David Perna, D.C.

Children have been treated by chiropractors for spinal problems ever since chiropractic was founded in 1895 and neck pain is no exception. Neck pain is surprisingly common in kids, though not quite as common as it is in adults, reaching a similar occurrence rate by age 18. Studies conducted in the United States and in [..]

Whiplash treatment and management is a topic of great discussion! Many different types of tissues can be injured in a whiplash event, which can lead to a multitude of symptoms. This is why the label “Whiplash Associated Disorders” (WAD) was born! The rate of healing for each type of tissue varies, thus the length of [..]

Fibromyalgia (FM) is a condition that typically has a slow, gradual onset that starts out mild and gradually worsens. The symptoms associated with FM include generalized pain all over the body (above and below the waist including neck, shoulders, chest, upper back, arms, hips, buttocks, legs, and feet). The pain can be symmetrical or more [..]

Carpal tunnel syndrome (CTS) is a problem that occurs when the median nerve is pinched as it passes through the tunnel at the wrist, resulting in numbness that includes the palm side of the hand, the thumb through digit three and the thumb-side half of the ring or fourth finger. So, how does the neck [..]

Low back pain (LBP) is such a common problem that if you haven’t suffered from it yet, you probably will eventually. Here are a few facts to consider:  1) LBP affects men and women equally; 2) it is most common between ages 30-50; 3) sedentary (non-active) lifestyles contribute a lot to causation; 4) too much [..]

BACKGROUND INFORMATION FROM DAN MURPHYAll pain has an inflammatory component. In his 2007 article, Omoigui, concludes:“The origin of all pain is inflammation and the inflammatory response.”“Irrespective of the type of pain, whether it is acute or chronic pain, peripheral or central pain, nociceptive or neuropathic pain, the underlying origin is inflammation and the inflammatory response.”“Activation [..]

HISTORY:Mandy, a 50-year-old female, was injured in a motor vehicle collision.Her stationary vehicle was struck from the rear by a vehicle of similar mass that was traveling at a speed of approximately 20 miles per hour at the time of collision. Damage to her vehicle was judged to be $6,600.The collision caught Mandy by surprise, [..]

In the legal cases I have consulted in, often it is claimed that children cannot be injured in motor vehicle collisions, and therefore they do not require any treatment. To escalate this perspective, I have consulted in cases where the chiropractor treating such a child is accused of committing fraud, a crime. Occasionally, these cases [..]

November 2, 2010, researchers from the Veterans Affairs Medical Center at the University of California, San Francisco, published a study in the Annals of Internal Medicine titled (1):The Epidemiology of Pain During the Last 2 Years of LifeThe study included 4,703 older adults with mean age of 75.7 years at the time of their deaths. [..]

Barbara is a 45-year old woman with two adult children. She is employed full-time as a sales clerk at the local mall. Her job is not physically demanding nor is it ergonomically challenging. Her job allows her to assume multiple physical positions throughout the day while she is assisting a variety of customers with a [..]

In 1973, physicians Adrian Upton and Alan McComas introduced a concept suggesting that undiagnosed cervical spine problems could increase the incidence of extremity peripheral entrapment syndromes. They referred to this new concept as the:Double Crush in Nerve-Entrapment SyndromesDrs. Upton and McComas published their initial study on this Double Crush Nerve-Entrapment Syndrome in the journal The [..]

Not everyone injured in a motor vehicle collision recovers completely. A percentage of those injured will suffer for years or sometimes even for decades. Documented examples of this chronic pain syndrome include:In 1964, the Journal of Bone and Joint Surgery (American) published a study where the author followed 145 whiplash-injured patients for more than two years. The author [..]