Please note all deposits made towards New Patient Assessments do not include the total exam price and are nonrefundable. For more information on our exam pricing and financial policy please contact our office at (415) 788-8700.

Nhung is a licensed massage therapist accredited by CAMTC, with specialized training in neuromuscular massage therapy from the National Holistic Institute in Emeryville, CA. Her exceptional ability to identify tension and attentively address client needs allows her to skillfully realign body tissues, providing effective relief. Fluent in both English and Vietnamese, Nhung also serves as a health care interpreter, facilitating communication between medical providers and Vietnamese patients at hospitals and rehabilitation centers in San Francisco. Beyond her professional pursuits, Nhung finds joy in various outdoor activities. She engages in hiking, takes leisurely walks with her dog Luna, plays tennis, practices yoga on the beach, and cherishes moments spent with family and friends during her free time

Nhung is a licensed massage therapist accredited by CAMTC, with specialized training in neuromusc... Read More

Dr. Raymond Pulmano graduated from University of California Santa Cruz with a Bachelor of Science in Chemistry. After graduation, his original plan was to attend dental or pharmacy school and began taking additional prerequisite courses for his applications. He had discovered chiropractic after he was involved in a motor vehicle accident and suffered neck and low back pain. After receiving one visit of chiropractic care at our very own SF Custom Chiropractic, he left the office feeling instantaneous relief. He changed his mind and pursued his Doctorate of Chiropractic at Palmer College of Chiropractic in San Jose, CA.

While attending Palmer College of Chiropractic, he tutored several classes on campus, including Biochemistry, Microbiology and Nutrition & Dietetics. He was also a lab instructor assistant for courses including Clinical Evaluation and Principles of Chiropractic. He was heavily involved in Sports Council and after completing his outpatient clinical phase early, he completed a six month internship with SF Custom Chiropractic at the Financial District location. Following the completion of his internship, he was offered a full time position as an associate chiropractor to begin at the start of January 2018.

Dr. Pulmano is a full body certified, elite provider for Active Release Techniques and certified in Functional Movement Techniques, levels 1 and 2. He received the Clinical Excellence Award at the December 2017 Commencement for Palmer College of Chiropractic and also taught as part-time faculty for the College from 2021 until 2023. He was selected to serve on the Commencement Panel for Palmer College of Chiropractic’s Summer 2022 commencement.

In 2022, he was selected by Active Release Techniques to join the treatment team at the IronMan World Championship in Kona, Hawai’i and provided care for many of the world’s top triathletes. In 2023, he became a Brand Ambassador for Active Release Techniques. As of 2026, he is Level 2 certified in Active Release Technique.

Dr. Pulmano is a member of several non-profit organizations and communities in San Francisco including San Francisco Gay Softball League and has served on the Board of Directors for Gay Asian Pacific Alliance. He is currently a Board Director for Cheer For Life Foundation and a performing member and choreographer for Cheer San Francisco. In May 2023, he won the title of Mr. November 2024 on the 40th edition of the Bare Chest Calendar.

Dr. Pulmano is now running SF Custom Chiropractic’s Castro location and is also the on-site chiropractor for Equinox Van-Mission and Barry’s Castro.

Dr. Raymond Pulmano graduated from University of California Santa Cruz with a Bachelor of Science... Read More

Henry Lee, L.Ac, Doctor of Acupuncture

Acupuncturist

Henry is a licensed acupuncturist dedicated to promoting holistic wellness and harmony of the body, mind, and soul. With a passion for enhancing the quality of life through traditional Oriental medicine principles, Henry offers a unique approach to health and well-being.

Rooted in the ancient wisdom of Oriental medicine, Henry’s practice focuses on restoring balance and vitality to his patients’ lives. He believes in the interconnectedness of body, mind, and soul, and seeks to address the root causes of health issues rather than just treating symptoms.

With a commitment to personalized care and attention, Henry takes the time to understand each patient’s unique needs and goals. Whether it’s pain management, stress relief, or enhancing energy flow, Henry empowers his patients to achieve optimal health and wellness.

Outside of his practice, Henry enjoys spending time pursuing his hobbies. He loves playing musical instruments with friends, including the guitar, keyboard, and drums, fostering creativity and connection through music. Additionally, Henry is an avid sports enthusiast and enjoys activities such as badminton, volleyball, and cycling, fostering camaraderie and physical well-being with friends.

