I've been coming to SF Custom Chiro for years now and they've become part of my monthly self care; always there when I need it and keeping me mobile and pain free! So grateful for Dr. Jessica and Ryan! read more

Dr. Jess is AWESOME! My first visit I walked in with shoulder pain, neck issues and a chronic hip click... I walked out of there with NO pain and haven't heard the click since. Not only that, she she's so kind, listens and knows the body well. Really grateful to have found her! read more

I've been treated by Dr. Jess for the last few years for my back and shoulder pain. She's helped immensely in my rehabilitation and recovery through the years as my conditions were stubborn. Whether it was posture issues, or injuries sustained during extracurricular activities, Dr. Jess's holistic approach of combining chiropractic treatment, applying custom at-home stretches/exercises, and partnering massage therapy, by far has done the most for my recovery and maintenance. I would surely be in worse condition were it not for the customized treatment plans. I highly recommend her as your go-to chiropractor! read more

Absolutely life changing treatment. I'd struggled with lower back pain for years and had a particularly acute incident a few years ago. Since then, I have consistently been treated by SF Custom Chiropractic. Mostly Dr. J and Dr. Mills, but in a pinch have seen others as well. Since these treatments, I've been pain free. Cannot say enough positive about the team here and quality of treatments. read more

Doctor Jess is so effective and great at treating my issues, I'd give her at least six stars if I could! Her treatments are very targeted and effective, and the recommendations she provides for stretches and exercises are super helpful. She's very knowledgeable, and explains things in a clear way. Six stars (maybe seven!) read more

Had some of the worst back pain just before a flight out of the country visited day prior to departure and was able to make it through a 10 1/2 hour flight. Much appreciated. Excellent customer service speedy appointment and check in process read more

I was in search of a chiropractor for my neck and back when I moved to San Francisco late last year & after speaking with co workers & a recommendation from someone at a mattress store on Geary, I visited SF Custom Chiropractic. After completing some forms & electronic questionnaire, I met with Dr. Remillard and discussed my concerns. After some stretches, he adjusted my neck and back & pretty much immediately felt better. I've been under regular treatment by Dr. Remillard for several months & have experienced a lot of improvement with my neck & back pain (primarily caused by my desk job & sleeping positions). During Covid, my appointments were taken at their Mission Bay location which is sunny and bright vs. their financial district location. If your insurance plan covers chiropractic treatments, you'll have to pay upfront & submit a claim to your insurance company where you'll need a detailed receipt to submit. Street parking only. read more

Dr Jess is the best! I swear she has magic hands and has fixed all my problems. The office is always so clean and relaxing and I love coming to see Jess after a long week. Will never find a smarter, stronger, hotter chiropractor than Dr Jess!!! read more

I've been going in to see Dr. Ray Pulmano since early last Fall, and I have been feeling less back pains in the cold or wet winter weather. I've also been seeing Dr. Pulmano for a hand injury from top rope rock climbing from August, and I can confidently say that he has been able to treat the soreness and pain successfully, to my surprise and amazement. I honestly never thought a bi-monthly exercise and quick massage to the affected areas would be enough to stabilize my ailing conditions and even to improve them, making them more bearable. I plan on continuing my sessions with Dr. Pulmano, though I think I probably just need to go in once every 3-4 weeks eventually for maintenance care! He's super friendly, shares a love for traveling with me, and overall, he's less like a medical provider and more like a really skilled and great friend. :) 10/10 would recommend him! read more

I've been to 4 chiropractors in SF and Dr. Dzieszko at SF Custom is so much better than the others I'm disappointed I didn't find her earlier! Both me and my fiancé come here for shoulder, neck, and back and she both helps re-align and gives great advice to incorporate into our daily routines. Highly recommended :) read more

Dr. Scott Mills and TJ for a sports massage are a dream duo. They both have helped me recovery from a strength training injury over the last three months. Everyone in this office is a joy to work with and a true professional on their craft. Dr.Mills is keenly aware of week to week changes and his adjustments are always spot on. His approach with active release helped get me back to my normal routine quickly. Previous to going to TJ, I thought I had been to great deep tissue/sports massage therapists but in retrospect none of them compare. His technique in truly unique and the amount of energy he puts into each 60 minute session is unmatched. read more

