Pain Management Programs

A Path For Every Stage Of Pain

Whether you’re in crisis, managing something that won’t go away, or protecting the progress you’ve made, there’s a program built around your body and your life.

Start where you are

Which Of These Sounds Like You?

Chronic Pain

“I’m in serious pain and I’m ready to fix it.”

Focused, high-frequency care designed to get you out of pain as quickly as possible.

Chronic Pain

“ This has been bothering me for a while, but my schedule is full.”

One focused session a week, with a plan that keeps you progressing between visits.

Chronic Pain

“I feel good now, and I want to stay that way.”

Ongoing monthly care that protects the results you worked for.

The Programs

Care Designed Around Your Goals

Intensive Care

Best for: pain that’s limiting your daily life and needs focused attention now

For Acute & Severe Pain

When pain is running your day, occasional sessions aren’t enough. These programs bring concentrated care over a short window so your body can break the cycle and start healing. Availability is limited so every client gets my full attention.

Pain Free Pathway

A structured two-week program built from years of clinical experience.

Transformative Relief Program

My most comprehensive, results-based program for complex or long-standing pain.

For busy lives & stubborn pain

Best for: ongoing pain, tightness, or limited mobility when you can come in once a week

Pain Free Pathway: 8-Week Track

Lasting change doesn’t require rearranging your life. The 8-Week Track gives you the same root-cause approach as my intensive programs at a pace that fits a full schedule, so you make steady, real progress without the time commitment.

Protect your progress

Best for: clients who have completed a program and want to keep their results

Monthly Maintenance Membership

Feeling good is worth protecting. Membership keeps you on a steady rhythm of care so small issues are handled before they turn back into pain.

Compare your options

Programs At A Glance

Intensive Programs

  • Best for Acute or Severe Pain
  • Pace - Multiple sessions per week
  • Length - Two weeks to 30 days
  • Between - visits Customized home exercises

Monthly Maintenance Membership

  • Best for clients who have completed a program and want to keep their results
  • Pace - Monthly session

8 Week Track

  • Best for Ongoing pain with a busy schedule
  • Pace - One session per week
  • Length - Eight weeks
  • Between - Home program and weekly check-ins

How it works

Your Journey Begins With A Conversation

As a private clinic, I meet with every new client first. No empty
promises, just honest care.

Request

Fill out the client request form and tell me a little about your pain.

Consult

We talk through your history, your goals, and what your schedule allows.

Choose

Together we choose the program that fits your body and your life.

Maintain

Once you’ve reached your goals, membership helps you keep

Real People Real Results

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TW profile picture
TW
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Karren was terrific from the start. She called me very quickly to complete a consultation and was excited to work with me to find the root cause of my issue rather than just band-aid it. The first session provided relief that I’ve been seeking for years, when nothing else worked. It feels like magic, but it’s really all KARREN’s care, attention, and skill.
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Tana Feeley
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I had total knee replacement in March 2024 & still dealing with swelling and range of motion. After one session w/ Karren I had a huge improvement w/ range of motion with my hip. The cupping reduced the swelling above my knee. She released the tightness in my T-band, lats & hamstring. I was pretty amazed how just one session w/ Karren did so much. She truly listens & gets to work where it matters. I have become a big believer in cupping. Looking forward to more sessions.
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jennie carvalho
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I have been dealing with neck and arm pain for about 4 months not able to find any relief. I started searching and came across Knots Out Pain Relief. Walked in to Karrens office on my first session with 7/10 pain and walked out with none! The pain and heaviness I have been feeling in my arm was gone! Don't know how she did it but I am so grateful to have found her!
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Haru Higa profile picture
Haru Higa
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Going to Knots Out & receiving care from Karen has been such a great experience, I can’t imagine seeing anyone else to help me manage my pain. She really dives into the root of the issues, and if any pain persists, she tries to find more/different solutions to tackle the trouble areas, which I really appreciate, since most doctors like to throw the same physical therapy and pain medication “treatments” at me with no improvement. Karen herself is also such a sweet and friendly person, it’s always a pleasure to see her. Highly recommend Knots Out, well worth the price!
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sean brislin
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Karren was highly recommended by a friend, and did not disappoint. She got into and released years of chronic tension with both knowledge and intuition, using a variety of techniques and movement. Karren really pinpointed my troubled areas and I’m looking forward to continue working with her.
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Earl Sutton profile picture
Earl Sutton
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I can’t say enough good things about Knots Out Pain Relief! I came in dealing with some serious lower back pain, and Karen worked absolute magic. From the moment the session started, she was professional, knowledgeable, and really took the time to focus on the areas that needed attention most. Karen’s technique and attention to detail made a huge difference. By the end of the session, the tension and pain in my lower back had significantly improved. You can tell she genuinely cares about helping people feel better and takes pride in her work. If you’re dealing with muscle pain, tightness, or just need a great massage, I highly recommend checking them out. Huge thanks to Karen for the amazing work, my back definitely appreciates it!
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Royce Dorman
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One visit… and my shoulder pain for 7 years gone! No, the shoulder isn’t completely fixed, but the pain is at least gone. That is step one. I’m so excited for my future visits and thankful!! Do it!
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Amber Carrillo
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I’ve been dealing with heel pain and a heel spur for a long time and stumbled onto Karren’s website one night while searching for mayofascia release therapy. I’ve been to lots of massage and physical therapists but Karren is different as she tries to really target the specific issue you are dealing with and with techniques I haven’t experienced with other therapists. Have gone a couple times so far and have had tremendous results in just the few short sessions. Today was the first time in a long time I was walking around with no pain in my heel and I know it’s because of the work she has been doing on my leg. Highly, highly recommend ❤️
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Graham profile picture
Graham
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Karren is such a wonderful and kind person. She has helped me regain my range of motion and honestly she is the best massage therapist I have ever been to! 10/10
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Kendall Krumm
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Karren is hands down the best massage therapist I’ve been to on island. As a therapist myself, I know what it takes to achieve pain free results for clients. Karren has a deep understanding of the body and what specific massage techniques are required to improve any muscular-skeletal issue. Highly recommend her to anyone with serious chronic and acute pain, especially related to injuries and an active lifestyle.

Questions

Program FAQ

If you have any other Question not answered here please call or text.

Do I need to choose a program before my consultation?

I begin with a consultation where you share details about your pain or mobility issue. This helps me determine if I am the right fit I only move forward if I’m confident we can help. If not, I’m happy to refer you to a trusted specialist for your pain relief needs. 

How do I know if I need an intensive program?

I specialize in pain relief, chronic pain, shoulder and hip mobility issues, and low back discomfort. My focus is on identifying root causes and restoring movement so you can return to the activities you love.

What if I can’t come in several times a week?

Not quite. I am a private, results driven practice that focuses on long-term healing & pain relief not temporary relaxation. Every session is intentional, with a plan designed specifically for your needs.

What happens after I finish a program?

Frequency depends on your condition and treatment goals. Some clients find pain relief after a few sessions, while others benefit from ongoing support. I’ll create a custom plan during your initial consultation to achieve pain relief & 

How is the investment determined?

Frequency depends on your condition and treatment goals. Some clients find pain relief after a few sessions, while others benefit from ongoing support. I’ll create a custom plan during your initial consultation to achieve pain relief & 

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