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.

🤰 New Mom? Feeling a “poochy” tummy or like your core just isn’t as strong as it used to be?You might be wondering: Is i...
04/30/2026

🤰 New Mom? Feeling a “poochy” tummy or like your core just isn’t as strong as it used to be?

You might be wondering: Is it ab separation (diastasis recti) or just a weak core?

They’re not the same — and knowing the difference is key to healing safely.

Pelvic floor physical therapy can help by:
âś… Assessing your ab gap and core function
âś… Teaching safe, effective deep core and pelvic floor exercises
âś… Guiding you to rebuild strength without worsening your diastasis
âś… Improving posture, movement, and confidence

đź’ˇ Even small, consistent movements make a big difference over time!

👉 Read the full blog to learn how to strengthen safely: https://legacytherapystl.com/ab-separation-vs-weak-core-whats-the-difference/

04/29/2026

Vaginal irritation during menopause is _common_… but that doesn’t mean you have to live with it.

With **Genitourinary Syndrome of Menopause (GSM)**, declining estrogen can leave tissues thinner, drier, and more sensitive—leading to burning, itching, or general discomfort.

The good news? There are simple, effective ways to reduce irritation and support tissue health:

✨ **Use a vaginal moisturizer regularly** (not just when symptoms flare) to improve hydration and tissue quality
✨ **Choose the right lubricant** for intimacy—look for clean, water-based or silicone-based options without added irritants
✨ **Avoid harsh soaps, fragrances, and douches** that can further disrupt the tissue and pH balance
✨ **Wear breathable, cotton underwear** and avoid staying in sweaty workout clothes too long
✨ **Stay hydrated**—your tissues need it
✨ **Consider pelvic floor physical therapy** to improve blood flow, mobility, and overall pelvic health

Small changes can make a _big_ difference in how you feel day to day.

And most importantly—you don’t have to just “deal with it.”

👉 Save this for later and share it with a friend who needs to hear this 💛

✨Testimonial Tuesday✨❤ We love what we do! Helping people with pelvic health issues is our passion.
04/28/2026

✨Testimonial Tuesday✨

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

04/27/2026

If you’ve been told “this is just part of menopause”…
you need better information.

**Genitourinary Syndrome of Menopause (GSM)** is _treatable_—and there are multiple options depending on your symptoms, goals, and comfort level.

Here are some of the most effective ways to address GSM:

✨ **Pelvic Floor Physical Therapy**
Improve strength, coordination, and support for your bladder and pelvic organs—so you can reduce leakage, urgency, and discomfort.

✨ **Topical Estrogen (when appropriate)**
Helps restore tissue health, improve blood flow, and reduce irritation in the bladder and vaginal tissues.

✨ **Bladder Retraining + Lifestyle Strategies**
Reduce urgency, frequency, and nighttime wake-ups with the right habits and guidance.

✨ **Moisturizers & Lubricants**
Support tissue hydration and comfort—especially helpful for dryness and irritation.

✨ **Education + Whole-Body Approach**
Because how you breathe, move, and manage pressure in your core directly impacts your pelvic health.

There is no one-size-fits-all solution—but there _are_ solutions.

And the biggest mistake we see?
Women waiting too long to get help because they think nothing can be done.

🎯 Want to learn which treatment options might be right for you?

Join us for our **Menopause Strong Virtual Workshop** on Tuesday 4/28 at 7pm. We’ll walk you through your options and help you take the next step with confidence.

👉 Save your spot here: [https://legacytherapystl.com/events/

04/24/2026

Most women have never heard of GSM…
but they’re absolutely experiencing the symptoms.

**Genitourinary Syndrome of Menopause (GSM)** affects the bladder, urethra, and vaginal tissues as estrogen declines—and the symptoms can show up in ways that don’t always seem obviously “connected.”

Here are some of the most common signs:
đźš© Bladder leakage (with coughing, exercise, or urgency)
đźš© Feeling like you have to go _all the time_
đźš© Strong, sudden urges to p*e
đźš© Waking up multiple times at night to use the bathroom
đźš© Vaginal dryness, irritation, or burning
đźš© Pain with intimacy
đźš© Recurrent UTIs

A lot of women are told:
“this is just part of getting older”

But these symptoms are your body’s way of saying something has changed—and needs support.

✨ The good news? There are real, effective ways to improve these symptoms.

At Legacy Physical Therapy, we help you:
✔️ Improve pelvic floor function
✔️ Support bladder control and reduce urgency
✔️ Address tissue health and irritation
✔️ Get back to feeling comfortable and confident in your body

🎯 Want to learn how to recognize GSM—and what you can do about it?

Join us for our **Menopause Strong Virtual Workshop** on Tuesday 4/28 at 7pm. We’ll break it all down and give you clear next steps.

👉 Sign up here: https://legacytherapystl.com/events/

🌸 Experiencing vaginal dryness, urgency, or discomfort during menopause?You’re not alone — these are common symptoms of ...
04/24/2026

🌸 Experiencing vaginal dryness, urgency, or discomfort during menopause?

You’re not alone — these are common symptoms of Genitourinary Syndrome of Menopause (GSM), and they’re often treatable!

Pelvic floor physical therapy can help by:
âś… Reducing pelvic floor tension and guarding
âś… Improving blood flow and tissue health
âś… Supporting comfortable intimacy
âś… Retraining bladder habits and coordination

💡 GSM is more than just a “tissue issue” — muscle and coordination play a big role too. Early support can make a huge difference in comfort and confidence.

👉 Read the full blog to learn how pelvic floor PT can help: https://legacytherapystl.com/genitourinary-syndrome-of-menopause-gsm-pelvic-floor-physical-therapy/

04/22/2026

Genitourinary Syndrome of Menopause (GSM)… sounds complicated, but it explains _a lot_ of what women experience in midlife.

