Every Session. One Doctor. Real Results.
Most clinics rotate you between therapists and rush you across a shared gym floor. At Physica Medica, every session is one-on-one with me, Dr. Maksim Birikov. If chronic back pain has followed you through clinic after clinic, this is where it stops. We find the root cause, fix it, and get you back to living without pain.

The pain that hasn't responded to anything else
If you've been told to rest it, ice it, or live with it, you're in the right place. These are the problems I treat one-on-one, every day.
Back Pain
Chronic and acute low back pain, herniated and bulging discs.
Learn more →Sciatica
Nerve pain shooting from the low back down through the leg.
Learn more →Neck Pain
Stiffness, tension headaches, and forward-head posture strain.
Learn more →Shoulder & Rotator Cuff
Rotator cuff injury, impingement, and limited range of motion.
Learn more →Knee & ACL
Post-surgical ACL rehab, IT band syndrome, and joint pain.
Learn more →Scoliosis
Spinal alignment work and posture-driven pain management.
Learn more →Pregnancy-Related Pain
Hip, pelvic, and back pain through pregnancy and recovery.
Learn more →Nerve Pain & More
Plantar fasciitis, tension headaches, sports injury rehab.
View all conditions →Find the root cause, fix it
Your pain isn't random. It comes from a structural issue or a movement pattern your body has been compensating for, often for years.
I find the driver, not the symptom
Most clinics treat where it hurts. I trace the pain back to the joint, muscle, or movement pattern actually causing it.
I correct it with hands-on work
Manual therapy, dry needling, and imported techniques applied directly, by me, based on what your body needs that day.
I build a plan around you
No protocol sheet. A program designed for your body, your goals, and your life so the results actually hold.

One doctor. Every technique that works.
From hands-on manual therapy to techniques you won't find anywhere else in Baltimore. All delivered one-on-one.

Manual Therapy & Hands-On
Deep, targeted hands-on work to release tight fascia, break up muscle knots, and restore movement.

Posture & Spinal Alignment
Correct rounded shoulders, forward head posture, and the spinal patterns driving chronic pain.

Specialty & Imported Techniques
Italian and Eastern-origin methods you can't get anywhere else in Baltimore, including the only Pancafit studio in the United States.

Fitness, Strength & Wellness
Clinical-grade strength and conditioning that rebuilds the body after pain, guided by a physical therapist, not a gym trainer.
Fells Point, Canton, Harbor East & Beyond
Physica Medica is a private studio in the heart of Baltimore. No shared gym floor, no crowded waiting room. Patients come from across the city and the surrounding neighborhoods because one-on-one concierge care is worth the drive.
10 Years. 300 Five-Star Reviews. Real Results.
Reviews from real Baltimore patients
A selection from 300+ verified five-star reviews on Google.
This is a tough one because calling someone a miracle worker seems like it could only be an overstatement to say the least, but working with Max has been a life changing experience.
Maks is terrific. He did wonders with my posture and eliminating aches and pains in my shoulders and back. I continue to see him for a regular “tune up”.
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.
Rated 5.0 stars across 300+ reviews on Google.
Questions patients ask me first
Every other PT clinic in Baltimore runs a multi-therapist model. You see whoever's available, on a shared gym floor, working through a cookie-cutter protocol. At Physica Medica, every session is one-on-one with me. Same doctor, every visit. No assistants, no rotating providers, no protocol sheet. That's not a marketing line. It's a structural difference that lets me actually find and fix the root cause of your pain instead of managing symptoms.
Physica Medica is a cash-pay practice. I don't bill insurance, because insurance dictates 15-minute sessions, shared rooms, and treatment decisions made by an adjuster instead of a doctor. Paying directly is what makes the one-on-one model possible. I'm upfront about this so you can decide if it's right for you. We discuss exact pricing on your first call. You can also see payment details here.
No referral needed. Just call or text me at 443-228-8029. We'll talk through what's going on, I'll tell you honestly whether I can help, and if it's a fit we'll get you scheduled. You'll talk to me directly. Not a front desk routing you through a system.