Do I need a disc or nerve diagnosis to be seen at NERV Chiropractic?

Not at all. NERV Chiropractic treats the full spectrum of musculoskeletal pain — back, neck, shoulder, hip, knee, TMJ, prenatal, and chronic pain. If you're not getting better and want to understand why, that's enough of a reason to book your NERV Origin assessment.

Is it safe to be treated at NERV Chiropractic if I have a herniated disc?

Yes. For disc herniation and nerve compression, NERV uses Cox flexion-distraction — an FDA-registered technology designed specifically for those conditions, which works by gently reducing intradiscal pressure rather than applying direct force to the affected level. Spinal adjustments are applied to surrounding structures where appropriate.

What is Cox flexion-distraction chiropractic treatment?

Cox flexion-distraction is an FDA-registered chiropractic technique specifically designed to treat lumbar and cervical disc herniation, spinal stenosis, and nerve compression. Using a specialized table, the affected disc level is gently decompressed — reducing intradiscal pressure and nerve irritation over time without rotation or high-velocity force. NERV Chiropractic is one of very few clinics in Los Angeles utilizing Cox flexion-distraction as a core treatment tool.

What makes NERV Chiropractic different from other chiropractors in Los Angeles?

NERV integrates soft tissue therapy, movement rehabilitation, and Cox flexion-distraction into a single treatment system — something most chiropractic offices in Los Angeles don't offer. Appointments are 30 or 60 minutes with no double-booking, and every treatment is adapted to how your body is responding that day.

How many chiropractic visits will I need at NERV?

It depends on your condition and how long it's been present. Most cases see measurable improvement within a few visits. After your NERV Origin assessment, you'll receive a specific, realistic projection — not an open-ended commitment.

Does NERV Chiropractic accept insurance?

NERV Chiropractic is currently out-of-network and does not bill insurance directly. FSA and HSA cards are accepted. Many patients find that the level of care and time per visit at NERV compares favorably to what in-network offices provide — often with fewer total visits needed.

Where is NERV Chiropractic located in Los Angeles?

NERV Chiropractic is located at 5478 Wilshire Blvd, Unit 212, Los Angeles, CA 90036 — in the heart of the Miracle Mile, easily accessible from Mid-City, Koreatown, Beverly Hills, West Hollywood, and the Fairfax District.

Is there parking at NERV Chiropractic on Wilshire Blvd?

Yes. There is dedicated free parking behind the building on a first-come, first-served basis. Street parking is also available nearby — metered on Wilshire and free 2-hour parking on the surrounding side streets.

Cox flexion-distraction.
Room for the nerve.

Most chiropractic offices in Los Angeles do not have one. Here it is the first thing we reach for when a disc or a nerve is involved, and it does work that hands alone cannot.

Cox flexion-distraction treatment in progress at NERV Chiropractic in Los Angeles

Who ends up on this table

Most people who end up here arrive with a version of the same story. The pain is not only in the back or the neck. It travels. It runs down a leg or into an arm, it changes depending on how you sit or stand, and it has not let up with rest, stretching, or the advice you have already been given.

That pattern usually points to a disc or a nerve root, and that is the exact situation this table was built for. If your exam points there, you will spend part of most visits on it.

What it actually does

A herniated or bulging disc is, mechanically, a pressure problem. Disc material has moved where it does not belong and is pressing on or chemically irritating a nerve root. Take the pressure off and the nerve has a chance to calm down.

The table does that mechanically rather than manually. You lie face down. The doctor contacts one specific spinal segment by hand while the lower half of the table drops and moves in a slow, controlled cycle. That combination opens the level being treated instead of loading it.

Two things follow from that. The opening where the nerve root exits the spine gets wider, which means less contact and less irritation. And the pressure inside the disc itself drops, which matters because a disc has almost no blood supply of its own and depends on pressure changes to move fluid, nutrients and waste in and out.

What does not happen is equally important. No thrust, no rotation, and no force delivered into the injured level. That is the entire design intent: a way to treat an angry disc without provoking it.

What it feels like

Slow and rhythmic. Most people describe a stretch through the low back, or a pulling sensation down the leg that eases as the session goes on.

It should not hurt. If a position sharply reproduces your symptoms, that is information, and we change the setup. There is no cracking sound and no sudden movement at any point.

People who are nervous about being adjusted, and people who have been told by another provider not to be, are usually comfortable on this table.

Cox flexion-distraction treatment on the Cox table at NERV Chiropractic in Los Angeles

Cox flexion-distraction table in flexion during treatment at NERV Chiropractic in Los Angeles

The table opens the level. It does not push on it.

What it does for your problem

Disc herniation or bulge

This is the problem the technique was designed for. Decompression at the involved level, repeated across a course of visits, is aimed at reducing contact between displaced disc material and the nerve root while the disc has a chance to settle.

It is also one of the few conservative approaches studied specifically on disc pathology rather than on back pain in general.

The research, and the full treatment sequence →

Sciatica

Sciatica is a symptom, not a diagnosis, and the table only helps when the cause is a disc or a narrowed opening the nerve passes through. That is why the exam comes first.

When testing points to a disc or to stenosis, flexion-distraction addresses the compression directly. When it points to the piriformis or the SI joint instead, this is the wrong tool and we will tell you so rather than putting you on it anyway.

How we find what is driving your sciatica →

Pinched nerve in the neck

The same principle applies to the cervical spine, with the doctor supporting your head and neck and distracting the level that is involved.

For arm pain, numbness, tingling or weakness coming from a compressed cervical nerve root, this is generally better tolerated than a rotational adjustment, and it lets us treat the level directly without twisting through it.

When it is not the right call

Flexion-distraction has a good safety record, but it is not for everyone, and we screen for that before you ever get on the table.

Signs of cauda equina compression, progressive neurological loss, suspected fracture, segmental instability, certain post-surgical hardware and some bone conditions all rule it out. If any of those turn up in your history or your exam, you get referred rather than treated. That is the reason the assessment always comes first.

How it fits into your care

Your first visit

The exam comes first. If the findings point to a disc or a nerve, you are on the table the same day rather than being booked back for it.

A typical course

Disc and nerve cases are usually seen more often early on and tapered as symptoms settle. You get a specific projection after your exam, not an open-ended plan.

What runs alongside it

Soft tissue work first, to release the muscles guarding the segment. Rehab after, to hold the change. The table on its own is not a treatment plan.

Find out if the table is right for you

Your first visit is 60 minutes: full history, orthopedic and neurological testing, and hands-on treatment the same day. If the exam says the table is the right tool, we start there.

Book your first visit →

5478 Wilshire Blvd, Unit 212 · Los Angeles, CA 90036

Cox flexion-distraction.Room for the nerve.