""
SF Custom Chiropractic in San Francisco, CA
Proudly serving the San Francisco community with professional, reliable service. #1 Chiropractor In San Francisco
Your Trusted Chiropractor in Mission Bay, San Francisco
Mission Bay sits at the intersection of innovation, athletics, and waterfront living. As the flagship home of SF Custom Chiropractic, our 4th Street clinic has been helping the residents, workers, and athletes of this dynamic neighborhood move better and live without pain since our founding. Whether you commute to the biotech campuses along Third Street, cheer on the Giants at Oracle Park, or catch a Warriors game at Chase Center, our Mission Bay office is steps from where your life happens.
Why Mission Bay Residents Need Specialized Chiropractic Care
Mission Bay is not a neighborhood that sits still. The area transformed from industrial rail yards into one of San Francisco’s most active districts, and its residents reflect that energy. UCSF Medical Center and the surrounding biotech corridor employ thousands of professionals who spend long hours in research labs and at computer workstations. The repetitive postures demanded by bench research, pipetting, and screen time create a specific constellation of musculoskeletal problems that respond exceptionally well to chiropractic intervention.
Beyond the workplace, Mission Bay is surrounded by opportunities for physical activity that also generate their share of injuries. Runners and cyclists loop along the Embarcadero and through the nearby waterfront paths. Weekend warriors fill the basketball courts along the channel and the pickup soccer fields at Mission Creek Park. The proximity to Oracle Park means baseball fans walk thousands of steps on game days, often on concrete surfaces that stress the lower back and knees. Chase Center draws basketball fans, concert-goers, and event attendees who spend hours on their feet in stadium seating that was never designed for spinal health.
The neighborhood’s relatively flat terrain compared to much of San Francisco makes it a haven for cyclists, and with that comes the forward-leaning postures and repetitive pedaling mechanics that lead to hip flexor tightness, thoracic kyphosis, and cervical strain. Our chiropractors see these patterns daily and have developed treatment protocols specifically for the cycling population.
Meet the Mission Bay Team
Our Mission Bay location brings together a multidisciplinary team that addresses musculoskeletal problems from every angle.
Dr. Adam Jacobs leads the Mission Bay practice with a focus on evidence-based chiropractic care combined with advanced soft tissue techniques. His approach integrates spinal adjustment with rehabilitative exercise prescription, ensuring that corrections hold and patients build lasting resilience.
Dr. Jessica Dzieszko brings expertise in both chiropractic adjustment and functional movement assessment. She works with patients to identify the root biomechanical causes behind chronic pain patterns, not just the symptoms.
Katherine Chen, L.Ac. provides acupuncture services at the Mission Bay office on Fridays. Her treatments complement chiropractic care beautifully, addressing pain, inflammation, and stress through Traditional Chinese Medicine meridian theory and modern neurophysiological trigger point approaches.
Services Available at Our Mission Bay Office
Our flagship location offers the full spectrum of SF Custom Chiropractic services:
- Chiropractic Adjustment — precise spinal and extremity adjustments to restore joint mobility
- Active Release Technique (ART) — gold-standard soft tissue treatment for adhesions and scar tissue
- Instrument-Assisted Soft Tissue Mobilization (IASTM) — targeted fascial release using specialized instruments
- Acupuncture — available Fridays with Katherine Chen for pain management and recovery
- Medical Massage — therapeutic massage integrated with your chiropractic treatment plan
- Deep Tissue Massage — focused pressure work for chronic tension and muscle knots
- Sports Chiropractic — performance optimization and injury prevention for athletes
- Ergonomic Evaluation — workstation assessments for UCSF, biotech, and tech professionals
- Corporate Wellness — on-site programs for Mission Bay businesses
- Functional Movement Screening — identify movement dysfunctions before they become injuries
- Custom Orthotics — corrective foot support for runners, walkers, and standing professionals
- Kinesiotaping — supportive taping for active recovery
Getting to Our Mission Bay Office
Address: 1365 4th St, San Francisco, CA 94158
Our clinic sits on 4th Street in the heart of Mission Bay, within easy reach whether you are walking, driving, or riding transit.
By Muni: The T-Third line stops at 4th and King, putting our office within a short walk. The N-Judah also connects at the Caltrain station nearby. For those coming from downtown, the 30 and 45 bus lines serve the area.
