Acupuncture for Runners in San Francisco
From IT band pain to a heel that won't settle, we help runners recover from injury and keep training, with acupuncture, dry needling, cupping and sports massage planned around your race calendar.
Sound familiar?
- A knee that aches on downhills, stairs or after sitting
- Sharp pain on the outside of the knee a few miles in
- Shin pain that starts when you add mileage
What our patients say
5.0 on Google from 92 reviews
Gosh, I'm so happy I found Andrew! Thanks to him, I avoided going down a surgery route for my injury! In June 2022, my left knee started acting up (my best guess is overcompensation for gluteal tendonitis I was treating) but I pushed through to backpack 264 miles on the John Muir Trail. When I finished my trek, my left knee was pretty unhappy and I couldn't even get in and out of my car without feeling like a jigsaw puzzle. I tirelessly saw dozens of providers over the next year - chiropractors, physical therapists, orthopedists, massage therapists, etc. All had their own theories - soleus muscle, calf strain, chronic exertional compartment syndrome, etc. The complexity in my case was that my pain was not in my knee itself - it was on the left side in between my knee cap and calf. Despite my knee MRI showing meniscus tears, inflammation, tendonosis, etc. the doctors insisted we treat the symptoms, not the MRIs. So, I got a calf MRI, hip MRI, and an EMG, all of which were negative. Then, one doctor recommended oral Prednisone, and he told me I should see results better than Advil for pain management. It did nothing. It wasn't until I was finally referred to one doctor who noticed something in my knee MRI and caught that there is excess fluid in my proximal tibiofibular joint (PBTJ), and that area tracks with where I feel my pain. To test his suspicion diagnostically, he recommended an ultrasound-guided cortisone injection in my PBTJ to see if that reduced my pain. The pain did decrease (which was good), but it wasn't gone. The doctors informed me issues concerning the PBTJ are rare, and that they needed to refer me to one of the only specialists in the country for this. That specialist happened to be in Minnesota, and when I checked his website, he was only seeing patients for surgery. I did not want surgery. I felt completely defeated, unsure where to go next. In May, I was recommended by someone who also had a challenging journey with injuries (and was able to return to running and hiking) to try acupuncture. I was surprised, since I had not considered Eastern Medicine before for a sports injury. The person specifically recommended I search for an acupuncturist who specializes in athletes, and that led me to find "Acupuncture for Athletics." :) My first appointment with Andrew was May 30, and he patiently listened to my whole ordeal and reviewed all of the documentation I brought (MRIs, doctor's notes, etc). He assured me he treats the root cause, which I appreciated because I did not want to do a band-aid fix only for this to return again, and that he has hope I can feel better. We started off with cupping along my left leg to encourage the inflammation to dissipate, and then we did needles in my leg. Oof, I remember one session when Andrew placed a needle near my PBTJ - I screamed SO loudly lol. But once all of the needles were in, it slowly felt like a meditative experience, and I was able to relax into it. Over my 7 sessions with Andrew, I began to notice the needles felt less painful. In the beginning, I remember feeling the pain just in walking over to Andrew's office. By the 6th session, I realized I wasn't thinking about my pain anymore. I did one more session to be sure, and I was in disbelief that I actually felt pain-free! We decided to go a month testing how the pain fared without regular sessions, and so far so good! The pain flares here and there, but in a MUCH less capacity than before. Throughout this whole process, Andrew was kind, patient, and determined. He was committed to solving the underlying issue, and he was flexible and accommodating to me - whether I wanted to address my left knee or start tackling similar pain that was creeping up on my right knee. Had it not been for Andrew, I would have likely chased surgery because I was running out of ideas. I appreciate you, Andrew! If you're nearing your wits' end with a chronic injury, please go see Andrew and give it a good ~5 sessions if you can. Wishing everyone out there good luck on their chronic pain journeys! You got this!
I came to Andrew after nearly six excruciating months of not being able to run. I had a seemingly minor Achilles tendon injury that simply refused to heal, defying every modality I tried. I hoped Andrew, a specialist in sports injuries, could break the deadlock. The simple answer is that in three visits, I was running again, hardly able to believe my good fortune. The more complicated answer runs deeper. Andrew’s work doesn’t just address physical injury; he works on spiritual and emotional injury and stress too. I didn’t realize that my physical injury was bound up with emotional trauma, but he did, and he figured out how to disentangle them so the healing process could start. The process can be painful; emotional injuries that have lodged in your body have to work their way out through muscle and bone, like a physical illness. But it’s also both profound and unexpected. As another of Andrew’s clients said, he is a true healer.
