Frequently Asked Questions

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.

SF Custom Chiropractic operates as a time-based service and does not bill directly through insurance. This model allows our doctors to spend more time with each patient and deliver truly customized care without the limitations that insurance billing often imposes. We provide a superbill after each visit that you can submit to your insurance company for out-of-network reimbursement. Many of our patients successfully receive partial or full reimbursement through their plans. We recommend contacting your insurance provider before your first visit to verify your out-of-network chiropractic benefits. If you have questions about pricing or payment options, call us at (415) 521-3073 and our team will be happy to help.

Your first visit at SF Custom Chiropractic begins with a comprehensive consultation where your doctor reviews your health history, current symptoms, and goals. This is followed by a physical examination including range-of-motion testing, orthopedic assessments, and postural analysis. Based on the findings, your chiropractor will explain their recommended treatment approach and answer any questions. If appropriate, you may receive your first adjustment during this same visit. Plan for approximately 45 to 60 minutes for your initial appointment. Wear comfortable clothing that allows easy movement. You can book your first visit online at [Book Appointment](https://sfcc.janeapp.com/locations/mission-bay/book) or call us at (415) 521-3073 to reserve a time at any of our three San Francisco locations.

Yes, chiropractic care is safe and beneficial for children of all ages. Pediatric adjustments use very gentle, low-force techniques that are specifically modified for a child’s developing body. Children can benefit from chiropractic care for conditions like colic, ear infections, growing pains, sports injuries, and postural issues related to heavy backpacks or screen time. At SF Custom Chiropractic, our doctors have training in pediatric techniques and take extra care to ensure your child feels comfortable and safe throughout the visit. Many families in San Francisco bring their children in for regular wellness check-ups alongside their own appointments. Call (415) 521-3073 to learn more about our pediatric chiropractic services.

Chiropractic care costs in San Francisco vary depending on the provider, the type of treatment, and session length. At SF Custom Chiropractic, we use a time-based pricing model that gives you transparent, predictable costs with no hidden fees. Because we do not bill through insurance, you receive focused one-on-one time with your doctor rather than rushed appointments. We provide superbills for out-of-network reimbursement, which many patients use to offset costs. For current pricing details and to learn about available packages, contact our team at (415) 521-3073. We are committed to making high-quality chiropractic care accessible and will work with you to find a plan that fits your budget.

Not at all. While sports chiropractic is popular among competitive athletes, it benefits anyone with an active lifestyle. Whether you enjoy weekend hiking, cycling across the Golden Gate Bridge, CrossFit, yoga, or simply staying active with your kids, sports chiropractic techniques can help you move better and recover faster. Our doctors use approaches like Active Release Technique, IASTM, and cupping therapy to address muscle imbalances, improve mobility, and prevent injuries before they happen. If your daily activities put stress on your body — including sitting at a desk for hours — sports chiropractic care can help you perform at your best. Schedule a session at [Book Appointment](https://sfcc.janeapp.com/locations/mission-bay/book).

No, you do not need a referral to see a chiropractor in California. Chiropractors are primary care providers, which means you can book directly without a referral from your medical doctor. At SF Custom Chiropractic, new patients can schedule an appointment online through [Book Appointment](https://sfcc.janeapp.com/locations/mission-bay/book) or by calling (415) 521-3073. That said, we regularly collaborate with physicians, physical therapists, and other healthcare providers to ensure you receive comprehensive, coordinated care. If your medical doctor has recommended chiropractic treatment, feel free to bring any relevant medical records or imaging to your first appointment so our team can review your full health picture.

Yes, chiropractic care is safe during pregnancy when performed by a practitioner trained in prenatal techniques. At SF Custom Chiropractic, our doctors use modified positions and gentle adjustments designed specifically for expectant mothers. Pregnancy causes significant changes in spinal alignment, pelvic balance, and posture as your body adapts to a growing baby. Chiropractic care helps manage lower back pain, sciatica, and pelvic discomfort that commonly occur during pregnancy. Many patients also report shorter, more comfortable labor experiences after receiving regular prenatal chiropractic care. Our team uses specialized pregnancy cushions and the Webster Technique to ensure your comfort and safety throughout every trimester. Book a prenatal visit at [Book Appointment](https://sfcc.janeapp.com/locations/mission-bay/book).

The Webster Technique is a specific chiropractic analysis and adjustment designed for pregnant women. It focuses on restoring proper pelvic balance and alignment, which can become disrupted as the body changes during pregnancy. By addressing sacral misalignment and reducing tension in the surrounding ligaments and muscles, the Webster Technique creates a more balanced environment for the baby and may help facilitate optimal fetal positioning. This technique is gentle and pregnancy-safe. Our chiropractors at SF Custom Chiropractic are trained in the Webster Technique and regularly use it as part of comprehensive prenatal care plans. If you are interested in pregnancy chiropractic, call (415) 521-3073 to learn more.

You can begin prenatal chiropractic care at any stage of pregnancy. Some women start in their first trimester to proactively manage the musculoskeletal changes ahead, while others seek care later when discomfort becomes more noticeable. There is no wrong time to start. Early care can help your body adapt more smoothly to the physical demands of pregnancy, and continued care through the third trimester supports pelvic balance as you prepare for delivery. At SF Custom Chiropractic, our doctors create individualized treatment plans that evolve with your pregnancy. Whether you are newly pregnant or approaching your due date, we are here to help. Schedule at [Book Appointment](https://sfcc.janeapp.com/locations/mission-bay/book).

