
Specialized massage therapy in Kailua, Hawaiʻi, focused on chronic pain, mobility, and long-lasting relief — so you can move freely and feel fully restored.
Welcome to wellness bliss
Over a decade of focused care relieving shoulder, hip, and low back pain — right here in the heart of Kailua.
My results speak for themselves — clients keep coming back because their pain doesn’t.
Calm, professional, and created for healing — my space is built to restore both your body and peace of mind.
Recovery at its Finest

Tight hips often cause misalignment and discomfort in other areas of the body. My therapy sessions release deep tension, enhance flexibility, and help restore smooth, pain-free movement tailored to your needs.

Chronic pain doesn’t have to define your everyday life or limit your potential. Instead of masking symptoms, we work closely with you to build a plan that addresses the real sources of pain and discomfort.

Shoulder pain can make even basic tasks feel difficult or frustrating. With me, I go beyond the surface to address the root of your discomfort, improve motion, and help restore fluid, pain-free movement.
My Philosophy
My philosophy is rooted in empathy, education, and intention. As a more private clinic, I consult with new clients first to ensure we’re the right fit and can truly help — no empty promises, just honest care. I go beyond surface-level relief by addressing the root causes of chronic pain and mobility issues through a personalized approach. Every session is a collaboration — built on trust, communication, and techniques designed to restore not just your body, but your peace of mind.
Posted on Haru HigaTrustindex verifies that the original source of the review is Google. 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!Posted on sean brislinTrustindex verifies that the original source of the review is Google. 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.Posted on Earl SuttonTrustindex verifies that the original source of the review is Google. 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!Posted on Royce DormanTrustindex verifies that the original source of the review is Google. 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!Posted on Amber CarrilloTrustindex verifies that the original source of the review is Google. 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 ❤️Posted on GrahamTrustindex verifies that the original source of the review is Google. 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! 10/10Posted on Kendall KrummTrustindex verifies that the original source of the review is Google. 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.Posted on Alexandria KillianTrustindex verifies that the original source of the review is Google. I was in so much pain from my bilateral labrum tear and horrible sciatica that I was about to go to the ER and cancel my first appointment with Karren. Thank God I didn't do that ! Pretty much immediately after my session, my sciatica pain dropped dramatically — from unbearable to something I could finally manage. The relief was unbelievable. She clearly understands the body and knows exactly how to target pain and tension in a way that actually works. I have set up regular sessions now and its literally the highlight of my week. If you’re dealing with chronic pain or injuries, go see her — you won’t regret it. She’s an absolute professional, intuitive, receptive, educated, experienced and truly gifted at what she does. Highly, highly recommended and highly recommend booking asap, don't even give it a second thought - call and schedule! The best investment you can make is one for your health these appointments are an investment in your health with a phenomenal return.Posted on Lauren JohnsonTrustindex verifies that the original source of the review is Google. Karren does an incredible job - not only does she truly get the knots out, but she also takes the time to educate you along the way. She uses a variety of techniques to ensure you leave feeling both relaxed and relieved from any chronic pain, muscle aches, or tightness. I always walk out feeling so much better than when I came in with a benefit that stays with you. Highly recommend!Posted on Kelsey WilkinsonTrustindex verifies that the original source of the review is Google. For over month, I’d been experiencing limited range of motion and significant neck pain every time I turned my head to the right. This issue progressed with no noticeable improvement and began to impact daily activity as it was present every time I turned my head, I asked around to see if anyone knew a good massage therapist and thank God my coworker connected me with Karren. I sent her a brief text about what’s been going on and she quickly responded and then gave me a call so she could ask further questions to be able to really get an understanding about what’s going on and how she can address it. I went in to see her today and was absolutely blown away by her knowledge of the body, her passion for her craft, and her ability to fix things. She worked out knots and tension in areas that had been completely brushed over by any massage therapists I’ve gone to in the past. I was astonished at how much tension I was holding in areas and the relief she provided was amazing. I walked in to the session like a rusty broken machine and now when I turn my head it literally moves like butter. I immediately booked my second session for next week and couldn’t be more excited. Right when I walked out I texted my friend saying “Karren is a magical wizard sent from the heavens”. I would recommend Knots Out Pain Relief to anyone!!!
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.
I specialize in 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.
Not quite. I am a more private, results-driven practice that focuses on long-term healing — not temporary relaxation. Every session is intentional, with a plan designed specifically for your needs.
Frequency depends on your condition and treatment goals. Some clients find relief after a few sessions, while others benefit from ongoing support. I’ll create a custom plan during your initial consultation.