Dry Needling
A thin filament needle releases the contracted trigger point directly. The deep muscle knots that massage can't reach. My highest-demand service for chronic pain, sciatica, and stubborn tension.
Dry NeedlingPhysical Therapy Services · Baltimore
Every service on this page is delivered by one person. Me.
I'm Maksim Birikov, DPT. At Physica Medica there are no rotating therapists and no aides. Every session below is a full 60 minutes, one-on-one with me, in Fells Point. Some of what I offer exists nowhere else in Baltimore: I'm the city's first certified Wim Hof Method instructor, I teach the only Pancafit class in the US, and I correct scoliosis without surgery or braces. No insurance bureaucracy. A full hour with your therapist, every time.
01 · Hands-On
Manual Therapy & Hands-On Treatment
Clinically driven soft tissue work targeted at trigger points, fascial restriction, and scar tissue. Not a spa service. Every technique here is chosen after assessment, not off a menu.
Myofascial Cupping
Negative pressure that decompresses restricted fascia and restores glide between tissue layers. A clinical technique with a measurable mechanism. Not the spa version.
Myofascial CuppingDeep Tissue & Sports Massage
Outcome-driven massage from a DPT who knows exactly which structures he's working and why. The difference between feeling better for two days and actually fixing the problem.
Deep Tissue & Sports MassageIASTM
Instrument-assisted soft tissue mobilization, the scraping technique. Precision tools detect and break up adhesions that hands alone can miss, stimulating the tissue to remodel.
IASTMScar Tissue Mobilization
Post-surgical and post-injury scar tissue restricts movement far from the scar itself. Targeted mobilization restores mobility and reduces the pull on surrounding structures.
Scar Tissue MobilizationNeural Tension Release
When numbness, tingling, or radiating pain follows a nerve path, the nerve itself needs mobilizing. Specific techniques for sciatica, thoracic outlet, and nerve entrapment.
Neural Tension Release02 · Movement
Movement, Rehabilitation & Corrective Exercise
Hands-on work opens the window. Movement re-education is what keeps it open, retraining the patterns that created the problem so it doesn't come back.
Strength Training
Rehabilitation-grade strength work programmed by a DPT, built around your injury history and your actual life. Not a generic template.
Strength TrainingPregnancy Physical Therapy
Hip pain, back pain, and pelvic pressure during pregnancy are common. They are not something you just endure. Safe, specific treatment for each trimester.
Pregnancy Physical TherapyPosture Re-Education
Forward head posture and a hunched back aren't fixed by "sitting up straight." I retrain the fascial and muscular system that holds you there.
Posture Re-Education03 · Category of One
Specialty & Niche Services
The techniques I trained in Europe to bring here. No other Baltimore practice offers these. Several don't exist anywhere else in the country.
Pancafit Stretching
The Italian method of global postural realignment. Decompensated stretching of the entire fascial chain. I teach the first and only Pancafit class in the United States. If years of ordinary stretching haven't touched your posture, this is the reason to try something structurally different.
Pancafit StretchingScoliosis Correction
A structured, movement-based program that measurably improves spinal alignment. No surgery, no braces. Most patients are told to watch and wait, or operate. I built a third option.
Scoliosis CorrectionWim Hof Method
Breathwork and cold exposure with a measurable physiological mechanism, taught by Baltimore's first certified instructor and integrated directly into rehabilitation, not sold as a wellness add-on.
Wim Hof MethodDiaphragmatic Rehabilitation
Your diaphragm is a postural muscle, not just a breathing muscle. Re-training it changes rib mechanics, core stability, and chronic neck and back tension at the source.
Diaphragmatic RehabilitationTherapy for Singers
Voice strain is a movement problem: breath mechanics, neck tension, and posture. Specific treatment for vocalists and performers that voice teachers can't provide.
Therapy for SingersGroup Seminars
Wim Hof breathing workshops and Pancafit group classes for teams and small groups. The only place in the country to experience both.
Group SeminarsWhat These Services Fix
Conditions We Treat
You don't need to know which service you need. That's my job. Start with what hurts.
Before You Book
Common Questions
You don't need to self-diagnose. That's what the assessment is for. Your first visit is a full hour with me: I evaluate how you move, find the actual driver of the problem, and recommend the right combination of techniques. Book the assessment, and I'll tell you directly what will work and what won't.
Cash pay, and that's a feature, not a compromise. No insurance bureaucracy dictating your visit count, no 15-minute treatment windows. A full hour with your therapist, every time. HSA and FSA funds are typically eligible. Details on the Insurance & Pricing page.
Sixty minutes, one-on-one, every time. No aides, no shared appointments, no hand-offs. That's the entire model, and it's why most patients need fewer total sessions than a traditional clinic would schedule.
Get Started
Not Sure Where to Start? Start With the Assessment.
One hour, one-on-one, in Fells Point. I'll find the driver of the problem and tell you exactly what it will take to fix it. No endless treatment plans, no guesswork.
Book Your Assessment
Your first visit is a full 60-minute, one-on-one assessment with Maksim Birikov, DPT.
Physica Medica · 800 S Bond St, Baltimore, MD 21231