I could not recommend Andrew enough! He has so much knowledge on the human body and can figure out quickly what areas need work. I went in with major back pain that kept me from lifting weights or running, and after a few sessions I am pain free.
Andrew applies his knowledge of the body and expert techniques to address affected muscles both for maintenance during training and related to injury. His combination of acupuncture and massage helps to open up areas and find the place to target. I have seen Andrew in the past for recovery post concussion and most recently for routine maintenance while training at a high level for my next marathon. I highly recommend Andrew and am lucky to have him as a part of my support team to stay healthy! - Katie Hynes, competitive runner -
As an avid runner who is always training for an endurance race my body has a tendency to break down. Andrew is a legit magician. He’s able to get to the root off the problem quickly and I often don’t miss a beat with regards to my training. Marathon prep would not be possible otherwise.
There’s no one I trust more than Andrew to support my kids in their healing process if they’ve had a sports-related injury. As elite athletes, it’s so important that their knees, ankles and shoulders are well taken care of, and Andrew is our go-to for treatment of pain or injury and also guidance for best practices outside the treatment room to further help healing along. My daughter recently rolled her ankle and was ready for a painfully prolonged healing process when we took her into to see Andrew for a couple treatments before a tournament weekend. With his help, her recovery was amazing, allowing her to feel confident on her ankle. Thanks to Andrew, she was healthy enough to play without pain or exacerbating the injury. We are very grateful to have Andrew on speed dial when these types of injuries occur!
Andrew introduced me to a form of healing which, after years of competitive long distance running and many injuries, I am more than thankful to have discovered! My latest injury, a small tear in my left hamstring, sidelined me for a number of months. After trying rest, physical therapy and anti-inflammatories with little results, I finally met Andrew. His approach from the very beginning was completely methodical, precise and extremely professional. Right away the pain eased, and I felt my body finally respond to treatment. Andrew was instrumental in healing my hamstring, and I trust that his acupuncture/massage techniques will keep me healthy and, importantly, keep me running for many decades and miles.
Andrew’s massage and acupuncture techniques have seen me successfully through back-to-back marathons seven weeks apart, plus two active pregnancies and a record-breaking racing season in between. He is a veritable genius in his field — a true healer.
Andrew Castellanos has helped my Achilles tendinosis and tendinitis with acupuncture, not only getting the swelling down, but also massaging the area after. His therapeutic work has enabled me to continue dancing at a high level without having to take a break, so I’m able to dance with injury due to the therapeutic work that Andrew does.
As a professional dancer, I rely heavily on Andrew throughout the performance season to literally fix me in order to get me back onstage. I have chronic problems with my knee and my shoulder, and the combination of acupuncture with electric stimulation and heat has been tremendously helpful. Andrew only needs five minutes to find exactly where he needs to work, and the results are fantastic. His acupuncture work is also gentle, and doesn’t leave me sore the next day — in fact, it’s one of the only therapies I feel comfortable receiving right before a show. Andrew does great deep tissue work as well, and he is very responsive and attentive as a therapist. I’d highly recommend him to dancers, athletes and non-dancers alike.
Andrew is terrific. I saw him post shoulder surgery and it was very beneficial in getting pain free and full range of motion.
Andrew treated me over a period of about two years for hip and shoulder problems, and he was tremendously helpful. I was impressed with his knowledge and skill, not to mention wonderful “bedside manner” and especially his enthusiasm for staying current in his field.
Sound familiar?
Most running injuries build slowly, a few miles at a time. These are the niggles runners bring us every week.
If one of these is stopping you training, an assessment will tell us what's driving it.
- A knee that aches on downhills, stairs or after sitting
- Sharp pain on the outside of the knee a few miles in
- Shin pain that starts when you add mileage
- A stiff, sore Achilles first thing in the morning
- Heel pain with your first steps out of bed
- A calf or hamstring that keeps grabbing
- Glute pain that runs down the back of the leg
We want you running, not resting indefinitely.
Rest settles pain, but it rarely fixes why the injury started. Most running injuries are load problems: a jump in mileage, a new shoe, more hills, or a muscle that has quietly stopped doing its share. Our job is to calm the painful area, find what overloaded it and help you build back without the same injury returning.
We treat runners from first 5K to ultra. Andrew Castellanos has been on call for the Impala Racing Team and has more than 25 years of experience with athletes. We also work with athletes in other sports.
Common running injuries we treat
The same handful of injuries account for most of the runners we see. Here's how we approach each one.
- Runner's kneeAn ache around or behind the kneecap, worse on stairs, hills and after sitting. We release the quads and hips and calm the irritated area.
