First, relief
Pain
Take the pressure off.
We find what is actually setting it off and change what we can change today, so the leaks stop deciding your schedule while the rest of the work gets going.
What We Treat
Incontinence treatment in Honolulu.
You know where every bathroom is. You crossed off the trampoline, the sneeze, the second cup of coffee. Leaking is a physical problem with physical causes, and finding yours starts with a cause-first evaluation, not a guess.
Sound Familiar?
Does this sound like you?
- Crossing your legs before you sneeze, without even thinking about it
- Knowing exactly where the bathrooms are on every drive you make
- Wearing a liner on an ordinary day, just in case
- Sitting out the jumping part of the workout and saying your knee hurts
- The urge arriving all at once, usually as you get the key in the door
- Getting up in the night to go, then lying there wide awake
Two or more? Keep reading.
Why It Happens
Leaking is a symptom. Something causes it.
Your pelvic floor is muscle. Muscle can be weak. It can also be too tight to let go, or strong enough but late, closing a half second after the cough already happened. Pressure from above is part of it too: how you breathe, how you brace, and whether your hips and deep core take any of the load when you lift, laugh or run. Leaking is one of those things going wrong. It is not age, and it is not something you brought on yourself.
Which one it is changes the whole plan, and none of it is obvious from the outside. That is why more squeezing is not automatically the answer: a floor that is already gripping all day does not need to grip harder. So the evaluation comes first. Dr. Simone Iriarte, PT, DPT, is the clinic’s pelvic floor physical therapist. She has worked with pelvic floor dysfunction for several years and continues to take courses in it. Pelvic floor therapy is one of the clinic’s own services, not something bolted on.
The Honest Truth
This does not quietly sort itself out.
If you keep waiting
- The list of things you work around gets longer, until it stops feeling like a choice
- You plan the day around where the bathrooms are instead of what you actually want to do
- Muscles that never get asked to do their job get less able to do it
If you start this week
- You know what is actually causing it by the end of visit one
- Care is one-on-one with a licensed physical therapist, every visit
- You get a plan with an endpoint: a real one, not an open tab of visits
Nobody regrets starting too early.
How We Fix It
The same four phases. Built for a pelvic floor.
You are the one who holds everything up for everybody else. This is the thing you have been holding on your own. Every plan has an endpoint, and here is what the four phases look like when leaking is the problem.
Then, motion
Prime
Teach it to let go, then hold.
Breathing and timing work, so the floor relaxes and switches on when it is supposed to instead of gripping all day and quitting at the cough.
Then, capacity
Perform
Load it until you trust it.
Hips, deep core and floor get strong together, at the effort your real day asks for: a toddler on one hip, the groceries, the stairs, the class you stopped going to.
Last, staying power
Prevent
Stop planning around it.
We test it where it used to fail: the sneeze, the jump, the long drive. When it holds, you are done, and you leave knowing what to do if it ever starts creeping back. That is the endpoint, not just another appointment.
Amazing group of professionals! They obviously care about the people they help and clearly know their stuff.
Shannon M. · Google review
Phase 1, Pain: settle the leaking down so it stops running your day
Phase 4, Prevent: keep it from coming back
The four phases
Pain to Prevent
Questions, Answered
What people ask before they book.
Only as much as you want to. “I leak when I cough” is enough to start with, and whatever words you already use for it are the right ones. Nobody here is going to react, because this is ordinary work for a pelvic floor physical therapist. Care is one-on-one with a licensed physical therapist, every visit, so it stays a conversation between you and one person. You decide what happens at every step, and you can say no to any part of it.
No. Hawaii allows direct access to physical therapy, so you can book an evaluation yourself without asking anyone’s permission first. If you already have a doctor involved, we coordinate with them and with your insurance company. If you do not, that is fine too. Nothing about getting started requires you to explain this to a third party first.
That depends on what the evaluation finds, so we will not put a number on it before we have looked. What you get instead is a plan with an endpoint: four phases, Pain, Prime, Perform, and Prevent, each with a job and a way to know you have earned the next one. You will always know which phase you are in and what is left, rather than an open-ended string of appointments.
Book Your Visit
Ready when you are.
Request a time and a real person calls you back. No phone tree. No ‘someone will reach out.’ Just a plan.
- Hours Monday to Friday, 7am to 6pm
- (808) 597-1555 Prefer to talk now? Call us.
- No referral needed to book your first visit
5.0 · 20+ Google reviews
A real person calls you back
Step 1 of 5
Request sent.
That’s the hard part done. We’ll call during business hours to lock in your time.
Kakaʻako · Plenty of parking
Care this good, this close.
Action Rehab Physical Therapy
- 863 Halekauwila St, Honolulu, HI 96813 (opens in a new tab)
- (808) 597-1555
- Fax: (808) 597-1596
- actionrehaboffice@gmail.com
- Monday to Friday, 7am to 6pm