About SF Custom Chiropractic

Dr. Adam Jacobs founded SF Custom Chiropractic in 2011 after discovering the transformative power of chiropractic care firsthand. A wakeboarding accident left him with a debilitating back injury, and it was chiropractic treatment that got him back on his feet and back on the water. That experience ignited a passion that would define his career.

After earning his BS in Biology from UC Santa Cruz, Dr. Jacobs pursued his Doctor of Chiropractic degree at Palmer College of Chiropractic West in San Jose. During his training, he completed an internship treating Olympic athletes in Park City, Utah, where he developed his specialty in high-performance sports chiropractic care.

Since founding SFCC, Dr. Jacobs has expanded the practice to three San Francisco locations, building a reputation as one of the city’s most sought-after chiropractors. He was named among the Top 5 Bay Area chiropractors on the ABC 7 A-List from 2012 to 2014, and earned Best Chiropractor honors from ABC 7, 7x7 Magazine, and SF Weekly consecutively from 2015 through 2022.

Dr. Jacobs has treated professional athletes across Major League Baseball, the NFL, NBA, and PGA Tour. His event credentials include serving as on-site chiropractor at Outside Lands Music Festival, the AVP San Francisco Open, and the US Open Golf Championship. He holds certifications as a TPI (Titleist Performance Institute) Medical Practitioner, Functional Movement Screen Practitioner, and Full Body Active Release Techniques provider.

Dr. Jacobs has relocated to Spokane, Washington and no longer accepts new patients. He continues to see existing patients one week per month at the San Francisco practice.

Dr. Raymond Pulmano’s path to chiropractic began as a patient at SF Custom Chiropractic. After a motor vehicle accident left him searching for answers, it was the care he received at SFCC that introduced him to the profession and ultimately changed the trajectory of his career.

Holding a BS in Chemistry from UC Santa Cruz, Dr. Pulmano went on to earn his Doctor of Chiropractic from Palmer College of Chiropractic West in San Jose. He completed a six-month clinical internship at SFCC before joining the practice full-time in January 2018. His clinical excellence was recognized early, earning the Clinical Excellence Award from Palmer College in December 2017.

Dr. Pulmano served as part-time faculty at Palmer College of Chiropractic from 2021 to 2023, mentoring the next generation of chiropractors while continuing to grow his clinical expertise. He is a Full Body and Elite Active Release Techniques provider and was selected as an ART Brand Ambassador in 2023, a distinction recognizing his mastery of the technique. He also holds Functional Movement Taping certifications at Levels 1 and 2.

His dedication to sports medicine extends beyond the clinic. In 2022, Dr. Pulmano was part of the treatment team at the IronMan World Championship in Kona, Hawaii, providing care to elite endurance athletes competing on the world stage.

Outside the office, Dr. Pulmano serves as a Board Director for the Cheer For Life Foundation and is an active performer and choreographer with Cheer San Francisco. He also plays in the San Francisco Gay Softball League. He practices out of the Castro location.

Dr. Scott Mills brings a hands-on, movement-first approach to chiropractic care at SF Custom Chiropractic. As the creator of “The Full Body Fix,” a corrective exercise video series, Dr. Mills is passionate about empowering patients with the tools and knowledge to maintain their results long after they leave the treatment room.

A Titleist Performance Institute (TPI) Certified Medical Level 3 practitioner and Active Release Techniques (ART) certified provider, Dr. Mills specializes in the intersection of sports performance and injury prevention. His expertise in golf biomechanics helps golfers at every level optimize their swing mechanics while protecting their bodies from repetitive strain injuries.

Dr. Mills is a regular presence at athletic events throughout the Bay Area, providing on-site chiropractic care to CrossFit competitors, endurance athletes, and weekend warriors alike. His background in corrective exercise and ergonomic workplace implementation makes him a go-to resource for patients dealing with desk-related pain, postural dysfunction, and movement limitations.

Beyond clinical practice, Dr. Mills is an avid weight trainer and golfer. He has coached CrossFit and powerlifting, bringing firsthand understanding of what it means to push the body to its limits and recover intelligently. He is married to Diane Sanfilippo, founder of Balanced Bites, and lives in Marin County.

Dr. Mills practices out of the Russian Hill/Wharf location. His hours are Monday 8:20 AM to 6:00 PM, Tuesday 9:00 AM to 5:00 PM, Wednesday 8:20 AM to 6:00 PM, and Saturday 9:00 AM to 12:00 PM.

