Hawaii Island · Puna
Pelvic floor physical therapy in Puna, by video.
Puna is one of the fastest-growing districts in Hawaii and one of the farthest from specialty care. Patients in Pahoa, Keaau, Mountain View and Volcano see Dr. Elana Shalem by video from home.
- TRICARE West, HMSA and HMSA QUEST in-network
- TRICARE Select: no referral needed
- Usually seen within a week

Puna
Why Puna patients choose video.
From lower Puna, a specialist visit in Hilo can take half a day, and a flight to Honolulu takes a full one. Video removes both. A phone, a quiet room and a mat are enough for the full program.
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 Puna, step by step.
Veterans in Puna can ask their VA provider about community care for pelvic floor physical therapy. Military retirees and families on TRICARE are 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 Puna
Common reasons Puna patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Coverage
Insurance in Puna
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 Puna
ZIP codes 96749, 96778, 96760, 96771, 96785. Any home with an internet connection works.
- Pahoa
- Keaau
- Mountain View
- Kurtistown
- Volcano
- Hawaiian Paradise Park
- Orchidland
- Leilani Estates
- Kalapana
Nearby: Hilo and the Hamakua Coast · Kau and Ocean View · All of Hawaii Island
Questions
Questions from Puna
Does video work with rural internet in Puna?
A stable connection is needed, and many patients use their phone on cellular data. We test the connection on the free discovery call.
Is there pelvic floor physical therapy in Puna?
EMS Therapy treats Puna patients by video from home, usually within a week. HMSA, HMSA QUEST and TRICARE West are in-network.
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.