A practitioner instructing a female client on proper form while using an air runner treadmill in a bright therapy room

Services · Baltimore

Still in Pain After PT, Massage, or Chiropractic?

Most patients who find Physica Medica have already tried the standard options. They've done the exercises, seen the specialists, and still wake up with the same problem. Dr. Maks Birikov, DPT built this practice specifically for that patient: the one who hasn't gotten better yet and wants to understand why.

Dr. Birikov is the first licensed practitioner in Maryland to hold a master-level dry needling certification, the first Functional Patterns practitioner in Baltimore, and the first to bring Pancafit postural class to the United States. These aren't marketing claims. They're the reason the approach here is categorically different from what you've already tried.

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Every session is one-on-one, full hour, hands-on. Located at 800 S Bond St in Fells Point, Baltimore.

The Full Spectrum

Conditions Dr. Birikov Treats at Physica Medica

The conditions listed here aren't a general intake menu. They reflect the specific problems Dr. Birikov has built a practice around, many of them mismanaged, undertreated, or dismissed at conventional clinics. If you've been told your imaging is normal, your pain is stress-related, or you just need to strengthen your core, there is likely more to the picture.

The goal is never temporary relief. It's finding what is actually driving the problem and treating that. Not just the place where it hurts.

Silo One

Pain and Tension

Neck pain, back pain, shoulder pain, sciatica, and chronic muscle tension are the most common reasons patients arrive here. They're also the most commonly undertreated, because most clinics address the site of pain without examining what's pulling on it from elsewhere in the body.

Practitioner performing neck and shoulder assessment or treatment on a client seated at a treatment table in a clinic.

Nerve Pain and Numbness

Nerve symptoms appear where the nerve ends, not where it's being compressed.

Practitioner assessing client's posture and spine alignment while client sits on treatment table in clinic

Posture and Structural Problems

Fascial restrictions and disordered breathing lock forward head, rounded shoulders, and scoliosis into place. Posture cues won't touch them.

Close-up of hands performing deep tissue massage on a client's shoulder and upper back.

First Master Dry Needler in Baltimore

Scar Tissue and Post-Surgical Pain

Scar tissue locks layers together that should slide freely, and the pain shows up somewhere else.

Close-up of cupping therapy being applied to a client's back with multiple glass cups positioned on the skin.

TMJ, Jaw Pain, and Facial Pain

Jaw pain has a joint side and a muscle side. Intraoral release addresses what external pressure never reaches.

Practitioner instructing client on functional patterns training using suspension equipment in clinic

Sports and Athletic Injuries

Movement chain dysfunction, not isolated damage, is why the same injury keeps coming back.

A practitioner performing dry needling or acupuncture treatment on a client's back in a clinical therapy room

Pregnancy-Related Pain

Pelvic pain, rib discomfort, and low back pain treated with hands-on care adapted to each stage of pregnancy.

A practitioner instructs a client on proper form while using an exercise bike in a bright, modern therapy room.

Vocal and Breathing Dysfunction

Jaw tension, tongue restriction, and diaphragm dysfunction form one chain. That chain controls your voice.

Practitioner performing instrument-assisted soft tissue mobilization on client's leg using specialized tool

Headaches and Breathing-Driven Pain

When the diaphragm fails, the neck, ribs, and low back absorb the load until something breaks.

A spacious, modern therapy clinic interior featuring exercise equipment, anatomical charts, natural lighting, and professional design elements.

Silo Two

Why Patients Come to Us After Everything Else Has Failed

The most common thing new patients say is some version of: I've tried everything. PT didn't hold. Massage helped temporarily. Chiropractic adjustments wore off. The problem came back.

Close-up of hands demonstrating manual therapy technique on a client's arm and shoulder area.

Our Approach: Finding the Source, Not Just the Symptom

Movement reveals what imaging misses. Assessment begins before hands touch tissue.

Practitioner performing myofascial cupping therapy on client's leg using specialized cupping device

Treatment is direct and manual.

Every session draws from dry needling, IASTM, cupping, or neural release, chosen by what the tissue demands.

