Dr Barb Wally, LLC - Online Physical Therapy

Dr Barb Wally, LLC - Online Physical Therapy Online (Telehealth) Physical Therapy
*Self Pay Only*
For residents of SC, NC, GA, PA She can only treat patients who reside in those states.

Barbara is a Physical Therapist with an Orthopedics and Sports Clinical Specialty. She is originally from Pittsburgh, PA, where she attended the University of Pittsburgh for undergraduate and graduate school. She currently lives in Greenville, SC and is licensed in the states of South Carolina, Georgia, North Carolina, and Pennsylvania.

👩🏼 Let’s Normalize Listening to Patients – Especially Women 👩🏼 This is a letter not just to providers in healthcare, but...
11/15/2025

👩🏼 Let’s Normalize Listening to Patients – Especially Women 👩🏼

This is a letter not just to providers in healthcare, but also to the patients. I think it is a pretty universal feeling to be worried when you go to the doctor that you may be looked at like you are crazy. Or, be told that “it’s all in your head.” But, is it?

‼️What is the deal?

Let’s kick off this opinion piece (is it an opinion piece??) with a few statistics. An online survey was done among approximately 1,174 American males 18 years or older. The Cleveland Clinic (1) found that 72% of men would rather do household chores, like cleaning the bathroom or mowing the lawn, than go to the doctor. Even for the men who take their health more seriously, some are holding back: 20% of men admit they have not been completely honest with their doctor before. And, among the 20% of men who have not been completely honest with their doctor in the past, the top reasons why include:
- 46% reported they were embarrassed
- 36% said they didn’t want to hear that they needed to change their diet/lifestyle
- 37% indicated they knew something was wrong but weren’t ready to face the diagnosis and/or would rather not know if they have any health issues

Now, I am not saying in any way, shape, or form that this is a good study. It is just a survey I am using for conversation purposes. That being said, none of those reasons included being afraid of being called crazy.

Let’s look at a survey of women. Among more than 5,000 women aged 18 to 64 who participated in a women’s health survey:
- 29% of those who had seen a healthcare provider in the prior two years said that their doctor had dismissed their concerns.
- 19% said their doctor assumed something about them without asking
- 15% said that their provider did not believe them.
- 13% said that a healthcare provider had suggested they were personally to blame for a health problem they were experiencing.
- 9% reported experiencing discrimination based on their age, gender, race, sexual orientation, religion, or other personal characteristic. (2)

And, interestingly enough, 38% of respondents reported having at least one of these experiences, compared to just 32% of men. The 6% difference between men and women is not that large. But, the difference is apparently statistically significant.

⁉️ So, what do we do about it?

I think for providers we need to ask the question – Why? Why are women dismissed more often than men? Are we determining the outcome or cause before we talk to the individual? I can personally attest, as a woman, to multiple situations having healthcare decisions made for me before I even had a chance to enter the conversation. And, it makes me wonder how many women out there of all ages don’t even realize they aren’t being included in the conversation about their own healthcare like they should. Is it the approach the patient takes to the conversation? Are women less loud, or direct? Are they too passive in an effort to no come across as too loud, or direct? And, again, I am here trying not to blame women!

For the patients, the women out there, I think we need to stop being afraid of how we come across and more worried about what we want with our bodies. I will say that again – we, as women, need to be more concerned about what we want than how we are coming across to our medical providers. If you leave an appointment not feeling heard, and darn it you really tried, I believe it is time to find a provider that works better for YOU. There are many providers out there, and like any relationship, some will work better with you than others. Do you think maybe you could advocate for yourself better? Maybe it is high time you practice before you go to the doctor about what you will say and how you will say it. Feel like the appointment didn’t go as planned? Call for clarity, message them on MyChart, or go there and ask for another appointment or face to face clarity. You have a right to speak up for yourself.

Speak up louder so we can hear you from the back of the room! 😊

References:
1) Cleveland Clinic (2019) Cleveland Clinic Survey: Men will do Almost Anything to Avoid Going to the Doctor, Cleveland Clinic. Cleveland Clinic. Available at: https://newsroom.clevelandclinic.org/2019/09/04/cleveland-clinic-survey-men-will-do-almost-anything-to-avoid-going-to-the-doctor.

