Is NERV only for disc herniations?

No. It can also fit foraminal narrowing, recess stenosis or other radicular patterns — if the matching is clean.

Does my MRI need to look dramatic?

No. A small but inflamed lesion can still produce major symptoms.

Does the program always replace injections or surgery?

No. It is designed to use the conservative window properly first — and to escalate clearly when that is the smarter next step.

Does decompression mean the disc gets “pumped back up”?

No. The logic is irritability reduction, a better pressure environment and a temporary biological window for recovery — not a miracle device claim.

How do I know if the program is working?

Better daily function, fewer flare peaks, more walking tolerance, better sleep and better ODI/NDI scores matter more than one good or bad day.

Physician-led care for sciatica, herniated disc, arm pain & radiculopathy

What this program is designed to do

NERV is built around a clear sequence:

Match → Calm → Reload → Decide

The aim is not to sell endless treatment. The aim is to answer one practical question:

Can this case be stabilized conservatively — or does it need targeted escalation?

Why this matters

Small MRI findings can still cause severe symptoms.

The decisive principle remains:

Pattern over lesion size.

What matters is whether symptoms, neurological findings and imaging fit together.

This program might be suitable for you if you experience pain radiating into your arm or leg, have a herniated disc, and the symptoms align with a nerve root distribution. Additionally, if the imaging results match the affected segment and your symptoms have persisted for more than 6–12 weeks or continue recurring despite standard care, this program could be beneficial.

Who this program is for — and not for

Before treatment starts, we rule out the wrong pathway.

This is not a fit for:

Cauda equina
Progressive weakness
Signs of myelopathy
Suspected infection or tumor
Cases where the MRI does not fit the clinical picture

That gate matters. It protects against both overtreatment and the wrong surgical decision.

What this program is — and what it is not

NERV is a physician-led program for radicular arm or leg pain.

It is not:

Blind “more physio”
A passive device subscription
A traction-table promise
Endless treatment without a decision

The bridge phase exists to reduce irritability so active rebuilding becomes possible again.

How the program works

1) Medical indication check

Neurological review
Pattern review
Matching with imaging
Baseline outcomes

2) Intensive start cycle

Goal: reduce irritability enough for training to work again.

Possible modules:
– SpineMED decompression
– Pattern-specific manual or tissue modulation
– Shockwave where appropriate
– Gentle neurodynamic work when indicated
– Exercise therapy with progression rules
– Medical review and decision checkpoint

3) Progression and decision

From there, the program moves into structured rebuilding.

If the bridge holds:
– continue progression

If it does not:
– targeted diagnostic infiltration
– specialist workup
– surgical pathway when appropriate

What we measure

We do not rely on gut feeling alone.

Typical outcome tools:
– ODI for lumbar cases
– NDI for cervical cases
– VAS
– Functional milestones
– Strength grades
– Neural tension pattern

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