Welcome Melissa Jesski, PT, DPT

Welcome Melissa Jesski, PT, DPT, our newest physical therapist to join the Park Sports team! Melissa is originally from Chicago and completed her Doctorate of Physical Therapy at Saint Louis University in Missouri. Melissa’s midwest sincerity combined with her versatile background in orthopedics, pelvic floor, and aquatic therapy makes her a wonderful addition to our 6th Avenue location. From the start, it was clear that Melissa has a “can-do” attitude and a strong knack for patient education that radiates onto everyone she works with. This type of quality care will undoubtedly help our patients achieve their maximum potential during their rehab journeys. See all that Melissa had to say in her recent one on one interview:

What made you choose PT out of all the healing professions, and was there an “a-ha moment” when you realized this was your passion?

My love for PT is one that grew slowly and steadily, rather than overnight. In high school, I was an athlete – mostly gymnastics and track. During that time, I, unfortunately, developed recurring ankle sprains and became a frequent flyer at our school’s Athletic Trainer. I remember doing my rehab exercises and thinking, “How is it possible that I can sprint 400 meters with my eyes closed, but I cannot simply stand on a Bosu ball with one foot?!” The whole rehab experience was both self-actuating and fascinating. My interest expanded even further at a hospital career fair night, where I learned all about the physical therapy profession. That night I realized that my own recovery with a sports injury could expand to other populations, including burn victims, geriatrics, and neurology patients. I knew I wanted a profession that could impact people’s lives for the better, and PT was clearly the way to do it. It’s safe to say that I chose this profession right out of high school and hit the ground running. I have not looked back since!

What are your hobbies outside of the clinic?

I absolutely love BIKING! Any chance I get – whether it be to and from work, exploring a new part of the city, or just en route to a restaurant – I prefer to experience the world via bike. I also love food and travel (ideally both at the same time)! It doesn’t matter where it is, as long as it is some place new I jump right on board. My next planned getaway is to Banf, Canada.

Tell us more about your background in aquatics and pelvic floor therapy!

I want to first start by saying that aquatics is such a powerful and untapped into tool in physical therapy! When I was a student, I had a hodgepodge of jobs. One was as a PT Aide that happened to be at a pediatric aquatic clinic. There I interacted with kids who had disabilities ranging from cerebral palsy (CP) to Down’s syndrome. On land, I saw that these kids were not very energetic – they were seemingly shy and did not respond well to other PT tactics. However, I could also see that deep down they wanted to just play like kids. Once we got them in a pool, it was a complete energy shift! They were free to splash all over the place and enjoy what gravity had previously weighed down. Flash forward to my clinical rotations in PT school, and I made sure to get experience in an aquatic setting. Beyond pediatrics, I saw how pools work as a good in-between for complex patients who cannot weight bear well on land. Gains for these patients might happen faster in a pool setting and instill the strength and confidence they need to get back to standard PT.

My interest in pelvic floor therapy happened while working alongside pelvic floor therapists. At first, I had no idea what it entailed. All I knew was that this group of women were exceedingly grateful to their therapists. Unfortunately, the difficulties women experience both during and after pregnancy are often not coffee table conversation. I wondered why I myself, as an educated “science person,” had never heard of stress incontinence or prolapse. I realized the disconnect between what the average person knows vs actually experiences during pregnancy and saw PT as a way to bridge that gap.

Is there anything that makes your clinical approach unique?

I certainly place a huge emphasis on creating individual goal-oriented treatment plans. Something I ask all of my patients is, “What do you want to get back to, and how can I help you get there?” With whatever I do, I am thinking about the long term! This means integrating dynamic functional movements into therapy, not just isolated exercises. For example, if a kid needs to get back to playing soccer, doing ankle pumps is only a small part of the picture. I will also analyze their core strength and endurance, so that kid doesn’t have to worry about their joints eventually failing on them. Lastly, I find it very important to educate people on WHY they are doing certain exercises.  Getting an individual to understand that X and Y lead to Z is key to building their exercise adherence.