2) Gordon, D. (2023) Almost 50% Of Young Women Report Negative Healthcare Experiences, New Study Shows, Forbes. Available at: https://www.forbes.com/sites/debgordon/2023/02/24/almost-50-of-young-women-report-negative-healthcare-experiences-new-study-shows/.

Heal today, transform tomorrow. Unlock your potential to heal, learn and grow. – Dr. Barb Wally, LLC

Note: These blog articles are not in exchange for a one on one Physical Therapy visit. Please contact me if you are interested in receiving a Physical Therapy visit!

*This content is original and copyright Dr Barb Wally, LLC*

📱 Reach out to me here to request a Physical Therapy appointment: https://barbara-wally.clientsecure.me/contact-widget

📧 Have a question? Email me here: DrBarbWallyPT@DrBarbWally.com

💻 Visit my website here: https://drbarbwally.com/

https://drbarbwally.com/2025/10/14/written-lets-normalize-listening-to-patients-especially-women/

https://drbarbwally.com/2025/10/14/written-lets-normalize-listening-to-patients-especially-women/

Read to learn more about normalizing listening to female patients!

😣What serious injuries have taught me 😣 Enter blogging as therapy…I kid.  But, do I?I have had a few major injuries in m...
11/09/2025

😣What serious injuries have taught me 😣

Enter blogging as therapy…I kid. But, do I?

I have had a few major injuries in my life. One was in college – an ankle injury that plagues me to this day not with pain (sheesh at least not yet) but with chronic ankle instability. Another was a few years ago when I was hit by a car through the wall as I was working in my office. True story. My back has never been the same and I have had to make serious changes in function in my life to manage said pain.

The latest – this dang broken foot. Did I do it wrestling a bear? Yes! Did I do it saving orphans from a burning building? Yes! Did I do it traversing the Himalayas on a vision quest? Yes! Did I do it stepping off the hearth of a fireplace, subsequently folding my foot on the stone in front of the fireplace, on vacation at 11:30pm at night before bed? Yes! Yes, by golly, I did.

But it wasn’t the “annoying – look at this stupid boot” kind of fracture. It was the “what in the world did I do, what is wrong with my bones…will my foot ever be the same” kind of injury. Life altering to the point that my mode of ascending and descending stairs involves crawling, and I don’t dare get around without a rubber soled slipper or sneaker on my good foot for fear of murdering my good foot and ankle.

Enter blogging as therapy…I kid. But, do I?
I have had a few major injuries in my life. One was in college – an ankle injury that plagues me to this day not with pain (sheesh at least not yet) but with chronic ankle instability. Another was a few years ago when I was hit by a car through the wall as I was working in my office. True story. My back has never been the same and I have had to make serious changes in function in my life to manage said pain.
The latest – this dang broken foot. Did I do it wrestling a bear? Yes! Did I do it saving orphans from a burning building? Yes! Did I do it traversing the Himalayas on a vision quest? Yes! Did I do it stepping off the hearth of a fireplace, subsequently folding my foot on the stone in front of the fireplace, on vacation at 11:30pm at night before bed? Yes! Yes, by golly, I did.

But it wasn’t the “annoying – look at this stupid boot” kind of fracture. It was the “what in the world did I do, what is wrong with my bones…will my foot ever be the same” kind of injury. Life altering to the point that my mode of ascending and descending stairs involves crawling, and I don’t dare get around without a rubber soled slipper or sneaker on my good foot for fear of murdering my good foot and ankle.

I am sure many past patients may relish in the image of me suffering as a form of retribution for the pain I bestowed upon them during rehab…but maybe not. Just know that I truly feel for the limitations and I sincerely hope the time flies by as fast as I told my patients. This, too, shall pass and I will survive.
Heal today, transform tomorrow. Unlock your potential to heal, learn and grow. – Dr. Barb Wally, LLC

Note: These blog articles are not in exchange for a one on one Physical Therapy visit. Please contact me if you are interested in receiving a Physical Therapy visit!

