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Make the Most of Your Therapy


We don't want you to stress about your therapy session; it's not good for your pelvic floor! Plan to arrive 15 min. early to complete paperwork. You will need a copy of your State I.D. and Insurance Card. You will be asked to pay your copay at the beginning of each visit.  Credit Card payment is preferred. Wear comfortable clothing -- yoga pants and slippers are perfect. We provide quality, one-on-one treatment. Plan for a 45 to 60 min. session. 


Parking: We recommend parking in the public paid parking garage on the bottom level of our building accessible from S. Kukui St. Take the elevator to level M2 of the Kukui Plaza Mall and our office will be to the right as you exit the elevators. 

Your Evaluation


As muscle and joint specialists, we want to find the source of your pain and frustration.  Be it stress, muscle weakness, muscle tightness or joint alignment, we have the tools to design a treatment plan that's right for you. 


Because we believe in the strong relationship between body systems, we provide a comprehensive physical and behavioral exam.  Based on your symptoms and medical history, your therapist will determine which of the following to include in your initial exam:


  • internal vaginal assessment

  • internal rectal assessment

  • pelvic sEMG study

  • rectal pressure manometry study

  • low back, pelvis and hip orthopedic assessment

  • manual connective tissue and peripheral nerve assessment


Internal Pelvic Examination


Internal pelvic exams are the gold standard for quality pelvic therapy.  When it comes to the muscles that control bladder/bowel function as well as sexual health, you cannot do a thorough evaluation without going inside the pelvis to where these muscles and nerves live.  As highly trained pelvic therapists, we palpate and treat each of the muscles and nerves within the diamond-shaped area between your hips, pubic bone and tailbone called the pelvic floor.  We use our hands to look for tight, weak or poorly coordinated muscles as well as trigger points, scarring, adhesions and areas of irritation.  We compliment our manual findings with state of the art biofeedback and pressure manometry studies to create a complete picture of your pelvic floor and design a customized treatment plan just for you.  



So What is Biofeedback, Estim and Pressure Manometry?


We use top of the line pelvic floor technology including the Pathway® CTS 2000 Pelvic Muscle Rehabilitation System to assess the health of your pelvic floor.  Through electromyography (EMG), and the use of a pelvic floor sensor, the CTS 2000 helps verify the therapists examination findings as well as identify and treat muscles with increased tension not detectable by manual exam. This is most valuable in patients with nerve damage due to injury or surgery.  The CTS 2000 electrical stimulation (estim) feature can help retrain weak, dysfunctional muscles by enhancing the muscle's own contraction.  Finally, in cases of bowel incontinence and dysfunction, the pressure manometry feature is integral to anorectal rehabilitation. We have the ability to translate your pelvic floor function into graphics, as well as offer muscle enhancing techniques, that will help you get the most out of your therapy.  

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