Conditions
we treat.
And what's behind them.
Most people arrive here after something hasn't worked. Adjustments that felt good for a day. Stretches for a problem that wasn't tight. An MRI that named a finding but never explained the pain.
01
Spine & Nerve
Disc injuries and nerve irritation. The cases that need a real diagnosis before anyone touches you.
Herniated & Bulging Discs
Deep back pain that worsens with sitting, bending, or the first hour of the morning, often with pain running into a leg or arm.
What it tends to feel like
Pain that's worse sitting than standing. A sharp catch bending forward to put on socks or lift something light. Coughing or sneezing sends a jolt through it. Often there's leg or arm pain that feels deeper and more electric than ordinary soreness.
What's usually driving it
Disc tissue displaces and irritates nearby nerve tissue, chemically as much as mechanically. What keeps it irritated is usually the part nobody addresses: how you load the spine all day, which segments have stopped moving, and which muscles stopped supporting it once pain showed up.
How it's treated here
Cox flexion-distraction is the centerpiece, an FDA-registered technique that gently lowers pressure inside the disc instead of forcing the injured level. Adjustments are used on the segments around it. Then soft tissue work and graded loading, so the spine can tolerate sitting, lifting, and training again.
Full herniated disc page →
Sciatica
Pain, numbness, or tingling down the back of one leg. A symptom, not a diagnosis, and the difference decides the treatment.
What it tends to feel like
A line of pain from the low back or buttock down the back of one leg, sometimes past the knee. It can burn, ache, or feel electric. Sitting and driving usually make it worse. Some people get numbness or a leg that feels unreliable.
What's usually driving it
"Sciatica" only says the sciatic nerve is irritated somewhere. It could be a disc at L4 to L5 or L5 to S1, a narrowed foramen, deep hip muscles, or the nerve not sliding freely through its own tissue. Each needs a different plan, which is why generic sciatica protocols so often stall out.
How it's treated here
The first visit is spent finding the source: history, orthopedic and neurological testing, and movement screening. From there, treatment is built for what's actually compressing or tethering the nerve, whether that means decompression, nerve glides, targeted soft tissue work, or loading that rebuilds tolerance.
Full sciatica page →
Pinched Nerve, Numbness & Tingling
Radiating pain, pins and needles, or weakness in an arm or leg. The symptoms worth taking seriously early.
What it tends to feel like
Tingling in the fingers or toes. A hand that falls asleep at night or while driving. Weakness gripping a coffee cup or pushing off one foot. Symptoms that move around, some days the shoulder, some days the forearm.
What's usually driving it
Nerves can be irritated where they leave the spine, or anywhere along the path: through the shoulder, the forearm, the hip, or behind the knee. Nerve tissue needs both space and the ability to slide. Lose either and the symptoms show up far from where the problem is.
How it's treated here
Neurological testing maps where the symptoms are coming from, then treatment restores space and movement at that level. That means decompression where the spine is involved, soft tissue work where the nerve is bound down, and nerve mobilization to get it gliding again. Findings that need imaging or a specialist get referred out, not treated around.
Full pinched nerve page →
Spinal Stenosis
Legs that get heavy or achy after a few blocks of walking, and settle when you sit or lean on a cart.
What it tends to feel like
Standing and walking bring on heaviness, aching, or tingling in both legs. Leaning forward on a shopping cart, a counter, or a bike buys relief. Distance gets shorter over months or years.
What's usually driving it
The space around the spinal cord or nerve roots narrows, usually gradually. Extension closes that space down and flexion opens it, which is exactly why leaning forward helps.
How it's treated here
Flexion-distraction fits stenosis well, because it opens the very space that's narrowed. Alongside it: hip and thoracic mobility so the low back stops absorbing every step, and walking tolerance built back in measured increments rather than guesswork.
02
Joint & Muscle Pain
The everyday cases: necks, low backs, shoulders, hips. You don't need a dramatic diagnosis to be seen here.
Neck Pain & Stiffness
Turning to check a blind spot hurts. The stiffness that's been there so long it stopped counting as an injury.
What it tends to feel like
Limited rotation on one side. A band of tightness across the top of the shoulders by mid-afternoon. Sometimes pain into the shoulder blade or up into the base of the skull.
What's usually driving it
Most necks aren't strained, they're overworked, asked to do the job of a stiff mid-back and shoulders that have lost range. Treating only where it hurts is why the relief lasts a day.
How it's treated here
Adjustment or mobilization to the segments that have stopped moving, hands-on work through the deep neck and shoulder tissue, and restoring mid-back and shoulder range so the neck stops compensating. Then a small amount of daily work to hold it.
Low Back Pain
The most common reason people come in, and the one most often treated as a single problem when it isn't.
What it tends to feel like
Aching after sitting. Seizing up standing from a chair. Pain on one side of the belt line that flares every few weeks, usually after something ordinary.
What's usually driving it
Low back pain is a category, not a diagnosis. It can come from the discs, the facet joints, the SI joint, or the soft tissue, and the way each behaves is different. Which positions hurt, which relieve, and how it responds to load is what separates them.
How it's treated here
The assessment sorts out which structure is driving it, and treatment follows: decompression for disc-driven pain, joint work for movement restrictions, soft tissue work for tissue that's been guarding for months. Then loading that rebuilds capacity, so the next ordinary thing doesn't set it off.
