Your Trusted Chiropractor in The Castro, San Francisco

Located on Market Street in the heart of The Castro, SF Custom Chiropractic’s third San Francisco office brings world-class chiropractic care to one of the city’s most vibrant and culturally significant neighborhoods. Under the care of Dr. Raymond Pulmano, our Castro location has built a reputation for excellence in soft tissue treatment, athletic performance care, and compassionate service that reflects the inclusive spirit of the community it serves.

Why Castro Residents Choose SF Custom Chiropractic

The Castro is a neighborhood that moves. Its streets climb steeply toward Twin Peaks, its sidewalks pulse with foot traffic from the shops and restaurants lining Market and Castro Streets, and its residents are among the most health-conscious and physically active in San Francisco. The neighborhood’s geography and culture create specific physical demands that our Castro team addresses daily.

Living in The Castro means contending with some of San Francisco’s most dramatic elevation changes. The walk from Market Street up to the top of Twin Peaks gains over 600 feet of elevation in less than a mile. Even routine trips to the grocery store or BART station involve inclines that stress the lower back, hips, knees, and calves. Residents who navigate these hills on foot develop cumulative strain patterns that, without professional intervention, progress from minor stiffness to chronic pain.

Dolores Park, just blocks from our office, is the neighborhood’s outdoor living room and one of San Francisco’s most popular gathering spots. On any given weekend, you will find volleyball games, yoga practitioners, runners doing hill sprints on the park’s steep western slope, and dog walkers traversing uneven terrain. These recreational activities keep Castro residents active and healthy, but they also generate a steady stream of sports injuries, muscle strains, and joint problems that benefit from expert chiropractic care.

The Castro’s thriving restaurant and nightlife scene means many neighborhood residents work in hospitality — bartending, serving, cooking, and managing on their feet for eight to twelve hours at a stretch. The physical toll of hospitality work is well-documented: chronic lower back pain from standing on hard floors, shoulder and neck tension from repetitive reaching and carrying, and foot problems from inadequate footwear. Our Castro office sees these occupational injuries frequently and has developed efficient treatment protocols for service industry workers who need to get back to work quickly.

Meet Dr. Raymond Pulmano

Dr. Raymond Pulmano brings an extraordinary level of expertise to the Castro office. He is one of an elite group of Active Release Technique providers, holding advanced certifications that place him among the top ART practitioners in the Bay Area. His hands-on skill in diagnosing and treating soft tissue problems — muscle adhesions, nerve entrapments, tendon injuries, and fascial restrictions — is what sets the Castro office apart.

Dr. Pulmano’s credentials extend beyond the clinic. He has served on the IronMan treatment team, providing sideline care for some of the world’s most demanding endurance athletes. The experience of treating triathletes at the finish line — addressing acute cramps, overuse injuries, and biomechanical breakdowns in real time — sharpened his diagnostic speed and treatment precision in ways that benefit every patient who walks through the Castro office door.

Beyond his clinical work, Dr. Pulmano is deeply involved in the Castro community. He supports the Cheer For Life Foundation and Cheer SF, organizations that embody the neighborhood’s spirit of celebration, inclusion, and giving back. His commitment to community involvement reflects the values of SF Custom Chiropractic: we do not just practice in the neighborhoods we serve, we participate in them.

An Inclusive, Welcoming Practice

SF Custom Chiropractic’s Castro location is proudly LGBTQ+ welcoming. We believe that excellent healthcare begins with an environment where every patient feels safe, respected, and valued exactly as they are. Our intake forms, communication style, and clinical approach reflect this commitment. We understand that healthcare experiences vary across communities, and we work to ensure that our Castro office is a space where trust is built from the first interaction.

Whether you are a longtime Castro resident, a newcomer to the neighborhood, or visiting from elsewhere in San Francisco, you will find a practice that prioritizes both clinical excellence and human connection.

