Hawaii Island · Volcano and Upper Puna
Pelvic floor physical therapy in Volcano and Upper Puna, by video.
Volcano, Mountain View, Fern Forest and Glenwood patients 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

Volcano and Upper Puna
Why Volcano patients choose video.
Up the mountain from Hilo, Volcano and upper Puna are rain forest, small farms, artists and retirees, with a long drive down Highway 11 for appointments. Older adults with leaking or prolapse, farm families with back pain and new parents are seen one-on-one by video.
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 Volcano and Upper Puna, step by step.
Veterans and military retirees 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 Volcano and Upper Puna
Common reasons Volcano patients book.
All services: Women's pelvic floor physical therapy · Men's pelvic floor physical therapy · Orthopedic physical therapy
Coverage
Insurance in Volcano and Upper 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 Volcano and Upper Puna
ZIP codes 96771, 96785. Any home with an internet connection works.
- Volcano Village
- Mountain View
- Fern Forest
- Fern Acres
- Glenwood
- Kurtistown
Nearby: Puna · Hilo and the Hamakua Coast · Kau and Ocean View · All of Hawaii Island
Questions
Questions from Volcano and Upper Puna
Does video work up the mountain?
A steady connection for a video call is enough. If the connection drops, Dr. Shalem calls back to finish the visit.
Do you treat prolapse?
Yes. Heaviness and pressure from prolapse are evaluated by video, and the plan covers strength, pressure management and daily habits.
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.