Highly recommend Dr. Jacobs and this location! It was my first visit to a chiropractor during COVID19 because of my lower back pain from all the sitting and not getting the normal exercise during this unprecedented time. I have been extra cautious with activities outside so it was really important for me to find a good doctor to help me recover and prevent from future lower back pains and also an office that's SAFE and takes all the covid measures! Appointment was QUICK to make and I felt SAFE visiting. They follow strict covid protocols (e.g., checking temperature, sanitizing stations and tablet which you use to check in, staff members wearing masks, minimizing facing directly each other). Sanitizers and wipes are in every corner and there's only a receptionist and doctor in the office. I've visited 3 times so far and at most there are 3 people (doc, receptionist and another patient). Initial assessment was very thorough - asking all pain points, degrees of pain, etc. Dr. Jacobs took time to ask follow-up questions and understand my history. He explained to me what the issue was, causes and what I have to do in order to feel better and prevent from having another muscle strain by walking me through quick and effective exercises I can do at home, educating me on how to sit/ stretch/ stand in good posture. I just had my 3rd visit. His massages/ stretches that he does on my spine have been very effective - I couldn't walk properly 2 days before my visit, and a few days after my first visit, I immediately started to feel better and had minimal pain. He mentioned on day 1 of the visit, I may feel a bit sore because of all the massages and alignments he made, but I felt fine. It's been 10 days, and my back feel more aligned and my core and back feels stronger because of the massages he gave and exercises he recommended! Also, the receptionist was really helpful and very welcoming! This place is awesome. Highly highly recommend! read more

Dr. Jacobs and the staff at SF Custom Chiropractic are nothing short of spectacular. Prior to visiting Dr. Jacobs I was a bit skeptical about seeing a chiropractor. Well ... that all changed after my first visit over 8 years ago and I've been a patient ever since. Dr. Jacobs has helped me overcome migraines and jaw tension from stress, back pain from sitting at a chair and working on a computer, and a little stunt of vertigo that occurred last year. The team is always extremely thoughtful and helpful. The sanitation process between clients is (and always has been) extremely thorough and now with COVID, they've done a fantastic job spacing out clients to help ensure everyone can stay at a safe distance. The warmup machine before each session is amazing and helps get your body relaxed and stretched for the adjustment. I'm so stoked on their new Russian Hill location closer to my home but honestly, you can't go wrong with visiting any of their locations. Do your body (and mind) a favor and schedule an appointment for some much needed and deserved self care. You will not regret it! Bonus: You can also schedule an appointment with a private masseuse! read more

I have nothing but good things to say about Dr. Pulmano. Let's just say I'm willing to pay out of pocket to keep seeing him! Always great and he helps address any issues that pop up! I also like talking to him during our sessions. It keeps me distracted! Would definitely recommend him to anyone looking for a good chiropractor in SF! read more

I came to see Dr. Scott Mills after having a super stiff upper back/neck area. The feeling where you are turning your entire body to look at someone versus being able to turn your neck, couldn't do it. I thought I would be cool if I did some stretches and chilled out, but after a week, it was getting worse. I was waking up with pain in my neck, tilting my head to say yes or no was painful. I made an appointment to see Dr. Mills on Monday and the following day, I immediately felt better. I forgot what it was like to get out of bed without having to be ultra careful on my movements. I have a follow up appointment with him later this week, and am very excited because I know I will be getting back to normal with his treatment. In my first appointment, he did an excellent job of providing the right level of information for me. I liked how he explained what was going on and what he recommended I do and what was within his medical scope to tell me. Dr. Mills is awesome and I highly recommend people go see him and if you are feeling better to get in a workout at Studiomix since it is in the same location as the gym. read more

