Vertigo may cause a person to feel that he/she is rotating or rocking or as if the world is spinning even when he/she is perfectly still. Sound waves enter through the outer ear canal and reach the ear drum. There the sound is converted to vibrations and when these vibrations reach the vestibular nerve, it carries these signals to the brain. This mechanism together with the collection of semi-circular canals in the inner ear helps to provide real-time feedback regarding a person’s position in space. Vertigo implies a dysfunction in any part of this entire procedure.
There can be different causes of vertigo and the causes can be differentiated into peripheral or central. Central causes of vertigo have their roots in the brain and the spinal cord while the peripheral vertigo occurs due to some problem in the inner ear. However, vertigo in most cases occurs due to problems in the inner ear. Vertigo can occur if the inner ear gets inflamed due to illness or if the small hair cells within the semicircular canals get irritated. In this scenario, a person suffers from benign paroxysmal positional vertigo (BPPV). Meniere’s disease is a disorder of the inner ear that is caused due to fluid build-up and pressure changes in the ear. Vestibular neuritis or labyrinthitis is an inner ear problem that is often related to infection.
The treatment for vertigo depends on what is causing the problem. The various methods of treatment include vestibular rehabilitation, canalith repositioning maneuvers and medications. Sometimes, surgery may be needed if vertigo is caused due to tumor or injury to the brain or neck.
Labyrinthitis and vestibular neuronitis can be treated by vestibular rehabilitation. Vestibular rehabilitation involves carrying out some exercises that encourage a person’s brain to adapt to the ear’s abnormal messages. During this therapy, a person keeps moving despite feelings of dizziness and vertigo. This unique procedure trains a brain to avoid the confusing signals coming from inner ear and to rely on the signals coming from the other parts of the body. This method helps the brain to minimize any dizziness and helps the person to maintain balance.
BPPV is usually treated with a procedure called Epley maneuver. This is a procedure four different head movements are performed to move the fragments that cause vertigo to a position where they cannot produce any more symptoms. A person may experience vertigo during the movements. Although this procedure may provide some immediate relief, total recovery can be achieved only after 2 weeks. Brandt- Daroff exercises are recommended if the Epley maneuver does not work.
If vertigo is caused due to Meniere’s disease, a person will need to adopt a low-salt diet, take medications, treat tinnitus- ringing in the ears- with sound therapy, treat hearing loss, undergo physiotherapy to regain balance and also have to get treated for the secondary symptoms of this disease. Sometimes medications can be used to treat various forms of vertigo. Two of the most commonly used medicines are prochlorperazine and antihistamines. Betahistine is recommended for long-term treatment of Meniere’s disease.
Vertigo refers to a sense of dizziness. This condition may develop due to a range of reasons. A person is eligible for treatment of vertigo if he/she experiences some or all of the symptoms associated with it. The symptoms are: dizziness, problems with balance, lightheadedness, a sense of motion sickness, tinnitus, feeling of fullness in the ear and nausea and vomiting. A doctor will determine whether a person is suffering from vertigo or not by means of a physical examination and checking the patient’s medical history. A person may also be advised to undergo an MRI or CT scan. Thus, a person will only be eligible for treatment after he/she has been properly diagnosed by a doctor.
A person who does not suffer from the symptoms of vertigo are not eligible for treatment. A person affected by Benign Paroxysmal Positional Vertigo is not suited to undergo the vestibular rehabilitation. Epley manouevre requires some head exercises to be done. A person who has a serious head/neck injury is not eligible for this treatment. A person needs to consult a doctor before understanding whether he/she is eligible to take medications like antihistamine and prochlorperazine.
