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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Head & Neck
The conditions we see most in desk workers, and the ones most often mistaken for something else.
Headaches and migraines
Tension, cervicogenic and migraine headaches often start in the neck rather than the head.
Neck pain
Stiffness, reduced rotation and pain that refers into the shoulder blade or arm.
TMJ and jaw pain
Clicking, locking, jaw fatigue and the headaches that come with them.
Whiplash and car accident injury
Neck injury from rear end collisions, where symptoms often appear days later.
Text neck and forward head posture
The postural pattern behind most chronic neck and upper back pain in office workers.
Waking up with a stiff neck
Sudden one sided neck pain and loss of rotation after sleeping awkwardly.
Back & Spine
Most of what we treat. These conditions overlap heavily, which is why an exam matters more than a label.
Low back pain
Causes, symptoms and what actually helps, from acute strain to chronic pain.
Sciatica
Sharp pain running from the low back into the buttock and down the leg.
Herniated and bulging discs
When disc material presses on a nerve root, with pain that travels into a limb.
Spinal stenosis
Narrowing of the spinal canal that shortens how far you can walk before stopping.
Degenerative disc disease
Age related disc thinning, and why it does not have to mean chronic pain.
Facet joint syndrome
Localised back pain that worsens with extension and twisting rather than bending forward.
SI joint dysfunction
Pain low and to one side, often mistaken for sciatica or hip pain.
Scoliosis
What chiropractic can and cannot do for a curved spine, honestly.
Shoulder, Arm & Hand
Arm and hand symptoms often originate in the neck, so we examine both.
Shoulder pain
Rotator cuff irritation, impingement and the shoulder pain that comes from the neck.
Frozen shoulder
Progressive loss of shoulder motion, and why early treatment matters here.
Thoracic outlet syndrome
Compression at the base of the neck causing arm heaviness, tingling and weakness.
Carpal tunnel syndrome
Thumb, index and middle finger tingling that is worse at night.
Tennis and golfer's elbow
Tendon pain at the elbow from repetitive gripping, at work or in sport.
Hand tingling and numbness
How to tell carpal tunnel from a neck problem from thoracic outlet syndrome.
Hip, Knee & Foot
Load bearing joints, where the problem is often above or below where it hurts.
Knee pain
Who to see for knee pain and what treatment actually involves.
What is causing my knee pain
Working through the common causes, from meniscus to arthritis to referred pain.
Piriformis syndrome
Deep buttock pain that mimics sciatica but comes from muscle, not disc.
IT band syndrome
Lateral knee and hip pain in runners and cyclists.
Plantar fasciitis
Heel pain worst on the first steps of the morning.
Osteoarthritis
Joint wear in the knee, hip and hand, and what helps you keep moving.
Nerve Pain & Whole Body
Conditions that are not confined to one joint, and where getting the cause right changes everything.
Peripheral neuropathy
Who treats nerve damage, how it is diagnosed, and what can be done about it.
Neuropathy warning signs
The early symptoms, and why numbness replacing pain is a worse sign than pain.
Nerve pain relief
Non drug approaches to burning, shooting and electric nerve pain.
Fibromyalgia
Widespread pain and fatigue, and where manual therapy fits alongside medical care.
Sports & Life Stages
Care matched to what your body is being asked to do right now.
Sports injuries
Assessment and treatment for athletes, from weekend runners to competitors.
Pregnancy
What is safe during pregnancy and what acupuncture is commonly used for.
Fertility support
Acupuncture alongside fertility treatment, and what the evidence supports.
Anxiety and stress
Acupuncture for the physical side of stress, including tension and sleep.
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.