I use it a couple ways.....

1 run up to spawn point FD and use it
2. have someone else pull and use it on incomming
3 If add comes during battle FD and use it on add

It sucks but thats the way its meant to be used.  Personally I wouldnt mind so much if it was out of combat but could be used with warp or the range was increased.  As of now its just a pain in the ass abililty.  Another way it wouldnt be so bad is if the bug in the mobs didnt exist again.  Right now they immediatly run back to spawn when you FD but if they didnt nerve strike would be fine IMO.

Nerve strike is a weird ability, but very useful once you know how to use it.  If there is a mezzer in the group (which is most, but not all of the time) I rarely am called on to use nerve strike.  If my group doesn't have a mezzer, the following examples cover how I use nerve strike 99% of the time: 

Instance 1:  Those times where I am asked to pull, this is what happens: There is a group of 2-3 mobs standing together, I run up to them and FD at their feet, wait until FD refreshes, I then target one of the mobs and hit nerve strike, the targeted mob is stunned and the other mobs aggro me, I lead them back to my group where they are slaughtered.  If the fight is not over before the mob I stunned comes after me, as soon as I see the mob run towards my group, I FD in front of him and reapply nerve strike.  I sometimes wonder what my group thinks when I am flopping on the ground in the middle of a fight.  Having to FD just to use nerve strike seems stupid to me, but once you get used to it it's no big deal.

Instance 2:  Someone else pulls and he brings back 2-3 mobs instead of 1.  I can usually target one of the adds and nerve strike him as he runs by.  I usually don't have to FD first. 

Most groups seem surprised to learn that monks have nerve strike.  I suspect it's because many monks don't use the ability because they weren't sure how to use it properly.  It is definately a useful tactic and I recommend monks begin practicing with this ability as soon as they get it.  Nothing worse than being in a group and having the leader call on you to use nerve strike and you're not sure how.....

My personal wish list is that we could get an upgrade to this with a shorter reuse timer, somewhere about 30 would be a good place I think for it.

I am surprised more monks haven't asked for something like this  /boggle

~QTM

I use this all the time in PvE.  Even with a PSI in group, if multiple mobs are pulled I will NS one as they are incomming just to make life easier on the PSI.  I had a PSI the other day gasp and questioned me how I could mez the mob.  At mid 30's level, he mustn't have gotten out much.

I dont see a real need to upgrade the ability.  The only issue that I have ever had using it is getting a successful FD off first.  If it had a shorter re-use or longer duration it would be overpowered imho, for a "DPS" class.

Run

I think Sigil's design idea was to spead capabilities around so that no one single class will always be needed.  That is why so many classes can CC, so many classes can invis, ect.  Back in the EQ days, you always need a tank, a healer, and an Enchanter.

Well, certain classes can "sleep" mobs.  Other classes can "pacify" to limit the number pulled.  I dont think every class should have every ability, then what would be the point?  With the intention of classes having similar capabilities with the main focus on being arch-type role in combat, I think Sigil did a good job.  There needs to be some balancing of course...