David Perna, D.C.

Most of us have suffered from back pain at one time or another. It often occurs after over-doing a physical task, like fall yard work, winter snow shoveling, working on the car, cleaning the house, and so on. But there are times when identifying the cause of back pain can be difficult or impossible. Let’s [..]

Last month, we looked at the VERY important deep neck flexor muscles. As promised, this month, we will cover exercises to work the deep neck extensors. Since the 1990s, the deep neck flexors have been getting most of the attention as being the “missing link” in rehab of the neck after whiplash. As important as [..]

Last month, we looked at the VERY important deep neck flexor muscles. As promised, this month, we will cover exercises to work the deep neck extensors. Since the 1990s, the deep neck flexors have been getting most of the attention as being the “missing link” in rehab of the neck after whiplash. As important as [..]

Spondylolisthesis, or a slipped vertebra (as opposed to a slipped disk or herniated disk), describes when one vertebra slips or slides forwards on the vertebra below, which can occur for a number of reasons including getting older (“degenerative spondylolisthesis”) or trauma (from a fracture in the back of the vertebra called the “pars interarticularis”). Additionally, [..]

Everyone, well at least almost everyone, has had headaches from time to time, and we all know how miserable they can make us feel. In fact, at some point in time, 9 out of 10 Americans suffer from headaches that range between mild and dull to throbbing, intense, and debilitating, sometimes to the point of [..]

Healthcare providers tend to agree that in non-emergency situations, patients with conditions like Carpal Tunnel Syndrome (CTS) should try non-surgical treatments before consulting with a surgeon. The “PRICE” concept, that is Protect, Rest, Ice, Compress, & Elevate can be applied to most injuries, including CTS, especially in the acute/inflammatory stage. However, many of these principles [..]

Is there a connection between fibromyalgia (FM) and sleep disturbance? Let’s take a look! FM is a condition that causes widespread pain and stiffness in muscles and joints. Patients with FM often experience chronic daytime fatigue and some type of sleep problems like getting to sleep, staying asleep, and/or feeling restored in the morning upon [..]

There are four main arteries that bring blood to the brain: two in the front of the neck called the carotid arteries and two in the back of the neck called the vertebral arteries. The carotid arteries supply the front and middle portions of the brain with blood while the vertebral arteries join together to [..]

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 [..]

Whiplash, or “Whiplash Associated Disorders” (WAD), results from a sudden jarring motion, often from a car crash that occurs too fast for someone to voluntarily “brace” themselves. This is because the whole “whiplash cycle” is over within 300msec, and we cannot contract a muscle faster than 700-800 msec. Other injury factors include: the type and [..]

Whiplash, or “Whiplash Associated Disorders” (WAD), results from a sudden jarring motion, often from a car crash that occurs too fast for someone to voluntarily “brace” themselves. This is because the whole “whiplash cycle” is over within 300msec, and we cannot contract a muscle faster than 700-800 msec. Other injury factors include: the type and [..]

We in the healthcare management world are all biased. If a patient with neck and arm pain presents to chiropractic clinic, the doctor of chiropractic will usually recommend a non-surgical trial of care as long as “red flags” don’t exist (that is, “bad” things like bowel/bladder weakness, rapidly worsening symptoms, and a few others). Frequently, [..]