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

Women’s Health

Women's health spans an age range from teenagers and young athletes through their childbearing, menopause, and into their elderly years. Legacy Physical Therapy understands women’s unique physiology, exercise and health concerns which ensures you receive a comprehensive evaluation & individualized treatment to enable your return to activities you love. Our clinicians have the specialty training to be able to understand the entire body, including the pelvic floor, to enable comprehensive understanding of biomechanics and treatment interventions for active and athletic women throughout the lifespan.

Legacy Physical Therapy’s Women’s Health Program includes specialty treatment of: 



Incontinence and Constipation

Incontinence is the leaking of urine or feces which most frequently occurring when pelvic floor muscles are weak or lax, the pelvis unstable or the back painful. Constipation can be caused by diet, dehydration as well as pelvic floor muscle issues. Physical Therapy treatment includes a comprehensive evaluation, learning how to strengthen and use your muscle systems to control leaking & provide stability. Biofeedback, nutritional recommendations & strengthening are a few of the interventions your Legacy Physical Therapist may use to treat these conditions. More About Incontinence and Constipation >



Pelvic Pain

There are many causes of pelvic pain and dysfunction. Very rarely are symptoms initiated by a single cause. Typically, cumulative insults to the pelvis can lead to pain and/or dysfunction. In general, causes include structural or somatic abnormalities, visceral disease or dysfunction, activity-related injuries, or physical trauma. Pelvic floor dysfunction refers to a wide range of problems that occur when the muscles of the pelvic floor are weak, tight, or there is an impairment of the sacroiliac joint, low back, coccyx and/or hip joint. The tissues surrounding the pelvic organs may have increased or decreased sensitivity and/or irritation resulting in pelvic pain. Many times, the underlying cause of pelvic pain is difficult to determine. More About Pelvic Pain >



Pelvic Organ Prolapse

Pelvic organ prolapse can occur when the fascial support of the pelvic organs & muscles are damaged. Legacy Physical Therapy clinicians assess your spine, pelvis, hips & pelvic floor to understand how to optimize the function of your joints, ligaments & muscles. Prolapse protection techniques as well as comprehensive & safe strengthening are key factors in your recovery. More About Pelvic Organ Prolapse >



Pregnancy and Postpartum Rehabilitation

Pain in the back, groin or hips are the most common complaint during & after pregnancy. Carpal tunnel, neck, back & shoulder problems can also occur, especially after the baby is born. Diastasis recti (split of the abdominal muscles) requires specialized physical therapy in order for you to return to full activity. Your customized treatment program may include manual therapy to correct your alignment, postural correction, gentle bracing to provide stability, identifying weak muscles & prescribing exercises to correct them. More About Pregnancy and Postpartum Rehabilitation >



Abdominal and Pelvic Rehabilitation After Surgery

Detailed self-care strategies & strengthening the abdominal and pelvic floor muscles before and after surgery are important physical therapy intervention. Your Legacy physical therapist assesses and treats associated back and hip pain which directly effects pelvic floor strength. We integrate innovative strengthening into our pre-and post-operative rehabilitation programs. A gentle cardiovascular exercise program can be designed for you to get on your feet quickly.

  • Hysterectomy: It is the surgical removal of the uterus. It is performed for conditions such as uterine prolapse, fibroids, carcinoma, or abnormal vaginal bleeding. A hysterectomy can be carried out vaginally, abdominally, or laparoscopically.
    • A complication of hysterectomies is pelvic adhesion or scar tissue that forms within the pelvis and causes organs to stick or bind to one another. Pelvic adhesions are also seen with other gynecologic surgeries such as cesarean section and in the treatment of endometriosis, and with pelvic inflammatory disease. Pelvic adhesions can cause pelvic pain, pain during intercourse, infertility, and bladder or small bowel obstruction.Physical therapy can help to break down pelvic and abdominal adhesions and aid in increased mobility of the connective tissue and of the muscles. This in turn may decrease pelvic pain, pain during intercourse, infertility and any bowel or bladder obstructions.




Legacy Physical Therapy's Osteoporosis Program is designed to assess your individual needs and medical history and design a customized treatment program to optimize your bone health. Based on our evaluation findings, Your Legacy Physical Therapist will design a safe & gentle exercise program especially for you. You will learn how to safely perform your exercises and how to minimize your risk of fractures during daily activities. More About Osteoporosis >




Endometriosis is a medical condition wherein tissue similar to uterine tissue is found outside the uterus (ovaries, fallopian tubes). Menstrual endometrium regurgitates from the uterus, through the fallopian tubes, and into the pelvis and peritoneal cavity. The tissue can also be found in scars (c-sec, laparoscopy) and on the bladder, bowel, intestines, colon, appendix, and rectum. Rarely, it is found inside the vagina, bladder, or on the skin.

When endometrial tissue is located elsewhere in your body, it continues to act as it normally would during a menstrual cycle: It thickens, breaks down and bleeds each month. Because there is nowhere for the blood from this displaced tissue to exit your body, it becomes trapped, and surrounding tissue can become irritated. Trapped blood may lead to cysts, scar tissue and adhesions — abnormal tissue that binds organs together. This process can cause pelvic pain, especially during your menstrual period. Endometriosis also can cause fertility problems.



The Female Athlete

Legacy Physical Therapy understands the unique musculoskeletal challenges in the active and athletic woman. Whether training for your pregnancy, recovering strength for the physical demands of parenting, or resolving persistent orthopedic issues, our clinicians have the toolbox to provide a customized physical therapy treatment program for you.




Lymphedema occurs when the normal drainage of lymphatic fluid (lymph) is disrupted. Lymph is the transparent cellular fluid that bathes our internal organs and travels through lymph channels (similar to blood vessels). Infection-fighting cells, or lymphocytes, are produced in this fluid. The normal function of the lymphatic system is to remove waste products from our tissues and to transport fat, protein, and water. A persistent gathering of lymphatic fluid causes swelling in the arm or leg.