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Carpal Tunnel Syndrome

Dr. Epp has experience diagnosing and treating CTS.

Carpel tunnel syndrome (CTS) is an irritation of the median nerve in the wrist that leads to numbness, tingling, and weakness in the hand. It typically affects the thumb, index, and middle fingers and is often most noticeable at night. The median nerve travels down the forearm and enters the hand after passing through the wrist tunnel (carpal tunnel) that is located in the central part of the wrist.

median nerve impacting CTSCTS often develops in people who have smaller carpal tunnels, than others. Consequently, the median nerve is more likely to become compressed.  It may develop because of an injury to the wrist that causes swelling, over-activity of the pituitary gland, hypothyroidism, diabetes, inflammatory arthritis, mechanical problems in the wrist joint, poor work ergonomics, repeated use of vibrating hand tools, and fluid retention during pregnancy or menopause.

Dr. Epp has experience diagnosing and treating CTS. His doctoral thesis focused on the use of ultrasound in the diagnosis of CTS (and other pathologies). If you are having difficulties with numbness, tingling or weakness in your hand or arm, Dr. Epp would like to talk to you about your symptoms and try to relieve the root cause of these symptoms. Chiropractic joint manipulation and mobilization of the wrist and hand often provide relief from CTS.

Let Dr. Epp explain how chiropractic care can relieve your CTS.  Give us a call at 717-695-3540.




Did You Know?

We hope you find these special topics interesting.

median nerve impacting CTSCarpel Tunnel Syndrome (CTS) is an irritation of the median nerve in the wrist that leads to numbness, tingling, and weakness in the hand. It typically affects the thumb, index, and middle fingers and is often most noticeable at night. The median nerve travels down the forearm and enters the hand after passing through the wrist tunnel (carpal tunnel) that is located in the central part of the wrist. Learn More



image forward head position

Forward Head Position

Forward Head Position (FHP) can cause your neck and upper back to experience an additional 10 pounds of weight.  It occurs when your ears are forward of your shoulders as in the picture at the left.  It is caused by many different things such as slumping when using a computer, cell phone or tablet or carrying a heavy backpack.  It’s believed that as much as 90% of the population suffers from FHP.  Read More



headache image

Woman suffering with a headache.

Headaches & Chiropractic Treatment

Nine out of ten Americans suffer with headaches and 95 percent of those are either tension, migraine, or cluster headaches. The majority of these headaches are associated with muscle tension in the neck. In this day in age many Americans are relatively sedentary, spending hours in one fixed position or posture. Chiropractic manipulations have been shown to provide longer term relief from headaches than medication. Learn More




Proper Way To Sit

Proper Sitting Position is an important consideration in preventing back, neck and even sciatic nerve problems.  So pay attention to what your mother always told you – sit up straight.  More specifically this means 1) don’t lean forward, 2) relax your shoulders, 3) bend your elbows at a 90 degree angle, 4) try to support your lower back, and 5) position your feet flat on the floor.  Read More



wellness& chiropractic imageWellness & Chiropractic – An article in Natural Health News lists 7 ways that chiropractic care can assist with a person’s overall wellness.  Chiropractic care is truly about prevention; keeping your body healthy and active by restoring the function of your nervous system. Read More

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Treatment For Forward Head Position

Forward Head Position (FHP)  is one of the most common causes of neck, head, and shoulder tension and pain. It is caused by “slumping” at the computer (cell phone or tablet), while driving, carrying a heavy backpack, or poor sleeping posture. These slumping habits can be worsened by previous neck strains and sprains.

image forward head position

Forward Head Position

FHP occurs when a person’s ear is forward of his/her shoulder as in the photo.  It is a very common problem, estimated to occur in  66% to 90%  of the population.

For every inch a person’s head moves forward, the muscles in your upper back and neck experience 10 additional pounds in weight. The muscles in your upper back and neck have to work that much harder to keep your chin from dropping onto your chest Link to Reference.  FHP can impact a person’s ability to breath.  It has been linked to tension headaches, abnormal function of the eyes and the ears, and even psychological and mental disorders learn more.

proper head posture image

Proper head position.

An important step in helping to correct FHP is recognizing how proper head and neck position should look.  The photo at the right depicts correct head posture.

Chiropractic adjustments supported by specific exercises and stretching can help correct FHP. For proper diagnosis of FHP and rehabilitative treatment, schedule an appointment with Dr. Brian at Performance Chiropractic  717-695-3540 .

Images reproduced from PDF file

headache chiropractic treatment image

Headaches and Chiropractic Treatment

headache-123rfAre you suffering with headaches?  Research shows that you’re not alone. Nine out of ten Americans suffer from headaches.  A report by researchers at Duke University found that spinal manipulation provided almost immediate improvements for those headaches originating in the neck.