Yes, postpartum chiropractic care is available at SF Custom Chiropractic and highly recommended for new mothers. After delivery, your body goes through significant changes as it recovers from pregnancy and childbirth. Common postpartum issues include lower back pain, neck stiffness from breastfeeding and bottle-feeding positions, shoulder tension from carrying your baby, and pelvic misalignment. Our chiropractors use gentle techniques to help realign your spine, restore mobility, and relieve the physical strain that comes with caring for a newborn. Many new moms find that regular postpartum adjustments help them feel stronger and more comfortable during this demanding time. Call (415) 521-3073 to schedule your postpartum evaluation.

Active Release Technique is the gold standard in soft tissue treatment, used by professional athletes and active individuals worldwide. ART involves over 500 specific protocols that target muscles, tendons, ligaments, fascia, and nerves. During treatment, your practitioner uses their hands to evaluate the texture, tightness, and movement of soft tissues, then applies precisely directed tension while you move the affected area through specific motions. This breaks up scar tissue and adhesions that cause pain, stiffness, and reduced mobility. At SF Custom Chiropractic, our doctors are certified ART providers who regularly use this technique alongside chiropractic adjustments for comprehensive care. Book an ART session at [Book Appointment](https://sfcc.janeapp.com/locations/mission-bay/book).

Instrument-Assisted Soft Tissue Mobilization, commonly called muscle scraping, uses specially designed stainless steel tools to detect and treat soft tissue dysfunction. The instruments allow your practitioner to effectively break down fascial restrictions, scar tissue, and adhesions that develop from overuse, injury, or surgery. During treatment, the tool is applied with controlled pressure along the affected muscles and connective tissue. You may notice some redness in the treated area, which is a normal inflammatory response that promotes healing. IASTM pairs well with chiropractic adjustments and Active Release Technique for comprehensive recovery. At SF Custom Chiropractic, we incorporate IASTM into treatment plans for conditions ranging from plantar fasciitis to chronic shoulder pain. Call (415) 521-3073 for details.

Cupping marks typically fade within three to seven days, depending on the individual and the intensity of the treatment. The circular marks left after cupping therapy are caused by increased blood flow to the treated area — they look dramatic but are not bruises in the traditional sense. Darker marks generally indicate more stagnation in the tissue, while lighter marks suggest better circulation. Most patients find that marks fade faster with subsequent sessions as tissue health improves. If you have an event or occasion coming up, let your practitioner know so they can adjust the treatment intensity accordingly. Cupping therapy at SF Custom Chiropractic is often combined with chiropractic adjustments for enhanced results. Schedule at [Book Appointment](https://sfcc.janeapp.com/locations/mission-bay/book).

Manual lymphatic drainage is a gentle massage technique that encourages the natural movement of lymph fluid through your body. The lymphatic system plays a critical role in immune function and removing waste products from tissues. Using light, rhythmic strokes, your practitioner stimulates lymph flow to reduce swelling, promote detoxification, and support recovery. This therapy is particularly beneficial after surgery, for managing chronic swelling or lymphedema, and as part of post-injury rehabilitation. Many patients also use it for general wellness and immune support. At SF Custom Chiropractic, manual lymphatic drainage is available as a standalone service or as part of a comprehensive treatment plan. Call (415) 521-3073 to learn whether lymphatic drainage is right for you.

Yes, SF Custom Chiropractic offers acupuncture services with licensed acupuncturists on staff, including Katherine Chen, L.Ac. Our acupuncture treatments are rooted in traditional Chinese medicine and can be used to address a wide range of conditions including chronic pain, headaches, stress, digestive issues, and musculoskeletal injuries. Acupuncture works well alongside chiropractic adjustments and soft tissue therapies for a comprehensive, integrative approach to healing. Sessions are tailored to your specific health concerns and goals. Whether you are new to acupuncture or an experienced patient, our practitioners create personalized treatment plans to support your well-being. Book an acupuncture appointment at [Book Appointment](https://sfcc.janeapp.com/locations/mission-bay/book) or call (415) 521-3073 to discuss how acupuncture can benefit you.

SF Custom Chiropractic has three locations across San Francisco: Mission Bay, Russian Hill and Fisherman’s Wharf, and The Castro. Each office offers the same high standard of care including chiropractic adjustments, Active Release Technique, sports chiropractic, prenatal care, acupuncture, and massage therapy. We also have a partner location in Santa Clara for patients on the Peninsula and in the South Bay. This multi-location model makes it easy to find a convenient office near your home or workplace. All locations accept online booking through our scheduling system. Visit [Book Appointment](https://sfcc.janeapp.com/locations/mission-bay/book) to choose your preferred location and reserve an appointment, or call (415) 521-3073 for assistance.

Yes, you can book an appointment online anytime through our JaneApp scheduling system at [Book Appointment](https://sfcc.janeapp.com/locations/mission-bay/book). Online booking is available 24/7 and allows you to choose your preferred location, practitioner, and service type. You can select from any of our three San Francisco offices — Mission Bay, Russian Hill and Fisherman’s Wharf, or The Castro. The booking system shows real-time availability so you can find a time that works with your schedule. New patients can also complete intake forms online before their first visit to save time at the office. If you prefer to book by phone or have questions about which service is right for you, call us at (415) 521-3073 and our team will help you get scheduled.