Services Available at Our Castro Office

• Chiropractic Adjustment — precise spinal and joint mobilization to restore pain-free movement
• Active Release Technique (ART) — elite-level soft tissue treatment with an advanced certified provider
• Sports Chiropractic — performance care for endurance athletes, gym-goers, and weekend warriors
• IASTM — instrument-assisted soft tissue mobilization for stubborn fascial adhesions
• Deep Tissue Massage — therapeutic massage targeting chronic muscle tension
• Functional Movement Screening — movement analysis to identify injury risk factors
• Custom Orthotics — prescription foot support for hill walking and athletic performance
• Kinesiotaping — therapeutic taping for active support and recovery
• Cupping Therapy — myofascial decompression for pain relief and recovery

Getting to Our Castro Office

Address: 2215 Market St, San Francisco, CA 94114

Our clinic is on Market Street at the intersection with Sanchez, in the commercial heart of The Castro.

By Muni Metro: The Castro Muni station (K, L, M lines) is one block from our office. Exit at Castro and Market and walk east on Market Street. The F-Market historic streetcar also stops directly outside our door.

By Bus: The 33-Ashbury/18th and 37-Corbett lines stop within one block. The 24-Divisadero runs nearby on Castro Street.

By Car: Metered street parking is available on Market Street, Sanchez Street, and Noe Street. The Castro neighborhood has residential permit parking on many side streets, so check signage carefully. There is a public parking lot on Collingwood Street between 18th and 19th Streets.

By Bike: Market Street’s protected bike lane runs directly past our office, making cycling one of the easiest ways to arrive. Bike racks are available on the sidewalk near our entrance.

Frequently Asked Questions About Our Castro Location

What makes the Castro office different from the other SF Custom Chiropractic locations?

Each SF Custom Chiropractic office has its own character shaped by its lead provider. The Castro office is led by Dr. Raymond Pulmano, whose elite Active Release Technique certification and IronMan treatment team experience make him one of the most skilled soft tissue practitioners in San Francisco. If your condition involves muscle adhesions, nerve entrapments, or soft tissue injuries, the Castro office is an excellent choice. Additionally, our Saturday hours at this location run until 6:00 PM, offering the most weekend availability of any of our offices.

Do you see patients who are training for marathons, triathlons, or endurance events?

Yes, and this is one of Dr. Pulmano’s areas of particular expertise. His experience on the IronMan treatment team means he understands the specific demands of endurance training — the repetitive loading patterns, the nutritional and recovery factors, and the progression of overuse injuries that endurance athletes face. He works with runners, triathletes, cyclists, and swimmers at all levels, from first-time half-marathon participants to seasoned Ironman competitors.

Is the Castro office open on Saturdays?

Yes. Our Castro office is open Saturday from 9:00 AM to 6:00 PM, making it the most accessible weekend option among our three locations. This extended Saturday schedule is designed to accommodate working professionals, athletes with busy training schedules, and anyone who finds weekday appointments difficult to manage.

Do you accept insurance at the Castro location?

We accept most major insurance plans at all three SF Custom Chiropractic locations, including the Castro office. We recommend calling us at (415) 521-3073 or contacting us through our contact page before your first visit so we can verify your benefits and give you a clear picture of any out-of-pocket costs. We also offer competitive self-pay rates for patients without chiropractic coverage.

Can I transfer my care from another chiropractor to your Castro office?

Absolutely. If you have been seeing another chiropractor and would like to transition your care to SF Custom Chiropractic, we make the process seamless. Bring any imaging (X-rays, MRI reports) and prior treatment records to your first appointment, or have your previous provider forward them. Dr. Pulmano will perform his own comprehensive evaluation and develop a treatment plan tailored to your current condition and goals.

Explore Nearby SF Custom Chiropractic Locations

The Castro office is convenient for residents of the broader central San Francisco area. If you live or work closer to the waterfront, our Mission Bay office offers weekday hours from 8:00 AM to 6:30 PM. For those in northern San Francisco, our Russian Hill location may be more accessible. We also serve patients from Potrero Hill and SOMA at our Mission Bay clinic.

Book Your Appointment in The Castro

From endurance athletes pushing their limits to hospitality workers on their feet all day to hill-dwellers managing the daily physical demands of one of San Francisco’s steepest neighborhoods, our Castro team delivers the expert care you need to keep moving.

Call us at (415) 521-3073 or book your appointment online today.