When pain strikes, you deserve prompt, human-centered care from experts who treat you—not just your symptoms. At the Physicians’ Back Institute in San Francisco, osteopathic physicians Irène and Robert Minkowsky deliver exactly that: boutique-style, concierge-level care tailored for spine and joint disorders.

FEATURE PBI EXPERIENCE
Same‑Day Access Book an acute visit with no delay
Live Response Front‑desk staffed by real people—fast
Direct Physician Contact Email and phone queries go to your doctor
Personalized Treatment Diagnostics and therapies tailored to you
Physician-Only Visits No PAs—just expert care from Drs. Minkowsky
Holistic Approach Manual therapy, exercise, regenerative injections, holistic diagnostics

I’ve been seeing Dr. Robert Minkowsky for a couple of years. Before that, I was suffering from chronic pain and had seen numerous specialists in San Francisco. None of them was able to help me as much as he has. I’m very grateful and cannot recommend him enough. – Veronica Voroyova via Google Maps rated 5 out of 5 stars on Google Maps

1. Immediate Access for Acute Problems

Individuals experiencing acute spine or joint flare-ups often can be seen on the same day. While most conventional practices keep you waiting, PBI prioritizes urgent care, ensuring patients don’t suffer worsening symptoms or prolonged anxiety. This rapid response is a hallmark of concierge-style medicine, where access is seamless and prioritized.

2. A Real Person Answers the Phone—Fast

Tired of frustrating auto-attendants, being put on hold, or getting voicemail? PBI staff answers your call within 1–2 rings, bypassing long holds and eliminating callbacks. Patients speak to a live person from the start, and appointments are scheduled directly—no waiting for a return call.

3. Rapid Email Response & Direct Communication

Email queries—whether medical questions or appointment needs—are handled promptly by PBI’s team. The Minkowskys themselves oversee communication, ensuring a high-touch, transparent relationship. This level of responsiveness supports timely care and builds trust.

4. A Personalized Approach—Every Patient Is Unique

PBI’s practice is built on individualized care. Prior to treatment, they conduct thorough clinical evaluations, detailed histories, and hands-on physical examinations. Unlike cookie-cutter protocols, every treatment plan is shaped for the unique person—not just the condition.

5. Physician-Only Care—No Physician Assistants

At the Institute, you see the physicians themselves—Drs. Irène and Robert Minkowsky—every visit, every time. There are no physician assistants, no mid‑level providers. You benefit from direct access to physicians with combined expertise in internal medicine, physiatry, and osteopathic manual therapy.

6. Comprehensive, Non‑Pharmacologic Treatment

PBI treats more than just back and neck pain. Their holistic, non-pharmacologic approach includes osteopathic manipulation, visceral manipulation, personalized home‑exercise plans, posture and ergonomics optimization, and regenerative therapies like proliferative injections. This multi‑modal strategy often helps patients who’ve failed conventional treatments.

7. True Concierge Medicine Meets Musculoskeletal Expertise

Concierge medicine emphasizes timely care, access, and individualized physician attention—precisely what PBI offers. They maintain smaller patient panels, provide direct phone and email access to physicians, and schedule same‑day or next‑day appointments, all while delivering deep clinical expertise in spine and joint disorders.

Our patient testimonials underscore this commitment, and you can read some of their stories here.

Physicians’ Back Institute offers concierge-level service grounded in expertise and compassion. From instant access and live communication to physician-led, deeply personalized care—PBI re-imagines what spine and joint care can be. For patients in the Bay Area wrestling with back, neck or joint pain, this is more than medical care—it’s individualized healing.