Has your pain survived treatment?
After 25 years, one pattern holds: chronic pain that survives treatment almost always has a root cause no one looked for.
No waiting weeks to be heard — I’ll personally connect with you within 24 hours.
Fellowship-Trained Physical Therapist · 25 Years Clinical Experience
Private Practice · Cash-Pay · Serving Maui
The Work
Pain that resolves with treatment is a symptom problem. The source was addressed — or healed on its own — and the pain left with it.
Pain that survives treatment is a different problem. The symptom was treated repeatedly. The source wasn’t found. So the pain returns to exactly where it started, because nothing upstream has changed.
This is the pattern I see most often in people who come here: not that their previous care was poor, but that it was aimed at the right place for the wrong reason. The shoulder was treated. The movement pattern driving the shoulder problem wasn’t. The back was worked on. The reason the back keeps loading the same way wasn’t.
The first session is almost always diagnostic in a way imaging isn’t. Imaging shows structure. It doesn’t show how you load a joint, how your nervous system has learned to guard a region, or where the original compensation began. That’s what the work finds. And once it’s found, most people feel a real shift the same day — not because something was fixed in an hour, but because something was finally addressed.
The connections between regions — that’s usually where the interesting stuff is.
Evidence
After every session, patients write what they noticed. These are the pages.
Hover to read · Click to enlarge
It’s better, yeah it’s better, much better. I thought it was permanent.
The Guarantee
You decide what counts as a shift. Not a scale, not a checklist — you know your body, and you’ll know if something changed. This offer exists because it rarely applies. The notebook is the reason it rarely applies.
Or call or text: (503) 470-1620
The Sessions
The Discovery Session is where most people begin.
$300
The first session. A full root cause assessment followed by treatment. You’ll leave knowing what’s actually driving the pain — and most people feel a real shift before they go. Covered by the guarantee.
For: anyone starting out, or anyone who’s been told “we can’t find anything wrong.”
About the cost of one specialist consult — for the session that finds what they didn’t.
Reserve — $300$1,100/mo
Weekly 60-minute sessions over one month. Built for conditions that need sustained attention — where the first session found the root cause and the work is unwinding it. Steady progress, consistent access.
For: chronic pain that needs more than one visit to fully resolve.
A month of sustained work on the cause the first session found.
Begin — $1,100/mo$2,000
More total hours, compressed timeline. For complex or long-standing conditions where a month of weekly sessions isn’t enough. The goal is resolution, not management.
For: pain that’s lasted years, or that hasn’t responded to extended treatment elsewhere.
Built for pain measured in years, not months.
Reserve — $2,000$1,750
One session, comprehensive. Full assessment, treatment, movement work, and integration — everything in a single morning or afternoon. No return visits required to get the full picture.
For: visitors, executives, or anyone who wants a complete session rather than an ongoing commitment.
The complete arc — assessment to integration — in a single afternoon.
Reserve — $1,750Payment secures your session. Rajesh will reach out personally within 24 hours to confirm your date, time, and location. Not sure where to start? The free 15-minute conversation is the right first step.
Straight Answers
We start with a conversation — what hurts, what you’ve tried, what happened. Then a full assessment: how you move, how you load, where your body has learned to guard. That usually points somewhere other than where it hurts. I treat what I find, then we reassess the original pain so you can feel the difference before you leave. At the end, most people write down what they noticed. That’s where the notebook pages come from.
Good — that tells me something useful. PT that doesn’t work usually means the right area wasn’t treated, not that the condition is untreatable. I’ve had people come in after two years of shoulder PT where the shoulder was completely fine. The problem was in the neck the whole time. Once that was addressed, the shoulder resolved. The notebook has a few of those.
The credential is PT — fellowship-trained, 25 years. The approach is not what most people mean when they say PT. No exercise sheets, no billing codes, no 45-minute slots. What I actually do is find where a problem originates and treat that — which is sometimes three regions away from where it hurts. Whether you call it physical therapy or something else is less important than whether it works.
A surgical recommendation is worth taking seriously — something real usually showed up on imaging. What imaging doesn’t tell you is whether the pain is coming from that structure or from the way your body has been loading it for years. Those are different problems with different solutions. I’ve worked with people who came in after a surgical consult and found enough functional change in the first few sessions that surgery became a later conversation. Some still had surgery eventually. Some didn’t need to.
I can’t give you a number before the first session. What I can tell you is that most people leave the Discovery Session knowing more about their pain than they learned in months of previous treatment. The timeline conversation happens at the end of that session — once there’s actually something to base it on.
Because the session needs to go where the assessment leads. Insurance reimburses 45 minutes of standardized treatment. Finding that your shoulder pain starts in your neck, then addressing the neck, then reassessing the shoulder — that takes 90 minutes and doesn’t fit a billing code. Cash-pay is what makes the actual work possible.
Hip, knee, shoulder, neck, back, foot. And the connections between them — which is usually where the interesting stuff is. If you’re not sure whether your situation is a fit, the 15-minute call is the right place to start. I’ll tell you honestly if it is or isn’t.
About
I’ve been a physical therapist for 25 years. Fellowship-trained through AAOMPT — the advanced clinical track most PTs don’t pursue — and certified in orthopedic manual therapy since 2001. I also hold a certification in NeuroChangeSolutions, which shapes how I think about the nervous system’s role in persistent pain.
My practice in Kihei runs alongside my clinical work at Ace Physical Therapy. The private sessions are intentionally small — a handful of people at a time — because the work requires full attention and there’s no version of it that scales without losing what makes it effective.
The notebook started because I kept seeing the same pattern: people who had been through the system and were told there was nothing more to do. Most of them changed significantly in the first session. I started writing it down because the pattern kept surprising me, even after 25 years.
Thanks for visiting. I hope we get the chance to talk soon.
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