An older couple exercise on a beach, each balancing on one leg with arms outstretched
Stories of Strength

When strength improves, life improves.


These are real stories from TandemSB clients. Each person came to us with their own challenges, goals, and starting point. Their stories are different, but they share something important: they kept working on their strength and discovered they could do more than they thought possible.

Client stories

Fracturing a hip at 80 didn't end her ski racing. Neither did a tibia and fibula fracture at 84.

Lilla, 87

The situation

An active senior athlete, Lilla fractured her hip at 80, threatening the activities she loved, including alpine ski racing.

The work

Tandem rebuilt her everyday strength and function before working toward the demands of ski racing.

What changed

Lilla returned to competitive skiing, and nearly nine years later, she's still training.

Told he'd spend his life in a nursing home after brain tumor surgery, he went home instead.

John

The situation

After brain tumor surgery left John with profound weakness, his family was told he would likely need permanent nursing home care.

The work

Tandem began with what John could do and built his strength gradually over time.

What changed

John eventually returned home, walked with a cane, played his trumpet in church, and walked his daughter down the aisle.

Strength that sustained her independence through a second hip replacement

Greta, 82

The situation

Greta wanted to remain at home, but declining strength and increasing fear of falling were making everyday life harder.

The work

Tandem used consistent, progressive strength training to build her strength and balance.

What changed

Four years later, Greta remained in her own home, continued driving and stayed active socially.

Living with Parkinson's, and still doing as much for himself as possible

Howard, 86

The situation

Parkinson's was making everyday activities increasingly difficult. Howard needed a walker, assistance from others, and was no longer able to climb stairs or get in and out of his car.

The work

Howard began working with Tandem twice a week to build the strength needed for everyday movement.

What changed

Howard remained independent with his walking for nearly three and a half years and continued working with Tandem as his Parkinson's progressed.

Hope was lost after a stroke, strength brought it back

Agnes

The situation

Following a stroke that affected one side of her body, Agnes could no longer walk and needed a mechanical lift to be moved.

The work

Agnes began working with Tandem twice a week. Six months later, she no longer needed the mechanical lift and could take her first short walks with a walker.

What changed

Agnes eventually walked 300 feet with her walker, and continued to discover what was possible.

Still going out, but learning to trust her legs again

Marilyn

The situation

Marilyn was still cooking, driving and seeing friends, but she felt unsteady and had begun relying on her walker whenever she went out.

The work

Marilyn began with exercises she could manage comfortably, then gradually progressed as her leg strength and confidence grew.

What changed

Two months in, Marilyn was stepping over obstacles, standing on unstable surfaces without support, and beginning to trust her legs again.

From the couch to walking outdoors again, at 95

Lucy, 95

The situation

At 95, Lucy was living at home but had stopped living a full life. Her strength was declining, she relied on a rolling walker, and she had withdrawn from many of the social activities she once enjoyed.

The work

Tandem built a strength program around what Lucy specifically needed to be able to do.

What changed

Lucy now moves around her home independently and walks outdoors for pleasure. As her strength came back, so did her optimism.

Unable to walk unaided, then traveling to Arizona

Arthur, 91

The situation

Arthur was 91 and living with his wife when a fall and broken arm left him unable to walk without a walker. Even after Medicare therapy ended, he still needed help with transfers and was unsteady on his feet.

The work

After three months of Tandem's functional leg-strength work, the strength in his legs had been rebuilt.

What changed

Arthur became independent with his transfers and mobility and began walking safely without a walker. He started shopping with his wife again, and reached his goal of traveling to Arizona with his family.

One last adventure, four times over

Cathy

The situation

Cathy had recovered from an aneurysm, but years later declining strength left her wheelchair-bound and needing help with transfers.

The work

Tandem rebuilt her leg strength and balance, starting again after a three-year gap in training and another decline.

What changed

Cathy regained enough strength for her husband to manage all her transfers. Over the next three years, she and her family had taken four cruises, including Italy and Greece.

One family. Three people. And a story that came full circle.

It Became a Family Affair

The situation

Kristen watched her father, Frank, slowly lose strength and become more isolated as his dementia progressed. Her mother's cousin, Ann, was also struggling with falls and becoming increasingly isolated.

The work

Tandem began working with Frank and Ann. Two years later, Helen would need Tandem, too.

What changed

Three family members. Three different starting points. One shared goal: staying as strong and independent as possible.

Lilla, 87

Fracturing a hip at 80 didn't end her ski racing. Neither did a tibia and fibula fracture at 84.


The situation

Lilla was already an active senior athlete, alpine ski racing, water skiing, hiking, playing tennis, kayaking, and gardening, when a fracture during a race threatened to end it. Fifteen years earlier, brain tumor surgery had left her with permanent loss of feeling in her legs, feet and trunk, and she fell often as a result.

