FAQ — Therapeutic Connection

Please reach Therapeutic Connection at (808) 289-0601 if you cannot find an answer to your question.

What insurances do you accept?

Why I don’t accept insurance other than Motor Vehicle Accident and Workers’ Compensation:

Allows me to provide longer, more personalized sessions without insurance restrictions
Maintains your complete privacy — no diagnosis codes required
Gives you and me the freedom to create the best treatment plan for YOUR needs
No waiting for authorizations — same-day service available

For Motor Vehicle Accident claims: I will bill directly to the responsible auto insurance company. For Workers’ Compensation claims: I will bill directly to Workers’ Compensation.

For cash-pay clients: I can provide you with a completed billing form, a “Superbill.” You will provide this Superbill to your insurance company, who will determine if you are eligible for reimbursement. Please contact your insurance company ahead of time to confirm they accept superbills. If you would like to use your health insurance and are willing to pay for my time to generate the superbill, contact your insurance company to determine their process for submitting one. I fill out the billing fields and you fill out your insurance information — it’s an easy process using a simple form that I provide. Your insurance plan may require you to get a referral in advance of your evaluation and treatment.

Can I pay cash, and what does Therapeutic Connection charge for services?

Yes — Therapeutic Connection accepts Cash, Check, or Venmo, as well as Credit Cards and HSA/FSA cards. The cash-pay rate is $150 per 60-minute session for Physical Therapy and Silan System Health and Wellness sessions. I offer a Kupuna discount for those over 65 (see the Book Now section). I also offer Concierge Physical Therapy, in-home Personal Training, Aquatic Therapy, and many Wellness Packages. Please click Schedule for pricing details.

Did you know you can find out if you’re headed toward an injury before you become painful?

Schedule an orthopedic physical with Carolyn Silan, PT to prevent injury. She will look at how you are moving, your strength, your flexibility, and the quality of your tissues — including how tight your muscles and connective tissue are.

How can a Physical Therapist help me?

Physical Therapy and Personal Training with a Physical Therapist can help you reduce pain, improve mobility and balance, recover from surgery, prevent future injuries, and enhance your overall quality of life. Manual therapy as well as a customized therapeutic exercise regimen are essential to a great outcome.

What kind of education does Therapeutic Connection’s Physical Therapist have?

Carolyn Silan, PT holds two degrees — one in Physical Therapy from California State University, Sacramento, and one in Physical Education from the University of California, Davis. She is licensed as a Physical Therapist by the states of Hawaiʻi and California. She is also a Certified Ergonomic Assessment Specialist and has previously been a Certified Strength and Conditioning Specialist.

What kind of training does Therapeutic Connection’s Physical Therapist have?

Carolyn Silan, PT has participated in extensive and ongoing training, having completed two long-term courses — one year-long course in Norwegian Manual Therapy and one three-month course in Australian Manual Therapy. In addition, Carolyn has completed numerous day-long and up to four-day courses in various treatment techniques, including Advanced Clinical Neurodynamics, Proprioceptive Neuromuscular Facilitation, Cranio-sacral Techniques, Trigger Point Relief Training, Myofascial Decompression™ using Cupping, Vertigo, Fall Prevention, Ergonomics, TMJ, Pelvic Health, Lymphedema, Taping Techniques, and Anatomy — as well as ongoing self-study to stay up-to-date on the latest techniques and research.

What can I expect during a typical Physical Therapy session?

You will work one-on-one with me for hands-on manual therapy and hands-on therapeutic exercise to ensure the proper muscles are being recruited. But first, we’ll learn together what is causing your problem with a thorough initial evaluation. After evaluation, we’ll explore the most appropriate techniques to address your unique problem set — this may include corrective exercises, manual therapy, learning techniques to perform at home, and managing your condition to recover first and then foster prevention and maintenance.

What can I expect during a typical Personal Training session?

On your first visit, we perform a functional assessment and get an idea of your current fitness level, with tests for strength, balance, and flexibility. An exercise regimen is then developed based on your fitness status and progressed as your fitness markers change. Re-assessment is performed at every visit as you improve — strengthening muscles that are weak or inhibited, gaining length in muscles that are short, and overcoming challenges to your balance. Beyond muscles and balance, your myofascia is addressed with a short session of self-release techniques — often overlooked in personal training regimens, but an important facet of every thorough workout.

What can I expect during a typical Aquatic Therapy session?

I can come to your pool or, if you are a member of the Waikoloa Village Association, work with you at the WVA pool. Sessions are one hour and involve exercises for your upper and lower body, your core, cardiovascular work, and stretching. Exercises are varied if that is how you work, or we develop a set routine if that works better for you. Enjoy how gentle the water can make your workout feel — and heal at the same time! You’ll notice some fatigue after your workout at first, but as you become more conditioned, your Aquatic Therapy sessions will become invigorating. My Aquatic Therapy patients love their sessions and love getting back to what they love with less pain!