Finding the Cause. Restoring Function.

Board-certified medical doctors with extensive training in osteopathy, providing comprehensive, physician-led care for spine, joint, nerve and musculoskeletal conditions.

Many of our patients come to us after months — or even years — of persistent pain despite consultations with multiple physicians, physical therapy, medications, injections or even surgery.

At Physicians’ Back Institute, we believe effective treatment begins with understanding why you hurt.

Our physicians combine board-certified medical expertise with extensive postgraduate training in osteopathy, integrating careful medical evaluation, hands-on diagnostic skills and evidence-based rehabilitation into individualized treatment plans designed to restore function and improve quality of life.

Doctors Irene and Robert Minkowski in their offices in San Francisco

Why Our Approach Is Different

We take the time to listen, think, examine and individualize-because the best treatment begins with the correct diagnosis.

We Listen

Every patient’s story matters. Understanding your symptoms, history and past treatments is often the first step toward an accurate diagnosis.

We Think

Diagnosis comes before treatment. We integrate your history, exam, imaging, biomechanics and movement to understand why your symptoms developed.

We Examine

Hands on medicine still matters A careful musculoskeletal examination frequently reveals information that cannot be appreciated on imaging alone.

We Individualize

Every treatment plan is different We recommend the least invasive treatment that is appropriate and tailored to your unique condition, goals and lifestyle.

Meet Our Physicians

Doctor Robert Minkowsky

Robert Minkowsky, MD

Board Certified in Internal Medicine

Dr. Robert Minkowsky combines decades of clinical experience with extensive postgraduate training in osteopathy to provide comprehensive diagnosis and individualized, non-surgical care for spine, joint, nerve, and musculoskeletal disorders.

His approach emphasizes careful listening, thoughtful analysis, and identifying the true source of pain before recommending treatment.

Doctor Irene Minkowsky

Irène Minkowsky, MD

Board Certified in Physical Medicine & Rehabilitation

Dr. Irène Minkowsky combines specialty training in rehabilitation medicine with extensive postgraduate training in osteopathy to help patients restore function, reduce pain, and improve quality of life.

Her skills integrate rehabilitation. musculoskeletal medicine, and hands-on evaluation into individualized patient care.

She is an expert in regenerative, proliferative injections.

What Our Patients Say

five out of five stars

“After years of searching for answers, Dr. Minkowsky explained my condition in a way no one else had. I finally understood why I was hurting — and more importantly, what I could do about it.”

five out of five stars

“The most comprehensive medical evaluation I have ever experienced.”

five out of five stars

“Dr. Irène Minkowsky is outstanding. Her combination of medical knowledge, hands-on skill, and compassion is unmatched.”

Spine Conditions

Back pain, neck pain, sciatica. disc disorders, scoliosis, spinal stenosis & more.

Joint Conditions

Shoulder, hip, knee, ankle & foot pain and problems.

Nerve Conditions

Peripheral nerve disorders, carpal tunnel syndrome, thoracic outlet syndrome.

Other Conditions

Headaches, sports injuries. myofascial pain, chronic musculoskeletal main.