A male practitioner instructs a female client on proper form while using an exercise bike in a modern therapy facility.

No referral is required.

Maryland allows direct access to physical therapy. You can book without a physician referral. If your situation requires coordination with another provider, Dr. Birikov will tell you directly.

Practitioner performing deep tissue massage on client's chest and shoulder area while client lies supine

Diaphragmatic Rehabilitation

For neck, rib and low-back pain driven by how you breathe.

Close-up of hands performing buccal massage or jaw therapy on a client's face and jaw area.

TMJ & Jaw Therapy

Clenching, clicking and facial pain worked at the joint and the muscle.

Practitioner performing manual therapy on a client's neck and jaw area while client lies on treatment table

Buccal Massage

Intraoral release for jaw tension nothing external has reached.

A male practitioner in red branded shirt explains anatomical concepts to a female client using wall-mounted anatomical charts and diagrams.

Therapy for Singers & Speakers

Jaw, tongue and diaphragm treated as one continuous chain.

Practitioner in red branded shirt guiding a young client through a functional movement exercise in a modern clinic space.

Only Practitioner in Baltimore

Functional Patterns

Gait, rotation and breathing retrained as one movement system.

Browse Conditions We Treat

Each condition page goes deeper into how Dr. Birikov approaches that specific problem, what treatment typically involves, and what a realistic timeline looks like. If your condition isn't listed, send a message. The list below reflects the most common presentations. It isn't exhaustive.

Silo Three

What to Expect

Sessions are one hour. One patient at a time. Dr. Birikov performs every treatment himself, with no assistants, no techs, and no handoff mid-session. The first visit includes a full movement assessment before any treatment begins.

A professional therapy room with a treatment table, anatomical charts, exercise equipment, and natural lighting from large windows

Only Class in the US

Pancafit Stretching Class

Meaningful change typically arrives within 4 to 6 sessions; Dr. Birikov gives you a real estimate after assessment, not before.

Two shirtless men in an icy geothermal pool surrounded by snow-covered evergreen trees

First Certified Instructor in Baltimore

Wim Hof Method Workshops

Breathwork and cold exposure run as a physiological protocol.

Practitioner in branded red and blue athletic wear demonstrating functional movement or strength training in an outdoor group setting.

Group Seminars

Teams, choirs and workplaces, taught in the studio or on site.

Start Here

Ready to Finally Get Answers?

If you've already been to multiple providers and you're still in pain, the problem isn't that treatment doesn't work. It's that the right source hasn't been found yet. That's the work done here.

Send a short description of what hurts and what you've already tried. Dr. Birikov reads every inquiry personally and responds directly. Call 443-228-8029 or reach out through the contact form. Physica Medica is located at 800 S Bond St, Baltimore, MD 21231.

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Good Questions

Common Questions

How do I know which service or treatment is right for my condition?

What kinds of conditions does a concierge physical therapist treat? The same range as a standard PT clinic: pain, nerve symptoms, posture, post-surgical recovery, sports injuries. The difference is the volume model. Most clinics limit how much time and attention each patient gets. A full hour of one-on-one treatment changes what's possible.

Can I combine multiple services in one session?

How is Physica Medica different from a standard PT clinic? Most PT clinics operate on 20-to-30-minute treatment slots, with assistants handling portions of the session and exercise programs filling the rest. Every session here is a full hour of direct, hands-on treatment performed by Dr. Birikov. No exercise sheets. No circuits. The modalities used, including dry needling, IASTM, cupping, and neural tension release, are selected based on what the assessment finds, not a preset protocol.

Do all services involve hands-on treatment?

Do I need a referral to be treated for my condition? No. Maryland allows patients to access physical therapy directly. You do not need a physician referral to book an appointment at Physica Medica.

The Next Step

Schedule a Visit

Tell Dr. Birikov what hurts, how long it's been a problem, and what you've already tried. That information shapes the assessment before you arrive.

Request a Consultation Call Dr. Birikov · (443) 228-8029

Dr. Birikov reviews every inquiry personally and responds directly. Not through a scheduling assistant or automated system. Reach out by phone at 443-228-8029 or through the contact form on this site.