The work

After her hip fracture at 80, Tandem rebuilt her everyday function first, focusing on stairs, floor transfers and independence. Once those pieces were coming back, her program shifted toward the specific demands of alpine ski racing.

About a year later, she competed at the Winter World Master Games and won gold.

Four years later, at 84, a tibia and fibula fracture during another race started the same process again, this time with a total knee replacement already scheduled two months out.

What changed

Lilla returned to compete at the Winter World Master Games a second time.

Nearly nine years into her work with Tandem and approaching her 88th birthday, she still exercises twice weekly and is training for the 2028 Winter World Master Games at 87.

Read Lilla's full-length story →

John

Told he'd spend his life in a nursing home after brain tumor surgery, he went home instead.


The situation

At 51, John had surgery to remove a brain tumor that left him with profound right-side weakness.

After four months of rehabilitation ended, his family was told he would likely need permanent nursing home care. At that point, he needed a mechanical lift just to get into his wheelchair.

The work

John began an individualized strength program with Tandem, starting from what he could do.

Progress was slow and deliberate. Small gains built over months, and his program continued to evolve as his abilities grew. He trained twice a week at first and continued for years.

What changed

John regained enough strength and independence to move home after more than three years.

He eventually walked with only a cane, played his trumpet in church again, and walked his daughter down the aisle at her wedding using his walker.

His family paused and restarted his program more than once over 15 years, and each time the pattern was the same: strength returned when the training resumed.

Read John's full-length story →

Greta, 82

Strength that sustained her independence through a second hip replacement


The situation

Greta wanted to stay in her own home, but everyday life was becoming more difficult.

Her legs fatigued easily, she could no longer walk long distances, and she had grown increasingly fearful of falling. She was also managing multiple orthopedic conditions, including arthritis, spinal stenosis, osteopenia, severe scoliosis, a previous hip replacement and a leg-length difference.

The work

Greta began working with Tandem twice a week.

Through consistent, progressive strength training, she gradually lifted more weight with both her arms and legs. Partway through her time with Tandem, she needed a second hip replacement because of degenerative arthritis.

After surgery, the focus shifted to rebuilding her strength and balance again.

What changed

Four years in, Greta had continued improving her strength and balance despite everything her body had asked her to overcome.

She remained in her own home, kept driving, stayed active socially, and even added three days a week of cardio to her routine.

Howard, 86

Living with Parkinson's, and still doing as much for himself as possible


The situation

Howard wanted to keep doing as much as possible for himself, but Parkinson's disease was making that increasingly difficult.

He had difficulty controlling his legs, needed both a walker and another person to assist him, could not climb stairs, and struggled getting in and out of his car.

The work

Howard began working with Tandem twice a week, building the strength needed for everyday movement.

Within one month, he went from needing a walker and another person to walking independently through his apartment with his walker.

As his strength improved, his program continued to evolve. Eventually, he worked with Tandem four times a week as he continued to build strength and work toward greater independence with his physical therapist.

What changed

Howard remained independent with his walking for nearly three and a half years and continued working with Tandem for five years as his Parkinson's progressed.

Even as the disease advanced, he continued standing with minimal assistance, practicing transfers, and living in his own apartment.

His story was never about stopping Parkinson's. It was about what strength made possible along the way.

Agnes

Hope was lost after a stroke, strength brought it back


The situation

Following a stroke that affected one side of her body, Agnes could no longer walk and needed a mechanical lift to be moved.

A nursing home told her family she would not recover, but they weren't ready to give up. They were willing to give her the time and opportunity to discover what was still possible.

The work

Agnes began working with Tandem twice a week.

Six months later, she no longer needed the mechanical lift and could take her first short walks with a walker and assistance.

She kept going from there.

What changed

Agnes eventually walked 300 feet with her walker.

Her son described the change: she likes walking, feeds herself, writes, and has good use of her hands. Her strength, physical and mental, kept growing.

For Agnes and her family, progress meant realizing that her story wasn't over.

Marilyn

Still going out, but learning to trust her legs again


The situation

Marilyn was still cooking, driving and seeing friends and family on her own, but she felt unsteady, used her walker every time she went out in the community, and hated it.

Everyday things were becoming harder, too. Walking to get the mail or standing up from a chair without using her hands had become difficult.

The work

Marilyn was hesitant about the cost of private-pay therapy, but after a conversation about what was happening and what it would take, she decided to try it.

Balance work was uncomfortable for her at first, so the program progressed gradually as her leg strength and confidence built together.

What changed

Two months in, Marilyn was exercising with four-pound weights, stepping over objects, and standing on unstable surfaces without support.

