Dr. Manali Andrus PT, DPT Pelvic Physical Therapist, Author at Legacy Physical Therapy
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Dr. Manali Andrus PT, DPT Pelvic Physical Therapist

Dr. Brooke Kalisiak Featured in Voyage STL: A Story of Life, Lessons & Legacy

We are honored to share that our founder and owner, Dr. Brooke Kalisiak, PT, DPT, was recently featured in Voyage STL in an article titled “Dr. Brooke Kalisiak PT, DPT on Life, Lessons & Legacy.” This feature highlights not only Brooke’s journey as a physical therapist and entrepreneur but also the heart and mission behind […]

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Pelvic Floor PT & Nighttime Urination (Nocturia): Is Your Pelvic Floor Playing a Role?

Waking up once in the night to urinate can be normal but waking up multiple times can disrupt sleep, drain energy, and affect overall quality of life. This frequent nighttime urination, known as nocturia, is often blamed on the bladder alone. But in many cases, the pelvic floor plays a bigger role than people realize.

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Rectocele, Hemorrhoids, or Pelvic Floor Dysfunction – How to Tell the Difference

If you’ve ever felt pressure, bulging, incomplete bowel movements, or discomfort in the rectal or vaginal area, you’re not alone and you’re not imagining it. These symptoms are common, but they’re also often confusing. Many people are told they have hemorrhoids, while others hear terms like rectocele or pelvic floor dysfunction and aren’t sure what

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Exercise in Menopause: Protecting Your Pelvic Floor While Staying Active

Staying active during menopause is one of the best things you can do for your health. Exercise supports bone density, heart health, and mental well-being, but for many people going through menopause, exercise can also bring up new challenges like bladder leakage, heaviness in the pelvis, or discomfort with high-impact workouts. The good news is

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Post-Surgical Bowel Changes and Pelvic Floor PT

Surgery can be life-changing whether it’s for colorectal conditions, gynecologic concerns, or prolapse repair, but many people are surprised by the bowel changes that often follow. Constipation, straining, urgency, or even leakage are common, and they can affect daily comfort and confidence. Why Bowel Changes Happen After Surgery Any surgery in the abdomen or pelvis

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Sleep, Stress, and Pelvic Floor Health: How Pelvic Floor PT Can Help

We all know that sleep and stress affect our overall health, but did you know they can also impact your pelvic floor? For people navigating hormonal changes, chronic stress, or sleep disruptions, pelvic floor dysfunction can become more noticeable, affecting bladder control, bowel habits, and pelvic comfort. How Sleep Affects the Pelvic Floor Sleep is

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Can I Do Something About My Diastasis Recti During Pregnancy?

Diastasis Recti Abdominis (DRA), or abdominal separation, is common during pregnancy. It occurs when the two parallel rectus muscles of your abdomen stretch and separate along the midline to accommodate your growing baby. Many people wonder if they can do anything to help during pregnancy, or if they must wait until postpartum. The answer is

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Do You Experience Latchkey Incontinence?

You know the feeling: you rush to unlock your front door, juggling keys, groceries, or kids, and suddenly you feel a leak. This scenario is often called latchkey incontinence. While it may feel embarrassing, it’s extremely common, and the good news is that pelvic floor physical therapy (PT) offers effective solutions to help you regain

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The 4th Trimester: Why Every New Mom Deserves Pelvic Floor Physical Therapy

When we talk about pregnancy, we often focus on three trimesters, but there’s one more stage that’s just as important, the 4th trimester. This period, the first 12 weeks after giving birth, is a time of profound physical healing, emotional adjustment, and learning to care for your new baby while your body recovers from one

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