Chiropractic adjustments
Best for: Back pain, neck pain, stiffness, headaches
Chiropractic adjustments
Gentle, precise adjustments that restore joint motion in your spine and extremities.
Learn moreOur services · North Waterfront & Telegraph Hill
19 treatments under one roof, from chiropractic adjustments and spinal decompression to acupuncture, shockwave, neuropathy care and medical weight loss. Our chiropractors, acupuncturists and physician work as one team, so your plan fits your body and your goals.

01
Hands-on care for your spine and joints, plus non-surgical options for disc and nerve pain.
Best for: Back pain, neck pain, stiffness, headaches
Chiropractic adjustments
Gentle, precise adjustments that restore joint motion in your spine and extremities.
Learn more →Best for: Herniated or bulging discs, sciatica, stenosis
Spinal decompression therapy
Controlled traction on a DOC decompression table that takes pressure off discs and nerves.
Learn more →Best for: Disc pain, radiating arm or leg pain
Disc herniation treatment
A non-surgical plan for herniated and bulging discs in the low back and neck.
Learn more →Best for: Sciatica, piriformis syndrome, leg numbness
Sciatica treatment
Find and treat the source of nerve pain that runs from the low back down the leg.
Learn more →02
Treatment for muscles, tendons and fascia, so you recover faster and keep doing what you love.
Best for: Shin splints, carpal tunnel, plantar fasciitis
Active Release Technique (ART)
Movement-based soft-tissue release for adhesions in muscles, tendons and nerves.
Learn more →Best for: Tennis elbow, Achilles and heel pain, strains
Graston Technique
Instrument-assisted soft-tissue therapy that breaks up scar tissue and tight fascia.
Learn more →Best for: Sports injuries, return to training
Sports medicine
Injury care and performance support for runners, lifters, golfers and weekend athletes.
Learn more →Best for: Muscle tension, stress, recovery
Massage therapy
Therapeutic massage that relaxes tight muscles and supports your treatment plan.
Learn more →Best for: Runner's knee, outer hip pain
IT band syndrome treatment
Targeted care for outer-knee and hip pain from a tight iliotibial band.
Learn more →Best for: Flat feet, plantar fasciitis, knee and back strain
03
Licensed acupuncturists at our 150 Lombard Street clinic, coordinated with your chiropractic care.
Best for: Pain, stress, sleep, migraines, fertility, menopause
Acupuncture
Fine, sterile needles that relieve pain, calm the nervous system and support whole-body health.
Learn more →Best for: Muscle knots, sports injuries, back and neck pain
Dry needling
Trigger point needling that releases stubborn muscle knots and restores range of motion.
Learn more →Book a first visit. We'll examine you, explain what's going on and recommend the right mix of treatments. No referral needed.
04
Drug-free technology that speeds healing and reduces pain in tendons, joints and soft tissue.
Best for: Plantar fasciitis, tendinopathy, calcific shoulder
Shockwave therapy
Acoustic waves that stimulate healing in stubborn tendon, heel and joint pain.
Learn more →Best for: Acute injuries, arthritis, post-surgical pain
Best for: Muscle strains, tendonitis, bursitis
Ultrasound therapy
Therapeutic ultrasound that warms deep tissue and improves circulation.
Learn more →Best for: Recovery, inflammation, skin
Red light therapy
Low-level light therapy that supports recovery, circulation and skin health.
Learn more →05
Programs that look beyond the spine, at nerves, metabolism and overall health.
Best for: Peripheral neuropathy, diabetic neuropathy
Neuropathy treatment
A full program for numbness, tingling and burning in the feet and hands.
Learn more →Best for: Weight loss, metabolic health
Medical weight loss (GLP-1)
Physician-prescribed semaglutide or tirzepatide with labs and monthly check-ins.
Learn more →06
Non-invasive treatment for loose skin and stubborn areas.
Best for: Loose skin after GLP-1 weight loss, postpartum, menopause
T-Shape 2 skin tightening
Non-invasive radiofrequency skin tightening for the face, neck and body.
Learn more →Find the right treatment
Here are the treatments we most often use for common problems. Your actual plan depends on your exam, and many patients combine two or three.
One team, one plan
We take your history, test how you move and find the source of the problem, not just where it hurts.
We recommend the treatments that fit your condition and goals, and explain why.
Chiropractors, acupuncturists and our physician share notes, so treatments work together instead of in isolation.
Exercises, ergonomics and check-ins that help keep pain from coming back.
Your care team
Two clinics, minutes apart
North Waterfront · San Francisco, CA 94133
Chiropractic, decompression, soft tissue, shockwave, laser, neuropathy, weight loss, T-Shape 2 and more.
Telegraph Hill · San Francisco, CA 94111
Acupuncture and dry needling.
TruSpine offers chiropractic adjustments, spinal decompression, disc herniation and sciatica treatment, Active Release Technique, Graston Technique, sports medicine, massage therapy, custom orthotics, acupuncture, dry needling, shockwave therapy, laser therapy, ultrasound therapy, red light therapy, neuropathy treatment, physician-supervised GLP-1 medical weight loss and T-Shape 2 skin tightening.
You don't need to choose before you come in. At your first visit, we take your history, examine you and recommend the treatments that fit your condition and goals. Many plans combine two or three therapies. The condition guide above shows what we most often use for common problems.
No. You can book with any of our chiropractors or acupuncturists directly, online or by phone at (415) 421-1115.
We work with many in-network and out-of-network plans. Call us and we'll check your benefits before your first visit. Payment plans are available too.
Yes, and most patients do. For example, a visit might combine a chiropractic adjustment with soft-tissue work, shockwave or laser therapy. Your provider will build each visit around your plan.
Acupuncture and dry needling are at 150 Lombard Street, Suite 2 in Telegraph Hill. All other services are at 50 Francisco Street, Suite 257 in North Waterfront. The two clinics are a few minutes apart.
Both clinics are open Monday to Friday, 8am to 6pm.
Yes. Most of our services, including chiropractic care, spinal decompression, shockwave, laser therapy, acupuncture and dry needling, are drug-free and non-surgical. Medical weight loss is the exception: it uses prescription GLP-1 medication from a board-certified physician.
Book with a San Francisco chiropractor or acupuncturist today. No referral needed.
Individual results vary. Your provider will recommend treatments after an exam. This page is for informational purposes and is not medical advice.