David Perna, D.C.

Carpal tunnel syndrome (CTS) belongs to a group of disorders called “entrapment neuropathies” and as the name implies, it is caused by the trapping of the median nerve in the carpal tunnel of the wrist. There are MANY ways to treat CTS, with some of the most effective focused on reducing inflammation. Inflammation (from the [..]

The hip is a very unique joint. The depth of the socket, the strength of the muscles and ligaments surrounding it, and the way it functions in weight bearing activities is unlike any other joint in the body. The focus this month is on the relationship between the hip and the rest of the body. [..]

Whiplash typically involves an injury to the neck, but it can often include symptoms outside of the cervical region, which is why the term “whiplash associated disorder” (WAD) may be a more appropriate description for the condition. WAD is most commonly associated with car accidents, but other forms of trauma, such as a slip and [..]

When looking at the neck from the left side, the cervical curve should look “C-shaped”, or lordotic. This develops when infants learn to lift and hold their head up while laying on their stomach and continues to progress when a child starts moving around on all fours. When we bend our head forward and backward, [..]

BackgroundSome may not know that before an individual can enter chiropractic college/university, they must first attend undergraduate college. The vast majority of modern chiropractors have undergraduate degrees, primarily in the sciences (science is a requirement for chiropractic college acceptance). In fact, many chiropractic colleges/universities also have programs to educate and grant accredited undergraduate science degrees.After [..]

It’s not uncommon for low back pain patients to reduce their activities in an effort to avoid their pain. Unfortunately, it's likely their core muscles—the muscles that help support their midsection—will become deconditioned over time due to inactivity, which may only increase the risk of further injury. Therefore, to effectively improve one's low back pain [..]

There have been MANY studies conducted on the benefits and efficacy of spinal manipulation to treat back pain—so much so that many medical doctors frequently refer patients with back pain to chiropractors for this service. But what about neck pain? Although it’s taken a little longer to compile the evidence, there is now substantial research [..]

Carpal tunnel syndrome (CTS) is a very common condition. According to a report by the Bureau of Labor Statistics (BLS), CTS ranks SECOND among the major disabling diseases and illnesses in ALL private industries. The BLS states that workers with CTS may eventually have to give up their livelihood. They cite one study in which [..]

If you suffer from shoulder pain, here are some exercises you can do at home that really work to improve flexibility and strength. Just remember to ALWAYS stay within reasonable pain boundaries and work BOTH sides of your body, NOT just the injured shoulder! For flexibility, start with the “Codman” Pendulum exercise. Stand or sit [..]

As previously discussed, many patients with a whiplash injury also experience some degree of traumatic brain injury (TBI), which can prolong the recovery process. A 2012 study involving patients with severe TBI found the rate of favorable recovery increased 25% in participants who took a vitamin D supplement as part of their treatment plan. Why [..]

We all know it’s smart to write down our symptoms before a visit to our healthcare provider, but most of us simply don’t take the time. In many cases, it may be only subtle symptoms that trigger a proper diagnosis. This is certainly true when it comes to stroke. There are basically two types of [..]

Clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. Clinical practice guidelines define the role of specific diagnostic and treatment modalities in the diagnosis and management of patients. Clinical practice guideline recommendations are based on evidence from rigorous systematic reviews and synthesis of [..]