Hawaii Shoulder & Orthopedic Institute

09/25/2026

Real stories, real healing. 💙 At HISOI, "care" means more than treating the joint — it means walking every patient through their journey, start to finish.

Swipe through to hear it in their own words. ➡️

09/24/2026

The #1 Stretch for Shoulder Rotation & Stiffness 🛌💪

Struggling with internal or external shoulder rotation pain?

In this demonstration, Dr. Jay Boughanem demonstrates the Sleeper Stretch—one of the most critical exercises to restore deep shoulder joint mobility and relieve stiffness associated with rotator cuff tears or impingement.

How to Perform the Sleeper Stretch:

🛌 Side-Lying Position: Lay on your side with your target elbow directly in front of you.

🫱 Controlled Guidance: Use your opposite hand at the wrist to gently guide the arm down toward the table.

🫁 Inhale for Effort: Take a deep breath in through your nose to apply gentle pressure into the resistance/stiffness.

😮‍💨 Exhale for Relaxation: Exhale to relax the shoulder girdle musculature, allowing the joint to lengthen naturally. Repeat 15–20 times for both internal and external rotation.

📺 Watch the full video here: https://youtu.be/J11qQpzR1Xc?si=eC0D_-lXM4wTJpFH

👇 Struggling with rotational shoulder pain? Save this post and consult with our orthopedic team!

🌐 Website: www.hisoi.com

📞 Call Us: 808-731-5544

09/18/2026

The "Lazy Stretch" for Stiff Shoulders & Rotator Cuff Tears 🛌✨

Struggling with shoulder stiffness or trouble lifting your arm overhead?

In this demonstration, Dr. Jay Boughanem shows how to perform the Biphasic "Lazy Stretch"—a gentle technique designed to regain forward flexion range of motion without straining your joint!

How to Perform the Biphasic Stretch:

🛌 Lying Flat: Lay completely flat to eliminate gravity's pull on your shoulder.

🫱 Hand Behind Elbow Assist: Place your non-affected hand behind your opposite elbow to guide the arm upward toward your ear.

🫁 Inhale for Pressure: Take a deep breath in to create slight resistance/awareness against the elbow.

😮‍💨 Exhale to Relax: As you exhale, relax the shoulder girdle muscles to let the joint sink into a deeper stretch. Hold for 20–30 breaths.

📺 Watch the full video here: https://youtu.be/J11qQpzR1Xc?si=eC0D_-lXM4wTJpFH

👇 Struggling with shoulder stiffness or rotator cuff pain? Save this post and consult with our orthopedic team!

🌐 Website: www.hisoi.com

📞 Call Us: 808-731-5544

09/16/2026

How to Exercise a Torn Rotator Cuff Without Pain 🩻💪

Struggling with sharp shoulder pain whenever you lift your arm overhead?

In this demonstration with Kayla, Dr. Jay Boughanem shows how to safely target and strengthen the rotator cuff muscles (supraspinatus and subscapularis) without provoking pain!

The 45-Degree Recline Technique:

🛋️ Recline at 45°: Laying back reduces gravity's load on the shoulder joint, allowing you to lift the arm halfway without reaching the painful zone.

🔄 Small Arm Circles: Perform small controlled circles (clockwise and counterclockwise) to engage the tendons smoothly.

⏸️ Isometric Hold: If your shoulder gets tired, simply hold the arm still to build strength without joint friction.

📐 3 Angles: Progress through forward, mid-range, and abduction positions as pain improves.

📺 Watch the full video here: https://youtu.be/J11qQpzR1Xc?si=eC0D_-lXM4wTJpFH

👇 Dealing with rotator cuff pain or recovering from a shoulder injury? Save this post and consult with our orthopedic team!

🌐 Website: www.hisoi.com

📞 Call Us: 808-731-5544

09/15/2026

We’re hiring APRNs, PAs, NPs to join our dynamic Orthopedics team here at Hawaii Shoulder & Orthopedic Institute!