What do you think is the most important aspect of the patient-provider relationship?

In one simple statement – it has to be a team effort. Patients deserve the opportunity to give their provider feedback about what is and is not working, just as much as providers need to be clear in their explanations. Luckily, physical therapists get to see patients throughout their entire journey and have many chances to reevaluate progress.

Why are you excited to join the Park Sports team?

I definitely have a sense of autonomy at Park Sports that I have not experienced at other PT settings. This allows the provider to directly do what’s best for the patient without any loopholes. Also, having exposure to a versatile patient population is something that only a clinic in Brooklyn can offer. Lastly, the team effort and sense of encouragement is palpable at Park Sports. These therapists are constantly learning and bouncing ideas off one another to better themselves and their patients. You can’t really ask for more when it comes to quality patient care!

To meet Melissa in person and see her treatment in action, click below to schedule an appointment, or visit our 6th Avenue location.


Postpartum Diastasis Recti – A Pelvic Floor PTs Perspective

As a pelvic floor physical therapist, almost every new mom I treat has concerns over diastasis rectus abdominis (DRA) or “diastasis recti.” This condition happens during and after pregnancy because of the stress placed on the rectus abdominus (the famous “six pack” muscle) as a fetus grows within the uterus. DRA typically develops in the second or third trimester, when the fetus is growing most rapidly. Certain factors, like older age and having multiple pregnancies, may make a woman more susceptible to developing DRA. Simply put, the connecting tissue between the two sides of the abdominal wall called the linea alba, stretches and separates. Some women heal on their own, but others may not.

While brushed off as commonplace (which it is!), DRA is not insignificant. Any woman experiencing changes within her body is justified in her concerns, whether they are physical or aesthetic. Concerns I often hear are, “Is this just something all women have to accept? Why did no one tell me this could happen?” And the most common one… “Will it ever go back to together?”

The good news is that women are smarter and more empowered than ever before, and many are now seeking help from a pelvic floor physical therapist. If you are affected by postpartum DRA, pelvic floor physical therapy can be a highly effective approach!

Why is it important to treat diastasis recti?

The abdominal muscles support your posture, help control movement, and protect the internal organs (i.e. bladder, uterus, and rectum). If you are affected by DRA, you may therefore be at an increased risk for injury. The symptoms associated with DRA combined with the the many stressors that come with having a new baby can negatively affect a woman’s quality of life.

What does diastasis recti or DRA feel like?

The separated abdominal muscles usually do not cause pain, but the sequela of DRA can lead to dysfunction within the body. Symptoms usually develop gradually over the course of a woman’s pregnancy, and may linger following labor and delivery. Symptoms associated with DRA include:

  • Weakness within the midsection.
  • A visible and palpable gap between the rectus abdominis muscle.
  • Pelvic-floor muscle dysfunction.
  • Urinary or bowel problems (incontinence, leakage, constipation, etc).
  • Poor posture.
  • Occasionally low back, pelvic, or hip pain.

What is a diastasis diagnosis?

A physical therapist will review your medical history and symptoms. This includes questions related to your pregnancy, labor, delivery, breastfeeding habits, and physical recovery. They will also assess orthopedic factors, including your posture, range of motion, and muscle strength. Lastly, they will do a gentle abdominal muscle examination to note the degree of separation.

What should I expect in terms of treatment?

If you do develop DRA, the earlier you see a physical therapist, the faster you will be on your road to improved function! Treatment strategies include:

  1. Education. Your PT will be your coach and your teacher. They will guide you through a safe and effective plan of care and teach you movements to avoid early on (i.e. not to perform traditional sit-ups or crunches).
  2. Bracing. Sometimes taping or bracing the abdominal region can provide external support for women with DRA. It can also work as a cue when relearning the correct position for your midsection.
  3. Postural Training.  One of the most important components when treating DRA is improving postural control. This will involve activating core muscles such as your transverse abdominus (a deep abdominal muscle) and your pelvic floor without overusing the rectus abdominus muscle. In addition to strengthening, stretching plays a big role in postural control. While we often think all the muscles become weak during pregnancy, others may actually become overactive and tight. Your physical therapist will help you restore this balance. Lastly, they will help you transfer your gains to real life and review proper form when performing daily activities, such as lifting and carrying your baby.

