Vertigo Vertigo Causes and Treatments by yunismalik


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									                      Vertigo, Causes and Treatments
                      Ronald Grisanti D.C., D.A.B.C.O., M.S.

People with vertigo may have sudden sensations of spinning or whirling
motion that may be accompanied by lightheadedness and loss of balance,
and less often by sweating, fatigue, nausea, and vomiting.

What Causes Vertigo?

Vertigo is most commonly caused by a problem with the balancing
mechanism in the middle ear. This is a coiled tube of fluid that lies behind
the eardrum called the labyrinth. Viral infections such as a common cold or
flu can spread to the labyrinth (labyrinthitis). Less commonly, labyrinthitis
is caused by a bacterial infection of the middle ear (otitis media).

Short but recurrent attacks of vertigo are often caused by benign
positional vertigo. This type of vertigo may also follow a viral infection, or
can develop following inflammation or damage to the middle ear. It
commonly affects older people, and can be brought on by a sudden
movement of the head, such as turning rapidly.

The most common form of vertigo is benign positional paroxysmal vertigo
(BPPV), in which brief attacks are brought on by certain changes in head

Possible Causes:

   •   Vertigo is felt to be caused by a viral infection of the balance nerve
       that runs from the inner ear to the brain. Some patients will report
       having an upper respiratory infection (common cold) or a flu prior to
       the onset of the symptoms of vestibular neu-ronitis.
   •   Drug reactions
   •   Head injury
   •   Arthritis in the neck - this disorder is usually confined to older
       people, and can be brought on when the head is turned or tilted.
   •   Poor circulation - may lead to vertigo if insufficient blood reaches the
       part of the brain that controls balance.
   •   May be associated with impaired glucose metabolism/high

       Vertigo may also be associated with:

   •   Sinusitis
   •   Migraine headaches
   •   Hypothyroidism
   •   Diabetes
  •   Panic attacks
  •   Food allergies

      Other Considerations in Vertigo Treatment

      Be Careful with Salon Shampoos

      Head positions that bring on sudden, acute attacks of vertigo,
      particularly bending the neck back while looking up, should be
      avoided. In one report, for example, the head position used in salons
      for shampooing hair was associated with the onset of vertigo.

Trigger Points in Neck Muscles

Trigger points are thought by most authorities to potentially cause pain
and abnormal function in other parts of the body including vertigo
symptoms. Also known as myofascial pain dysfunction (MPD), this
condition, when it affects certain muscles of the head and neck, has been
associated with vertigo

Certain chronic or repetitive body positions may produce painful nodules,
calledtrigger points, in the muscles of the head and neck, which can lead to
dizziness and possibly vertigo.

  •   These positions include forward bending of the neck as when
      sleeping on two pillows, backward neck bending as when painting a
      ceiling, and turning the neck to one side as in some reading

      Trigger points appear to develop as the result of injury, poor posture,
      structural abnormalities of the leg or pelvis, emotional tension, and
      other body stressors.

      Musculoskeletal healthcare specialists and other practitioners can
      often treat MPD with a variety of natural therapies, including deep
      pressure massage.

      Traditional Medical Approach:

      Over the counter medication such as dimenhydrinate (Dramamine),
      meclizine (Bonine), and cyclizine (Marezine) may be helpful.

      Prescription medications include anticholinergic drugs, such as
      scopolamine (Transderm Scop), prochlorperazine (Compazine), and
      meclizine (Antivert), as well as sedatives, including diazepam
      (Valium), lorazepam (Ativan), and alprazolam (Xanax).
Natural Alternative Approach


A preliminary trial showed that 15 mg per day of vinpocetine had a
moderate or greater effect on reducing the signs and symptoms of
vertigo in 77% of patients with this condition.


Two preliminary human studies reported that vitamin B6
supplementation reduced symptoms of vertigo produced with drugs
in a laboratory setting.23 Vitamin B6 supplementation has not been
studied in BPPV or other forms of vertigo and may not share the
same causative mechanism as experimentally induced vertigo.

Herbal Treatments

Ginkgo biloba

In a preliminary clinical trial, Ginkgo biloba (GBE) significantly
reduced symptoms of vertigo in a group of elderly people with mild
cognitive impairment.Participants were given 40 mg three times per
day for one year. GBE has also been reported to significantly reduce
vertigo of unknown cause in preliminary25 and double-blind trials.
The amounts given were 120 mg and 160 mg per day, respectively,
for three months.


Ginger (Zingiber officinale) root in a single application has been
reported to significantly reduce symptoms of vertigo in one double-
blind trial.

Vestibular Exercises:

Numerous preliminary reports suggest certain vestibular
rehabilitation exercises may help some cases of vertigo.

While vestibular rehabilitation exercises may be done at home, initial
guidance by a qualified practitioner is necessary.

The Particle Repositioning Maneuver Technique

Vertigo appears to be caused by an accumulation of free-floating cell
fragments in the fluid of the inner ear
    Certain manipulation therapy maneuvers, referred to as particle
    repositioning maneuvers (PRMs), are intended to relocate this debris
    to a harmless location, in order to improve symptoms.

    Most studies report that over 90% of people with BPPV treated one
    or two times with PRM respond to this treatment, although up to
    45% may develop BPPV again within a few years, requiring further

    Dr. Grisanti's Comments:
    Although there are a number of non-drug approaches to the
    treatment of vertigo, it is important to rule out any underlying causes
    which may be a factor in your symptoms. I would suggest that you
    request your doctor investigate the following potential causes before
    you decide to self-treat.

•   Head trauma or Cranial Lesion
•   Viral/bacteria infection via blood tests
•   Drug Interaction or side effects- review the potential side effects of a
    new drug and be certain that vertigo or dizziness is not one of the
    side effects
•   Poor circulation
•   Abnormal glucose metabolism

    This is where I would suggest you start. Ruling out the above is a
    wise first start.

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