SoMa
A clinic with a real gym attached, on Howard between 7th and 8th.
Rehab, then training, in one place.
Physical Therapy
Hands-on treatment and progressive loading to get you out of pain and back to full capacity — one-on-one.
How PT works here→Performance Training
Coached strength and conditioning in the same gym, for people who are past rehab and want to keep building.
See performance→Small Group Classes
Wednesdays at 6:00 PM at 1118 Howard — coached strength in a small group, on the same gym floor. SoMa only.
Sign up for a class→Most people come in with one of these.
If yours isn't listed, ask us — we'll tell you honestly whether we're the right place for it.
A clinic and a gym, not one pretending to be both.
The therapists who practise here.
After many frustrating years of injuries and working with multiple physical therapists, I finally found Kauno — and now I'm able to walk, run and live my life without constant pain.
He didn't just treat my injury, he helped me rebuild my confidence and my strength when I honestly thought I'd never get back to normal.
Individual one-on-one support. She listens to my progress and adjusts my plan accordingly.
Your first visit, and here is where it goes.
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01What you want back
Not a form and a wait. We start with the thing you are trying to return to, and what has stopped working.
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02The assessment
How you actually move, tested on the equipment in the room rather than guessed at from a table.
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03Treatment and first load
Hands-on work where it helps, then your first loading work — the same visit, not the next one.
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04The plan
What we do next, and what to do between now and then. You leave with a plan, not a handout.



Howard, between 7th and 8th.
Five minutes on foot from Civic Center BART and Muni.
Parking: street parking, and bike parking inside the studio.
Before you come in.
Do you take my insurance?
We are out of network and bill nothing to your insurer directly. You pay a flat visit rate and we hand you a superbill to submit for out-of-network reimbursement. Rates are on the pricing page.
How long is the first visit?
Long enough for a full evaluation and treatment on day one — one-on-one with your therapist the whole time. No aides, no doubling up.
What are the Wednesday classes?
Small group coached strength at 6:00 PM at 1118 Howard, on the same gym floor. Sign up at kaunoclass.as.me — it's SoMa only.
Where exactly do I park?
Street parking on and around Howard St. If you ride, bring your bike inside — there's bike parking in the studio.
Do I need a referral?
California is a direct-access state — you can be seen without a physician referral. Some insurance plans require one for coverage, so if you're using benefits, check your plan or ask us and we'll look into it.
Is this location accessible?
Yes — step-free entrance. If you have a specific question about getting around the studio, call and we'll answer it honestly.
Can I train here after I finish rehab?
Yes. Performance training runs out of the same gym, so the handoff from rehab to training happens in one place with people who already know your history.