David Perna, D.C.

Neck pain is very common! According to one study, between 10-21% of the population will experience an episode of neck pain each year with a higher incidence rate among office workers. Between 33-65% will recover within one year, but most cases become “chronic, recurrent” meaning neck pain will come and go indefinitely. The more we [..]

According to the literature, carpal Tunnel Syndrome (CTS) is one of the most prevalent upper extremity complaints. In fact, it IS the most common “compression neuropathy” (of which there are many) and affects 3-6% of adults in the general population. Additionally, CTS can affect BOTH hands in up to 50% of patients with the condition! [..]

Fibromyalgia is a complicated disorder that’s difficult to diagnose because it involves multiple body systems. As a result, there are a myriad of factors in the body that can play a role in a patient's symptoms. That said, it's best to take a whole body approach when it comes to treating a complex condition like [..]

First, what is whiplash? It’s a lot of things, which is why the term WAD or Whiplash Associated Disorders has become the most common term for the main signs and symptoms associated with a whiplash injury. WAD is usually associated with a motor vehicle collision, but sports injuries, diving accidents, and falls are other common [..]

Often referred to as a “sinful indulgence,” chocolate is usually not thought of as a healthy food choice. However, in the last 20-30 years, there has been growing evidence that there are indeed health benefits associated with chocolate consumption! Let’s take a closer look! Chocolate is made from tropical Theobroma cacao tree seeds. The earliest [..]

Chronic pain in the United States is an overwhelming, epidemic, problem. Of the 238 million adults in the US, 116 million suffer from chronic pain (1, 2). Quantifying the anatomical regions for American’s chronic pain shows that the fourth most common region of the body afflicted with chronic pain is the neck (3):Hip Pain                     07.1%Finger [..]

There is certainly a lot of interest in concussion these days between big screen movies, football, and other sports-related injuries. Concussion, traumatic brain injury (TBI), and mild traumatic brain injury (mTBI) are often used interchangeably. Though mTBI is NOT the first thing we think about in a low-speed motor vehicle collision (MVC), it does happen. [..]

Is there a “normal” or “best posture” out there? If so, what is it? Posture is largely inherited; however, there are also environmental, social, and other forces that can affect posture. Some say “good posture” is the position that places the least amount of strain on the body, particularly the muscles and ligaments that hold [..]

Is there a “normal” or “best posture” out there? If so, what is it? Posture is largely inherited; however, there are also environmental, social, and other forces that can affect posture. Some say “good posture” is the position that places the least amount of strain on the body, particularly the muscles and ligaments that hold [..]

We previously discussed the connection between sleep disturbance and the presence of widespread pain found with fibromyalgia (FM). This month’s topic will center on how we can improve our sleep quality with the goal of feeling restored upon waking in the morning! 1) NOISE & LIGHT: Block out noise with earplugs or a sound machine [..]

This month, we will conclude our three-part series on important facts regarding carpal tunnel syndrome (CTS). CTS TREATMENT OPTIONS (continued): Aside from the carpal tunnel, there are several places where the median nerve can become compressed as it travels from the neck, down through the shoulder, through tight muscular areas of the upper arm and [..]

Chiropractic is the most widely accepted and most frequently used type of "alternative" healthcare in the United States. This is largely due to the fact that it works, and because of that, there has been a steady increase in acceptance by the public, third-party payers, and the Federal government. Since the mid-1990s, a number of [..]