Legacy Physical Therapy, LLC

Legacy Physical Therapy, LLC We help patients with pelvic health issues from all over Missouri/Illinois find LASTING relief! Located in St. Legacy Physical Therapy is St.
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Louis, we work to resolve pregnancy/postpartum issues, pelvic pain conditions, prolapse, incontinence, low back/hip/groin pain, and much more. Louis's premier pelvic floor physical therapy clinic. Founded by Dr. Brooke Kalisiak, Legacy Physical Therapy treats pelvic conditions in a peaceful, stress-free environment. The Legacy Physical Therapy website and blog were created to provide reliable, positive, and evidence-based information to patients, potential patients, and the medical community.

02/21/2026

Ever feel totally fine… until you pull into your driveway or unlock your front door — and suddenly your bladder feels like it can’t wait?

That’s called latchkey incontinence.

It’s when specific triggers — like getting home, pulling in driveway, putting key in door— cause a sudden, intense urge to p*e, even if your bladder isn’t actually full. It’s common, but it’s not something you just have to live with.

Your bladder and brain have learned a pattern — and with the right support, that pattern can be retrained.

02/19/2026

If you’re dealing with bladder leakage, please hear this:

You are not broken.

Leakage is common — but it is not a personal failure, and it is not something you caused. It’s often a sign that your pelvic floor and bladder system need support, coordination, or retraining.

Shame keeps people silent. Education and support change lives. You deserve answers, options, and a plan that helps you feel confident again.

👉 Hemorrhoids? Rectocele? Pelvic floor dysfunction?If you’ve ever felt pressure, bulging, incomplete bowel movements, or...
02/19/2026

👉 Hemorrhoids? Rectocele? Pelvic floor dysfunction?
If you’ve ever felt pressure, bulging, incomplete bowel movements, or discomfort “down there,” you’re not alone—and you’re not imagining it.

These conditions often feel very similar, which is why so many people are misdiagnosed or told to “just live with it.” The truth? Each requires a different treatment approach, and pelvic floor physical therapy is often the missing piece.

In this week’s blog, we break down:
✔ The key differences between rectocele, hemorrhoids, and pelvic floor dysfunction
✔ Why symptoms overlap and self-diagnosis is so difficult
✔ How pelvic floor PT can improve bowel emptying and reduce pressure
✔ When to seek help (and how early care can prevent things from worsening)

💡 Relief starts with understanding what’s really going on.

👉 Check the comment section to read the full blog.

✨Testimonial Tuesday✨❤ We love what we do! Helping people with pelvic health issues is our passion.
02/17/2026

✨Testimonial Tuesday✨

❤ We love what we do! Helping people with pelvic health issues is our passion.

02/17/2026

Bladder leakage should never steal your confidence or your dignity.

As we age, changes in muscle strength, tissue health, coordination, and pressure management can affect bladder control — but that doesn’t mean you have to “just deal with it.”

Partnering with a pelvic physical therapist means getting a personalized plan that addresses the real cause of your leakage — not just handing you a pad and sending you on your way. You deserve to move, travel, exercise, laugh, and live without fear of leaking.

02/17/2026

It is never too late to get help for bladder leakage.

Whether you’ve been leaking for months… or decades… your body can still learn new patterns. The pelvic floor is muscle, and muscles can be retrained at any age.

Please don’t accept pads or “that’s just part of getting older” as your only option. Support, coordination, and the right plan can make a real difference — even now.

💪 Menopause doesn’t mean slowing down—but your pelvic floor may need extra support.During menopause, hormonal changes ca...
02/12/2026

💪 Menopause doesn’t mean slowing down—but your pelvic floor may need extra support.

During menopause, hormonal changes can affect pelvic tissues, muscle strength, and organ support, sometimes leading to leakage, heaviness, or discomfort during workouts. The good news? You don’t have to give up the activities you love.

In this week’s blog, we cover:
✔ How menopause affects your pelvic floor
✔ Safe, effective ways to stay active: low-impact cardio, strength training, and core work
✔ Breathing and pelvic floor strategies to protect your body during exercise
✔ How pelvic floor PT can help you stay strong, confident, and symptom-free

Stay active, protect your pelvic floor, and enjoy lifelong fitness. 💛

👉 Check the comment section to read the full blog.

02/12/2026

Kegels aren’t the magic fix for every bladder problem.

Yes, pelvic floor strength matters — but bladder issues are often about timing, coordination, breathing, and nervous system patterns, not just squeezing harder. For some people, too many Kegels can actually make symptoms worse.

If you’re leaking, feeling urgency, or running to the bathroom constantly, the answer may not be “more Kegels.” It may be a smarter, more individualized plan.

✨Testimonial Tuesday✨🙏 We feel truly blessed to be able to help our clients get back to what they love doing.
02/10/2026

✨Testimonial Tuesday✨

🙏 We feel truly blessed to be able to help our clients get back to what they love doing.

02/10/2026

Deciding on surgery for pelvic organ prolapse is not one size fits all.

Your symptoms, your lifestyle, your goals, and your comfort level all matter. Some people manage beautifully with conservative care, while others feel surgery is the right next step. It’s an individual decision — not a one-rule-fits-everyone answer.

If you’re weighing your options and want clear, honest guidance, join us for our FREE Navigating Prolapse Surgery Workshop on 2/10/26 at 7pm, in person at Legacy Physical Therapy.
Sign up here: https://legacytherapystl.com/events

02/07/2026

Pelvic organ prolapse is often described in grades or stages, which helps providers understand where the organs are sitting — but those grades don’t always tell the full story.

Prolapse is commonly classified from Stage 1 to Stage 4, with Stage 1 considered mild and often within the range of normal support, and higher stages involving descent closer to or beyond the vaginal opening. What’s important to know is that symptoms don’t always match the grade — someone with a lower stage can feel very symptomatic, while someone with a higher stage may have minimal symptoms.

Understanding your prolapse stage can be helpful, but it shouldn’t define your options or your future.

If you want to learn more and feel confident navigating next steps, join us for our FREE Navigating Prolapse Surgery Workshop on 2/10/26 at 7pm, in person at Legacy Physical Therapy.
Sign up here: https://www.legacytherapystl.com/events

Address

2961 Dougherty Ferry Road, Ste 105
St. Louis, MO
63122

Opening Hours

Monday 8am - 6pm
Tuesday 8am - 6pm
Wednesday 8am - 6pm
Thursday 8am - 6pm
Friday 8am - 6pm
Saturday 8am - 12pm

Telephone

+16362253649

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Legacy Physical Therapy Story

Our passion is helping St. Louis women who are tired of leaking, dealing with pelvic pain, and wanting to get their body back in shape after baby (even if it’s been 30 years) all without relying on medications or surgery.

We help women & men of all ages enjoy healthy, mobile and active lifestyles, restoring dignity and confidence in bladder, bowel, and sexual function.