For Motor Vehicle Accident claims: we will bill directly to the responsible auto insurance company.

For Workers’ Compensation claims: we will bill directly to Workers’ Compensation.

For Cash-Pay clients: We 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 to ensure they accept superbills ahead of time.

We are now credentialed and certified with Medicare! I am currently taking Medicare patients!

Therapeutic Connection is in the process of becoming credentialed with Kaiser Permanente and HMSA.

For other insurances, please contact your insurance company to determine what the process is for you to submit a superbill to them so they reimburse you for services you have received and paid at the time of service. 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.

Yes, Therapeutic Connection accepts Cash, Check or Venmo. Our cash-pay rate is $150 per 60-minute session. We offer In-home personal training and Aquatic Therapy, please contact us for pricing details.

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 in regards to how tight your muscles and connective tissue are.

Physical Therapy and Personal Training with a Physical Therapist (PT) 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.

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

Carolyn Silan, PT has participated in extensive and ongoing training, having completed two long term courses, one year-long in Norwegian Manual Therapy and one 3 month long course in Australian Manual Therapy. In addition, Carolyn has done numerous day and up to 4 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 (Certified Ergonomic Assessment Specialist), TMJ, Pelvic Health, Lymphedema, Taping Techniques, Anatomy as well as self study to stay up-to-date on the latest techniques and research.

During a typical physical therapy session at Therapeutic Connection, you will work one-on-one with your therapist for hands-on manual therapy and also hands-on therapeutic exercise to ensure the proper muscles are being recruited!

But first we will learn together what is causing your problem with a thorough initial evaluation.

After evaluation, we will explore the most appropriate techniques to address your unique problem set. This may include performing certain corrective exercises, receiving manual therapy, learning how to perform techniques at home, and managing your condition or injury to initially recover and then foster prevention/maintenance.

On your first visit, we perform a functional assessment and get an idea of your current fitness level. Tests for strength, balance and flexibility are performed. 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, strengthen what muscles are weak or inhibited, gain length in muscles that are short and overcome challenges to your balance.

Beyond muscles and balance, your myofascia is addressed with a short session of self release techniques. Often previously overlooked in Personal Training regimens, this is an important facet of every thorough workout.

I can come to your pool or, if you are a member of the Waikoloa Village Association, I can work with you the WVA Pool!

Sessions are 1 hour in duration 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 come up with a routine if that works better for you.

Enjoy how gentle the water can make your workout feel and heal at the same time! You will notice fatigue after your workout at first and as we progress your workout. As you become more conditioned, your Aquatic Therapy session will become invigorating!

My Aquatic Therapy patients love their sessions and love getting back to what they love with less pain!