you are capable.
Physical Medicine and Rehabilitation Physician
I am a physiatrist. I help people move and live with more ease.
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Swipe sideways for pelvic floor, hypermobility, and neurorehab.
Pain. Leaking. Tightness. Pressure. Sex that hurts. The long tail of birth or surgery. I look at muscle, nerve, and joint — the pelvic floor and the rest of the body it belongs to.
Jaw pain and TMJ too. Holding tension upstairs works a lot like the pelvic floor.
A body that moves farther than it should can still be strong. Pain, instability, fatigue, a scan that looks “normal.” We sort what to load, what to protect, and how you live in it.
For patient education, the Ehlers-Danlos Society is a good place to look — for example ehlers-danlos.com.
After stroke, brain injury, spinal cord injury, cerebral palsy, or another neurologic change, the work is function. Walking. A usable hand. Speech. A day that fits you.
Amputees and limb difference too. Adaptive sport is a particular love — para-athletes who compete hard in bodies others misjudge.
Swipe sideways for procedure details.
For spasticity and dystonia (for example neck, trunk, and limbs), using ultrasound and EMG guidance to help target treatment accurately. Therapeutic pelvic-floor and jaw/TMJ uses may be appropriate in some cases; those uses are off-label and decided after individual evaluation.
Ultrasound- and EMG-guided. Steroidal and non-steroidal options.
Ultrasound-guided — shoulder, knee, hip, among others. Steroidal and non-steroidal options.
A longer list so you can find what you need. If yours is not here, still ask.
Dr. Guzel is a physiatrist: a board-certified Physical Medicine and Rehabilitation physician (PM&R MD).
Fellow of the American Academy of Physical Medicine and Rehabilitation (FAAPMR).
I take care of adults — pelvic floor, hypermobility, and neurorehab, including limb difference. Spasticity and dystonia. Cerebral palsy as people move into adult care and as they age. Stroke, spinal cord injury, brain injury. When holding tension is the problem — jaw, scapular, pelvic floor. Performing arts medicine is part of how I practice. So is adaptive sport: para-athletes competing hard in bodies the world often underestimates.
For botulinum toxin, I use ultrasound and EMG guidance when treating spasticity and dystonia to help target treatment accurately. Trigger point injections are separate. So are ultrasound-guided joint injections. Some uses — including certain pelvic-floor and jaw treatments — are off-label and follow an individual evaluation.
Most recently I was an assistant professor at UCSF, where I built the general physiatry service, grew pelvic floor and hypermobility care, and did diagnostic EMG. Before that I was associate medical director of the acute rehab unit at Dominican Hospital in Santa Cruz.
Duke for MD and undergrad (and varsity fencing). Internship at UCSF Fresno. Residency at Shirley Ryan AbilityLab in Chicago — including performing arts medicine coverage at Ravinia. I love mentoring the next generation of physicians and therapists.
I grew up in South Texas and Spain. I speak English, Spanish, Turkish, and German; we’ll confirm language fit for your visits.
Outside clinic: spouse, two kids, time outdoors together, sourdough, and a mediocre clarinet habit that keeps me humble.
This is a new solo practice. It is not a hospital clinic.
Peninsula / Los Altos. Office visits, home visits when appropriate, and telehealth when you are physically in California at the time of the visit.
Direct specialty care. We’re out of network with commercial insurance. Superbills are available on request for commercial plans with out-of-network benefits, but they can’t be used to seek reimbursement from Medicare or a Medicare Advantage plan. Reimbursement isn’t guaranteed; check with your plan. Medicare and Medicare Advantage work differently, so please ask us before you book.
If you’re uninsured or plan to pay for care yourself, you have the right to receive a Good Faith Estimate of expected charges. Learn more here.