GSM is the term used to describe the collection of changes that happen to the **bladder, urethra, and vaginal tissues** as estrogen declines during menopause.

And it can show up as:
đźš© Bladder leakage
đźš© Urinary urgency and frequency
đźš© Recurrent UTIs
đźš© Vaginal dryness or irritation
đźš© Pain with intimacy

Most women are told these symptoms are just a “normal part of aging”…
but they’re actually signs that your tissues and support system need attention.

GSM is common—but it is absolutely **treatable**.

At Legacy Physical Therapy, we help address GSM by:
✨ Improving pelvic floor strength and coordination
✨ Supporting bladder function and control
✨ Teaching strategies to reduce irritation and improve tissue health
✨ Helping you feel confident again in your body

You don’t have to quietly deal with these changes.

🎯 Want to understand GSM more deeply—and learn what you can do about it?

Join us for our **Menopause Strong Virtual Workshop** on Tuesday 4/28 at 7pm. We’ll connect the dots between hormones, pelvic health, and real solutions.

👉 Save your spot here: https://legacytherapystl.com/events/

✨Testimonial Tuesday✨🙏 We feel truly blessed to be able to help our clients get back to what they love doing.
04/21/2026

✨Testimonial Tuesday✨

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

04/20/2026

Think your bladder is the problem?
It might actually be your **pelvic floor.**

During menopause, hormonal changes can impact the strength, coordination, and responsiveness of your pelvic floor muscles. But here’s the key:

👉 It’s not just about being “weak”
👉 It can also be **tight, overactive, or poorly coordinated**

And when your pelvic floor isn’t functioning well, it can’t properly support your bladder or respond to pressure changes—leading to leakage with things like coughing, lifting, or even feeling a sudden urge.

This is why doing random Kegels from the internet often _doesn’t_ fix the problem… and can sometimes make it worse.

At Legacy Physical Therapy, we look at the full picture:
✨ Strength + relaxation of the pelvic floor
✨ How your core and breathing system work together
✨ How you manage pressure during daily activities and workouts

Because real solutions come from addressing the **root cause**, not just the symptom.

🎯 Want to understand what YOUR pelvic floor is doing—and how to fix it?

Join us for our **Menopause Strong Virtual Workshop** on Tuesday 4/28 at 7pm. We’ll walk you through exactly how pelvic health changes during menopause and what you can do to stay strong and leak-free.

👉 Sign up here: https://legacytherapystl.com/events/

04/17/2026

If your bladder suddenly feels different during menopause… you’re not imagining it.

Menopause doesn’t just affect hormones—it directly impacts your **bladder and urinary system**.

As estrogen declines:
👉 The bladder lining becomes more sensitive
👉 The urethra loses some of its seal and support
👉 The pelvic tissues become thinner and less resilient

The result?
🚩 More urgency (that “gotta go NOW” feeling)
đźš© Increased frequency
đźš© Bladder leakage
đźš© More nighttime trips to the bathroom

This is part of what’s known as **genitourinary syndrome of menopause (GSM)**—and it’s incredibly common.

But again… common does NOT mean you have to live with it.

There are real, effective ways to support your bladder through this transition—from pelvic floor therapy to lifestyle strategies to improving how your body manages pressure and coordination.

✨ Your body is changing—but you’re not powerless in this process.

🎯 Want to better understand what’s happening to your bladder and what you can do about it?

Join us for our **Menopause Strong Virtual Workshop** on Tuesday 4/28 at 7pm. We’ll break it all down and give you clear next steps to feel more in control.

👉 Save your spot here: https://legacytherapystl.com/events/

Feeling like your body has changed… but no one really explained why?If you’re dealing with:• Bladder leakage• Weight gai...
04/17/2026

Feeling like your body has changed… but no one really explained why?

If you’re dealing with:
• Bladder leakage
• Weight gain or loss of strength
• Pain with intimacy or dryness
• Poor sleep, fatigue, or brain fog

You are NOT alone—and more importantly, you are NOT stuck.

Menopause and perimenopause can impact everything from your hormones → to your metabolism → to your pelvic health.

That’s why we created Menopause Strong 💪

✨ A FREE virtual workshop happening Tuesday, April 28th

Inside, you’ll learn:
✔ What’s actually happening in your body
âś” How to support your muscles, metabolism, and energy
âś” What to do about bladder, pelvic pain, and core changes
âś” Simple, realistic strategies that actually work

Led by:
👩‍⚕️ Dr. Brooke Kalisiak, Pelvic PT
🥗 Jennifer McDaniel, Registered Dietitian

This is your chance to finally get answers—and a plan.

👉 Sign up at the link in our bio or visit:
https://legacytherapystl.com/events/

Save this post so you don’t forget 👇
And share it with a friend who needs this too.

🤰 What’s the Best Position to Give Birth In?Many people think there’s a “one-size-fits-all” birth position, but the trut...
04/16/2026

🤰 What’s the Best Position to Give Birth In?

Many people think there’s a “one-size-fits-all” birth position, but the truth is: the best position is the one that works for you, your baby, and your birth situation.

Different positions—upright, squatting, side-lying, hands-and-knees—can:
âś” Reduce strain on the pelvic floor
✔ Encourage baby’s optimal rotation
âś” Shorten pushing time
âś” Lower the risk of assisted delivery

Pelvic floor physical therapy can help you prepare for labor by improving pelvic mobility, teaching relaxation and breathing strategies, and practicing coordinated pushing.

đź’ˇ Your pelvis was designed to move, and your labor will likely involve more than one position!

👉 Read the full blog here: https://legacytherapystl.com/what-is-the-best-position-to-give-birth-in/

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

Website

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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.