I have had back problems for years. I have no idea why I waited so long to go to the chiro, I have been going to see Dr. Raymond Pulmano at SF Custom for several months now & the mobility of my back and neck is night and day. I'm no longer having trouble sleeping due to back problems. I have already referred multiple friends who have been happy with their experiences. I cannot recommend him enough. He also happens to be hilarious. Also, a special shout out to Beth, one of their in house massage therapists who gave me the best deep tissue massage I've ever had. read more

Dr. Jacobs is the best chiropractor I've had. I was recommended to him through my personal trainer (www.sknstone.com) and I could not be happier with the expertise and care Dr. J provides. He is patient with questions, knows how to get to the root of the problem, and combined with my training I've never been in better shape. I've had chronic back pain since my early 20s, but since seeing Dr. J and my trainer, I hadn't had a flare up in 2 years. Flash forward to January 2021 and the effects of not seeing Dr. J for 9 months and general stress finally caught up with me. I threw out my hip, and during a move no less. I was nervous about going during COVID19, however, at the Russian Hill location I was the only patient in the office each time I went. Everyone was wearing masks, taking temperatures and most importantly, taking COVID19 seriously. Within one session I was "unstuck" and within 3 I can move without any pain. He truly is that good! read more

The SF Custom Chiro team have been nothing short of incredible for the last 10 years. For much of my time there I've had normal desk job issues and they did a great job. I recently got into a bad accident and needed a more thorough inspection and adjustment. Dr. Jacobs was thoughtful, helpful, made me feel comfortable, and most importantly, I felt better than I ever thought I could leaving that session. In almost a year of hospitals and doctors and physical therapists he's one of the only people to thoughtfully review my records BEFORE I walked into his office and have an idea of a plan for my treatment. He did a very thorough review and assessment followed by adjustments and a prescriptive exercise regiment. Highly highly recommend going to see him. Lily at the front desk has been really on top of it and polite in scheduling. Her follow ups got me in there post accident! read more

First of all, the reception staff at SF Custom Chiropractic is excellent. They are efficient and organized, and keep the operation running smoothly and on time. Second, Beth is an outstanding massage therapist. Some discomfort is a necessary part of a productive massage, but under her attentiveness and expertise, I feel relaxed. Last but not least, Dr. Pulmano is THE BEST. Adjustments can be a bit intimidating and unpleasant, but with him they are actually something I look forward to. I had a wrist injury that wasn't getting better on its own/with working on a laptop all day. Not only is my wrist back to normal, I feel my overall posture has improved and I now have go-to exercises for alleviating lower back aches/tension. Mahalo Dr. Ray! read more

Dr. Jacobs is awesome! He comes to my work, so it was super convenient seeing him. It was also my first time working with a chiropractor. He gave me some great exercises and was happy to work around my aversion to (i.e. not happening at all, ever) neck adjustments. I also loved his story of how he came to be a chiropractor; he wanted to become an MD when he experienced a football injury. He was recommended surgery for it but decided to try working with a chiropractor first. That completely healed his injuries and inspired him to change his career path to become a chiro, too! I've been to his actual office location, too, and his staff are very kind. read more

INCREDIBLE! Dr Scott Mills completely fixed my tennis elbow. This was after 2 PTs and one OT couldn't. Great experience with him and his lovely office staff. read more

I had been working with Dr. Pulmano for the past 6 months. I've always carried a lot of tension in my upper body and also have bad shin splints from overuse. Dr. Pulmano is the best! He's been wonderful to work with and has given some great tips/recommendations on stretching exercises to help relieve any upper body tension. He's also been a lifesaver in helping me with my shin splints. Dr. Pulmano is also super personable, I always look forward to my sessions with him. You won't be disappointed if you schedule an appointment with him! The entire office staff is also really friendly and making appointments is fairly easy. You can also conveniently receive text notifications should you opt into it. read more

I've been to a lot of chiropractors for sports injuries that could never be resolved for YEARS (ribs, ankle, lower back, hips, etc.) until I started going to Dr. Scott! 100% worth my hour+ drive into the city for his magic and walk out of my sessions feeling like I'm walking on a cloud. Thank you Dr. Scott Mills! read more

