Conditions we treat · San Francisco

Conditions We Treat

Chiropractic, acupuncture, dry needling and sports medicine under one roof at our North Waterfront and Telegraph Hill clinics. Below is what we treat most, grouped by where it hurts. No referral needed.

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Back & Spine

Most of what we treat. These conditions overlap heavily, which is why an exam matters more than a label.

Questions before you book

Do I need a referral to be seen?

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No. California is a direct access state for chiropractic, so you can book with us without a referral from a physician. If what you describe at your first visit suggests something outside our scope, we will tell you and help you get to the right person.

What if my condition is not on this list?

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Book anyway, or call and describe it. This page covers what we see most often, not everything we treat. Much of what walks through the door does not arrive with a diagnosis attached, which is what the first visit is for.

How do I know whether I need a chiropractor, an acupuncturist or a physician?

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You usually do not, and that is fine. We have chiropractors and licensed acupuncturists in the same clinic, so the exam decides rather than your initial guess. As a rough guide: mechanical pain that changes with position and movement tends to respond to chiropractic care, nerve pain and inflammation often respond well to acupuncture, and anything with unexplained weight loss, fever, night pain or progressive weakness needs a physician first.

What happens at a first visit?

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A history, a physical examination, and an explanation of what we think is going on before anything is done to you. If we are a good fit you will usually receive treatment in that same visit. If imaging or blood work is needed before treatment, we will say so.

How many visits will this take?

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It depends on what it is and how long you have had it, and anyone who gives you a number before examining you is guessing. Most straightforward mechanical problems improve meaningfully within a handful of visits. Long standing or degenerative conditions are managed rather than cured, and we will be straight with you about which of those you are.

When should I go to a doctor or an emergency room instead?

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Go to an emergency room for loss of bladder or bowel control, numbness through the groin or inner thighs, weakness that is spreading over hours or days, or severe pain after significant trauma. See a physician first for unexplained weight loss, fever alongside back pain, pain that is constant and unrelieved by any position, or a history of cancer with new spinal pain.

Not sure which one you have?

That is normal, and working it out is what the first visit is for. Describe what you are feeling and we will examine it rather than guess from a label.