- IT band syndromeSharp pain on the outside of the knee that arrives at the same point in every run. We work the hip, glute and the tissue along the outer thigh.
- Shin splintsAching along the inner shin as mileage climbs. We ease the lower leg muscles, screen for stress fracture signs and help you rebuild load gradually.
- Achilles tendinopathyMorning stiffness and pain at the back of the heel. We treat the calf and the tissue around the tendon alongside a loading plan.
- Plantar fasciitisHeel pain with your first steps in the morning. We release the calf and foot and adjust your training while it settles.
- Hamstring and calf strainsA pull or a muscle that keeps grabbing. We ease the guarding, then guide your return to speed work.
- Sciatica and piriformisGlute pain that travels down the leg. We work out whether it starts in the back or the hip and treat the source.

How we treat runners
Every first visit starts with an assessment. We ask about your mileage, shoes, recent races and what changed before the pain started. Then we watch you move, with a squat, a single-leg balance or a hop, and feel the tissue involved.
Treatment usually combines sports acupuncture to calm pain with dry needling for knotted calves and glutes. We add cupping along the IT band and hamstrings, cold laser over irritated tendons, or sports massage when the whole leg feels heavy.
You'll leave with a plan for the next couple of weeks of training, not just an instruction to stop.
What the research says
Studies suggest acupuncture may help runners recover and manage pain. A 2020 review of six trials found acupuncture after hard exercise reduced delayed-onset muscle soreness, with the biggest effect at 72 hours, which makes it a useful recovery tool in a heavy block.
In a 2018 study of 34 runners with knee pain, all reported less pain after five acupuncture visits.
Broader reviews point the same way. A 2023 review in sports medicine reported improvements in pain, soreness, swelling and joint mobility across many sports, and a review of athlete case reports found acupuncture often helped short-term pain and function.
Safety is reassuring. The NCCIH notes that relatively few complications have been reported when acupuncture is done by a trained practitioner with sterile, single-use needles.
What it won't do
- Replace a sensible training plan
- Fix shoes that no longer suit you
- Promise a personal best
- Stand in for a doctor when a bone injury is possible
Training around treatment
You rarely need to stop running completely. Here's how we fit treatment around a training week and a race calendar.
During a training block
After a workout is a good time for recovery treatment. Most runners can run easy the next day. After dry needling, mild soreness for 24-48 hours is common, so we'll suggest skipping intervals or a long run the same day.
If you're injured, we'll help you decide what to keep: often easy miles on flat ground, with hills and speed paused for now. Cross-training on the bike or in the pool keeps your fitness while the injury settles.
Race prep and recovery
Before a race, book your last treatment two to five days out rather than the day before, so any soreness has cleared. Race week is not the time to try a new technique.
After a marathon or big race, a gentle session in the following days can help the legs recover before you build back.
Running in our part of the city
Our clinic sits a few blocks from some of the best running in San Francisco. Marina Green and Crissy Field give you a flat waterfront stretch, and the Presidio trails add hills and softer ground within minutes.
That mix is great for training, but switching between flat paths and steep trails is also a common trigger for calf, Achilles and knee trouble. Many of our patients run along the water before or after a visit. If you live nearby, see our page on acupuncture in the Marina District.
Easy to fit in
- Appointments 7:30am to 9pm, seven days a week
- Early-morning and weekend times around long runs and races
- Muni 45 one block away on Union Street
- Metered parking on Union Street
When to see a doctor first
Some running pain needs a physician before anything else, especially when a bone injury or a tendon tear is possible. Pushing through a stress fracture can turn a few weeks out into a few months.
If any of these apply, please see your doctor first. We're glad to work alongside them once you're cleared.
See a physician if you have
- Pinpoint pain on a bone, or pain at rest or at night
- Trouble putting weight on your leg or foot
- A sudden pop or a kicked feeling at the back of the heel
- A hot, swollen joint, or a fever
- Numbness or weakness that keeps getting worse
Who'll treat you
Three California-licensed acupuncturists who see running injuries every week. All of us trained in Traditional Chinese Medicine, so a plan can cover the injury, your recovery and your race calendar, not just the sore spot.
Andrew Castellanos
L.Ac, CST · Clinic owner
Running injuries, from IT band pain to a heel that won't settle.
- Acupuncture aimed at motor points, plus deep massage
- Focus on preventing the next injury, not only this one
- Was on call for the Impala Racing Team
Ali Hakimi
L.Ac
Recovery and pain care, plus diet and lifestyle guidance for training.
