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Overcoming Vertigo: What You Need to Know About Treatment and Care

What is Vertigo?

Vertigo is a specific type of dizziness that creates a sensation of movement or spinning when no actual movement is occurring. This feeling of unsteadiness or floating is distinct from other types of dizziness, as it is a clear indication that something is wrong with the balance systems in the body. It is important to note that vertigo can often overlap with other symptoms like lightheadedness, further complicating its diagnosis.

Young woman standing in a doorway, covering her eyes and holding the door for support, experiencing vertigo or dizziness.

What Causes Vertigo?

Vertigo can stem from several different sources, primarily either the peripheral or central nervous system.

Peripheral Vertigo

This type of vertigo is often related to problems in the inner ear. Common conditions that cause peripheral vertigo include:

    • Benign Paroxysmal Positional Vertigo (BPPV): A common form of vertigo caused by the displacement of small calcium particles within the inner ear.

    • Acute Vestibular Neuronitis: An inflammation of the nerve that helps control balance.

    • Labyrinthitis: Inflammation of the inner ear that also affects balance.

    • Meniere’s Disease: A disorder involving fluid buildup in the inner ear, leading to recurring vertigo episodes.

Central Vertigo

This occurs due to issues with the brain or spinal cord. Some of the central causes include:

    • Acoustic Neuroma: A noncancerous tumor affecting the nerve responsible for balance.

    • Migraines: Some people experience vertigo as a symptom of a migraine headache.

    • Multiple Sclerosis: A chronic condition that can cause vertigo due to damage to the central nervous system.

    • Cervicogenic Vertigo: Vertigo that is caused by neck-related issues, often triggered by poor posture or spinal misalignments.

Additionally, vertigo can be triggered by cardiovascular problems such as vertebrobasilar insufficiency, as well as medications like antidepressants, antihypertensives, diuretics, and antibiotics (gentamicin and streptomycin). Even metabolic issues like diabetes, hypothyroidism, or food allergies can contribute to vertigo. Physical trauma, such as car accidents or falls, can also be underlying causes of vertigo.

Diagnosis and Treatment of Vertigo

Diagnosing vertigo typically involves a comprehensive examination. Your healthcare provider will likely perform a series of positioning tests designed to reproduce the sensation of dizziness and help determine the source of the vertigo. In some cases, additional tests such as imaging or blood work may be required.

Treatment Options:

  1. Epley Maneuver: This specific treatment is often used to treat BPPV, one of the most common causes of vertigo. The Epley maneuver involves repositioning the head to guide the calcium particles back into the correct position in the inner ear.

  2. Vestibular Rehabilitation Exercises: Your doctor may recommend specific exercises to help retrain your brain to process balance information more effectively. These exercises are especially useful for patients with vestibular disorders that affect balance.

  3. Meniere’s Disease Management: For those with Meniere’s disease, lifestyle changes such as a low-salt diet are essential. Reducing fluid retention can help prevent vertigo episodes from occurring.

  4. Migraine-related Vertigo: For those whose vertigo is linked to migraines, dietary changes such as eliminating aspartame, caffeine, alcohol, and chocolate may help reduce symptoms.

  5. Exercise, Stress Reduction, and Sleep: Regular physical activity, managing stress levels, and maintaining a consistent sleep schedule are essential for reducing vertigo symptoms. These steps help in creating overall stability and balance.

  6. Chiropractic Care: Chiropractic care can be extremely beneficial for people with vertigo, especially if the symptoms are exacerbated by poor posture or a sedentary lifestyle. Your chiropractor can assist in improving your posture and aligning your spine, reducing strain and pressure that may contribute to your vertigo. Additionally, chiropractic care may help create an appropriate exercise plan to improve balance and reduce vertigo episodes.

While vertigo can be a debilitating condition, it is treatable. From specific maneuvers and rehabilitation exercises to dietary changes and chiropractic care, there are many options available to help alleviate vertigo symptoms and improve your quality of life. If you experience vertigo or persistent dizziness, consult your healthcare provider to explore the best treatment options for you.

By understanding the causes and treatments for vertigo, you can regain control over your balance and feel more confident in your daily activities.

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Dr. J. Colby Poston, DC
Dr. Daniel Smith, DC
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(901) 377-2340

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