Henry Lee, L.Ac, Doctor of Acupuncture Acupuncturist Henry is a licensed acupuncturist dedicate... Read More

Custom Foot Levelers, Spinal Pelvic Stabilizers that provide unique orthotic support by addressing imbalances in the feet. These unique inserts are tailored to each individual based on a laser digital foot scan, ensuring they stabilize the spine and pelvis by correcting specific foot imbalances. Even without foot pain, these stabilizers prevent postural misalignments that can lead to pain and fatigue in other parts of the body over time. Unlike generic options, Foot Levelers are custom-made to fit the unique contours of your feet, enhancing comfort and effectiveness. Visit us for a COMPLIMENTARY digital foot scan to discover how these custom orthotics can support your overall posture and alleviate discomfort throughout your body.

Custom Foot Levelers, Spinal Pelvic Stabilizers that provide unique orthotic support by addressin... Read More

Dr. Paul Porter DC is a board-certified doctor with over a decade of experience specializing in non-surgical orthopedics and comprehensive musculoskeletal care. He focuses on the diagnosis, treatment, and rehabilitation of conditions affecting the spine, peripheral nerves, joints, and soft tissues—serving as a frontline primary care provider for musculoskeletal health.

Dr. Porter’s commitment to multidisciplinary care began in 2011 when he joined the medical treatment team at the Ironman World Championship in Kona, Hawaii. Providing care for elite world-class athletes shaped his clinical philosophy: precise diagnosis, performance-driven rehabilitation, and restoring optimal movement without unnecessary intervention. It was during this time that he developed a lasting passion for both physical medicine and men’s health.

He earned his doctorate from Palmer College of Chiropractic West in San Jose, California in 2014, after completing a Bachelor of Science in Psychology with a focus in Cognitive Neuroscience from Virginia Tech. His background in neuroscience informs his understanding of pain, motor control, and the complex relationship between the nervous system and human movement.

Dr. Porter has advanced training in musculoskeletal diagnostic ultrasound from the UCLA David Geffen School of Medicine, where he refined his skills in real-time evaluation of soft tissue structures, peripheral nerves, joint pathology, and dynamic biomechanics. He integrates ultrasound into clinical practice to enhance diagnostic accuracy and guide precision-based treatment planning.

At the core of his practice is non-surgical orthopedics. Dr. Porter emphasizes thorough biomechanical assessment and evidence-informed conservative care as the foundation of treatment.Among Dr. Porter’s specialized clinical interests is the evaluation and treatment of pelvic floor dysfunction, with a particular focus on men’s pelvic health, an area that remains significantly under-diagnosed and under-treated. Dysfunction of the pelvic floor muscles can contribute to erectile dysfunction, pelvic pain, chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), urinary urgency and frequency, painful ejaculation, constipation, tailbone pain, and persistent pain of the hips, groin, lower back, and abdomen. Because these symptoms often originate from dysfunctional muscles, connective tissue, or peripheral nerves rather than structural disease alone, many patients undergo years of unnecessary testing or treatment before receiving an accurate diagnosis.

As the director of his patients’ musculoskeletal care, Dr. Porter establishes the clinical strategy and oversees each phase of treatment. When advanced interventional procedures such as platelet-rich plasma (PRP) or trigger point injections are indicated, he coordinates with trusted medical physicians who perform these procedures in alignment with his diagnostic findings and overall treatment plan. This structured, physician-led model ensures that care progresses in a deliberate, stepwise manner—prioritizing restorative, noninvasive therapies first and integrating higher-level interventions only when clinically necessary.

Dr. Porter is known for delivering clear answers in complex cases and building structured treatment plans that prioritize restoration over reaction. By combining advanced imaging, biomechanical precision, regenerative technologies, and coordinated interventional care under his direction, he provides patients with a comprehensive, surgery-sparing pathway to recovery.

His philosophy is simple: diagnose accurately, treat strategically, restore function completely. Whether caring for elite athletes, active professionals, or individuals seeking long-term solutions to chronic pain, Dr. Porter’s focus remains the same—optimize movement, preserve tissue integrity, and deliver measurable outcomes that allow patients to return to the activities that define their lives.

Dr. Paul Porter DC is a board-certified doctor with over a decade of experience specializing in n... Read More

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