“I just leak a little when I laugh or sneeze.”

 She chose physical therapy because it offers a unique opportunity to help people improve their quality of life and to participate in the things that matter most to them. She is especially passionate about empowering women, by addressing myths about pelvic floor issues.

“Pelvic floor rehabilitation is an area of care that is often overlooked, but one that can make a life-changing difference,” said Legerski. 

This passion for pelvic floor therapy came from seeing its benefits firsthand. While she was completing a clinical rotation for her doctorate, Legerski was completely hooked after witnessing the profound impact it had on patients’ lives. Since then, she has sought opportunities to deepen her knowledge of the pelvic floor and its role in everyday function and well-being.

“So many pelvic floor dysfunctions have been normalized,” said Legerski. “While common, they are not normal and are often dismissed as just part of life, especially for women.” 

She also noted that this normalization, stigma, and misinformation can prevent people from seeking help, even when their symptoms are treatable. However, one in three women struggle with pelvic floor dysfunction. Some symptoms include constipation or straining, feeling of heaviness or bulging in the pelvic area. Others examples include pain with intercourse or pelvic exams, pain in the low back, hips, or tailbone that hasn’t responded to other treatments.

“Living with these issues can have a huge impact on quality of life,” said Legerski. “Physical therapy can help reduce symptoms and help people get back to doing the things they love."

She shared some common myths she hears:

MYTH: “I just leak a little when I laugh, sneeze, or exercise — that’s normal after kids, right?”
FACT: Common, yes. But not normal. And treatable.

MYTH: “I always have to know where the bathroom is — I just have a small bladder.”
FACT: That could be urgency or frequency related to pelvic floor dysfunction.

MYTH: “Sex has been painful for years — I thought that was just part of aging.”
FACT: Pain with intercourse is not something you have to live with.

MYTH: “I feel pressure down there, but I thought that was just what happens after childbirth.”
FACT: That could be a sign of pelvic organ prolapse, which can be managed with therapy.

Pelvic floor therapy is always tailored to the patient. It may include a physical examination and possible internal examination, education, exercises, posture and breathing work, manual therapy, behavioral changes, and strategies for daily life. It’s all done in a private, respectful setting, and you’re always in control of your care. Although currently just seeing women for pelvic floor therapy, Legerski plans to complete continuing education this winter to be able to assist men as well.

If you’re interested in pelvic floor therapy, the first step is to talk to your VA provider. They can put in a consult for pelvic floor physical therapy. Once that’s in place, VA will reach out to schedule your evaluation.