Another study showed that spinal manipulation was an effective treatment for tension headaches.  Further, those who stopped their chiropractic treatment after four weeks of therapy continued to experience the benefits of the therapy, after the fact.  In comparison, those who received medications received no sustained benefit from the medications. Study Link

Ninety-five percent of headaches are either tension, migraine, or cluster headaches. The majority of these headaches are associated with muscle tension in the neck.  In this day in age many Americans are relatively sedentary, spending hours in one fixed position or posture.

What Can You Do?
The American Chiropractic Association (ACA) suggests the following:
  • If you spend a large amount of time in one fixed position, such as in front of a computer, on a sewing machine, typing or reading, take a break and stretch every 30 minutes to one hour. The stretches should take your head and neck through a comfortable range of motion.
  • Low-impact exercise may help relieve the pain associated with primary headaches. However, if you are prone to dull, throbbing headaches, avoid heavy exercise. Engage in such activities as walking and low-impact aerobics.
  • Avoid teeth clenching. The upper teeth should never touch the lowers, except when swallowing. This results in stress at the temporomandibular joints (TMJ) – the two joints that connect your jaw to your skull – leading to TMJ irritation and a form of tension headaches.
  • Drink at least eight 8-ounce glasses of water a day to help avoid dehydration, which can lead to headaches.
What Can a Doctor of Chiropractic Do?
Dr. Epp may do one or more of the following to help relieve your suffering from headaches:
  • Perform spinal manipulation or chiropractic adjustments to improve spinal function and alleviate the stress on your system.
  • Provide advice on posture, ergonomics (work postures), exercises and relaxation techniques. This advice should help to relieve the recurring joint irritation and tension in the muscles of the neck and upper back.
Dr. George B. McClelland states “Doctors of chiropractic undergo extensive training to help their patients in many ways – not just back pain.  They know how tension in the spine relates to problems in other parts of the body, and they can take steps to relieve those problems.”  Link on: ACA Website
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Wellness and Chiropractic

wellness& chiropractic image

Did you know that chiropractic is a great way to improve your general health and wellness?

The core concept of chiropractic is to restore the function of your nervous system so that it can do what’s it’s designed to do: keeping your body healthy and active. Chiropractic is truly about prevention. If you keep your nervous system working smoothly, without interference, many health issues become non-issues!

Don’t take our word for it, though. Over the last few years, there’s been a lot of scientific research that shows that chiropractic is good for much more than just aches and pains. Here’s a review of some of this literature.

This article was published in Natural Health News – https://www.life-natural.com/7-reasons-why-chiropractic-is-wellness/

1 – Chiropractic Boosts Immune Function

A 2010 study1 found that chiropractic adjustments actually boosted blood serum levels of some important natural antibodies in patients. The authors suggested that chiropractic adjustments might “prime” the immune system, making it easier to ward off infection and illness.

2 – Chiropractic Reduces Inflammation

Researchers in a 2011 study2 compared back pain patients to people with no pain and gave both groups chiropractic adjustments. The authors found that the back pain patients who received chiropractic care had dramatically lower levels of a key inflammatory cytokine, known as TNF-α. High levels of TNF-α have been linked to inflammatory diseases like rheumatoid arthritis, inflammatory bowel disease, and psoriasis.

3 – Chiropractic Reduces Blood Pressure

Hypertension is a huge public health issue in the US; it’s estimated that about 30% of adults suffer from this serious condition. A 2007 study3 in the Journal of Human Hypertension looked at a group of patients with high blood pressure. Half received received an adjustment of their atlas, and the other half received a sham adjustment.

The decrease in blood pressure was so dramatic in the patients who received real adjustments that the researchers wrote that it “is similar to that seen by giving two different anti-hypertensive agents simultaneously.” In fact, 85% of the study patients had improvement after just one adjustment!

4 – Chiropractic Reduces Stress

An interesting study by a team of Japanese researchers4 in 2011 gave chiropractic adjustments to 12 men and examined PET scan images and blood chemistry to examine the effect that chiropractic has on the autonomic nervous system.

After receiving a chiropractic neck adjustment, patients had altered brain activity in the parts of the brain responsible for pain processing and stress reactions. They also had significantly reduced cortisol levels, indicating decreased stress. Participants also reported lower pain scores and a better quality of life after treatment.

5 – Chiropractic Improves Balance

As we age, sometimes we start to lose some of our balance, strength, and flexibility that we had in our youth. Because of this, older folks are vulnerable to serious injuries from trips and falls. Chiropractic helps keep your body active by restoring the normal, healthy functioning of your spine. One of the important roles of your spine is balance, aided by nerves called proprioceptors. These propriocepters relay information to your brain on the position of your body.

