The pain has a reason.
We find it.
Most clinics treat the spot that hurts. We take the time to understand why it hurts, then build a plan that actually lasts. You'll be heard, you'll understand your body, and you'll leave with more than an adjustment.
5.0 · 25 five-star patient reviews →Under a Minute to Book

The difference patients notice in the first visit.
We didn't write these themes. Our patients did, in their public reviews. They describe the same three things again and again.
We listen first
A real conversation before any hands-on care. Patients tell us they finally felt heard, the rarest thing in healthcare.
We find the root
A thorough movement and soft-tissue assessment that finds the cause, not just the sore spot you walked in pointing to.
We teach you your body
You leave understanding what's happening and what to do, with a plan and exercises, so you need us less over time.
Patients feel the difference, fast.

Care that begins with understanding.
Every patient deserves to be heard before they are treated. That belief is the foundation of everything Dr. Daniel Agegnehu built at Alem, a practice shaped by one conviction: if you don't understand why it hurts, you're only chasing the pain around the body. So he listens first, assesses thoroughly, and treats the body as one connected system, taking the time most clinics simply don't.
He practices evidence-informed chiropractic and rehabilitation, proudly serving patients throughout San Francisco.
Whether you're dealing with neck pain, back pain, a sports injury, or recovery after an accident, every treatment begins with understanding the root cause, not simply treating the symptom.
- Personalized, root-cause care, matched to you, not a template
- Licensed Doctor of Chiropractic
- Georgetown University: Human Biology & Anatomy
- Palmer College of Chiropractic: West Campus
- Marathon runner & coach
The Alem Method: the same care, every visit.
Four steps, in order, every time. It's how we make sure the experience never depends on the day. It's always, recognizably, Alem.
Listen
We begin with your story (your history, your goals, what your pain is keeping you from) before any treatment begins. You feel understood before you're ever touched.
Listen first, alwaysAssess
A thorough evaluation of how your body moves (posture, joints, soft tissue) to find the true cause. This is the step patients describe as “extremely thorough.”
Find the root, not the spotTreat
Personalized, integrated care (soft-tissue therapy, an adjustment when it's the right tool, corrective movement) matched precisely to what we found.
Premium, human careTeach
You go home knowing what's happening in your body, with a clear plan and the exercises to sustain it. Our goal is your independence, not your dependence.
Educate to become unnecessaryYou will be heard, you will understand what's happening in your body, and you will leave with a plan, not just an adjustment.
Care for how you actually live in San Francisco.
From desk-bound necks to runner's injuries to recovery after a car accident, each with its own root cause, and its own plan.
Know exactly what to expect before you arrive.
The uncertainty of a first appointment is the hardest part. So here's the whole thing, start to finish: no surprises, no pressure, no obligation to commit to anything.
Walk through your first visit →A full 45 minutes, built around understanding you.
- A real conversation about your history and goals
- A thorough movement & posture assessment
- A clear explanation of what's likely causing your pain
- Hands-on care where it's appropriate that day
- A plan you understand, with a defined finish line
A calm, private space, built for unhurried care.
Just a quiet, considered space in San Francisco, with the room to listen, assess thoroughly, and explain what we find. The way care should feel.
Every appointment is one-on-one in a private treatment room, never an open treatment floor or conveyor-belt clinic.
Real reviews. Real recoveries.
Every testimonial below is excerpted from a verified 5-star review by a real Alem patient. Not one is written by us.
Every review verified against the original Sourced from Yelp Individual results vary
I started seeing Dr. Daniel during the second trimester of my Pregnancy. It is not an exaggeration to say that the treatment I received radically improved my well-being and drastically reduced my pain throughout the entire rest of my pregnancy and postpartum period. … It transformed what had been a very uncomfortable and painful pregnancy, and allowed me to actually enjoy this special time in my life, pain free.
Care for whatever brought you in.
"Rescued me from chronic tech neck and a gnarly shoulder injury where I was living in pain. He has amazing bedside manner, is very knowledgeable, and explains what's happening."
"After just two sessions with him my lower back pain was gone. He knew exactly how to treat it after suffering from it for over two months."
"I got injured at the gym and was in excruciating pain at 8 PM. … He was able to reduce the pain, and took the time to walk me back to my home to make sure I don't fall and further injure myself."
"I feel like my posture improved immediately, it was striking. Pain is reduced, almost gone and leg and arm mobility has increased."
"He was able to help me with my low back pain and headaches. I used to take advil all the time and learned from him that that is not normal."
"I've been treated by Dr. Daniel for the past year and I am now in the best health of my life. My back pain was resolved quickly and I still book appointments proactively to maintain top health."
Why patients choose Dr. Daniel.
These aren't our talking points. They're the themes patients repeat, unprompted, across the reviews.
Never rushed
A full 30-minute, one-on-one follow-up visit (45 minutes for your first), not a 5-minute conveyor belt.
"He takes a full 30 min… It's not a factory line of in and out." — Maria J.
Thorough explanations
You understand what's happening and why, in plain language.
"He will patiently explain what he is doing and why." — Ali R.
Personalized treatment
Care matched to your body and your specific needs.
"…various methods and modalities according to individual's need." — Z K.
Multiple techniques
Soft-tissue, cupping, electrical stim, percussive tools and more.
"…electrical stimulation, percussive tools, and suction cupping." — Brendan M.
Caring & compassionate
Patients describe a doctor who genuinely listens and cares.
"An extremely caring doctor with a big heart." — Z K.
Solves what others couldn't
Lasting relief where previous providers fell short.
"Seen four different chiropractors… stable relief in three visits." — Brendan M.
More patients, in their own words.
"Dr. Daniel is a Godsend angel healer! …he takes a full 30 min to treat you with different modalities. It's not a factory line of in and out system. …he accepts my insurance! What more can you ask for?"
"My shoulder, neck, and jaw issues were much improved by his treatment… He is not only a skilled practitioner, but a truly kind and delightful person."
"Dr. Daniel has provided so much relief to me after an accident that caused a major back injury. …his care is a big part of my recovery."
"Dr. Daniel Agegnehu has transformed my holistic health and wellness. …His treatment has helped my chronic back and neck pain and I love going in for maintenance."
"After just one session I feel insanely better! …affordable, effective, results driven… They thoroughly address any concerns or pains their patients might have."
"He has a gentle style that has been very conducive to my chronic neck pain. He has many different types of modalities… I walk out of there feeling amazing."
Great care, without the surprises.
We keep the money side as clear as the care itself: most major PPO plans accepted, injury cases welcome, and we're glad to verify your coverage before your first visit.
Most major PPO plans
We accept most major PPO health insurance plans, and we'll tell you exactly what yours covers before we begin.
Injury & auto accidents
Personal-injury and auto-accident care, with the careful, thorough documentation your claim needs.
Benefits verified for you
Not sure what you're covered for? We're glad to verify your insurance benefits ahead of your first visit. Just ask when you book.
Have a question about coverage? Call (415) 343-7706. We're glad to check your plan for you.
The clinic people send the people they love to.
Book your first visit today. If we don't think we're the right fit for you, we'll tell you, and point you to who is.
Schedule Your First Visit →Or call (415) 343-7706