Physician-led evaluation for complex pain, trauma, and stalled recovery.
You may have completed treatment, followed the plan, and still feel that your body or nervous system has not returned to baseline.
Pain, sleep disruption, headache, hypervigilance, weakness, or loss of confidence may persist even when standard testing offers no clear explanation.
Previous care often addresses one symptom or one system at a time.
When musculoskeletal injury, nerve irritation, autonomic stress, sleep, and trauma physiology overlap, no single test tells the entire story.
The result can be fragmented treatment without a clear understanding of what is still preventing recovery.
Alypos starts by integrating the history, examination, records, imaging, movement, and direct physician judgment.
Treatment is considered only after the barriers to recovery are understood.
Complex recovery may involve several overlapping systems. Alypos evaluates which findings are clinically relevant before recommending treatment.
Joint, tendon, ligament, or soft-tissue problems that remain incompletely diagnosed or mechanically unresolved.
Burning, shooting, electric, or positional symptoms may reflect a peripheral nerve problem that routine imaging does not show clearly.
Severe sensitivity, swelling, temperature change, or disproportionate pain requires careful examination and coordinated clinical judgment.
Weakness, altered mechanics, joint instability, or compensation can continue to interfere with function after the original injury.
Tissue may have healed while scar sensitivity, nerve involvement, altered movement, or a missed diagnosis continues to drive symptoms.
Sleep disruption, hypervigilance, mood symptoms, and trauma physiology can amplify physical symptoms and slow recovery without making them any less real.
Headache, concentration difficulty, anxiety, or depressive symptoms may interact with pain and must be considered within the same recovery picture.
A complex presentation does not mean the symptoms are not real. It means the evaluation must be broad, deliberate, and clinically integrated.
Our goal is not simply to provide ketamine.
Our goal is to understand what is preventing recovery and develop an individualized treatment plan.
Alypos is a physician-only practice. Every evaluation and procedure is performed directly by Dr. Bernhardt.
Care may include image-guided musculoskeletal or nerve intervention, rehabilitation coordination, medication strategy, supportive IV therapy, or ketamine when clinically appropriate.
Ketamine is one possible tool—not the purpose of the evaluation.
Every evaluation is performed personally by Dr. Brian Bernhardt and is designed to identify the factors that may be contributing to persistent symptoms.
The evaluation may include:
• Comprehensive physician interview and medical and trauma history
• Chronic pain assessment and focused physical examination
• Review of prior medical records, imaging, and treatment response
• Mental status examination and standardized validated assessments when appropriate
• DSM-5 diagnostic assessment when clinically appropriate
• Sleep, cognitive, emotional, and functional assessment
• Comprehensive physician diagnostic report
• Individualized treatment recommendations
Pain, sleep disruption, stress responses, and trauma-related symptoms can reinforce one another, making recovery more difficult than treating any single symptom alone.
The purpose of the evaluation is to determine whether symptoms are primarily mechanical, neurologic, centrally mediated, trauma-related, or—often—a combination. Collaboration with mental health professionals and other treating clinicians is incorporated when appropriate.
Treatment follows diagnosis
Not every patient requires ketamine. Depending on the findings, the plan may emphasize rehabilitation, psychotherapy, medication optimization, regenerative treatment, image-guided pain intervention, or coordinated multidisciplinary care.
Our goal is not simply to provide ketamine. Our goal is to understand what is preventing recovery and develop an individualized treatment plan.
Ketamine therapy, when appropriate
For appropriate candidates, Alypos uses a physician-directed induction protocol rather than a one-size-fits-all model. Most patients begin with three physician-supervised treatments followed by reassessment before additional treatment is recommended.
The evaluation includes a Comprehensive Physician Diagnostic Report that organizes the clinical findings, identifies the factors most likely to be interfering with recovery, and provides individualized recommendations for the next phase of care.
Comprehensive Trauma & Recovery Evaluation — $1,200
Includes an extended physician evaluation and written diagnostic report with individualized recommendations.
The report may provide useful clinical documentation for veterans, federal law-enforcement personnel, first responders, and others communicating with the VA, healthcare professionals, or occupational benefit programs. It does not guarantee benefits or replace an agency-required evaluation.
Ketamine Treatment — $750 per session
When appropriate, treatment typically begins with three physician-supervised sessions followed by reassessment.
