David Perna, D.C.

Carpal tunnel syndrome (CTS) is by far the most frequent cause of a nerve entrapment in the extremities. Despite it being such a common complaint (estimated to affect 1 in 1,000 American adults), CTS can be a difficult condition to manage. Here are three reasons why… 1) Multifactorial. While activities (a job or hobby) that [..]

It’s estimated that about 1 in 6 American adults experience neck pain in a given three-month time frame. Neck pain is a major cause of work absenteeism, work-related injury, and reduced quality of life. While some risk factors for neck pain may be unavoidable, many are not. A systematic review completed by a team of [..]

Compression fractures (CFs) of the spinal vertebrae can occur in two main varieties: acute and chronic. Acute CFs can occur at any age and can be quite serious, especially if the bony fragments displace into the spinal canal where the spinal cord in located. These most often represent unstable fractures and must be evaluated immediately [..]

The human body is designed to effectively absorb and disperse vertical forces. This allows humans to jump off a curb, walk-run-jump, to stuff basketballs and engage in many other sports activities, plop down into a couch, etc., without injury. In contrast, humans are not well designed to effectively absorb and disperse horizontal forces. The injuries [..]

If there was one prescription that could reduce the severity or even prevent dozens of diseases—including diabetes, hypertension, heart disease, stroke, obesity, osteoporosis, some cancers, depression, and dementia—and it also had a low risk for adverse effects, who wouldn’t consider it? Good news. There is such a prescription. It’s EXERCISE! In addition to better cardiovascular [..]

When it comes to the legs, most of us have probably never given any thought to whether they are equal in length and if not, what problems that may cause. In a 2019 systematic review, researchers found that only about 1 in 10 adults has lower limbs that are of equal length! Among the remaining [..]

In the past decade, mild-traumatic brain injury (mTBI, or concussion) has been a major topic in the sports landscape. While most mTBI patients recover within a few weeks, some can experience ongoing issues, which can be described as post-concussive syndrome. Let’s look at what the current literature says about it and if chiropractic care may [..]

The carpal tunnel is a structure in the wrist that is primarily comprised of the carpal bones and the transverse carpal ligament. In addition to the median nerve, several tendons and other tissues pass through this region. If the shape of the carpal tunnel is altered or if any of the tissues within the tunnel [..]

It’s estimated that about one-in-seven adults in the United States have chronic low back pain (lasting longer than three months), which can have a major effect on one’s ability to carry out their daily activities. As such, it’s important to identify which factors may be associated with an increased risk for progressing from acute low [..]

It’s estimated that more than two million Americans sustain a whiplash injury each year. Despite the prevalence of the condition, the general population doesn’t know much about it. Here are five important things everyone should know about whiplash. 1) Whiplash isn’t only caused by car accidents. Although motor vehicle collisions are the most common and [..]

Subacromial impingement syndrome (SAIS) is one of the most common causes of shoulder pain and functional restrictions. This condition is caused when the tendons of the rotator cuff, the head of the biceps brachii, and/or subacromial bursa are pinched or impinged during normal movement. This results in pain and reduced function and range of motion [..]

For centuries, people have reached for a cup of coffee to help focus the mind, but according to a study published in 2021, a morning cup of java could have the opposite effect. Researchers recruited 32 habitual coffee drinkers and 24 non-coffee drinkers and asked them to complete questionnaires used to measure stress, anxiety, and [..]