*This content is original and copyright Dr Barb Wally, LLC*

Read to learn about what serious injuries have taught me

11/06/2025

Dr Barb Wally, LLC - Online Physical Therapy

📝 Amazon link here to the cream: https://amzn.to/4mQrpBM

📱 Reach out to me here to request an appointment: https://barbara-wally.clientsecure.me/contact-widget

📧 Have a question? Email me here: DrBarbWallyPT@DrBarbWally.com

💻 Visit my website here: https://drbarbwally.com/

*I am an Amazon Associate. As an Amazon Associate, I earn from qualifying purchases. I only post products that I personally have used, tested, and/or approve!*

Watch to learn more about knee sleeves and braces!Dr Barb Wally, LLC - Online Physical Therapy📱 Reach out to me here to ...
11/05/2025

Watch to learn more about knee sleeves and braces!

Dr Barb Wally, LLC - Online Physical Therapy

📱 Reach out to me here to request a Physical Therapy appointment: https://barbara-wally.clientsecure.me/contact-widget

📧 Have a question? Email me here: DrBarbWallyPT@DrBarbWally.com

💻 Visit my website here: https://drbarbwally.com/

https://drbarbwally.com/2025/10/18/video-knee-sleeves-braces/

Watch to learn more about knee sleeves or knee braces from a Physical Therapist! Online (or Telehealth) Physical Therapist for residents of South Carolina, North Carolina, Georgia, and Pennsylvania…

Watch to learn more about jaw pain!Dr Barb Wally, LLC - Online Physical Therapy📱 Reach out to me here to request a Physi...
11/03/2025

Watch to learn more about jaw pain!

Dr Barb Wally, LLC - Online Physical Therapy

📱 Reach out to me here to request a Physical Therapy appointment: https://barbara-wally.clientsecure.me/contact-widget

📧 Have a question? Email me here: DrBarbWallyPT@DrBarbWally.com

💻 Visit my website here: https://drbarbwally.com/

https://drbarbwally.com/2025/10/04/video-jaw-pain/

Watch to learn more about Jaw Pain or TMJ from a Physical Therapist! Online (or Telehealth) Physical Therapist for residents of South Carolina, North Carolina, Georgia, and Pennsylvania.

10/30/2025

Dr Barb Wally, LLC - Online Physical Therapy

📝 Amazon link here: https://amzn.to/4mMCHqM

📱 Reach out to me here to request a Physical Therapy appointment: https://barbara-wally.clientsecure.me/contact-widget

📧 Have a question? Email me here: DrBarbWallyPT@DrBarbWally.com

💻 Visit my website here: https://drbarbwally.com/

*I am an Amazon Associate. As an Amazon Associate, I earn from qualifying purchases. I only post products that I personally have used, tested, and/or approve!*

🧐Is Physical Therapy (PT) worth it as a job?🧐OOOOhhhhh doggy.  This is a big and important question.  The kind heart in ...
10/28/2025

🧐Is Physical Therapy (PT) worth it as a job?🧐

OOOOhhhhh doggy. This is a big and important question. The kind heart in me always wants to say yes. I have always wanted to help people, and no matter what role I have undertaken in my career I have always felt like I am contributing to a greater good. This includes staff PT roles, managerial roles, supervisory roles, insurance, and my role now blogging, vlogging, and treating virtually.

Let’s rewind first and explain why I chose the field. When I was in undergrad and choosing a graduate medical career, there were 3 typical choices (and I have found this to be pretty consistent across the spectrum). Physical Therapy, Physician Assistant, and Pharmacy. Why? I don’t know, but all 3 have similar graduate time frames. All but Physician Assistant typically graduate with doctoral degrees as well. I chose Physical Therapy because I have always liked being active and using exercise and treatment sounded good to me. I was also undergoing physical therapy for an ankle injury and looking around the outpatient setting settled well with me. I liked my PTs and really saw myself in the practice.

