Around a month ago I had an accident that left me with a big neck pain. Dr Nick was a key factor on my recovery. He is extremely professional and incredible person. He followed up consistently and also gave me some exercises to speed up my recovery. Highly recommended. Less

Dr. Nick at the Castro office is my go-to chiropractor. He makes even my most stubborn adjustments easy. He works with me on exercises to increase time between adjustments. Also he treats each new pain with care and attention. The office staff are attentive and knowledgeable. When I changed offices, my payment plan and forms transferred with me, making my transfer seamless. I highly recommend SF Custom Chiropractic, especially Dr. Nicholas Ashby. Less

Had a cheerleading injury recently and Dr. P and staff were able to fit me in for a quick visit. I feel so much better! Very professional, warm and genuinely caring about their work. So happy to have them in the neighborhood! Thank you Dr. P! Less

Dr. Pulmano and the entire SF Custom Chiro have been a pleasure to work with. In fact, they were the first to ever get me to stop putting my wallet in my back pocket and focus on my body's health like never before. Dr. Pulmano helps me focus on great exercises and is great when I need tune-up or when I tweaked a muscle accidentally. They're very flexible especially when it's an emergency session! Less

As a patron of many other practices, my experience here has been remarkable and I’m already healing from the care I’ve received where, for me, other practices have fallen short. The staff here are all experts, even the person you will speak to at the front desk. Highly recommended! Less

Dr Ray Pulmano has been an amazing chiro for me. He is very kind, great at adjustments, is very knowledgeable about the body. He has helped, quickly, fix some issues I was having and our continued “maintenance” sessions are productive. 10 out of 10 for Dr. Pulmano Less

Dr. Raymond is a hell of a chiropractor. Don’t think about it. Go to him! He will crack your pain away and twist you back into form! I have been suffering with TMJ for roughly 6-7 years until finally i decided to go see him. Thanks to Dr. Raymond I can now yawn without trying to hold it back or even brush my teeth without any discomfort. His knowledge and great technique to ease the pain away has been life changing. I HIGHLY recommend seeing Dr. Raymond! You will not be disappointed! Not to mention you’ll also experience A+ assistance from the amazing staff at this office! Always looking forward to my next session with him! You are the BEST! Less

Started with Dr. Pulmano at the Mission Bay location and when he moved to his new, very well-deserved Castro location, I moved with him! It is truly hard to find a healthcare provider with the enthusiasm, spirit, and dedication that Dr. Pulmano has. He never fails to make me laugh and smile during our visits and truly provides the "four seasons hospitality." My back and neck feel lighter with every visit and I cannot thank him enough. I honestly do not see myself seeing any other chiropractor as long as he is in business. Thank you Dr. P!!!! Less