I've found two chiropractors who I think are great. This chap is one of them. Scott is attentive, professional, and generally sorts out my problems with a minimum of fuss and in only a couple of visits. He's definitely not a string-out-appointments-with-me-over-nine-months-and-you'll-eventually-be-fine kind of guy. Highly recommended. (Good chat, too. :-)) read more

Are you experiencing pain? Or maybe things just don't feel quite right. I cannot recommend Dr. Jacobs enough. I was experiencing some discomfort/pain in my hip so I started seeing him a few years ago. After a few visits we realized there was more going on, so he referred me to have x-rays taken. With this information in hand we have been able to put together a game plan to keep it in check. He recommended a standing desk for work (you'll notice he himself uses one) which I love. He also referred me to an amazing massage therapist. With a background in sports, he's been amazing in recommending exercises and modifications to my workouts. My hip doesn't prevent me from doing things but this knowledge has helped me stay active and encouraged. While your appointment might only be a few minutes, Dr. Jacobs truly takes the time to get to know you as a person not just a patient. I have visited him in both his offices and his staff is always friendly and helpful as well. I always enjoy the rolling table and minor massage at the beginning of my appointment. I won't be in SF forever and I'm going to truly be bummed when I won't be able to visit anymore. read more

Dr. Mills, the team and there knowledge has brought a drastic improvement to my day to day life by reducing my leg pain. I had an injury playing tennis 2 years ago(hamstrings, pes anserine bursitis), which made walking, sitting, and any other type of movement incredibly painful. I went to 3 orthopedics, I had MRI's for both of my legs (which showed nothing wrong), I went to 3 different physical therapists for 6 months total( did not help at all), I had injections, I tried everything. Nothing really improved my condition, the doctors had nothing more they could offer, but then I discovered ART therapy and SF Custom Chiro. After one session I noticed a positive, lasting improvement. After a few sessions with Dr. Mills, he recommended deep tissue massage in addition to his treatment plan and they complimented each other giving me great results! Today I can say I'm almost entirely pain free, the problem that lasted years is fading away. read more

I had Noy, massage therapist. She was very good. I would rate the office 4 of 5 stars because it is significantly more expensive than some other places in the area. For example, a place called Massage Envy charged $80 for one full hour, while SF Custom charges $70 for just 30 minutes. Also: Massage Envy's environment is more relaxing, overall. They have a "quiet room" customers wait in before the therapist greets them. In this room there are comfortable chairs and various teas to choose from. SF custom has a water cooler only. SF custom also asks you to fill out more paperwork and sign more waivers before you start your appointment, which seemed mostly unnecessary, as the therapist just asks you the same questions again, once you meet. I would suggest Noy to do your massage, but maybe she is available at an office with more reasonable rates. read more

After 3 months of being treated by SF Custom Chiropractic and Dr. Pulmano, I am extremely pleased with the results. Over the last two decades, I have utilized different chiropractors for extended treatment plans, all with good results. I knew what I could achieve from chiropractic work. The reason for my visit was due to a ball of foot issue on my right foot that happened two years ago. I had met with a couple of podiatrists over the first year and a half, and followed their quick recommendations of basic orthotics, which offered a small amount of relief. Not satisfied with the results, I decided to give the chiropractic solution a try. The results have been quite amazing. Through a series of intense treatment on my foot, and custom orthotics, the pain is 99% gone and my mobility has returned. As a distance runner and skier, this is important to me. While I was there, I also got treatment on my shoulders, which were quite stiff and sore, with limited range of motion. I could not sleep on my sides. This is now solved and I can sleep on my sides without incurring pain. Dr. Pulmano truly knows how to heal. For me, it has been a huge change and has encouraged me to get healthier through activity again. I'm so glad that I didn't settle for permanent pain. The entire staff there is very friendly and helpful. I highly recommend that you try their services. read more