I have also been able to do the benevolent thing by encouraging high school aged patients considering medical careers, and taking more time to explain things to them to sway their opinions of physical therapy. And, teaching undergraduate students getting their volunteer hours for admission to physical therapy school. I’ve also been a clinical instructor for both Physical Therapy and Physical Therapy Assistant students. And, hired and mentored new graduate PT staff. Which can been both rewarding and exhausting – depending on the student. Most have been grateful for the time, and taken guidance as tokens of wisdom. And then thanked me years later for the time I spent with them. Some have taken the guidance like greedy little Smeagols (Lord of the Rings reference – little gremlin hoarding the ring – “My Precious!”) and then shown complete ungratefulness down the road. Why? Egos? Entitlement? Makes you feel like an underappreciated parent sometimes.

So, in the end, I have done the give back thing to patients and the new, wet-behind-the-ears learners. There is no doubt I BELIEVE in the career and helping people.

Also, there is a HUGE variety of specialties in physical therapy. Pelvic health, lymphedema, wound care, pediatrics, geriatrics, neuro, orthopedics, acute care, rehab facilities, home care, etc etc. So – you can have a proper midlife crisis and not have to leave the field all together. How reassuring!

👎🏻What is the downside?

That all being said, I had A LOT of debt when I graduated. 6 figures is a lot to carry on your back as a new graduate. I am lucky to have worked for 10 years for non-profits and did have my loans forgiven under the Public Service Student Loan Forgiveness program, but this program is almost impossible to qualify for now with the changes that have occurred.

And, the starting PT salary in the USA on average is now $95,000 as reported on salary.com. This can vary WILDLY depending on the region. The state I live in is South Carolina, with a lower cost of living and the average starting salary is roughly the same. My starting salary out of school? Not 95K in Pittsburgh, PA in 2010. Boy how things (and inflation) have changed.

But, still, student loan payments can vary as low as $25 for income adjusted repayment plans, and well over $1000 for others. That is a huge chunk of change for 25 years or more repayment time frames. And, the new repayment plans are impossible and will put you under water on monthly payments so matter what you do. Sigh.

👍🏻In the end….

If you are truly looking to help people, yes, the job is worth it. If you want a ride range of specialties, yes, the job is worth it. If you don’t like student loan debt, the job is NOT for you. If you are looking to make a lot of money for the doctorate after your name, this job is NOT for you. So – it is a lot to consider.

So, for me? Has it been worth it? Yes, probably. But I still wonder how a job as a Physician Assistant or Pharmacist might have turned out for me! Not going to lie…!

Heal today, transform tomorrow. Unlock your potential to heal, learn and grow. – Dr. Barb Wally, LLC

Note: These blog articles are not in exchange for a one on one Physical Therapy visit. Please contact me if you are interested in receiving a Physical Therapy visit!

*This content is original and copyright Dr Barb Wally, LLC*

Dr Barb Wally, LLC - Online Physical Therapy

📱 Reach out to me here to request a Physical Therapy appointment: https://barbara-wally.clientsecure.me/contact-widget

📧 Have a question? Email me here: DrBarbWallyPT@DrBarbWally.com

💻 Visit my website here: https://drbarbwally.com/

https://drbarbwally.com/2025/09/30/written-is-physical-therapy-pt-worth-it-as-a-job/

Read to learn more about whether a career in Physical Therapy is worth it!

Watch to learn more about imaging!Dr Barb Wally, LLC - Online Physical Therapy📱 Reach out to me here to request a Physic...
10/26/2025

Watch to learn more about imaging!

Dr Barb Wally, LLC - Online Physical Therapy

📱 Reach out to me here to request a Physical Therapy appointment: https://barbara-wally.clientsecure.me/contact-widget

📧 Have a question? Email me here: DrBarbWallyPT@DrBarbWally.com

💻 Visit my website here: https://drbarbwally.com/

https://drbarbwally.com/2025/09/06/video-ct-scan-v-mri-v-xray/

Watch to learn more about CT Scans, MRI, and XRAY from a Physical Therapist! Online (or Telehealth) Physical Therapist for residents of South Carolina, North Carolina, Georgia, and Pennsylvania.

💊 Do NSAIDs inhibit healing?💊 This question has become more apparent than ever in my own personal life.  I broke my foot...
10/19/2025

💊 Do NSAIDs inhibit healing?💊

This question has become more apparent than ever in my own personal life. I broke my foot, and required surgery. And, as most may know, there were subsequent surgical precautions to honor before and following surgery. One of which being to limit, and preferably eliminate, Non-Steroidal Anti-Inflammatory Drugs (NSAIDs). So, what’s the deal?