The side-effects of vestibular rehabilitation therapy include dizziness, muscle fatigue, sedation, weakness, and unsteadiness and falls that may sometimes amplify the disorder. Epley manoeuvre does not have any serious side-effects. However, a small fraction of the patients who have undergone his treatment have experienced transient nausea while fewer people have experienced vomiting. Prochlorperazine has a number of side-effects like dizziness, drowsiness, sleep disorders, constipation, swelling of breasts, weight gain and missing of menstrual period for women. Antihistamine’s side effects include drowsiness, dizziness, vomiting, nausea, vision problems, confusion and problems in urination.
There are a number of post-treatment guidelines that a person can follow to ensure that this condition does not recur. A person can reduce the risk of developing central vertigo by controlling the risk factors for stroke. A person should not drive a car or a motorbike even after he has undergone treatment. There is always a risk of a mishap. If a person has undergone treatment for peripheral vertigo, he/she should continue with vestibular rehabilitation exercises. A person should also avoid operating large machineries or climbing the stairs.
The Epley maneuver to treat Benign paroxysmal positional vertigo shoe positive results almost immediately after the treatment. However, a person with BPPV will take about 2 weeks to recover completely. The Brandt-Daroff exercises, which are recommended to a person who doesn’t benefit from the Epley maneuver also takes about 2 weeks to get the patient cured fully. Surgery is recommended if the symptoms of vertigo persist for years. If central vertigo is caused due to a migraine, a person will recover as soon as the migraine is dealt with. Medicines usually cure a person suffering from vertigo within 3-14 days, depending on the severity of the condition.
The cost of prochlorperazine is around Rs 646 while antihistamines are available within a price range of Rs 1800 – Rs 2000. A CT Scan can cost something around Rs 70,000 – Rs 80,000.
It is believed that vertigo can be totally cured. Treatment of vertigo generally depends on treating the symptoms. Vertigo can be of two types: central and peripheral. Central vertigo can be cured by treating the accompanying migraine. Sometimes central vertigo is caused due to brain tumors. Surgery may be required to treat the brain tumor. This can, in most cases, permanently cure central vertigo. Meniere’s disease, which can also cause vertigo, can be treated by making some lifestyle changes and by treating some problems of the ear. Thus, as long as the inflammation inside of the ear is treated, vertigo can be permanently cured.
Gingko biloba is one of the mostly researched herbs that help to increase blood flow to the head and brain and thus can act as a natural cure for vertigo. Ginger, which helps to treat nausea, can also act to contain vertigo. Almonds and milk also help to treat vertigo. Other natural ingredients that help to contain vertigo are lemon balm, fruits and vegetables rich in Vitamin C, vitamin D and garlic and sesame oil.
Rs 650 - Rs 80000
A balancing problem often causes dizziness. When you are standing still, you will have a feeling like everything around you is moving and spinning and that is due to dizziness. Labyrinth is one of the organs present inside the ear, which is a part of the balance system. This organ will interact with the other body organs as well like eyes, bones, joints, etc. Along with these organs, the nervous system and brain can also contribute towards your trouble in balancing.
There are different symptoms that a person with balancing trouble may face Some of them are as follows:
There are some people who also have problems such as nausea, vomiting, blood pressure, change in heartbeat, diarrhea, anxiety, etc. These symptoms usually last for a short time, but in rare conditions, they last really long.
Causes of balancing trouble:
Bacterial or viral infection, blood circulation disorders, and head injury can be some of the reasons for affecting the internal part of the ear. Along with that, aging and some kind of medications can also cause balance trouble. Basically, the four areas mentioned below may lead to a trouble in balancing:
How is the balancing problem diagnosed?
Based on the symptoms and many other factors, the affected individual will be diagnosed. It is not at all easy to detect balancing problems. The following tests are conducted to determine the problem:
Here is how an audiologist can help you
When you are having hearing and balancing issues, it is always good to consult a certified audiologist. Vertigo or balancing problems can be due to many conditions inside the ear; therefore, an audiologic evaluation should be conducted. The basic cause and the possible treatment for it can be suggested with the help of this evaluation only.