One day she came in and said, “I went out without my walker.”

She still has more to work toward, but she is stronger and more confident, and willing to do more of the things that once made her nervous.

Lucy, 95

From the couch to walking outdoors again, at 95


The situation

Lucy was 95, living in her own home without any significant medical diagnosis. Yet she was not living a full life.

Her strength was declining. She needed a rolling walker to get around, and she had withdrawn from the social activities she used to enjoy. Her world had narrowed to the couch.

The loss of strength had taken her basic freedoms with it, and she had become noticeably depressed.

It was her trust officer, not a doctor, who noticed what was happening and called Tandem.

The work

Tandem built a strength program around what Lucy specifically needed to be able to do.

The work focused on rebuilding the strength she needed for everyday movement and gradually expanding what she could do on her own.

What changed

Lucy now moves around her home without a mobility device.

She has the energy to see friends and family again, and she walks outdoors for pleasure.

As her strength came back, so did her optimism.

Arthur, 91

Unable to walk unaided, then traveling to Arizona


The situation

Arthur was 91 and lived with his wife. They were the focal point of their family and did everything together: shopping, restaurants and travel.

Then Arthur fell and broke his arm.

After completing his Medicare-covered physical therapy, he still needed assistance with every transfer. He could not walk without a walker and was unsteady even with it. He was effectively confined to the apartment.

His family wanted something different.

The work

Arthur began working with Tandem on functional leg strength. The program focused on the strength he needed for transfers, walking, and moving safely through his everyday environment.

After three months, the strength in his legs had improved significantly.

What changed

Arthur became independent with his transfers and his mobility, and he was walking safely without a walker.

He started shopping with his wife again and reached the goal he had actually cared about: traveling to Arizona with his family.

Cathy

One last adventure, four times over


The situation

Cathy suffered an aneurysm in her early thirties and recovered to roughly 75 percent, raising two children, walking short distances and staying active in her community for decades.

By the time she became a Tandem client, her strength had declined significantly.

She was using a wheelchair and needed physical help with transfers. She and her husband wanted to take one more trip before things became more difficult.

The work

With Tandem's therapists, Cathy and her husband made that trip to London.

After a three-year gap and a further decline, Cathy returned to Tandem needing a mechanical lift for transfers, with poor sitting balance and struggling with depression.

The strength work started again.

The focus was rebuilding the leg strength and balance she needed for everyday movement and transfers.

What changed

Cathy regained enough leg strength that a single companion could manage all her transfers.

And the travel didn't stop with London.

Over the next three years, Cathy and her family took four cruises, including trips to Italy and Greece.

What was supposed to be one last adventure became four.

It Became a Family Affair

One family. Three people. And a story that came full circle.


It started with Frank.

Kristen was watching her father, Frank, slowly change.

Living with dementia, Frank was walking more slowly, spending more time in bed, and no longer able to get on and off the floor. He was becoming more isolated and doing less each day.

Kristen understood the importance of keeping him moving and maintaining his strength. Her mother, Helen, wasn't convinced. She didn't understand why Kristen was pushing so hard for her dad to exercise with Tandem.

Then, within two weeks, Helen started to see the difference.

Frank would exercise with his Tandem physical therapist, get out of bed, and be challenged in ways he wouldn't accept from others.

Helen began to see that Tandem was about more than exercise.

It was helping Frank continue to do more for himself.

Then came Ann.

Kristen was also encouraging her mother's cousin, Ann, to have an evaluation.

Ann was living independently in her own home, but she used a walker, had occasional falls, and was becoming increasingly isolated. She rarely left home.

After six months of hearing how well her father was doing, Ann finally agreed to a free evaluation.

Tandem began working with Ann, too.

Her walking improved, her falls decreased, and she began getting out of the house more often with the help of a caregiver. She was finding more opportunities to do the things she wanted to do.

Two years later, everything changed.

As Frank's dementia progressed, Kristen's parents moved to assisted living. The move was necessary, but difficult for everyone.

The stress took a significant toll on Helen. She became ill, was hospitalized, and came home needing a walker.

This once-independent, driven woman was now struggling with everyday activities.

The Tandem physical therapist who had been working with Frank and Ann saw what was happening and approached Helen.

“Give us three months. We can help you get back on your feet.”

And the irony wasn't lost on anyone.

The woman who once wondered why her husband needed Tandem was now asking Tandem to help her.

Today, Tandem works with all three.

Frank, Helen, and Ann each have different abilities, limitations, and goals, so each has a program designed specifically for them.

But they share the same goal:

To stay as strong and independent as possible.

Because strength isn't just about exercise.

Strength gives people choices.

And sometimes, those choices become a family affair.

What if getting older doesn't have to mean doing less?


