Sports massage therapist · San Francisco, CA · reviewed since 2016
iHow the Experts Score is calculatedEach factor is scored 0–100 on absolute terms (standing in the category can only raise it), then weighted; problems flagged in review highlights or a recent slide in ratings are subtracted:Satisfaction 64%97+61.6Reliability 28%96+27.1Replies to reviews 8%100+8.2Experts Score= 97Not enough data for value; its weight is shared by the others.Grade A: A = 80+, B = 60–79, C = 40–59, D = 20–39. Needs 10+ reviews.97SCORE
AGradeiLetter from the Experts Score: A = 80+, B = 60–79, C = 40–59, D = 20–39, F = under 20.
#81 of 244 massage therapistsiPosition by Experts Score among all companies we track in this category. · better than 67%
5.0★★★★★241 Google reviews · 11 photos
98%five-star reviews
4.90★last 12 monthsiAverage stars on reviews from the last 12 months only.
0.7%1–2★ in 2 yearsiShare of 1–2★ reviews in the last 24 months — or the 20 newest reviews when the company had fewer than 20 in that time.
Google reviewers rate the practice five stars based on 241 reviews, with the owner responding to 99% of comments. Clients primarily describe relief from chronic pain, sports injuries, and post-surgical restrictions through unique nervous system techniques that often outperform standard physical therapy. Recurring themes include clear communication, precise assessment, and effective long-term mobility restoration. The only criticism involves two reviewers who found the specific P-DTR method ineffective and perceived the practitioner as arrogant during feedback exchanges.
Google rating: 5.0 out of 5 from 241 reviews (98% five-star).
Reviews on this page: 241 Google reviews (223 with written comments, 1 with photos).
Owner responses: the business replied to 99% of reviews.
Most recent review: November 10, 2026.
Service: Massage Therapist serving San Francisco, California.
Data from Google, last updated November 10, 2026.
Score profile vs other massage therapists
Score per factor (100 = best)iEach factor is scored 0–100 on absolute terms (star average, share of 1–2★ reviews, price verdicts…); standing within the category can only raise it, never lower it.. Strongest: momentum and replies to reviews; weakest: reliability.
This companyMassage Therapists median0 = centre, 100 = best
SatisfactioniSatisfaction · 54% of the scoreRecency-weighted star average (2-year half-life), shrunk toward the category mean by review volume; the company’s own lifetime average as the prior; absolute: 4.0★ = 0, 5★ = 100.San Francisco Integrative Massage: 97/100 on this factor. Category median: 94.A
97
ReliabilityiReliability · 24% of the scoreHow rarely jobs go badly: share of 1–2★ reviews — 60% the last 24 months (or the 20 newest if fewer), 40% all-time; 0% = 100, 15%+ = 0; the category percentile can only raise it.San Francisco Integrative Massage: 96/100 on this factor. Category median: 94.A
96
Craft & serviceiCraft & service · penalty only, up to −10 pointsGoogle review highlights: Quality, Professionalism, Responsiveness, Punctuality — how rarely reviewers flag them as a negative, per review since highlights began; 0% = 100, 5%+ = 0. Subtracted from the score (up to −10), never averaged in — clean highlights are the norm, not a bonus.Not enough reviews for this factor yet. Category median: 100.–
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ValueiValue · 14% of the scoreCustomers’ own price verdicts (Great / Reasonable vs Overpriced) and Value highlights; 65% absolute (all “reasonable” ≈ 80, “great” = 100), the category percentile can only raise it.Not enough reviews for this factor yet. Category median: 100.–
–
MomentumiMomentum · penalty only, up to −10 pointsPenalises only a real slide: last-12-month average below lifetime (−0.5★ = 0). Still 4.8★+ over the last year, or steady/improving = 100. Subtracted from the score (up to −10), never averaged in.San Francisco Integrative Massage: 100/100 on this factor. Category median: 100.A
100
Replies to reviewsiReplies to reviews · 7% of the scoreHow often the owner publicly replies to reviews under 5★ (1–4★). Needs 3+ such reviews, otherwise not counted; 65% absolute (80%+ replied = 100), the category percentile can only raise it.San Francisco Integrative Massage: 100/100 on this factor. Category median: 74.A
100
Bar = this company · dark tick = category median.
