David Perna, D.C.

Does mobilization (MOB) get less, the same, or better results when compared to spinal manipulative therapy (SMT) when it comes to treating neck pain? To answer this question, let’s first discuss the difference between the two treatment approaches. Mobilization (MOB) of the spine can be "technically" defined as a "low velocity, low amplitude" force applied [..]

Fibromyalgia (FM) is a chronic condition that impacts every aspect of life for those who harbor it. The diagnosis is often made on individuals with chronic widespread bodily pain in the absence of any specific condition and when no specific cause, such as tissue inflammation or damage, can be identified. Hence, the cause of FM [..]

Low back pain (LBP) can be localized and contained to only the low back area or it can radiate pain down the leg. This distinction is important as the former, LBP only, is often less complicated and carries a more favorable prognosis for complete recovery. In fact, a large part of the history and examination [..]

The “Tissue – Tensegrity” Matrix And Chronic Low Back PainChiropractors primarily look at patient’s problems from a mechanical perspective. A classic chiropractic mechanical analogy is a pinched nerve (compressive neuropathology). Although chiropractors occasionally do treat compressive neuropathology, most chiropractors are aware that there are patients with compressive neuropathology that require a surgical decompression. Overall, compressive [..]

Whiplash injuries include damage to the soft tissues of the neck such as muscles, tendons, ligaments, and myofascial tissues. The degree of injury is typically graded on a 1-3 scale from least to most tissue damaged, respectively. A grade 1 sprain (ligament injury) or strain (muscle or muscle tendon injury) includes minimal tissue disruption or [..]

Fibromyalgia (FM) is a chronic condition that impacts its victims in every aspect of their lives. Many FM patients who present for treatment as their doctor about what resources are available for them and therefore, this is the subject of this month’s article.The National Fibromyalgia Association (NFA) was founded in 1997 in Orange, California and [..]

Carpal Tunnel Syndrome (CTS) is caused by the pinching of the median nerve as it passed through the carpal tunnel in the wrist and can result in numbness, tingling, and sometimes pain into the hand affecting the index, 3rd, and thumb-side of the 4th finger. Grip strength weakness may occur (usually later in the process), [..]

Mechanical neck pain affects an estimated 70% of people at some point in life. Because many different treatment approaches are available for neck pain, it can be very difficult for those suffering from neck pain to know which treatment approach(es) to choose. Research on this topic has revealed some very interesting information that places chiropractic [..]

When patients present with low back pain, it is not uncommon for pain to arise from areas other than the low back, such as the hip. There are many tissues in the low back and hip region that are susceptible to injury with have overlapping pain pathways that often make it challenging to isolate the [..]

Whiplash can result from a number of causes, not just from motor vehicle accidents. A fall on the ice or a slippery floor, a sports-related injury, or even one of those rides that throws you around at the county fair can result in the same type of injury. Whiplash occurs when the head is literally [..]

Whiplash can result from a number of causes, not just from motor vehicle accidents. A fall on the ice or a slippery floor, a sports-related injury, or even one of those rides that throws you around at the county fair can result in the same type of injury. Whiplash occurs when the head is literally [..]

Because carpal tunnel syndrome (CTS) is technically a tendonitis that happens to be near a nerve (the median nerve), one treatment option for CTS is to manage the tendonitis and by doing so, the pressure on the median nerve will resolve. Also, because the movement of the hand and wrist are controlled by opposite functioning [..]