What We Treat

Postpartum recovery in Honolulu.

Being cleared is not the same as being healed. If something still feels heavy, weak, leaky, painful or just not yours yet, that is worth looking at, whether the baby is eight weeks old or eight years old. It starts with a cause-first evaluation, not a guess.

Core recovery Diastasis recti Return to exercise Talk to a Specialist

Sound Familiar?

Does this sound like you?

  • A gap or a ridge down the middle of your belly when you sit up in bed
  • Leaking when you run, jump or sneeze, and being told that is just how it is now
  • Heaviness or pressure low down by the end of a long day on your feet
  • Back and hip pain built out of carrying, feeding and lifting on no sleep
  • Pain with sex that nobody mentioned would still be there
  • Cleared for exercise with no idea which exercise is actually safe for you

Two or more? Keep reading.

Why It Happens

Your body did something enormous. It does not undo itself.

Pregnancy and birth change how a whole system works together. The abdominal wall stretched and has to relearn how to hold. The pelvic floor took the load and can come out weak, or tight, or just late. Ribs, hips and breathing shifted to make room and do not necessarily shift back on their own. Then you spent months carrying, feeding and lifting on very little sleep. Nothing on that list is a personal failing.

It is a set of specific, findable things, and which ones apply to you is exactly what a cause-first evaluation is for. 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. The clinic runs pelvic floor therapy and women’s health as its own services. Eight weeks out or eight years out, the starting point is the same, and nobody here thinks you should have come sooner.

Mother leaning over her newborn baby lying on a bed

The Honest Truth

Nothing here expires. Nothing here fixes itself either.

If you keep waiting

  • You keep building strength on top of a core that is not holding, and the compensations set in
  • The symptoms you were told were temporary quietly become the new normal
  • The things you want back, the run, the class, the hike, keep sliding further out

If you start this week

  • You know what is actually going on 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 after a baby.

You are the one who carries everybody. This time the body doing the carrying is the one getting the attention. Every plan has an endpoint, and here is what the four phases look like.

First, relief

Pain

Settle what is loudest.

We find what is actually driving the pain, the pressure or the leaking, then take the edge off it with hands-on work and changes you can make today.

Then, motion

Prime

Get the system talking again.

Breathing, ribs and pelvic floor working together first, so the abdominal wall has something to hold with before we ask it to hold anything.

Then, capacity

Perform

Build back to real life.

Strength that scales with what you actually do: the car seat, the toddler up the stairs, the class you want back, the run you keep putting off.

Last, staying power

Prevent

Leave with it holding.

We load it where it used to give out, and you go home knowing what to watch for and what to do about it. 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 pain, pressure or leaking down first

Phase 4, Prevent: keep it from coming back

The four phases Pain to Prevent

Related Conditions

These usually travel together.

Recovery rarely arrives as one tidy problem. Here’s what else we treat.

1

Prenatal Prep

Move better through the pregnancy, and be ready for what comes after.

Learn More 2

Incontinence

Leaking when you cough, laugh or lift. Not something you have to plan around.

Learn More 3

Pelvic Pain

The pain you have never said out loud. You can say it here.

Learn More

Questions, Answered

What people ask before they book.

Common is not the same as normal, and neither one means you are stuck with it. There is no window that closes on this. Bodies respond to the right work whether you gave birth eight weeks ago or eight years ago, and nobody here is going to tell you that you missed your chance. What matters is finding out what is actually going on, which is what the evaluation is for. Starting later does not mean starting behind.

Only as much as you want to. “Something still feels off” 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.

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

So we know who to look for when you walk in.

Kakaʻako · Plenty of parking

Care this good, this close.

Action Rehab Physical Therapy

Take Me There (opens in a new tab) Call Us