Star ratings
241 Google reviews we collected
5.0of 5
5 stars23798%
4 stars21%
3 stars10%
2 stars10%
1 star00%
Praise vs complaints
Phrases our text analysis found in 223 written reviews
95%praise
Praise29495%
Complaints155%
Topic share
How often each topic comes up in the written reviews
7topics
Would recommend10935%
Staff & attitude8227%
Quality & results4013%
Speed & response3411%
Communication3110%
Honesty & trust72%
Price & value62%
What customers talk about
We read 223 written reviews and marked every phrase about these topics. The same colors are highlighted in the reviews.
“He’s been treating my son for years and is my son’s go-to choice when he has injuries or feeling pain.”
“I can't recommend Carl Alexander at SF Integrative Massage enough!”
“I’ve had back issues for years and have tried various remedies, but this has by far been the most helpful.”
“I have had a great experience with Carl at SF Integrative Massage.”
“I was walking around with horrible foot pain for over 2 months.”
“Occasionally I’ll do something to aggravate my back and a quick trip to Carl gets me on track again.”
“He is clear in his communication, thoughtful, knowledgeable, a good listener and respectful.”
“From my very first session, it was clear that Carl genuinely cares about his clients and is deeply committed to helping them heal.”
“If you want to treat your symptoms in a unique cost affordable way, give him a try.”
People customers mention
Carl151 reviews
Alexander10 reviews
Area3 reviews
praise complaint · found by our text analysis, Google review wording unchanged.
Recent reviews
BrianLocal Guide · 28 reviewsiTotal number of Google reviews this person has written across all businesses on Google Maps (not just this one). More reviews usually means a more experienced, trustworthy reviewer. · 2 hours ago★★★★★
Carl and his work is amazing! I’ve had back issues for years and have tried various remedies, but this has by far been the most helpful. I can feel my nervous system being retrained and my mobility being restored. Occasionally I’ll do something to aggravate my back and a quick trip to Carl gets me on track again.
I…
ShaneLocal Guide · 30 reviewsiTotal number of Google reviews this person has written across all businesses on Google Maps (not just this one). More reviews usually means a more experienced, trustworthy reviewer. · a week ago★★★★★
Carl is fantastic! I’m an athlete and go to him for all the tight spots and pains that crop up through training. He’s also Improve my swimming a lot by loosening up my shoulders, neck, and chest. I like that he measures my range of motion before and after a treatment. He provides a very unique approach that has…
Ellen11 reviewsiTotal number of Google reviews this person has written across all businesses on Google Maps (not just this one). More reviews usually means a more experienced, trustworthy reviewer. · 2 weeks ago★★★★★
Carl is a skilled practitioner. I did not know what to expect when I first saw him, but he addressed my sore wrist, and then pulled muscle, with such precision and skill - and almost immediate results. He is easy to talk to and very responsive. I trust him completely.
Gabriela2 reviewsiTotal number of Google reviews this person has written across all businesses on Google Maps (not just this one). More reviews usually means a more experienced, trustworthy reviewer. · 2 months ago★★★★★
Carl has been a lifesaver! I went to him for my scoliosis, neck pain, and foot pain and he has helped in so many other ways as well. He truly has the magic touch!
Emilia1 reviewiTotal number of Google reviews this person has written across all businesses on Google Maps (not just this one). More reviews usually means a more experienced, trustworthy reviewer. · 3 months ago★★★★★
I’ve had debilitating pain in my neck, shoulder and radiating numbness down my arm for 12 years, all stemming from a chronic neck injury, and it was just getting worse. I also had hip pain on the same side. I go to the best doctor at UCSF and have the best PT in SF. I had an episode where I could barely walk and my…
Marc3 reviewsiTotal number of Google reviews this person has written across all businesses on Google Maps (not just this one). More reviews usually means a more experienced, trustworthy reviewer. · 5 months ago★★★★★
I had some serious back pain and over the course of four 30 minute sessions, Carl was able to diagnose the issue, relieve the pain and recommend strategies to avoid recurrences. I felt better each time I left, and it was he who recommended that I go from regularly scheduled sessions to an “as needed” ad hoc…
Carl and his work is amazing! I’ve had back issues for years and have tried various remedies, but this has by far been the most helpful. I can feel my nervous system being retrained and my mobility being restored. Occasionally I’ll do something to aggravate my back and a quick trip to Carl gets me on track again.
