SoMa

A clinic with a real gym attached, on Howard between 7th and 8th.

address1118 Howard St, San Francisco, CA 94103
hoursBy appointment only
transitCivic Center BART · 5 min walk
classesWednesdays, 6 PM
parkingStreet parking · bike parking inside
The gym at Kauno SoMa
The main floor. One patient on it at a time — the time is yours.
Racks, kettlebells and open training space
Racks, kettlebells and room to move — the same space you'll train in after rehab.
Coached kettlebell work on the gym floor
If your goal involves a lift, we can test it here.
Open space at Kauno SoMa
Turf strip for sprints, sleds and carries.
Hands-on knee treatment
A private room for hands-on work, when that's what the visit needs.
A Kauno shirt and gymnastic rings
Rings, rowers and conditioning gear.
what we treat here

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.

Shoulder pain, including pain that wakes you at night
Low back pain and sciatica
Knee pain, including patellofemoral pain
Hip and groin pain
Neck pain and headaches
Achilles and other tendon pain
Recovery after surgery — ACL, meniscus, rotator cuff
Running injuries and return to mileage
Injuries from lifting, and getting back to the barbell
Pain that has not settled on its own
what's in the space

A clinic and a gym, not one pretending to be both.

01Racks, barbells, dumbbells and kettlebells
02Turf strip for sprints, sleds and carries
03Treatment tables in the same room you train in
04One-on-one with your therapist, start to finish
who you'll see here

The therapists who practise here.

doctors of physical therapy
what patients say
4.9
/5
Google 4.9 · 101 reviews
Read them all →
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.
Sarah B. · Google
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.
Mercy C. · Google
Individual one-on-one support. She listens to my progress and adjusts my plan accordingly.
Gabi A. · Google
your first visit

Your first visit, and here is where it goes.

one-on-one, start to finish
  1. 01
    What 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.

  2. 02
    The assessment

    How you actually move, tested on the equipment in the room rather than guessed at from a table.

  3. 03
    Treatment and first load

    Hands-on work where it helps, then your first loading work — the same visit, not the next one.

  4. 04
    The plan

    What we do next, and what to do between now and then. You leave with a plan, not a handout.

A movement assessment at Kauno SoMa
Hands-on ankle mobilization
Overhead squat strength training at Kauno SoMa
getting in the door

Howard, between 7th and 8th.

Five minutes on foot from Civic Center BART and Muni.

Parking: street parking, and bike parking inside the studio.

common questions

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.

Something not covered here? Ask us and we'll get back to you.
The open training floor at Kauno SoMa
come and see it

Come see it in person.

Book at 1118 Howard, or tell us what's going on and we'll point you to the right therapist here.

Our Inner Richmond clinic Meet the whole team