Physical Therapy Services · Baltimore
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
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.
Almost nothing is worse than when your body is in pain. Max expertly treated my symptoms, accurately determined the cause, and, perhaps most importantly, educated and empowered me through the entire process. He is ridiculously knowledgable and even more compassionate.
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 NeedlingProfessional and pleasant. Listens to what’s going on and takes into account your lifestyle. Pinpoints the problems and attacks. Always move better after a session with him.
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 NeedlingI have been seeing Max for 6 weeks. I tore a muscle, resulting in difficulty walking. Using the routines Max provided, along with my weekly visits, I am no longer in pain. Max's technique and level of professionalism put me at ease as I was evaluating different ways to resolve this problem.
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 NeedlingMaks is amazing! He helped me work through an Achilles injury that I had been "living with" for years and helped me learn so much about my body! I now know how so much more about movement and how to fix things in my body when they hurt. Thanks!!!!
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 NeedlingI’ve gotten both physical therapy and personal training from Max. In both areas his practice is unique. I have had a lot of injuries from running and tennis, and I believe Max has really helped me down a path to avoid as many injuries as I can down the road.
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 Needling02 · Movement
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.
Rehabilitation-grade strength work programmed by a DPT, built around your injury history and your actual life. Not a generic template.
Strength TrainingHip 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 TherapyForward 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
The techniques I trained in Europe to bring here. No other Baltimore practice offers these. Several don't exist anywhere else in the country.
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 StretchingA 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 CorrectionBreathwork 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 MethodYour 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 RehabilitationVoice 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 SingersWim 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
You don't need to know which service you need. That's my job. Start with what hurts.
Before You Book
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
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.
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