In sum, DRA is a very prevalent condition that can be addressed with guidance from a skilled PT. If you have any questions related to diastasis recti or would like to get started on a PT program, I am happy to help!

 

Written By: Lacey Salberg

Lacey Salberg PT, DPT
Contact:
Park Sports Physical Therapy
Dr. Lacey Salberg, PT, DPT
lacey@parksportspt.com


Pelvic Floor Therapy

Pelvic Floor Therapy and Dysfunction.

Pelvic Floor Therapy can be an important part of a healthy life.  So when it comes to posture, comfort, intimacy, and wellness, a healthy pelvic floor is one of the most vital parts of your body. Many women face daily discomfort, lack of intimacy, physical pain, and more due to a dysfunction of the muscles, ligaments, and nerves that support the pelvic region.

A healthy and re-energized pelvic region can greatly restore your well-being and help to eliminate symptoms that are negatively effecting your life.

Pelvic Floor Dysfunction (PFD) may be brought on by a variety of reasons. These include pregnancy, childbirth, menopause, prior surgery or radiation, heavy lifting and straining, obesity, and congenital weakness. This can lead to vulvar pain, localized pelvic discomfort, prolapse, low back pain, leakage, incontinence and much more. Most do not seek advice from a physical therapist. Those who do however, can see life changing results.

At Park Sports, we are dedicated to life changing results.

Park Sports Therapy Approach to Pelvic Floor Dysfunction.

What to Expect When Getting Started.

At Park Sports, we understand the seriousness of your decision to seek help. We offer evidence-based and individualized treatment plans backed by a wealth of knowledge and a history of success.

Our pelvic floor therapist Lacey Salberg PT, DPT has received extensive training from the Herman & Wallace Pelvic Rehabilitation Institute, a leader in pelvic floor education and awareness. Lacey will take the time to discuss your health concerns. She will also fully evaluate your condition and create personalized plan, uniquely designed for your comfort level, your lifestyle and your body. You will receive one-on-one sessions in our private treatment room as she coaches you towards your health goals.

Working Together.

We consider your health a team effort. Part of your therapy will include an at home exercise program that will help you progress through your treatment plan. As you make advancements, it is possible that your initial plan may need some adjustments. Your therapist will listen carefully to your body and closely monitor your functional gains. If necessary, she will discuss modifying your treatment plan to better achieve your health goals.

Long-Term Planning.

Once you reach your goals, your therapist will provide an at home plan. This plan will help you maintain your new functional gains and pelvic floor health. Of course we will always be available to provide advice and assistance. As your health and wellness partner – our goal is your long-term happiness.

Pelvic Floor Therapy at Park Sports Brooklyn

Park Sports Pelvic Therapy Floor Services.

Our practice offers a full range of services for Pelvic Floor Dysfunction including:

  • Comprehensive musculoskeletal and orthopedic evaluation, including assessment of the pelvic floor muscles and hip alignment.
  • External and/or internal manual therapy techniques such as myofascial release, soft tissue mobilization, neuromuscular facilitation, and scar massage.
  • Biofeedback for muscle re-training and recruitment.
  • Bowel and bladder training and diaries.
  • Therapeutic exercises such as postural re-education, muscle relaxation, core stabilization, and flexibility exercises.
  • Home exercise program instruction.
  • Self-management techniques to improve overall quality of life.

Contact Park Sports.

Contact us today to learn more about Pelvic Floor Therapy at Park Sports and to schedule an initial appointment. Let’s meet and discuss your questions, concerns and needs. We offer a premiere service with proven life changing results and we look forward to serving you.

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