A free 10-minute self assessment

When nothing else has worked.

See how your symptoms line up with the patterns Dr. Katinka van der Merwe and her team see in complex chronic pain and nervous system conditions, and what to ask next.

Watch: What do you do when everything else fails?

4.9 on Google from 278 reviewsGoogle

Free. A short video and 22 questions. Your result at the end.


  • 4.9 from 278 Google reviews
  • Patients from all 50 U.S. states and 30+ countries
  • Free, 10 minutes, no obligation
  • Private and secure

As featured on

  • NBC
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  • Daily Mail
  • and others
Patients from all 50 U.S. states and more than 30 countries

Moving beyond one symptom at a time

Maybe you were treating pieces of something that needed to be approached as a whole.

Spero approaches complex chronic pain and nervous system conditions as nervous system dysregulation, rather than as a single symptom to suppress.

That is why care at Spero brings 26 therapies together, in person in Fayetteville, Arkansas, individualized to each patient.

Treat the nervous system, not just the symptom.

Is this self assessment for you?

You may want to start if

  • You have taken the pills, had the injections or seen the specialists, and you are still living with symptoms.
  • Your tests come back normal, but your body tells you something is wrong.
  • You are tired of treating one symptom at a time.
  • You are searching beyond the care that is available near you.
  • You want to understand your symptoms before you decide anything.

What you get in 10 minutes

Your self assessment, step by step

What patients and families say

"From the minute we walked through the door and made welcome by the team at the front desk we knew we were in the right place to help my wife's conditions of pots and fnd , the entire place is so welcoming and helpful and I cannot believe they have helped my wife and changed our life especially when we didn't find it possible."

Andrew GardinerPOTS and FND

"After 25 years of CRPS, which became full body three years ago, the Spero Clinic gave me a second chance at life. I now feel better than ever. The staff truly listen, care about patients, and helped me overcome PTSD from past medical trauma, always making me feel safe and respected."

Veronica FritschCRPS

The Guardian

Tara Rae Moss: "So many doctors in different continents told me that I would never recover"

"What I've already experienced beats all the odds. I am so grateful for this moment after almost eight years of profound dizziness, brain fog, fatigue, mobility impairment, and constant excruciating pain I was told would never end."

Swanage News

Welcome home for Swanage teen after life changing US treatment

"Em gave it everything, even if she was having a bad day. The clinic was just amazing and it was so good to be surrounded by other people who were going through the same thing."

This is one patient's individual experience. Outcomes vary, and The Spero Clinic does not guarantee a specific result.

Dr. Katinka van der Merwe, DC

Meet your guide

Dr. Katinka van der Merwe, DC

Dr. Katinka founded The Spero Clinic in Fayetteville, Arkansas, for people with complex chronic pain and nervous system conditions who are looking for a different way forward.

  • TEDx talk: Healing Begins with Empathy
  • Featured in the documentaries Finding Hope and Hope Grows
  • Author of five books, including Neurochaos
  • Host of the Neurochaos Podcast

About The Spero Clinic

Your home away from home

The Spero Clinic team outside the clinic in Fayetteville, Arkansas

You do not want to be in yet another doctor's office or waiting room. That is why The Spero Clinic does not look or feel like one.

When you walk through the doors, you are listened to, cared for and understood. The team works like a big family, and patients come from all 50 U.S. states and more than 30 countries.

Hope is believing that what exists today doesn't have to be what exists tomorrow.

From the Spero film

Hope is still within your reach.

What this is, and what it is not

This is a screening and education tool. It is not a diagnosis.

It does not replace evaluation by a qualified clinician, and it cannot tell you what is causing your symptoms. A high score means the pattern you report is worth discussing with a doctor. A low score does not rule anything out.

If you are in a medical emergency, call 911.

Frequently asked questions


  • 4.9 from 278 Google reviews
  • Patients from all 50 U.S. states and 30+ countries
  • Free, 10 minutes, no obligation
  • Private and secure

Start my 10-minute self assessment

Tell us where to send your result. Then choose your condition and begin.


  • 4.9 from 278 Google reviews
  • Patients from all 50 U.S. states and 30+ countries
  • Free, 10 minutes, no obligation
  • Private and secure
"After 25 years of CRPS, which became full body three years ago, the Spero Clinic gave me a second chance at life. I now feel better than ever."
Veronica Fritsch, CRPS

This is one patient's individual experience. Outcomes vary, and The Spero Clinic does not guarantee a specific result.

Outside the US? Start with + and your country code.

By pressing Begin, you agree that The Spero Clinic may contact you by email or phone about your result and whether the program could be a fit. You can stop hearing from us at any time. Read our privacy policy

Screening and education, not a diagnosis. It does not replace medical evaluation.