David Perna, D.C.

The Joints of Hubert von Luschka A Unique Chiropractic Perspective The spot where two bones come together is called a joint. Some joints do not allow for much motion, like the joints between the various bones of the skull. Other joints allow for smooth movement between the adjacent bones. These joints are called synovial joints. [..]

When it comes to a condition like low back pain, does it matter what type of healthcare provider a patient initially visits for treatment? A study published in 2015 looked at this question and found that the type of healthcare provider a patient initially consulted had a dramatic effect on both their short-term and long-term [..]

One-in-five adults over the age of 70 suffer from neck pain, which can dramatically affect their overall quality of life. So how effective is chiropractic care for a senior’s neck pain? A 2019 study published in the journal Chiropractic & Manual Therapies surveyed 288 Australian chiropractors and found that individuals over 65 years of age [..]

Though carpal tunnel syndrome (CTS) affects 4% of the population, some individuals have a much greater risk for the condition, and several factors may need to be addressed to achieve a successful outcome. Trauma: An acute trauma, such as a bone fracture, can lead to CTS. However, repetitive stress injuries are more commonly associated with [..]

Hip pain is a common complaint that can arise from many different sources including the spine, pelvis, and the knee. Greater trochanteric bursitis or gluteal tendonitis (GT) is a condition that occurs five-times more often in women than men, affecting one-in-four women over 50 years of age. Patients with GT experience pain in the region [..]

Whiplash associated disorders (WADs) can be a very confusing condition characterized by a myriad of symptoms stemming from a forceful, rapid back-and-forth motion of the head and neck. While this process commonly occurs during a rear-end crash, it can also arise from a slip-and-fall injury, sports injury, physical abuse, or any type of trauma involving [..]

When fatigue hits during the day, many people will reach for a sugary snack or a caffeinated beverage. While these practices may lead to a quick, short burst of energy, the crash afterwards can leave one feeling even more tired. Let’s look at healthier methods to improve energy levels. 1) EAT BREAKFAST: Studies have shown [..]

Spinal manipulation is one of the most ancient forms of treatment for musculoskeletal complaints, primarily for back pain and neck pain. In 1992, Robert Anderson, MD, PhD, DC, was the Director of Manual Medicine at the San Francisco Spine Institute, as well as Professor of Anthropology at Mills College in Oakland, California. At that time [..]

When it comes to managing a low back condition, the goal of chiropractic treatment is for the patient return to their normal daily activities as soon as possible. This not only means addressing low back pain but also low back disability, including impaired postural control and reduced spinal stability, which can manifest in reduce position [..]

Neck pain is one of the most common complaints that drive patients to seek chiropractic care. Sometimes the cause of injury is a known traumatic event, but in many cases, neck pain is the result of wear and tear from poor posture—forward head posture in particular. The head, which weighs 10-11 lbs. (4.5-5 kg), typically [..]

Carpal tunnel syndrome (CTS) is a condition that occurs when the median nerve is compressed as it passes through the wrist. One treatment option available to patients is carpal tunnel release surgery, which severs the carpal tunnel ligament to reduce pressure on the affected nerve to resolve the numbness, pain, tingling, and weakness symptoms associated [..]

With many sports requiring overhead movements that can place the shoulder at the extreme end of its range of motion, it’s not surprising that shoulder injuries are so common among athletes. For instance, up to 50% of NCAA college football players have some history of shoulder injury, which comprises about 10-20% of total injuries in [..]