David Perna, D.C.

Carpal Tunnel Syndrome (CTS) is a very common complaint often associated with repetitive motion-related jobs. There are nine tendons traveling down the arm from the elbow that "merge" or come together in the relatively tight carpal tunnel, kind of like when four lanes of traffic suddenly narrow into one lane. We all know what happens [..]

Whiplash is a fairly common condition that occurs when the neck is suddenly forced forwards and backwards, usually from motor vehicle collisions. Before 1928, whiplash was sometimes called "railway spine" as it was used to describe injuries that occurred to people involved in train accidents. Since 1928, much has been studied and reported about this [..]

Fibromyalgia (FM) is a condition that produces widespread pain that can literally change the life of a FM patient, but as they say, "..life must go on!" Therefore, this article is dedicated to discussing ways to empower you with tips to make FM as least activity restricting as possible. Ways to gain self-control of FM [..]

We have discussed the topic of carpal tunnel syndrome (CTS) exercises previously but because this topic is so important, it warrants another look at this subject from a different perspective. Please keep in mind there are many exercises that will help patients with CTS, including a general, aerobic exercise program. In other words, just staying [..]

We have discussed the topic of carpal tunnel syndrome (CTS) exercises previously but because this topic is so important, it warrants another look at this subject from a different perspective. Please keep in mind there are many exercises that will help patients with CTS, including a general, aerobic exercise program. In other words, just staying [..]

At some point, everyone will have a headache, whether it’s caused by stress, lack of sleep, hormones, or even self-induced after having way too much fun the night before! For the most part, headaches are not indicative of a dangerous underlying condition, but they can be (…a topic for a future article). The focus of [..]

You may think it’s odd to discuss low back pain (LBP) from the perspective of spinal fusion because as chiropractors, we do not perform surgery and so, why discuss it? It is important that we discuss research such as this so we can make the informed treatment decisions with our patients after we’ve considered all [..]

Whiplash is a non-medical term for a condition that occurs when the neck and head move rapidly forwards and backwards or sideways at a speed so fast the neck muscles are unable to stop the movement from happening. This sudden force results exceeds the normal range of motion of the neck, causing injury to the [..]

Fibromyalgia (FM) is a condition that has produced more diverse opinions from researchers and physicians than almost any other. This has made finding a healthcare provider who is willing to manage the FM patient very challenging. Similarly, patient perceptions vary widely from those who strive to live a normal life despite their symptoms vs. those [..]

The cause of carpal tunnel syndrome (CTS) is commonly associated with repetitive motions or working long hours with fast hand movements such as on an assembly line or food packing line, serving tables, or using a computer keyboard and mouse. However, there are many other possible causes that are less commonly discussed such as pregnancy [..]

When patients present with neck pain, they always ask, "Where is the pain coming from?" Of course, this can only be answered after a careful history and thorough evaluation is completed by their doctor of chiropractic. Let’s take a closer look at what this involves... The History: This includes a careful description of how the [..]

Have you ever been told (or at least heard it said): If you could just drop a few pounds, your low back pain would improve? It’s pretty well accepted that excess weight contributes to low back pain. So, if that’s the case, which dietary approach is "…the best?" Even though weight loss is very important, [..]