10/16/2025
                                            The two questions I ask before any nerve plan
Compressed or sensitized?
And where exactly is the bottleneck?
Everything else flows from those two answers. Patients walk in saying "pinched nerve" but that phrase lumps together two completely different problems that need opposite approaches.
Compression means something's physically squeezing the nerve - bone spur, herniated disc, tight muscle. Sensitization means the nerve is inflamed and firing pain signals even without direct pressure on it.
Treatment paths split immediately.
Compressed nerves respond to creating space... traction, specific adjustments, postural changes. Sensitized nerves need nerve glides, gentle movement, and patience while inflammation calms down.
But the second question matters just as much.
Where's the actual interference happening?
Your hand goes numb, everyone assumes it's your neck. Could be. But if the real bottleneck is at your shoulder or elbow, all that neck work accomplishes nothing.
I've treated patients who spent months on the wrong section of their arm because nobody mapped the actual compression site.
So before building any plan, I test for both answers. Manual tests show compression. Movement patterns reveal sensitization. Nerve tension tests locate the bottleneck.
Once I know compressed vs sensitized AND the exact location... the treatment becomes straightforward. Nerve glides for sensitization, space-creating work for compression, everything targeted at the actual problem site.
Treatment fails when practitioners skip these diagnostic steps and just guess.
Have you dealt with nerve pain that didn't respond to treatment? Comment below - curious what approach was tried.