First, relief
Pain
Settle what hurts now.
Hands-on work plus changes to how you sit, sleep, stand and get out of a car, so the back, hip or pelvic pain stops running your day.
What We Treat
The catch in your hip when you roll over at 3am. The back that starts up by mid-morning. The quiet wondering about what is still safe to do. You can be more comfortable now and better prepared for after, and it starts with a cause-first evaluation, not a guess.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Your body is doing something big on a schedule. Weight moves forward. The ribs and the pelvis make room. Ligaments give a little more. And the muscles that used to manage all of that are working at a slightly different angle every few weeks. Pain in the back, the hips or the front of the pelvis is usually that load landing somewhere that has not been asked to take it before. It is not a sign that you are doing pregnancy wrong.
It is also worth sorting out while it is happening, not after. A cause-first evaluation finds where the load is actually going, and the plan moves as the pregnancy moves. 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. Care is one-on-one with a licensed physical therapist, every visit, so what you are doing this month gets adjusted for next month.
The Honest Truth
Nobody regrets starting too early.
How We Fix It
You are already carrying everyone, and now you are literally carrying someone. Every plan has an endpoint, and here is what the four phases look like while you are pregnant.
First, relief
Pain
Hands-on work plus changes to how you sit, sleep, stand and get out of a car, so the back, hip or pelvic pain stops running your day.
Then, motion
Prime
Mobility and breathing work that keeps the ribs, the hips and the pelvic floor cooperating while the shape of everything keeps changing.
Then, capacity
Perform
Guided strengthening for the load you are actually carrying, and no more guessing about which exercise is fine and which one to drop.
Last, staying power
Prevent
Positions, breathing and what to expect on the other side, so you go in prepared and know when to come 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 back, hip or pelvic pain down first
Phase 4, Prevent: keep it from coming back
Questions, Answered
No. Hawaii allows direct access to physical therapy, so you can book an evaluation yourself and tell your provider before or after, whichever you prefer. If you want us coordinating with them, we do that, along with your insurance company. If anything we find belongs on your doctor’s desk, we say so and we send it there.
There is no window you have to hit. The work simply changes depending on where you are, which is the whole reason we evaluate first instead of handing you a printout. Earlier on it tends to be about comfort and building something to carry the next stretch with. Later it shifts toward positions, breathing and what your body is going to be asked to do. And if you are reading this after the birth, that is not too late either.
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
Request a time and a real person calls you back. No phone tree. No ‘someone will reach out.’ Just a plan.
5.0 · 20+ Google reviews
A real person calls you back
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time.
Kakaʻako · Plenty of parking