Dr Paul Porter

SF Custom Chiropractic

2215 Market Street, San Francisco, CA, 94114

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.