
Wim Hof Method Workshop in Baltimore
Dr. Maks Birikov, DPT, is the first certified Wim Hof Method instructor in Baltimore — and the only one in the region who teaches this method through the lens of clinical physical therapy, diaphragmatic rehabilitation, and fascial tension.
This is not a wellness event. It is a structured, clinically informed introduction to a breathing and cold exposure method with measurable physiological effects — taught by a licensed physical therapist who uses these principles with chronic pain patients, singers, and athletes every day.
No prior breathwork experience required. Workshop details and registration below.
What Is the Wim Hof Method?
The Wim Hof Method is a structured practice built on three components: controlled breathing cycles, deliberate cold exposure, and focused concentration. It was developed by Wim Hof and has been studied in peer-reviewed research for its effects on the autonomic nervous system, inflammatory response, and stress regulation.
The breathing protocol involves repeated rounds of deep, rhythmic breathing followed by breath retention. This shifts blood chemistry in ways that affect the nervous system directly — reducing the stress response, altering pain perception, and changing how the body regulates temperature. These are not metaphors. They are measurable.
Cold exposure — typically through cold showers or ice baths — trains the vascular system and activates brown adipose tissue. The combination of the two practices, done consistently, has been shown to influence immune function and autonomic regulation in ways that breath alone or cold alone do not produce.
What Happens in a Workshop With Dr. Birikov
Most certified Wim Hof instructors teach the method as it was designed to be taught: as a practice. Dr. Birikov teaches it that way too. But he also explains what is happening in the body — not in vague terms, but anatomically and physiologically.
This is for you if
- You want hands-on bodywork: fascia, joint, nerve, needle. Not a program of exercises.
- You have already tried PT, massage or chiropractic and are still in pain.
- Your problem is chronic, recurring, or has never been explained to your satisfaction.
- You would rather have one hour with the doctor than three appointments with three people.
- You are willing to pay out of pocket for undivided expert attention.
This is not for you if
- You are looking for an exercise-based rehab program supervised by an aide.
- You need a clinic that bills your insurance directly and books you three times a week.
- You have an acute traumatic injury that needs imaging or surgical evaluation first.
- You want a single visit that makes a decade-old pattern disappear.
Who Should Attend — and Who It's For
This workshop is for people who want to understand their nervous system and breathing mechanics at a level most instructors do not teach. It is particularly relevant if you carry chronic tension in the jaw, neck, or ribcage; if you have been told your breathing is shallow or dysfunctional; or if stress, anxiety, or pain have been resistant to other approaches.
A shoulder that lives in the rib cage
Singers, speakers, and performers will find direct application. The jaw-tongue-diaphragm connection that restricts vocal function is the same chain that limits full breathing mechanics. Understanding that chain — and learning to release it through breath practice — is something very few instructors in any discipline can teach from clinical experience.
A hip held by a fifteen-year-old scar
Athletes and people recovering from injury are also well-suited. Cold exposure and breathwork affect recovery, inflammation, and pain regulation in ways that complement manual therapy and movement rehabilitation.
The Breathing-Body Connection: Why a Physical Therapist Teaches This
Breathing is not separate from musculoskeletal function. The diaphragm is a postural muscle. It shares fascial connections with the psoas, the pelvic floor, and the deep cervical flexors. When breathing mechanics are restricted — by tension, posture, scar tissue, or chronic stress — those restrictions show up in the body as pain, stiffness, and movement dysfunction.
Workshop Details, Schedule & How to Register
Format
Workshops are held at Physica Medica, 800 S Bond St, Baltimore, MD 21231. Sessions run approximately two to three hours and include guided breathing practice, cold exposure instruction, and clinical education on breathing mechanics and nervous system regulation. Group size is intentionally small.
Upcoming Dates
Specific workshop dates are confirmed on a rolling basis. Contact the clinic directly to ask about the next scheduled session or to be added to the notification list. Dr. Birikov reads every inquiry personally and responds directly.
Cost and Registration
Workshop pricing and registration details are provided upon inquiry. To ask about availability or reserve a spot, call 443-228-8029 or send a message through the contact page. No prior experience with breathwork or cold exposure is required to attend.
An honest arc
Before you leave, an estimate of how many sessions this will take and what will change first. Most patients feel meaningful change within four to six.
Deep manual work can be intense while it is happening and can leave a day or two of soreness, the kind that follows hard exercise rather than injury. Cupping can leave circular marks that fade within a week. Dr. Birikov talks through pressure as he works and adjusts on request. Nobody is asked to endure anything silently.

Frequently Asked Questions
How is one-on-one physical therapy different from PT at a regular clinic?
Do I need any prior experience with breathwork or cold exposure to attend?
No. The workshop is designed as a structured introduction. Dr. Birikov teaches the method from the ground up, including the physiology behind each component. People with no background in breathwork or cold practice attend alongside those who have some familiarity — the clinical framing is useful at any level.
How many sessions will I need?
How is a Wim Hof workshop with a physical therapist different from a standard certified instructor workshop?
A certified Wim Hof instructor teaches the method as designed. Dr. Birikov does that, and also brings a clinical layer that most instructors cannot. He explains the diaphragm's role as a postural and fascial structure, traces the connections between jaw tension, tongue tension, and breath restriction, and contextualizes the nervous system effects within a framework he uses with chronic pain patients and performers every day. If you have a body that has been through injury, surgery, chronic tension, or dysfunction, that context matters.
Do you take insurance for one-on-one physical therapy?
Is the cold exposure component safe, and what are the contraindications?
Cold exposure is contraindicated for people with Raynaud's disease, uncontrolled hypertension, certain cardiac conditions, and during pregnancy. Dr. Birikov reviews contraindications at the start of every workshop and does not pressure participation in any component. If you have a specific medical condition and are unsure whether this is appropriate, contact the clinic before registering — that question is worth asking in advance, not on the day.
Reserve Your Spot or Ask a Question
Send the clinic a message with any questions about the workshop, your specific situation, or upcoming dates. There is no automated system here. Dr. Birikov reviews every inquiry personally and responds directly.
Call 443-228-8029 or use the contact page. Physica Medica is located at 800 S Bond St, Baltimore, MD 21231.