Dr. Jessica Dzieszko brings a unique blend of movement science expertise and clinical precision to her chiropractic practice at SF Custom Chiropractic. Growing up in Windsor, Ontario, she was a competitive and professional dancer, an experience that gave her an intimate understanding of how the body moves, performs, and breaks down under physical demand.

Dr. Dzieszko earned her Bachelor of Human Kinetics with Honors in Movement Science from the University of Windsor, where she developed a deep foundation in biomechanics, anatomy, and exercise physiology. She then pursued her Doctor of Chiropractic degree at New York Chiropractic College, graduating summa cum laude, a distinction reflecting her academic excellence and dedication to the profession.

During her training, Dr. Dzieszko completed a remote clinical clerkship at a private neurology clinic, where she gained specialized experience treating patients with chronic pain conditions and advanced neurological disorders. This exposure gave her a nuanced understanding of complex pain presentations and the importance of a thorough, evidence-based approach to patient care.

Her treatment style integrates chiropractic adjustments with Active Release Techniques, Graston Technique, and individualized exercise prescription. Whether helping a patient recover from an acute injury or building a long-term plan for pain prevention, Dr. Dzieszko focuses on identifying the root cause and creating lasting solutions.

Outside the clinic, Dr. Dzieszko stays active with CrossFit, spinning, pilates, and hiking throughout the Bay Area. She practices out of both the Russian Hill and Mission Bay locations.

Dr. Tracy Yu is a San Francisco native whose journey into chiropractic care started right at SF Custom Chiropractic. Before becoming a doctor, she worked as a chiropractic assistant at the practice, gaining firsthand insight into the impact that quality chiropractic care can have on patients’ lives. That experience, combined with her own basketball-related injuries, reinforced her commitment to pursuing a career in healthcare.

Dr. Yu earned her BS in Psychology from UC Davis before going on to complete her Doctor of Chiropractic degree at Southern California University of Health Sciences. Her psychology background gives her a holistic perspective on patient care, understanding that pain and recovery involve both the body and the mind.

Her clinical approach centers on spinal adjustments, Active Release Techniques, soft tissue therapy, rehabilitation protocols, and nervous system optimization. Dr. Yu believes in treating the whole person rather than chasing symptoms, working with each patient to identify underlying dysfunction and build a personalized plan for recovery and long-term wellness.

Having grown up in the city and experienced the SFCC culture from the inside as both a staff member and a patient, Dr. Yu brings a genuine connection to the practice and the community it serves. She understands the demands that city life, desk work, and active lifestyles place on the body, and she tailors her treatment approach accordingly.

When she is not in the clinic, Dr. Yu enjoys traveling, weightlifting, hiking, basketball, sneaker collecting, and photography. She is a devoted fan of the San Francisco Giants, 49ers, and Warriors.

Katherine Chen brings an extraordinary breadth of education and life experience to her acupuncture and herbal medicine practice at SF Custom Chiropractic. Her path to Eastern medicine was anything but conventional. After earning her BS in Nutrition and Biochemistry from Cornell University and her MBA from the Wharton School at the University of Pennsylvania, Katherine built a successful career in the corporate world before a life-changing event redirected her focus.

A serious ski accident resulting in multiple injuries and a traumatic brain injury became the catalyst for her transition into traditional Chinese medicine. When Western medicine alone could not fully address the complexity of her recovery, Katherine turned to acupuncture and herbal therapy and experienced firsthand the profound healing these modalities can provide. That experience compelled her to pursue her MS in Traditional Chinese Medicine at the University of East-West Medicine.

Katherine studied under Dr. LieZhen Wang of Peking Union Medical College Hospital and Brian Dempsey, deepening her expertise in classical Chinese medicine techniques and their application to modern health challenges. Her clinical specialties include pain management, post-orthopedic surgery recovery, traumatic brain injury and concussion treatment, headaches and migraines, women’s health including IVF preparation, and chronic disease management.

Her unique combination of Western scientific training and Eastern medical practice allows her to bridge both worlds, offering patients a truly integrative approach to healing. Katherine is fluent in English and Mandarin Chinese, enabling her to serve the diverse San Francisco community.

Katherine practices at the Mission Bay location on Fridays from 2:00 PM to 6:00 PM.

