What We Do

Chiropractors embrace the body’s natural ability for self-healing and homeostasis. We recognize that injury, stress, and chronic conditions of the nerves, muscles, fascia, joints and bones may require treatment to restore normal function. This allows the body to repair properly with normal motion and minimal scarring.

We provide non-invasive treatment techniques, which may include a combination of manual therapies, physical therapy modalities, exercise programs, nutritional advice, orthotics, lifestyle modifications, and patient education. Chiropractors do not prescribe medication or perform surgery. If your condition is not suited for chiropractic treatment, we refer you to a medical specialist.

Chiropractors, like medical doctors, are primary care physicians (no referral needed), however our emphasis is on manual therapy, not pharmacology. Therefore, many medical doctors tend to refer musculoskeletal cases to chiropractors or physical therapists for active, non-invasive treatments.

Chiropractors are becoming the providers of choice as more people look for drug and opioid-free alternatives to relieve their symptoms especially chronic low back pain.

Dr. Tiltmann is a McGill Method provider, one of five in the US. A 3-hour McGill Method assessment will determine why you have chronic low back pain and how to end it. If your low back pain has lasted more than 6 months or you are suffering from episodic major flare-ups, have not responded to at least 3 or more interventions, the McGill assessment is your answer.

McGill Method Assessment - For Chronic Low Back Pain

Professor Stuart McGill is a world renowned spine scientist, speaker, and author of Low Back Disorders, among other books and hundreds of peer reviewed articles. He has developed the McGill Method assessment for chronic low back pain cases, which is different from anything traditionally taught in the allied health care fields. As such, the McGill Method assessment will be able to identify which movements, postures and loads are the cause of chronic low back pain, how to remove those causes, and hence eliminate the pain. Although Prof. McGill has taught thousands of individuals during his lectures around the world, he has personally trained only 19 McGill Method Providers, Dr. Tiltmann being one of them, to assess the chronic back pain patient as he himself would.

What to Expect

Chronic low back pain cases are unique, complex, multifaceted, and require time and care to properly assess and treat. The McGill Method assessment is a 3-hour examination and assessment protocol specific to your chronic low back pain. Time is needed to develop a thorough understanding of your low back condition and coach appropriate movements and exercises. Cookie-cutter approaches like stretches, yoga, palates, exercise, lose weight etc., do not work since these recommendations have not effectively resolved the symptoms causing the low back pain to become chronic.

Outcomes are based on many factors including the severity of low back damage, injury duration, symptom severity, tissues involved, numbers of therapies and surgeries attempted, age, health and patient fitness.

If you have not responded to other low back treatment and continue to suffer from chronic low back pain come and experience the difference of a McGill Method assessment.

Select the Service that Best Suits Your Needs

1) McGill 3-Hour Assessment:

For local San Francisco Bay Area clients. The 3-hour assessment and movement coaching is completed during the weekday. A written report will be provided within 2 weeks of the assessment.

2) Concierge Service

For patients that live outside the San Francisco Bay Area or simply want Dr. Tiltmann to come to them for; assessment, education and treatment, there is a novel solution. Dr. Tiltmann will travel to your location on a weekend.

3) Medical Tourist

Medical tourist travel from all over the United States and internationally for a McGill Method assessment. Select either the 3 or 6-hour McGill Method assessment and coaching. The 6-hour assessment provides an additional 3-hour coaching/movement session. 6-hour assessments are scheduled for a weekend day.

Please provide your own professional interpreter if not fluent in English.

Additional Visits

If the patient requires or requests follow up visits to review exercises, movements, instructions, treatment recommendations, etc., appointments can be made at the San Francisco office, or an additional concierge visit can be arranged. Telephone consultations are also available.

If you wish to be evaluated by Dr. Tiltmann, please click here.


All other patients that are not requesting a McGill Method assessment

Examination & Diagnosis

All patients receive a consultation, medical history, examination, diagnosis and if time permits, treatment on the same day.

Our first goal is always pain relief. However, we work proactively in identifying root causes, which compromise function resulting in pain and tissue damage.

In certain cases, we refer out for X-rays or MRI. While these are amazing imaging tools, it’s important not to rely too heavily on imaging. We remind patients that these tools provide only part of a total diagnosis picture.

Treatment Protocol

Physical rehabilitation exercises

Patients participating in active rehabilitation programs along with chiropractic care tend to respond quicker. This often reduces time in treatment, and improves long-term outcomes.

Soft-tissue treatment

Financial District Chiropractic practices specialized care in both Graston Technique® and Active Release Technique®. These highly effective techniques are used to detect and break up scar tissue or adhesions that cause pain and restrict motion. This speeds healing time and benefits long-term results.

Chiropractic adjustments

There is no substitute for a proper chiropractic adjustment that corrects joint biomechanics, increases range of motion and restores function. In cases where too much motion occurs between joints (often seen with chronic low back pain), an adjustment may not be indicated. A chiropractic adjustment can produce a unique state of relaxation and well-being because of its influence on the central nervous system.

Lifestyle considerations

How you use your body outside our office affects treatment outcomes. At Financial District Chiropractic, we discuss your exercise regime, analyze your movements, and review your work ergonomics. These are important aspects that will affect healing and future injury prevention.

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