By Car: Street parking is available on 4th Street and surrounding blocks. The UCSF Medical Center parking garages at 1835 4th Street and 1825 4th Street offer paid parking within one block of our office. Metered street parking on Channel Street and Berry Street typically has availability outside of Giants game days.
By Bike: Protected bike lanes on Townsend Street and 4th Street make cycling to our office safe and direct. We have bike parking available right outside the building entrance.
Nearby Landmarks: Our office is two blocks from Oracle Park, four blocks from Chase Center, and adjacent to the UCSF Mission Bay campus. The Mission Creek waterfront trail passes within a block.
Frequently Asked Questions About Our Mission Bay Location
Do I need a referral to see a chiropractor at the Mission Bay office?
No referral is necessary. In California, chiropractors are primary care providers, meaning you can book directly without seeing another doctor first. Simply schedule online or call our Mission Bay office at (415) 521-3073 to get started. We accept most major insurance plans and can verify your benefits before your first visit.
Is parking difficult near the Mission Bay clinic on Giants game days?
On game days at Oracle Park, street parking within a few blocks fills up roughly two hours before first pitch. We recommend arriving via Muni T-Third on game days, or parking in the UCSF garage at 1835 4th Street, which maintains availability even during events. If your appointment is more than three hours before game time, street parking is generally fine.
Can I combine chiropractic and acupuncture in the same visit at Mission Bay?
Yes. Katherine Chen provides acupuncture on Fridays at our Mission Bay office, and many patients schedule back-to-back chiropractic and acupuncture appointments. This integrated approach is particularly effective for chronic pain conditions, post-surgical recovery, and stress-related tension. Let our front desk know when you book so we can schedule both sessions consecutively.
What should I wear to my first chiropractic appointment?
Wear comfortable, flexible clothing that allows you to move freely. Athletic wear or business casual that you can bend and stretch in works well. Avoid stiff jeans, dresses, or skirts if possible. For soft tissue treatments like ART and IASTM, we may need direct skin access to the affected area, so layered clothing is ideal.
Do you offer early morning or lunch appointments for UCSF employees?
Our Mission Bay office opens at 8:00 AM Monday through Friday, and many UCSF and biotech professionals schedule appointments before their shifts. Lunchtime slots between 12:00 PM and 1:30 PM are also popular with local workers. We recommend booking these high-demand times at least two to three days in advance.
Explore Our Other San Francisco Locations
We also serve San Francisco from our Russian Hill and Castro locations. If you live or work closer to South Beach, SOMA, or Dogpatch, our Mission Bay office is your nearest clinic.
Book Your Appointment at Mission Bay
Do not let pain slow you down in one of San Francisco’s most active neighborhoods. Whether you are dealing with desk-related stiffness from the biotech corridor, a sports injury from weekend play, or chronic pain that has been building for months, our Mission Bay team has the expertise and the tools to help.
Call us at (415) 521-3073 or book your appointment online today.
Our Services in San Francisco
Chiropractic Adjustment
Precise spinal corrections that restore alignment, relieve nerve pressure, and optimize your body's natural healing ability.
Sports Chiropractic
Full-body performance care for athletes and active individuals — from weekend warriors to professional competitors.
Pregnancy Chiropractic
Gentle, specialized chiropractic care for every stage of pregnancy and postpartum recovery using the Webster Technique.
Active Release Technique
The gold standard in soft tissue treatment with over 500 patented protocols for muscles, tendons, ligaments, fascia, and nerves.
Instrument-Assisted Soft Tissue Mobilization
Targeted muscle scraping therapy using specialized instruments to break up scar tissue, reduce inflammation, and restore tissue function.
Cupping Therapy
Static and dynamic cupping therapy using negative pressure to relieve muscle tension, improve circulation, and accelerate healing.
Kinesiotaping
Flexible, latex-free therapeutic taping that supports muscles and joints while maintaining full range of motion during activity.
Custom Orthotics
Foot Levelers custom orthotics built from a complimentary digital foot scan to correct imbalances from the ground up.
Functional Movement Screening
Quantifiable biomechanical assessment using 7 standardized movement patterns to identify dysfunction and injury risk.
