David Perna, D.C.

Kim was only nineteen years of age, yet she had already experienced three significant motor vehicle collisions, and in each she suffered injuries. Her injuries were always painful, but never debilitating; there were no fractures, dislocations, radiculopathies, myelopathies, or instabilities. After each collision she was medically evaluated, but there were no radiographs or other types [..]

Back Pain, Acute Soft Tissue Injuries, Mobilization, & Fibromyalgia A Review Of The LiteratureMedicine and Science in Sports and Exercise. Oct. 1986;18(5):489-500.John KellettFROM ABSTRACT:The pathological processes [of soft tissue injury and repair] at a cellular level are described in three phases: acute inflammatory, repair, and remodelling.The management of acute soft tissue trauma is embodied in [..]

The Potential Viability of Omega-3 Essential Fatty Acids as an Anti-Inflammatory AgentWe are going to deviate from the mechanical discussions of joint pain treatment. Usual topics such as physiotherapy, stretching, manipulation, etc… and instead we're going to discuss what looks to be a remarkably inexpensive yet potentially valuable tool in combating joint pain and inflammation.Far removed [..]

In this month's issue we're going to touch on area of patient treatment that has undergone enormous leaps and bounds in our understanding over the last decade. An area I will refer to as "Post-Traumatic Soft Tissue Injury".Even with recent breakthroughs in understanding the physiology of repair (and possibly because of these RECENT breakthroughs) there [..]

Joint Motion's Influence On…Tissue Response, Infection, Inflammation, Trauma & Healing…And The Potential Pitfalls Of Clinical Joint ImmobilizationBack in 1984, orthopedic surgeon Sir James Cyriax, MD, reviewed The Concept Of Motion in his Textbook of Orthopaedic Medicine, Diagnosis of Soft Tissue Lesions (1). In this text, Dr. Cyriax carefully noted that harmful infections create tissue destruction, resulting in inflammation.A current [..]

The primary region of the human body to be injured in a whiplash accident is the neck. The whiplash injury is an inertial injury to the neck. This means that there is no direct impact, blow, or contact to the neck. Rather, the injury is indirect, and there is no contact. Another well-known example of a neck [..]

Chiropractic methods are utilized for many complaints, of which the majority of research-based evidence supports conditions related to the musculoskeletal system—that is, neck, back, upper and lower limb conditions. However, when applied to certain areas of the spine, spinal manipulation can have other beneficial effects that are also supported by research. One of these additional [..]

Chiropractic methods are traditionally sought after for pain relief for neuromusculoskeletal conditions or from pain arising from the nervous and musculoskeletal systems. But in the tradition of chiropractic, the WHOLE PERSON is cared for, not just a select region of pain. For example, when a low back pain patient first comes to the office, their [..]

Exercise is an important part of whiplash treatment and is often overlooked by both patients and doctors. We will focus on several practical and effective exercises over the next several months. The first of this series can be called “brain exercises.”Brain Exercise #1: Eyes Still, Move Head. Hold a pen a comfortable distance in front [..]

Low back pain (LBP) is a reality in most of our lives at one point or another. It can range from being a “nag” to being totally disabling. Let’s look at some exercises for the low back that can be done from a SITTING position so that they can be: 1) performed in public (without [..]

Low back pain (LBP) is a reality in most of our lives at one point or another. It can range from being a “nag” to being totally disabling. Let’s look at some exercises for the low back that can be done from a SITTING position so that they can be: 1) performed in public (without [..]

Last month, we discussed fibromyalgia (FM) management from a multi-modal approach, which included dietary recommendations to reduce inflammation. We'll cover this topic in more detail this month…Anti-inflammatory foods can be broken down into four categories: 1) fruits and vegetables; 2) protein sources; 3) fats and oils; and 4) beverages.In the fruits and vegetables category, whole [..]