Alessandra Young is a certified acupuncturist at SF Custom Chiropractic, where she provides targeted acupuncture treatments to complement the practice’s comprehensive approach to patient care. Her treatments focus on pain relief, stress management, and supporting the body’s natural healing processes.

Working alongside the chiropractic and massage therapy teams, Alessandra helps patients address musculoskeletal pain, tension, and chronic conditions through the precise placement of acupuncture needles. Her approach is patient-centered and collaborative, ensuring that each session is tailored to the individual’s specific needs and health goals.

Alessandra is dedicated to helping San Francisco residents find balance and relief through the time-tested principles of acupuncture therapy.

Beth Binegar is a licensed massage therapist at SF Custom Chiropractic specializing in advanced deep tissue massage and myofascial release. Her skilled, therapeutic approach targets the deeper layers of muscle and connective tissue where chronic tension, adhesions, and movement restrictions often originate.

Beth works closely with the chiropractic team to ensure that her massage treatments complement and enhance each patient’s overall care plan. Whether a patient is recovering from an injury, managing chronic pain, or looking to improve mobility and range of motion, Beth applies focused, deliberate pressure to release stubborn tension patterns and restore functional movement.

Her expertise in myofascial release allows her to address the fascial system directly, helping to break up restrictions that contribute to pain and postural imbalances. Patients appreciate her thorough, results-driven style and her ability to find and address problem areas effectively.

Ryan Magner is a licensed massage therapist at SF Custom Chiropractic who brings focused expertise in deep tissue, trigger point, and sports massage. His treatments are designed to address the specific demands of active individuals and athletes, helping patients recover faster, move better, and stay injury-free.

Ryan’s deep tissue work targets chronic muscle tension and structural imbalances, while his trigger point therapy zeroes in on the concentrated areas of tightness that can refer pain to other parts of the body. His sports massage techniques are tailored to both pre-event preparation and post-event recovery, making him a valuable part of the SFCC care team for patients with active lifestyles.

Working in coordination with the chiropractors at SFCC, Ryan ensures that his massage treatments support each patient’s broader treatment goals and contribute to lasting results.

Serhat Tongur is a licensed massage therapist at SF Custom Chiropractic with a diverse skill set that extends well beyond traditional massage. His specialties include sports massage, cupping therapy, instrument-assisted soft tissue mobilization (IASTM), and lymphatic drainage, giving him a broad toolkit to address a wide range of patient needs.

Serhat’s sports massage work helps athletes and active individuals recover from training, competition, and injury. His cupping therapy and IASTM techniques break up fascial adhesions and improve blood flow to damaged tissues, accelerating the healing process. For patients dealing with swelling, post-surgical recovery, or immune system support, his lymphatic drainage work promotes the body’s natural detoxification and fluid management systems.

This combination of modalities makes Serhat a versatile member of the SFCC team, capable of creating customized treatment sessions that target each patient’s unique conditions and recovery goals.

Ekevara Kitpowsong is a licensed massage therapist at SF Custom Chiropractic specializing in neuromuscular massage therapy. This advanced technique focuses on the relationship between the nervous system and the muscular system, targeting the specific nerve-muscle interaction points where pain and dysfunction originate.

Neuromuscular therapy is particularly effective for patients dealing with chronic pain, repetitive strain injuries, and postural distortions. By applying sustained, focused pressure to areas of muscle spasm and nerve compression, Ekevara helps restore normal function, reduce pain, and improve circulation to affected tissues.

Her specialized approach complements the chiropractic adjustments and soft tissue work provided by the rest of the SFCC team, offering patients an additional layer of targeted care for stubborn pain patterns and movement restrictions.

Maya Tate is a licensed massage therapist at SF Custom Chiropractic who focuses on pain management and the release of soft-tissue restrictions. Her therapeutic approach is grounded in identifying and treating the specific areas of tension, adhesion, and restriction that contribute to a patient’s pain and limited mobility.

Maya works with patients across a wide spectrum of conditions, from acute injuries and post-surgical recovery to chronic pain and everyday muscle tension. Her hands-on techniques are designed to restore tissue flexibility, improve range of motion, and reduce the pain signals that keep patients from living their fullest, most active lives.

As part of the integrated SFCC care team, Maya collaborates closely with the chiropractors and other therapists to ensure her treatments align with each patient’s overall recovery plan, delivering consistent, measurable progress toward their health goals.