Whether you're an experienced ortho pro, a PA with an interventional pain management background, or a motivated new grad ready to learn (we provide injection and surgical training!), we want to hear from you.

Why You’ll Love This Role

Competitive Pay: $120,000 – $160,000 / year
Location: Live and work in beautiful Hawaii 🌺 (In-person role)
Growth: Hands-on experience with surgical procedures, injections, and comprehensive patient care in a collaborative environment

What You’ll Do

- Evaluate, diagnose, and manage acute & chronic orthopedic conditions
- Order/interpret imaging and labs, and build tailored treatment plans with our physicians
- Perform patient education, follow-ups, and assist with procedures
- Maintain accurate, timely clinical documentation

What We’re Looking For
- Active Hawaii License (APRN, NP, CNS, or PA) required
- Orthopedic or Interventional Pain Management experience preferred
- New grads with a passion for ortho are strongly encouraged to apply!

Send us a DM or click the link https://forms.gle/EAAhM2LNGUXuh742A to apply. 📥✨

09/12/2026

We are looking for an experienced Medical Billing Specialist (Remote) to join our growing healthcare team!

Qualifications
• At least 2 years of experience in medical billing
• Strong knowledge of medical billing processes, insurance claims, and payment posting
• Experience with claims submission, follow-ups, denials, and insurance verification
• Strong attention to detail and organizational skills
• Ability to work independently and effectively as part of a team
• Excellent communication and problem-solving skills

Preferred Experience
Experience in the following areas is a plus:
• DME (Durable Medical Equipment) billing
• Physical Therapy billing
• Imaging/Radiology billing
• Knowledge or experience using Elations EMR

What We Offer
• Opportunity to work with a growing healthcare team
• Supportive and professional work environment
• Opportunities for growth and development
• Meaningful work supporting patient care

Compensation: Competitive salary — details to be discussed during the hiring process.

How to Apply
Interested candidates may apply through this link or through the QR code on the post: https://forms.gle/i8s7T3TooTmHVZBu7

09/09/2026

What is PRP Therapy & How Does It Work? 🩸🧪

Curious how Platelet-Rich Plasma (PRP) therapy actually works to heal painful joints and tendons?

In this clip, Dr. Jay Boughanem breaks down the complete PRP process:

Blood Draw: A small sample of your own blood is drawn.

Centrifugation: The sample is placed in a specialized centrifuge that spins and separates the blood into distinct layers.

Extraction: We extract the concentrated platelet and plasma layer, rich in natural growth and healing factors.

Targeted Injections: Injected into painful joints or tendons across the body—including shoulders, elbows, hips, knees, ankles, wrists, and hands!

📺 Watch the full video here: https://youtu.be/1h1btWDCTws?si=D8snm08LzD9N9O3Z

👇 Experiencing chronic joint pain or tendonitis? Contact Hawaii Shoulder & Orthopedic Institute to learn if PRP is right for you!

🌐 Website: www.hisoi.com

📞 Call Us: 808-731-5544

09/05/2026

When a tear is high-grade, "trimming" the meniscus isn't always the answer—Repair is the goal. 🎥

Doc Jay performs Arthroscopic Meniscal Repair with millimetric accuracy. Using 4K scope technology, we re-anchor the cartilage back to its original position, preserving as much of your "natural cushion" as possible. This is the final stage of Full-Cycle Restoration, designed to keep you off the "replacement" track. 🏁

Does your knee feel like it's "catching" or "locking"? Comment "KNEE" to learn more about preservation.

09/05/2026

09/04/2026

When cartilage begins to thin, we look to your own biology for the solution. PRP (Platelet-Rich Plasma) Therapy delivers a concentrated dose of growth factors directly into the joint. 💉

Think of it as "re-greasing" the engine and sending in a "precision repair crew." 󰠻 By jumpstarting the repair of the synovial lining and reinforcing the meniscus structure, we achieve restoration without the use of synthetic drugs. 🌱