″ Bust 44″ Waist 41″ Hip 48″ Thigh 29″
I am not going to post body stats every week, but I wanted to get these measurements down and out there so that I knew there was no turning back.
I hope you will join me in your own personal fitness challenge and we can motivate each other together!!
On June 4th, Team Legacy Physical Therapy participated in the 13th annual Cancer Survivorship Walk at Creve Coeur Lake Park. It was a hot morning, but there was a great turnout for the walk. To date the walk has raised $126,608.00 for the Cancer Support Community of St. Louis!
I am happy to report that Team Legacy Physical Therapy surpassed our goal of raising $500. Our 12 participants raised a combined total of $615.00. I want to send a big thank you out to the Pattengill family, the Hickman family, Jon and Jenn Hall, and Abbie Bradley for joining our teaming and making the walk both enjoyable and successful.
Below is a list of all of those people who donated to Team Legacy Physical Therapy. We want to send out a big THANK YOU to all of you. We really do appreciate your support.
- Hickman Family
- Pattengill Family
- Tina Pattengill
- The Bradley Family
- Jon and Jenn Hall
- Dana Evans
- The Gardner Family
- The Kalisiak Family
- Roger and Cathy Kalisiak
- Char and Dick Lockwood
- Meredith Lockwood
- Ernie and Laura Lockwood
We hope to make this walk an annual event for Legacy Physical Therapy. Keep us in mind around this time next year. We would love to grow our team and help to raise more money for a great organization.
Here are some pictures from the event. As you can see we had a pretty good time!
I have to say that this last picture is my favorite. Some of our younger team members took it upon themselves to get up on stage and dance to the great music there was playing. I don’t think we were the only ones who found it very entertaining!