Medical Massage
Clinically-focused, outcomes-driven massage therapy designed to treat specific conditions — not a spa experience.
Deep Tissue Massage
Targeted deep pressure work that realigns muscles and connective tissue to relieve chronic tension and restore mobility.
Manual Lymphatic Drainage
Gentle compression and manual drainage techniques that reduce swelling, support immune function, and accelerate post-surgical recovery.
Acupuncture
Traditional acupuncture with sterile single-use needles to stimulate chi, relieve pain, and treat a wide range of conditions.
Functional Nutrition
Lab-tested, individualized nutrition and supplement plans that address the root cause of chronic health issues.
Corporate Wellness
On-site chiropractic care, ergonomic assessments, and wellness programs that reduce workplace injuries and boost employee productivity.
Ergonomic Evaluation
Individual workplace assessments that optimize your workstation setup to prevent pain, reduce injury risk, and improve comfort.
FAQ — SF Custom Chiropractic in San Francisco
Common questions from San Francisco clients.
A chiropractic adjustment is a precise, controlled force applied to a joint in the spine or extremities to restore proper alignment and movement. At SF Custom Chiropractic, our doctors use both manual and instrument-assisted techniques tailored to your body and condition. Adjustments help reduce nerve irritation, decrease inflammation, and improve range of motion. Whether you are dealing with chronic back pain, headaches, or restricted mobility, an adjustment addresses the root cause rather than masking symptoms. Our chiropractors combine adjustments with complementary therapies like Active Release Technique and corrective exercises for lasting results. Call us at (415) 521-3073 or book online at [Book Appointment](https://sfcc.janeapp.com/locations/mission-bay/book) to schedule your first visit.
The popping or cracking sound you hear during an adjustment is called cavitation. It occurs when gases — oxygen, nitrogen, and carbon dioxide — are released from the synovial fluid that lubricates your joints. Think of it like opening a sealed container. This release of gas is completely harmless and actually beneficial. Cavitation helps relubricate the joint surfaces and improves range of motion almost immediately. Not every adjustment produces a sound, and the presence or absence of a pop does not determine whether the adjustment was effective. Our chiropractors focus on restoring proper joint mechanics regardless of whether cavitation occurs. If you have concerns about what to expect during your visit, contact us at (415) 521-3073.
Yes, chiropractic care is widely recognized as one of the safest non-invasive treatments for musculoskeletal conditions. Our chiropractors at SF Custom Chiropractic are licensed doctors who complete extensive postgraduate training before practicing. Every treatment plan begins with a thorough evaluation to rule out contraindications and identify the best approach for your specific needs. Compared to surgical interventions or long-term medication use, chiropractic adjustments carry significantly fewer risks. Side effects, when they occur, are typically mild and temporary — slight soreness or stiffness that resolves within a day or two. Our team customizes every adjustment to your comfort level and health history. Book a consultation at [Book Appointment](https://sfcc.janeapp.com/locations/mission-bay/book) to discuss your concerns with one of our doctors.
Most patients experience little to no pain during a chiropractic adjustment. You may feel pressure or a brief sensation as the joint is mobilized, but it should not be painful. Some patients experience mild post-adjustment tenderness similar to the soreness you feel after a good workout. This is completely normal and typically resolves within one to three days as your body adapts to its improved alignment. Our doctors at SF Custom Chiropractic communicate with you throughout every session and adjust their technique based on your comfort level. If you are nervous about your first visit, let us know — we are happy to walk you through every step. Call (415) 521-3073 to schedule.
The number of visits varies from person to person and depends on several factors: your individual habits, the nature and severity of your condition, your occupation and daily activities, and how your body responds to the first adjustment. Some patients find significant relief after just a few sessions, while chronic or complex conditions may require a more extended care plan. During your initial evaluation, your chiropractor will assess your situation and recommend a treatment timeline tailored to your goals. We believe in transparent communication and will never prescribe unnecessary visits. As you progress, your care plan is adjusted based on real results. Book your evaluation at [Book Appointment](https://sfcc.janeapp.com/locations/mission-bay/book) to get a personalized recommendation.
Ready to Get Started in San Francisco?
Contact SF Custom Chiropractic today. We proudly serve San Francisco and surrounding areas.