- Diet and lifestyle advice aimed at performance
- Active himself, outdoors around San Francisco and in the gym
- Local acupuncture for injury recovery and pain
Suzanne Lange
DACM, L.Ac, CMT
Acupuncture and sports massage for runners' aches and tight tissue.
- Whitfield Reaves Sports Medicine Apprenticeship
- Sports massage, myofascial and trigger point work
- Advanced training in women's health, pregnancy and postpartum
Pricing and booking
Running injuries are treated within a standard session, using whatever combination of needling, cupping, laser and massage you need. The 60-minute combo pairs acupuncture with massage in one visit.
We don't bill insurance, but we provide a superbill for possible out-of-network reimbursement. We accept HSA and FSA cards and all credit cards, and gift certificates make a good present for the runner in your life.
Appointments
- 60-min initial acupuncture & assessment
- $225
- 45-min acupuncture follow-up
- $195
- 60-min acupuncture/massage combo
- $225
- 75-min acupuncture/massage combo
- $265
- 90-min acupuncture/massage combo
- $300
Runners' FAQ
Can acupuncture help running injuries?
Acupuncture and dry needling are widely used for running injuries such as runner's knee, IT band pain, shin splints and Achilles trouble. Research suggests they may ease pain and post-run soreness. Results vary from person to person, and we'll estimate how many sessions you need after your assessment. They work best combined with smart changes to your training.
Can I run after acupuncture or dry needling?
Usually, yes. Easy running the same day or the next day is fine for most people. After dry needling, mild soreness for 24-48 hours is common, so we suggest saving intervals and long runs for when it has cleared.
When should I book before a race?
Book your last treatment two to five days before race day rather than the day before, so any soreness has gone. Avoid trying a new technique in race week. A gentle session in the days after the race can help your recovery.
How often should runners get acupuncture?
For an injury, visits usually start closer together and space out as you improve, and we'll estimate how many after your assessment. For maintenance during a training block, many runners come every two to four weeks, timed around hard training cycles and races.
How many sessions will I need for an injury?
It varies with the injury, how long you've had it and how much you're running. A recent niggle often settles faster than a problem you've carried all season. We'll give you an honest estimate after your first visit rather than a fixed package.
Who can do dry needling in California?
In California, dry needling is performed by licensed acupuncturists. Physical therapists in California are not currently authorized to perform dry needling. All three of our practitioners are California-licensed acupuncturists.
Will cupping marks affect my running?
No. Cupping can leave round marks that look like bruises, but they aren't painful for most people and they don't affect how you run. They usually fade within a week or two.
Do you take insurance?
We don't bill insurance directly. We'll give you a superbill you can submit for possible out-of-network reimbursement, and we accept HSA and FSA cards and all credit cards.
Where can runners get acupuncture near the Marina?
At 2920 Webster Street, between Union and Filbert, on the Cow Hollow side of the Marina. Andrew Castellanos has been on call for the Impala Racing Team and treats IT band pain, shin splints, tight calves and heel pain. He combines acupuncture, dry needling, cupping and sports massage, planned around your race calendar.
Can I come straight from a run at the Marina Green or Crissy Field?
Yes, you're welcome to come in from a run. We're one block north of Union Street on the Cow Hollow side of the Marina. Running shorts are ideal, since we often work on calves, hamstrings and the IT band.
References
- Huang C, et al. Does Acupuncture Benefit Delayed-Onset Muscle Soreness After Strenuous Exercise? A Systematic Review and Meta-Analysis. Frontiers in Physiology. 2020.
- Siqueira APR, et al. Reduction in Knee Pain Symptoms in Athletes Using an Acupuncture Protocol. Acta Ortopédica Brasileira. 2018.
- Pujalte GGA, et al. Acupuncture in Sports Medicine. Journal of Acupuncture and Meridian Studies. 2023.
- Lee JW, et al. Use of Acupuncture for the Treatment of Sports-Related Injuries in Athletes: A Systematic Review of Case Reports. International Journal of Environmental Research and Public Health. 2020.
- National Center for Complementary and Integrative Health. Acupuncture: Effectiveness and Safety.
Ready to get back on the road?
Book an assessment at our Cow Hollow clinic, a few blocks from Marina Green, or call us to talk it through first.
Visit us in Cow Hollow
2920 Webster Street, between Union and Filbert. A short walk from the Marina, Pacific Heights and the Presidio.
Address
Acupuncture for Athletics2920 Webster Street
San Francisco, CA 94123 Gate code: in your booking confirmation email
Hours
- Every day
- 7:30am – 9:00pm