A small study5 from 2009 found that people who received chiropractic adjustments had reduced dizziness and improved balance. A 2015 review of the literature suggests that chiropractic care might be an effective, natural way to help prevent falls in elderly patients.

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6 – Chiropractic Relieves Colic in Babies

In 2012, researchers7 studied 104 infants who were suffering from colic. One-third of the infants were treated with chiropractic adjustments and the parents were aware of the treatment; one-third were treated and the parents were unaware of the treatment; and one-third were untreated but the parents were anaware.

The authors found that the parents reported a significant decrease in infant crying in the treated babies, compared to the infants who didn’t receive treatment. The knowledge of the parent had no effect on the improvement.

7 – Chiropractic Relieves Asthma Symptoms

A 2013 study8 reported that chiropractic adjustments were effective at increasing lung functioning, and some recent research9 shows that chiropractic care can help reduce the symptoms of asthma in some children.

This article was published in Natural Health News – https://www.life-natural.com/7-reasons-why-chiropractic-is-wellness/

chiropractic adjustment

Chiropractic Care

chiropractic adjustment

At Performance Chiropractic our goal is to restore your body’s function back to its highest potential.  Our treatments are based on a firm understanding of the biomechanics of human movement. Optimal Health begins with a properly functioning nervous system. Thanks to reduced wear and tear on your joints under chiropractic care, you’ll be running more efficiently, hitting longer drives on the golf course, and staying more active with less stress to the discs and surrounding nerves.

The following are some basic premises on which the foundation of Chiropractic Health Care has been established:

  • Health is more than not being in pain or being sick – true health is when all the parts of your body are working in Harmony.
  • To remain in Harmony, your nervous system controls and coordinates every organ and system properly to maintain Homeostasis.
  • The Brain is the master control for these systems and it is connected via the spinal cord and the nerves that exit your spine.
  • Irritations (Subluxations) can cause interference to this communication system; preventing your body from functioning properly.
  • Symptoms such as fatigue, anxiety, numbness, tingling, tight muscles and weakness result from these imbalances and Subluxations.
neck and shoulder treatment

Dr. Epp using trigger point therapy on a Central PA athlete.

When chiropractic treatments are indicated, treatments involve careful and specific spinal adjustments amongst an array of other therapies and services. We’ll apply our extensive experience working with auto accident patients, workman’s compensation injuries, and individuals recovering from chronic injuries, to get their bodies back to form.

We often treat several members of the same family, including children as young as 2 or 3 years old.  Additionally, as a result of his many years practicing chiropractic health care in Vail Colorado, Dr. Brian has experience treating all types of sports injuries.

Schedule your Complimentary Consultation today and get on the path to recovery! Call (717) 651-7788 or Contact Us Here.


hands on massage

Massage Therapy

Massagewith Nancy Davis

Relax your muscles and facilitate your chiropractic adjustment by receiving a relaxing massage from our Licensed Massage Therapist, Nancy Davis.  Massage is one of our patients favorite treatments to supplement their adjustments as well as a stand alone treatment to help relax tense muscles.

Nancy has been working with Dr. Epp at Performance chiropractic since February 2014.  She is proficient at:

  • Medical massage
  • Reflexology
  • Lymphatic drainage
  • Trigger point therapy
  • Relaxation massage
  • Sports massage, and
  • Prenatal massage
rehabilitation therapy


rehabilitation therapyYour body is both skeletal and muscular – it’s musculo-skeletal. At Performance Chiropractic we treat both aspects at the same time to optimize your results and get you pain free as soon as possible. We practice physiotherapies such as Electrical Muscle Stimulation, Ultrasound and Spinal Traction/Decompression to promote a more rapid result in the corrective phase of your care.

Feel better between chiropractic adjustments with physiotherapy including:

  • Electric stimulation treatments – To alleviate muscle tension and soreness we use very gentle electrical currents that provide safe pain relief.
  • Ultrasound therapy – Used to break up adhesions or imbibe tissues after sprains and strains, reducing restrictions and restoring pain free movements
  • Flexion-distraction therapy – Is used to improve movement and flexibility.  Dr. Epp uses a special treatment table that allows him to gently stretch and bend the back in various directions while he adds gentle pressure to different parts of the spine.
  • Cervical traction – To restore lost curvature to your neck or to help increase the space between spinal joints.
  • Moist heat treatment – Increases circulation to speed healing and relax tight muscles
  • Cryotherapy – To reduce swelling and pain in injured tissue.  We use cryotherapy (cold) in conjunction with other treatments such as electrical stimulation.