The How Clinic

John How, M.D.

Medical Clinic & Bioidentical Hormone Specialist located in Encinitas, CA
Now providing Telehealth appointments


About Us

The How Clinic in Encinitas, California, offers comprehensive care to patients suffering from a broad range of physical and mental conditions. Anyone who sustains an injury or struggles with chronic pain, depression, or anxiety, finds a compassionate practice with a welcoming environment that has practitioners who dedicate themselves to restoring physical and mental health.

John How, MD, a board-certified emergency room physician with years of diagnosing and treating the diverse illnesses, injuries, and conditions of patients in the ER, opened The How Clinic intending to understand each person’s concerns and utilize his passion for providing cutting-edge treatments.

The How Clinic specializes in using musculoskeletal ultrasound to accurately diagnose the cause of symptoms such as joint pain, chronic pain, and limited movement. The practitioners often treat conditions such as rotator cuff tears, pinched nerves, and knee injuries, along with the full scope of musculoskeletal problems.

As part of its dedication to offering today’s most advanced care, The How Clinic provides bioidentical hormone replacement therapy using BioTE® pellets, regenerative medicine options such as platelet-rich plasma and prolotherapy, and interventional options, including stellate ganglion blocks.

Patients dealing with anxiety, PTSD, and depression, especially treatment-resistant depression, may receive one of today’s most advanced therapies, ketamine infusion. For most patients, ketamine provides quick relief, even when traditional medication fails to help.

At The How Clinic, every patient receives care that combines the latest treatments and technology with individualized attention and a caring, human touch. To learn more about the available services, or to schedule an appointment, call the office or use the online booking feature.

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John How, MD

John How, MD, a board-certified emergency medicine physician with over a decade of experience in the emergency department, now welcomes patients at The How Clinic in Encinitas, California. He specializes in treating an array of musculoskeletal and mental health conditions, with a special interest in healing the physical and mental problems that develop in people who work or live in high-stress jobs and environments.

As an emergency medicine provider, Dr. How shares a deep connection with others who thrive in high-stress environments. Emergency room doctors and nurses, EMS, first responders, athletes, and members of the military all share a bond defined by an intense approach to the way they live, work, and play. Everyone in these professions finds great fulfillment in their high-stress way of life. But they also face physical and mental challenges as a result of their passion.

Dr. How’s first-hand and medical experience with the health problems that develop from repeated exposure to stress motivated him to open The How Clinic. His goal is to provide effective therapies that help his patients find balance and heal from their physical, mental, and emotional stress, so they can stay active in their work and life activities.

Dr. How received his medical degree at Loma Linda University School of Medicine in Loma Linda, California. From there, he completed a residency in emergency medicine at Ascension St. John Hospital in Detroit, Michigan.

For much of his career, Dr. How has been fascinated with the power of modern ultrasound to diagnose and guide treatment for many different conditions. This passion leads him to regularly travel, seeking out thought leaders and mentors who share his enthusiasm. 

Through extensive training with doctors in a broad range of specialties, Dr. How developed exceptional skills in precision ultrasound-guided interventions for conditions ranging from peripheral nerve entrapment to tears and overuse injuries of soft tissues. He has also trained and continues to work with pioneers in the use of ultrasound-guided injections to treat PTSD.

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Eye Movement Desensitization and Reprocessing

EMDR (Eye Movement Desensitization and Reprocessing) is a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences.

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The How Clinic
285 N El Camino Real, Suite 211
Encinitas, CA 92024
Phone: 877-381-4115
Fax: 858-901-1461

Office Hours

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Rated 5 stars Google

  • “I have been getting the Get Up and Go IV, which are vitamins and sometimes I supplement with a vitamin B12 Shot, The first one lasted about 4-5 weeks, the next one lasted 2months and 3 weeks. My pain in my heels, joints, and planterfaciata went away. I wasn't fatigued anymore and I feel better overall! I recommend anyone with fatigue or miscellaneous pain that comes and goes to get this IV. It's amazing and to think so simple as a combination of vitamins, I love it. The staff is great and well worth the money for you to feel good again.”


    “I had a great experience with Dr. How and his team. Dr. How explained the procedure, risks, and potential rewards in detail prior to starting, making sure I was fully informed and comfortable with proceeding. The actual procedure was smooth and quick. Dr. How and his staff are friendly and compassionate. He gave me confidence and put me at ease during the procedure, and even personally followed up with me afterwards. I would highly recommend Dr. How if you're considering a Stellate Ganglion Block.”


  • “Dr How is amazing! His knowledge of anatomy and his skills with the ultrasound are top notch. He spent a lot of time asking me about my sports injuries and how they were impacting my life. Then he really customized the treatment for what I needed. He walked me through everything he was doing so I felt totally at ease. The treatments have really helped. I will definitely be going to him again for further treatment.”


    “Super professional, attentive, and kind. The facility is state-of-the-art (ultrasound screens on every wall - not that you have to watch!). And Dr How communicates the calm of a skilled practitioner who's definitely 'been there, done that' - many times, and then some!”


  • “Dr. How and his staff are awesome. I’ve had several procedures performed by him that have gone very well. I just had a follow up procedure and he adjusted his technique for a better patient experience. As a registered nurse, I’d highly recommend him.”