David Perna, D.C.

Carpal tunnel syndrome (CTS) is the most common peripheral neuropathy that affects roughly 4-5% of the general population and about 10% of working adults. The chiropractic treatment approach for the CTS patient typically involves many of the same therapies as those used for conditions like neck and back pain, such as joint manipulation, mobilization, specific [..]

Groin pain syndrome is a term used to describe groin pain without clinical evidence of hernia or hip pathology. Though the condition is thought to affect between 2% and 20% of athletes, there is not a lot of conclusive research on its cause or the best way to treat it. Most of the published research [..]

Whiplash associated disorders (WAD) is a collection of symptoms commonly associated with motor vehicle collisions. Because WAD can have such a negative effect on one’s quality of life, it makes sense to take steps to reduce the risk for a car accident. Let’s look at some of the modern technologies that our automobiles may include [..]

In recent decades, several studies have identified risk factors for early death such as reduced cardio-respiratory fitness (CRF), obesity, smoking, diabetes, heart disease, pulmonary disease, etc. Of all the causes listed, poor CRF appears to be the leading risk factor for early death. If CRF is so important, can walking help? If so, how many [..]

In 1976, the first issue of the journal Spine was published. In this inaugural issue was a pioneering article by low back pain specialist Alf Nachemson, MD, titled (1): The Lumbar Spine, An Orthopedic Challenge In this article, without credible evidence, Dr. Nachemson states: “Irrespective of treatment given, 70% of [back pain] patients get well [..]

For the patient with low back pain, guidelines recommend seeking treatment in the acute state of the condition instead of waiting for it to become chronic. While it’s generally easier and faster to achieve a satisfactory outcome in the earliest stages of a back pain condition, there’s another reason: to reduce the risk for additional [..]

Experts estimate that headaches affect half the population, with up to 25% of headaches originating from the cervical spine or neck, which is referred to as a cervicogenic headache (CGH). There are many studies that demonstrate the effectiveness of chiropractic management for CGH, often involving a multi-modal treatment approach to address biomechanical dysfunction in the [..]

Most people have heard about carpal tunnel syndrome (CTS) as it’s the most common of the peripheral neuropathies or pinched nerves in the extremities, but few have heard of pronator teres syndrome. Carpal tunnel syndrome occurs when the median nerve is pinched or compressed while passing through the wrist. However, the median nerve originates in [..]

Shoulder pain is a VERY common problem, especially among individuals over 40 years old. Experts estimate that between 16-30% of the population has experienced shoulder pain in the last month, with subacromial impingement syndrome (SIS) being one of most likely diagnoses made by clinicians. Why is SIS so common? The short answer is because the [..]

Some of us have been around long enough to remember when wearing a seat belt was optional, and some of us are even old enough to remember when car manufacturers weren’t even required to install them in the first place! Nowadays, not only is it the law in most jurisdictions for all passengers to fasten [..]

Losing excess weight and keeping it off can be a challenge. Hopefully, these eight tips can help make it easier to win the battle of the bulge… FOOD JOURNAL: A study published in the journal Obesity reported that in a 142-obese person group, those who consistently logged their meals and held online group sessions about [..]

Analogies that are often used by chiropractors include: If one walks on the edge of their shoe, the shoe sole will wear out at the weight-bearing portion quicker than other parts of the sole. If an automobile wheel alignment is not optimal, then the excessively stressed wheel will wear out quicker than the other wheels. [..]