I also appreciate that his goal is to get me out in the world with full movement again, not to keep me as a perpetual client. Highly recommend!
Shane HarveyLocal Guide · 30 reviewsiTotal number of Google reviews Shane has written across all businesses on Google Maps, not just this one.
Carl is fantastic! I’m an athlete and go to him for all the tight spots and pains that crop up through training. He’s also Improve my swimming a lot by loosening up my shoulders, neck, and chest. I like that he measures my range of motion before and after a treatment. He provides a very unique approach that has worked way better for me than standard massage therapy.
Response from the owner · a week ago
Thank you so much for the great review Shane! I'm grateful to be able to help you optimize for your training & competition. Getting results & being able to measure the difference is one of my favorite parts of the work, since it shows us right away what's changing & keeps the treatment focused on results.
I'm glad you've found my approach so effective. Keeping athletes training well & feeling their best is my goal. Thanks again for your trust & for taking the time to share your experience. See you next time!
Cheryl Hagedorn1 reviewiTotal number of Google reviews Cheryl has written across all businesses on Google Maps, not just this one.
Carl is amazing and his work can only be described as magic. He’s been treating my son for years and is my son’s go-to choice when he has injuries or feeling pain. My son is an avid athlete who trains and competes in sports for hours each day. I don’t know how to describe what Carl does but he’s able to assess my son’s issues and treat them so he feels less pain, stronger in those areas, and recover more quickly. We have complemented Carl’s services with PT and Sports Orthopedist when he’s had bigger injuries or just used Carl when feeling pain for smaller issues. We used to see the sports orthopedist as first step but now we see Carl first
as my son said he’s way more helpful. Many of those times the orthopedist just said to rest and monitor, whereas Carl was able to actively work to help with pain or increase strength or mobility during that rest period so he could get back on the court faster. Now, my son’s request is always to see Carl first (he tells us if he recommends we see specialist and get imaging) and use him for ongoing treatment as needed. We’ve recommended others to Carl - he is the best!
Response from the owner · 2 weeks ago
Cheryl, thank you so much for this incredibly generous review! It means the world to me, especially coming from a parent who has trusted me with your son's care for so many years.
I'm honored that he chooses me as his go-to provider. Working with with him has been a pleasure, and my goal is always to help him recover, build strength, and get back to his sports as quickly as possible. I'm also glad my work has complemented his PT & sports orthopedic care.
Thank you as well for recommending me to others. That is the highest compliment. Looking forward to keeping him strong and in the game!
Ellen Friedman11 reviewsiTotal number of Google reviews Ellen has written across all businesses on Google Maps, not just this one.
Carl is a skilled practitioner. I did not know what to expect when I first saw him, but he addressed my sore wrist, and then pulled muscle, with such precision and skill - and almost immediate results. He is easy to talk to and very responsive. I trust him completely.
Response from the owner · 2 weeks ago
Thank you so much for the kind words Ellen! I'm really glad we could get your wrist & back feeling better so quickly. Every client's needs are different, so I always aim to tailor each session to what your body needs to get you back to feeling like yourself as soon as possible.
I truly appreciate your trust, and it's been a pleasure working with you. Thanks again for taking the time to leave this review!
Gabriela Gupta2 reviewsiTotal number of Google reviews Gabriela has written across all businesses on Google Maps, not just this one.
Carl has been a lifesaver! I went to him for my scoliosis, neck pain, and foot pain and he has helped in so many other ways as well. He truly has the magic touch!
Response from the owner · 2 weeks ago
Thank you so much for taking the time to review my work with you! Every body is different, so I enjoy tailoring each session to what's needed. I'm so grateful to have your trust. Thank you for taking the time to review my work with you! See you next time.