Shoulder Pain
Reaching overhead, sleeping on that side, or the last few reps of a press. That's usually when it speaks up.
What it tends to feel like
A pinch at the front or outside of the shoulder reaching overhead or behind you. Night pain lying on that side. Strength that's fine at low effort and disappears near the end of a set.
What's usually driving it
The shoulder is a shared job between the joint itself, the shoulder blade, and the mid-back. When the blade doesn't move well or the mid-back is stiff, tendons get compressed doing work that wasn't theirs.
How it's treated here
Soft tissue work through the cuff and surrounding tissue using ART, IASTM, and myofascial release, mobilization for the joint and mid-back, and rebuilding control of the shoulder blade under load.
Hip & Glute Pain
Deep pain in the buttock or groin, a pinch at the front of the hip squatting, or a leg that aches after sitting.
What it tends to feel like
A deep ache behind the hip that's hard to point to. Pinching in the crease squatting or getting out of the car. Stiffness for the first few minutes of a walk.
What's usually driving it
Hip pain and low back pain often trade places, and referred pain from the spine can be mistaken for a hip problem for years. A proper exam separates joint restriction, soft tissue irritation, and nerve involvement.
How it's treated here
Joint mobilization and hands-on work through the deep hip rotators and surrounding tissue, plus strength work for the glutes, which usually aren't weak so much as they've stopped being asked.
Knee Pain
Stairs, squats, and the first mile of a run. Knees usually complain about the hip and foot, not themselves.
What it tends to feel like
Aching at the front of the knee going down stairs. Pain on the outside of the knee a mile or two into a run. Stiffness after sitting through a movie.
What's usually driving it
The knee is stuck between the hip and the ankle and absorbs what they don't. Limited ankle range or a hip that doesn't control rotation leaves the knee taking the load sideways.
How it's treated here
Treatment addresses the whole chain: soft tissue work and mobilization at the knee for symptom relief, then hip and ankle range and strength so the tissue stops being overloaded every step.
03
Jaw & Head
Jaw and head pain sit at the junction of the neck, the jaw joint, and a nervous system that's been on alert too long.
TMJ & Jaw Pain
Clicking, aching, or locking at the jaw, often with morning tightness from a night of clenching.
What it tends to feel like
A click or pop opening wide. Tired, aching jaw muscles by evening. Trouble with a bagel or a long dinner conversation. Sometimes ear fullness or a headache at the temple.
What's usually driving it
The jaw joint doesn't work alone. Neck position, chewing muscle tension, and clenching load all feed it, which is why treating only the jaw, or only the neck, tends to half-work.
How it's treated here
Hands-on work through the jaw and chewing muscles, including intraoral work where indicated, treatment of the upper neck, and retraining how the jaw opens. Dental or bite issues get referred to a dentist, and the two sides work well together.
Full TMJ page →
Headaches from the Neck
Headaches that start at the base of the skull and wrap forward, often on one side, often worse late in the day.
What it tends to feel like
A dull ache starting at the back of the head and moving behind the eye or temple. Usually one-sided. Worse after long hours at a desk or a poor night's sleep, and often with a stiff neck on the same side.
What's usually driving it
The upper three neck segments share nerve pathways with the head and face, so irritation there gets felt as a headache. Jaw tension and clenching often ride along with it.
How it's treated here
Treatment of the upper neck segments and the soft tissue at the base of the skull, plus the jaw when it's involved, then the desk and sleep habits that keep feeding it. Headaches with red-flag features are referred for medical workup.
04
Athletic & Performance
Lifting, running, dancing, or training around something that keeps flaring. The goal is getting back to it, not resting indefinitely.
Sports & Training Injuries
Strains, tendon pain, and the tweaks that keep coming back to the same spot every training block.
What it tends to feel like
Pain that shows up at a specific point in a lift or a stride and settles when you stop. Fine warm, sore the next morning. The same spot, every cycle.
What's usually driving it
Most recurring training injuries are a mismatch between the load and what the tissue can currently tolerate, pushed along by a position or a range that isn't available, so another tissue covers for it.
How it's treated here
Hands-on treatment to calm the irritated tissue, then finding the range or control that's missing, then loading it back deliberately. Training usually continues in a modified form, since full rest is a last resort rather than a first plan.
Chronic Pain That Hasn't Resolved
Months or years in, several practitioners deep, still without an explanation that fits what you feel.
What it tends to feel like
Pain that's outlasted the original injury. Good weeks and bad weeks without an obvious pattern. A stack of imaging, a few diagnoses that never quite matched, and a growing list of things you've stopped doing.
What's usually driving it
Long-standing pain is usually several things at once: tissue that never fully rebuilt capacity, movement habits built around protecting it, and a nervous system that's become efficient at producing the signal. Treating only one of those explains why partial progress stalls.
How it's treated here
Visits are 30 or 60 minutes, one-on-one, which is what it takes to work on more than one of those at a time. The first visit is spent building an explanation that accounts for your whole history, then treating it, and adjusting as the picture sharpens.
Don't see your condition here?
The list isn't the limit. If you're in pain and want to understand why, that's reason enough to come in.
Your NERV Origin.
60 minutes. A real answer.
Full history, movement screening, orthopedic and neurological assessment, and hands-on treatment the same day. You'll leave knowing what's driving your pain and what the plan is.
Book your first visit →