Hawaii Island · Hilo and the Hamakua Coast
Pelvic floor physical therapy in Hilo and the Hamakua Coast, by video.
Hilo and Hamakua Coast patients, from Keaukaha to Honokaa, see Dr. Elana Shalem by video from home, with no flight to Honolulu for pelvic floor physical therapy.
- TRICARE West, HMSA and HMSA QUEST in-network
- TRICARE Select: no referral needed
- Usually seen within a week

Hilo and the Hamakua Coast
Why Hilo and the Hamakua Coast patients choose video.
On Hawaii Island, specialty care can mean a long drive across the island or a flight to Oahu. Pelvic floor physical therapy works well by video because most of it is education, coordination training and a home program. That makes a full course of care realistic from Hilo, Papaikou or Honokaa.
One-on-one with Dr. Elana Shalem, PT, DPT (CAPP-OB), licensed in Hawaii: a 60-minute evaluation, then 45-minute follow-ups.
Military families and veterans
TRICARE in Hilo and the Hamakua Coast, step by step.
Veterans in Hilo and along the Hamakua Coast can ask their VA provider for a pelvic floor physical therapy consult through VA community care. Military retirees and family members on TRICARE are covered in-network through TRICARE West; TRICARE Select needs no referral.
EMS Therapy is in-network with TRICARE West. Veterans can also ask their VA provider for a pelvic floor physical therapy consult through VA community care. TRICARE in Hawaii, plan by plan · Veterans.
What we treat in Hilo and the Hamakua Coast
Common reasons Hilo and the Hamakua Coast patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Coverage
Insurance in Hilo and the Hamakua Coast
In-network: TRICARE West, HMSA and HMSA QUEST. Other plans are private pay with a superbill for out-of-network reimbursement; HSA and FSA cards are accepted. We confirm the physical therapy benefit before the first visit.
Plan by plan: TRICARE · HMSA · HMSA QUEST
Referrals: Hawaii allows you to start physical therapy without a physician referral. Your insurance plan may still ask for one (TRICARE Prime and some HMSA plans do), and we check that for you before the first visit.
Neighborhoods
Serving all of Hilo and the Hamakua Coast
ZIP codes 96720, 96727, 96781, 96783. Any home with an internet connection works.
- Hilo
- Waiakea
- Kaumana
- Keaukaha
- Papaikou
- Pepeekeo
- Honomu
- Laupahoehoe
- Honokaa
- Paauilo
Nearby: Puna · Waimea and Kohala · Kona and West Hawaii · All of Hawaii Island
Questions
Questions from Hilo and the Hamakua Coast
Is there pelvic floor physical therapy in Hilo?
EMS Therapy treats Hilo and Hamakua Coast patients by video with Dr. Elana Shalem, DPT, usually within a week. HMSA, HMSA QUEST and TRICARE West are in-network.
Do I need to fly to Honolulu for any part of it?
No. The evaluation and every follow-up are by video. If a hands-on assessment would change the plan, Dr. Shalem says so and helps coordinate local care.
How soon can I be seen?
Usually within a week. Early morning, evening and weekend video visits are available.
Prefer to write? Send a message.
Questions about insurance, pricing, or whether physical therapy is the right next step? We reply within one business day.
Start with a free 15-minute call.
Tell us what is going on, hear how Dr. Shalem would approach it, and decide from there.