David Bernard4 reviewsiTotal number of Google reviews David has written across all businesses on Google Maps, not just this one.
I’ve had debilitating pain in my neck, shoulder and radiating numbness down my arm for 12 years, all stemming from a chronic neck injury, and it was just getting worse. I also had hip pain on the same side. I go to the best doctor at UCSF and have the best PT in SF. I had an episode where I could barely walk and my PT couldn’t see me for a month so by the grace of God I found Carl. I saw him, showed him me MRI and he worked on me for 15 minutes. Since that day, the debilitating pain is gone and has not come back. I have more energy and sleep better. There is still some low lever pain around my neck and hip that I’m still seeing him for but the crippling pain that I experienced ever day is gone. I highly recommend everyone go see him. Seeing Carl has been life changing. I’m so grateful to him.
Response from the owner · 2 months ago
It's so rewarding to hear my work has been so helpful for you! It's a pleasure working with you and I'm glad your feeling better!
Corina Sellers2 reviewsiTotal number of Google reviews Corina has written across all businesses on Google Maps, not just this one.
As a practitioner, Carl has an incredible ability to identify where the body may be receiving faulty signals and apply his knowledge in a way that creates meaningful change. He combines strong clinical skill with an intuitive understanding of what to look for.
Carl worked with me on chronic lower back pain that had started limiting my exercise and daily activities. He traced the issue back to an old surgical scar in my abdomen, and I noticed a significant difference in my flexibility, strength, and pain levels immediately after treatment. I’m incredibly grateful to be able to return to activities I had previously given up because of pain.
If you have the opportunity to work with Carl as a client or a student, I highly recommend it. P-DTR isn’t only about addressing pain — it can also help improve how your body functions, moves, and performs. You don’t have to wait until something hurts to benefit from working with someone who understands how to help your nervous system and body work together more effectively.
Response from the owner · 2 months ago
Thank you for taking the time to review my work with you! Chronic pain doesn't need to take years to rehabilitate and your story is a testament to that. It's been a pleasure working with you & looking forward to seeing you next time!
Bill1 reviewiTotal number of Google reviews Bill has written across all businesses on Google Maps, not just this one.
I'm not sure how but somehow it works! I'm generally someone quite skeptical of alternative medicine like chiropractic, acupuncture, etc. But I had been suffering from chronic back pain up and down for almost a decade and more mainstream medicine had failed (MRIs, PT, steroid injections, nerve ablations) so I branched out and found Carl. I was mostly looking for like sports massage therapy but what I found was much better!
It took a couple sessions but then Carl found the exact area to massage, and like magic it immediately improved my range of motion. When I first came in I could lift my leg only 10 degrees, but after the massage it jumped to 30 (literally only 10 minutes later), and is now over 50 after several sessions! He measures it every time so we can see what works and what doesn't. My pain is almost entirely gone and I can walk without a limp for the first time in years.
Highly recommend for anyone who can afford the cost! I can't say if it would work for everybody, but it seems physically very safe because the treatment is just massage, so at worse you'll just be a bit sore for a couple days (unlike chiropractic which sometimes injures people). I hope P-DTR becomes more mainstream in the future, it was not something I had heard of before and judging by myself and the other reviews here it seems very effective!
Response from the owner · 2 months ago
Thank you for offering your experience of my work. Yes, while I specialize in massage therapy, I also provide treatment that focuses on the nervous system. It's not like anything else but the results speak for themselves. I'm so glad to be able to help you! Thank you for your review and recommendation.
Marc Benson3 reviewsiTotal number of Google reviews Marc has written across all businesses on Google Maps, not just this one.
I had some serious back pain and over the course of four 30 minute sessions, Carl was able to diagnose the issue, relieve the pain and recommend strategies to avoid recurrences. I felt better each time I left, and it was he who recommended that I go from regularly scheduled sessions to an “as needed” ad hoc approach determined by me. This made me feel in control and not getting unnecessary treatments. Very happy on all accounts.
Response from the owner · 2 months ago
Thank you Marc for your review of my work with you. My goal to get results, within a session or two, to get you back on track - and to provide a treatment that lasts. All the best