I only have good things to say about SF Custom Chiropractic. Dr. Pulmano is always helpful with answering any questions I have for him. He's able to adjust his treatment process for the specific problems I come into each session with, whether it's neck pain, shoulder issues, lower back trouble, etc. I also enjoy speaking with him, he's very easy to talk to and have a fun conversation with. I have also gotten a couple massages here. Beth is a great massage therapist and is skilled at creating a relaxing and comfortable environment. read more

I have been going to SF Custom Chiropractic for about a year now, and can't say enough good things. Before working with Dr. Jacobs, I was struggling with near constant low back pain and tightness. I was trying every stretch and exercise I could find on Google to relieve it, but nothing seemed to work. After my first session with Dr. Jacobs, I felt like someone had lifted 30 lbs off my shoulders and I felt immense relief for my low back pain. Fast forward to today, and due to regular sessions, my low back pain is almost completely gone. What makes Dr. Jacobs great is not only his very personable demeanor, but his approach to treating the root causes of the pain or issues you are experiencing. Whether it's helping you properly position your desk and computer at work, position the way you sleep, or even just changing how you carry your wallet in your pants pocket, Dr. Jacobs can help get to the root cause of your pain, and give you ways to fix it. read more

If you're dealing with any sort of muscle or joint pain, go see Dr. Scott Mills today. I honestly can't recommend him enough - especially if you're involved in sports or fitness. He's taken me from debilitating injuries causing constant pain to absolutely zero pain, with increased mobility and athletic performance as an added benefit. This past year I ramped up my fitness with a more serious CrossFit and Olympic Weightlifting program. I also turned 30, and with the added strain from lifting my body just didn't seem to bounce back like it used to. I ended up with shoulder injuries that caused burning pain every time I lifted overhead, and tendonitis in my wrist that would get aggravated any time it was flexed. Scott took the time to listen to me, asked the right questions about my fitness and lifestyle, and performed a full body assessment. After two sessions, my pain was gone. When we'd addressed my primary complaints, he was quick to recommend that we only continue sessions when needed. I appreciate this - so many providers will keep you coming back weekly even when it's not necessary. In addition to treating my injuries, Scott's also been working with me to improve my mobility and better my athletic performance. He treats you in office but also recommends targeted exercises to work on at home (he has a great YouTube channel with tons of content). He even watches my lifting videos and points out areas of improvement he notices - like a hip-shift in my squat that we corrected. I feel so grateful that I found Scott as a supporter in my fitness journey. read more

I had a problem on my TMJ for a long time. It was as sever as I could not open my mouth. I was recommended to see a specialist by my dentist, so I went to see a spwcialist. All I got was a medication for relaxing muscle. I did a lot of research and I found here. After seeing Dr.Pulmano, I could see a huge difference on my face. My pain gradually went away, my face got smaller and most of all, I can open my mouth with no problem. He is very kind and listen to you and your body. He is also very friendly and I always have a fun session. Thank you Dr. Pulmano! read more

A few years ago I was diagnosed with muscle spasms in my neck and shoulders. The cause? 15 years of bad posture during nonstop computer use, the fact that I literally carry every stress I ever experience in my neck and shoulders, the fact that my shoulders are always hunched up when I'm cold, the list goes on. The spasms were so bad I could barely function. I was thrown on hefty pain medication then told to also get massage and physical therapy (and to give you an idea of how tight my muscles are, when my PT first worked with me and felt how tight my neck and shoulders were his eyes went wide and he literally exclaimed "Oh my god!"). Both MT and PT got me out of severe pain thankfully, but once PT ended, it felt like I was just *managing* chronic muscle tightness with MT but not actually achieving anything to improve muscle tightness in the long-term. The pain was a lot less of course, but there was always a low-to-medium hum of pain no matter what every single day. I've been seeing Dr. Pulmano for a few months now and I really love how comprehensive and holistic the care is. Sure they do the typical chiropractic work (snap, crackle, pop), but there are muscle warmups prior to the adjustment and then stretches and exercises are provided to me specifically tailored to address my problem areas. And instead of throwing a giant list at me to do every single day, Dr. Pulmano provided one stretch or exercise at each appointment to do every day to ease me into a routine. The stretches are working through the tightness and the exercises are working to strengthen me to have good posture - and do so without having to even think about it. They also have massage therapists on site, and it's been great to receive massage therapy immediately followed up by an adjustment. At this point, my pain is down to a "low hum" and thanks to the care here and Dr. Pulmano. Dr. Pulmano even said point blank that his ultimate goal is to eventually not see me at all, because that would mean I am no longer dealing with pain. Though I enjoy Dr. Pulmano's pleasant demeanor and the friendliness of the staff here, I too look forward to achieving that goal and I have confidence that I will get there thanks to coming here. read more