The stories you just read are different. Different ages. Different diagnoses. Different starting points. Different goals.

But they have something in common: strength changed what was possible.

A walker or wheelchair can provide important support, but using one does not mean someone has reached the end of what they can do. Leg strength can be improved at any age, even with a complicated diagnosis.

That's why Tandem focuses on progressive leg-strength training. We don't just work with the strength someone has today. We work to build more, so they can keep doing more of the things that matter to them.

Aging changes us. But it doesn't mean we stop working toward what's possible.

What families say


Rated 5 out of 5

Besides helping my mom to maintain strength, Nicole has been instrumental in catching medical changes in both mom and dad. She made sure the medical staff had the right information and that we asked the right questions. We highly recommend TSB.

Julie B.daughter of a client

Rated 5 out of 5

TSB is a service second to none and provides: outstanding quality and talented physical therapists, the highest level of interest and concern for the patient, encouragement to increase strength and mobility, ongoing patient communication and RESULTS.

Steve H.client

Rated 5 out of 5

Mom has received therapy 2-3x/week for 2 years. Her therapists know her and understand what motivates her. Little “wins” are celebrated and TSB even handled our FL trip details. So impressed with their professionalism and dedication.

Traci L.daughter of a client

Rated 5 out of 5

Tandem works on the client's thinking. Many folks have self-talk that has them doubt their abilities. The therapist guides the client into more honest and realiztic self-talk that allows them to accomplish much more than they ever thought they could.

Shannon W.partner

Rated 5 out of 5

My mom has been helped in so many ways by her Tandem Strength & Balance physical therapist. She is truly so much more than just a physical therapist; she is a friend, a psychologist and empathetic listener. Life is so much better with TSB.

Kenzie P.daughter of a client

Rated 5 out of 5

Tandem Strength & Balance is geared to continually encourage and challenge their client to reach new strength goals, keeping the individual's quality of life and mobility the best it can be, for as long as it can be.

John G.client
Frequently asked

Questions families ask


My parent finished Medicare therapy. What happens now?

Finishing Medicare therapy doesn't necessarily mean your parent is strong or independent. It may simply mean the covered therapy has ended.

Medicare therapy is designed around a specific episode of care. Once that covered therapy ends, families are often left wondering, “Now what?”

Therapy can end even when your parent is still weak or having difficulty with everyday activities. That doesn't mean there isn't more work to do.

That's where Tandem Strength & Balance® comes in. We continue working on the strength and balance needed for everyday life, without being limited by the Medicare therapy timeline.

Is it actually possible to get stronger at 80 or 90?

Yes, and we would argue that it is one of the most important times to do it.

Leg strength affects mobility, function and the choices we have in everyday life. Getting up from a chair, walking to the bathroom, climbing stairs, getting in and out of a car, or simply deciding where you want to go all require a certain amount of leg strength.

As we get older, we lose strength more quickly. That's why strength becomes more important, not less important, with age.

Everyone can improve their strength, regardless of age or diagnosis. At Tandem, we meet each person where they are, work at their pace and progressively build the strength they need for the life they want to keep living.

What happens at the evaluation?

During our free evaluation, we assess your parent's leg strength, identify limitations, explain how those limitations are affecting function, and outline what progress we would expect to see as their strength improves.

Rehabilitation is a layered process. Leg strength is a key foundation for function, so strength often needs to improve before noticeable changes in function begin to appear. We explain that process along the way so families know what to expect.

Do you come to the house, or do we travel to a clinic?

Tandem comes to you.

Your parent exercises in the place where they actually live, whether that's a house, apartment, assisted living community or nursing home.

Working in a familiar environment allows the physical therapist to work on the movements that matter in your parent's everyday life, while helping them feel comfortable and confident as they get stronger.

My mother will exercise with a therapist but not with family. Is that normal?

Yes. We hear this from families all the time.

Exercising with a physical therapist is different from exercising with a family member. A physical therapist knows when to encourage, when to challenge, and how to adjust the exercise when something isn't working.

It doesn't mean your mother doesn't listen to you or doesn't appreciate your encouragement. Sometimes having someone outside the family makes it easier to focus on the work.

Next step

Let's talk about what your family is facing


A free in-home consultation with Nicole, Tandem's owner and a physical therapist. She'll see how your parent is doing, listen to what's become harder, and tell you honestly if Tandem can help.

No pressure. Just an honest conversation about what comes next.

Prefer to talk now? Call (952) 746-3222

Monday to Friday 7:30- 4pm

Request a free in-home consultation

We call back the same business day.
For example: "Mom is 84, had a hip replacement in March, and her Medicare therapy just ended."

Tandem Strength & Balance® is a private-pay service. We will tell you on the first call whether we are the right fit.