NSAIDs can come over the counter in the form of ibuprofen (brand name Advil), naproxen (brand name Aleve), or aspirin (brand name Bayer). Or, they can come in the form of a prescription known as meloxicam (brand name Mobic), celecoxib (Celebrex), or diclofenac (Voltaren). They are powerful drugs that have the capability to not only help reduce and control pain, but also to reduce swelling and inflammation. And, even if they are over the counter, they can come with a serious side effect of stomach ulcers or gastrointestinal bleeds. Especially if not taken with food, taken for too long, or too high of doses. They can also be hard on your kidneys and liver.

So – what is the problem? Well, some studies came out in the twenty-teens suggesting that NSAIDs may actually delay, prolong, or inhibit healing tissue. Especially bone. And, since no one likes to read research articles, let me do the heavy lifting for you!!

Thankfully there is a pretty awesome Meta-Analysis from 2024 that indicated “NSAIDs may have a minimal impact on non-union or delayed union risks. However, caution is advised due to the limited number of studies and the absence of a specific focus on NSAID types and dosages. Further research is necessary to better understand the implications of NSAID use on bone healing.” (1)

There is also a Meta-Analysis from 2021 that indicated “once the studies were categorized into the duration of treatment with NSAIDs, those who received NSAIDs for a short period (4 weeks).” (2)

And, a practice management guideline was released by Trauma Surgery and Acute Care Open indicating that “In patients with traumatic fractures, NSAIDs appear to reduce post-trauma pain, reduce the need for opioids and have a small effect on non-union. We conditionally recommend the use of NSAIDs in patients suffering from traumatic fractures as the benefit appears to outweigh the small potential risks.” (3)

So, what do I think? Like most things, there needs to be more research before pinning the tail on the donkey. However, it seems there is a risk of nonunion (ie: healing) if you take a lot of NSAIDs especially for a long period of time with a broken bone. The risk may be small, maybe even non-existent, but it is something to be wary of on the path to healing. As my own foot heals and I pray to the bone gods, I will be limiting and avoiding my use of my favorite NSAID, brand name Advil, until the bone is good to go. Why risk taking something and have a long list of shoulda, woulda, coulda in my head if healing does not go as planned?
That is my two cents and I am sticking to it!!

Heal today, transform tomorrow. Unlock your potential to heal, learn and grow. – Dr. Barb Wally, LLC

References:
Chuang, P.-Y. et al. (2024) ‘Do NSAIDs affect bone healing rate, delay union, or cause non-union: an updated systematic review and meta-analysis’, Frontiers in Endocrinology, 15. Available at: https://doi.org/10.3389/fendo.2024.1428240.

Al Farii, H. et al. (2021) ‘The effect of NSAIDs on postfracture bone healing: a meta-analysis of randomized controlled trials’, OTA International: The Open Access Journal of Orthopaedic Trauma, 4(2), p. e092. Available at: https://doi.org/10.1097/oi9.0000000000000092.

Murphy, P.B. et al. (2023) ‘Efficacy and safety of non-steroidal anti-inflammatory drugs (NSAIDs) for the treatment of acute pain after orthopedic trauma: a practice management guideline from the Eastern Association for the Surgery of Trauma and the Orthopedic Trauma Association’, Trauma Surgery & Acute Care Open, 8(1), p. e001056. Available at: https://doi.org/10.1136/tsaco-2022-001056.

Note: These blog articles are not in exchange for a one on one Physical Therapy visit. Please contact me if you are interested in receiving a Physical Therapy visit!

*This content is original and copyright Dr Barb Wally, LLC*

Dr Barb Wally, LLC - Online Physical Therapy

📱 Reach out to me here to request a Physical Therapy appointment: https://barbara-wally.clientsecure.me/contact-widget

📧 Have a question? Email me here: DrBarbWallyPT@DrBarbWally.com

💻 Visit my website here: https://drbarbwally.com/

https://drbarbwally.com/2025/09/09/written-do-nsaids-inhibit-healing/

Read to learn more about whether NSAIDs inhibit healing

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