I went to SF Custom Chiropractice for a few months at the end of 2013 and they did wonders for my upper back, shoulder, and arm. From the repetitive world of retail, I had developed a lot of scar tissue in my left arm and Dr Jacobs did such a great job starting to break it up. I only wish that my insurance didn't change, thus requiring that I pay out of pocket if I wanted to continue to go (which I couldn't, so I didn't.) If my insurance was accepted now, I'd be going at least a couple times a month. Definitely recommend for both regular work and sports related injuries. read more

I went to Dr. Jacobs on the recommendation of my bootcamp instructor. I had never been to a chiropractor before so I didn't have very high expectations. Not only was bootcamp causing me EXTENSIVE pain, but I was recovering from plantar fasciitis and tendonitis in my feeet. I was a bit of a wreck. I signed up for the package deal of 15 sessions and began noticing improvements immediately. I also kept doing bootcamp so I was getting stronger and followed (mostly) the instructions Dr Jacobs gave me for exercising my feet and icing. Last thing, I got a foam roller to use after workouts. After 15 sessions of massage and ART, I still have some pain in my feet on occasion, but I'd say I've experienced about 95% improvement from where I was. Aside from feeling better, I want to say that everyone I encountered at SF Custom Chiropractic was super upbeat, nice, and great at giving massages! And they never yelled at me for being late. read more

I've been having a lot of lower back pains and neck stiffness from my desk job staring at a computer for 8 hours a day. I also do crossfit and a lot of outdoor activities. Often times, my body gets out of sync and the pain is unbearable. I'm so happy that I found Dr. Ray Pulmano. He is able to treat my back, neck, and elbow. He is knowledgeable and fixes all my issues. The front staff is amazing everytime I come in and they start you with a 5-10 minute massage that preps you. The location is great for anyone in the FiDi area and I can easily park my bike outside. I would recommend Dr. Ray Pulmano because he will take care of you. read more

Dr Jacobs from SF Custom Chiropractic, is one of the best Chiropractors Ive ever worked with. He took the time to listen to me explain what was going on with my back, and we discussed how we could go about getting me back on my feet. After suffering a herniated disc in my back, Dr Jacobs was the first Chiropractor I thought of. If you are suffering from a herniated disc, or any back issues, Id recommend making an appointment with Dr Jacobs. read more

Dr. Mills took the time to understand me and my specific pain points, as well as my history. It was very clear that he cared and was taking the time to give answers that were clear and helpful. I walked out feeling great, but also with a plan on how to continually care for my body. Also within an hour, he had sent me a detailed email with specific work I can do on my own. Will definitely be going back! read more

SF Custom Chiro is hands down the best chiro experience I've ever had! I came with bad knee issues and tendon issues after a half marathon and Dr. Mills got me back up and running to train for a marathon within a month. Everyone's kind and attentive, and I know more about how to take care of myself properly after! read more

I cannot speak anything other than the highest remarks for my chiropractor Dr. J. He has literally taken me from someone who had so much inflammation in my hip and shoulder that walking was painful to jumping in my personal training sessions. I consulted a large team of providers to figure out my hip and shoulder issues and it took only a few sessions with Dr. J to figure it out. He's the best thing an injured person could ask for. He's changed my life in a really huge way. read more