you are capable.
Physical medicine and rehabilitation physician.
I am a physiatrist. I help people move and live with more ease.
Share your interest and we’ll follow up with timing that fits you. New and returning patients welcome — referring physicians and therapists too.
Only important updates — no spam. Don’t send health details on this form.
Swipe sideways for pelvic floor, hypermobility, and neurorehab.
Pain. Leaking. Tightness. Pressure. Sex that hurts. The long tail of birth or surgery. I look at muscle, nerve, and joint — the pelvic floor and the rest of the body it belongs to.
Jaw pain and TMJ too. Holding tension upstairs works a lot like the pelvic floor.
A body that moves farther than it should can still be strong. Pain, instability, fatigue, a scan that looks “normal.” We sort what to load, what to protect, and how you live in it.
After stroke, brain injury, spinal cord injury, cerebral palsy, or another neurologic change, the work is function. Walking. A usable hand. Speech. A day that fits you.
Amputees and limb difference too. Adaptive sport is a particular love — para-athletes who compete hard in bodies others misjudge. Adaptive fencing is close to my heart; I was a varsity fencer, so I know the sport and I know what it means to train seriously.
Swipe sideways for procedure details.
For spasticity and dystonia — including pelvic floor, jaw, neck, trunk, and limbs — using ultrasound and EMG guidance.
Ultrasound- and EMG-guided trigger point injections, and ultrasound-guided joint and bursa injections (shoulders, knees, hips). These are not botulinum toxin.
I say botulinum toxin on purpose — brands can include Dysport, Xeomin, Daxxify, and others.
A longer list so you can find what you need. If yours is not here, still ask.
Swipe sideways through conditions.
Board-certified physical medicine and rehabilitation. Fellow of the American Academy of Physical Medicine and Rehabilitation (FAAPMR).
I care for adults — pelvic floor, hypermobility, and neurorehabilitation. Spasticity and dystonia. Cerebral palsy as people move into adult care and as they age. Stroke, spinal cord injury, brain injury, amputation and limb difference. TMJ, scapular, and pelvic floor when holding tension is the problem. Performing arts medicine is part of how I practice. So is adaptive sport — para-athletes competing at a high level in bodies the world often underestimates.
I use ultrasound and EMG guidance for botulinum toxin injections when treating spasticity and dystonia. Separately, I do ultrasound- and EMG-guided trigger point injections and ultrasound-guided joint and bursa injections (shoulders, knees, hips).
Most recently I was an assistant professor at UCSF, where I built the general physiatry service, grew pelvic floor and hypermobility care, and did diagnostic EMG. Before that I was associate medical director of the acute rehab unit at Dominican Hospital in Santa Cruz.
Duke MD. Duke undergrad in International Comparative Studies and global health (Angier B. Duke Scholar) — and a varsity fencer. Internship at UCSF Fresno. Residency at Shirley Ryan AbilityLab in Chicago — the top PM&R program, at the rehab hospital ranked #1 for 36 years running — including a performing arts medicine rotation with on-call coverage for performers at Ravinia. Hearst Resident Leadership Award. McKinsey MD fellow.
I’ve published and presented on rehab and global health topics, and volunteered in Ecuador, Mexico, Romania, Turkey, Austria, and Haiti. I love mentoring the next generation of physicians and therapists.
I grew up in South Texas and Spain. Medical interpreter training in Spanish. English, Spanish, Turkish, or German — I can care for you in any of them.
Outside clinic: husband, two kids, time outdoors together, and a mediocre clarinet habit that keeps me humble.
This is a new solo practice. It is not a hospital clinic.
Peninsula / Los Altos.
Direct specialty care. Fees are simple and transparent — we’ll share them when we talk. Keep your insurance for labs, imaging, and hospital care.