Based on the audiologic evaluation results and the medical findings, the audiologist will be able to find a way to treat dizziness. You will be provided more information about Vertigo in order to understand it in a much better way. So, when the cause is clear and you understand the ailment better, it gets easier for the doctor to treat you and you will be relieved from the scary feeling of getting unbalanced and falling.
The five most common causes of vertigo are:
The ear is typically associated with hearing. However, it plays a much larger role in our daily functioning. The ear also helps us maintain our balance. In fact, one of the most common causes of loss of balance or dizziness is a blocked ear canal.
Dizziness can range from a brief moment of imbalance and light-headedness to a severe spinning sensation. In severe cases, it can also result in a black-out. To maintain one’s balance, the input is needed from the eyes, inner ear and joints of the feet and legs. These impulses are processed by the brain which sends out signals to other limbs and organs on what needs to be done to maintain balance. A disturbance in any one of the three inputs can cause dizziness or a loss of balance.
Which part of the ear is responsible for dizziness?
The structure of the ear can be categorized into an external part and an internal part. The external part of the ear is responsible for receiving sounds, amplifying them and forwarding them to the inner ear. The inner ear is shaped like a snail. It has two interconnected parts. One part helps convert sounds into electrical signals that can be transported to the brain while the other helps maintain balance. This consists of three balance canals.
These canals move in a different direction depending on the movement of the head. This part of the inner ear also contains 2 small components with sensory cells covered in small calcium crystals. These compartments help sense linear movements such as rocking, bouncing or swaying movements. If the crystals covering these compartments are dislodged, the person may lose his or her balance. A tumour in the inner ear can also lead to a loss of balance.
Meniere’s syndrome is a disorder related to the inner ear. This is a common cause of dizziness and vertigo. Meniere’s syndrome usually affects only one ear. This is marked by an abnormal collection of fluid in the inner ear. Blockages in the ear canal, an allergy, stress, fatigue or a trauma are some of the common reasons why this fluid may accumulate in the ear. Dizziness caused by this disease is usually noticed in the first and second stage of this condition. In such cases, dizziness may be accompanied by a loss of hearing, ringing sensation in the ears and pressure in the affected ear.
Labyrinthitis is a very common disease related to audiology in which the person suffers from an inner ear medical disorder. The two vestibular nerves present inside the inner portion of the ears send information to the brain about spatial navigation and also balance control. Now, when any of these two nerves become inflamed due to some reason, it causes Labyrinthitis.
The symptoms of this disorder are easily identifiable and the person is treated generally based on the kind of symptoms he or she is experiencing.
Even though the symptoms may disappear after a few days, a chronic Labyrinthitis will continue to affect after that as well.
These are the symptoms Labyrinthitis and sometimes if these are not treated well, then it can lead to permanent hearing loss.
So if you are suffering from any of these medical problems then you must visit an audiologist immediately and treat the condition in a proper manner.
Diagnosis And Treatment
The doctor will conduct different physical examination and other tests which will help him or her to detect the real problem. Hearing tests, blood tests, a CT or MRI scan of the head and even electroencephalogram can be used to diagnose the patient. Once the real cause of the disease gets traced, the doctor will prescribe medication accordingly.
Here are some of the best treatment of this disease:
Apart from treating yourself with different medication here are some important actions you can perform to get relief from symptoms which might affect you:
So, here are the different information which you must know about Labyrinthitis and we hope this article will help you to get the best treatment and recovery.
BPPV or Benign paroxysmal positional vertigo is a major cause of vertigo. This is a condition that gives a sensation of head spin all of a sudden. It also results in dizziness in brief episodes. The severity level can vary from intense to mild. BPPV is triggered with certain changes of the head position. Although BPPV is bothersome, it isn’t serious unless there is a chance of a person falling abruptly because of the head spin. There are ample treatment options available to address this problem.
When to seek medical attention?
If dizziness is accompanied with one of the below-mentioned symptoms, it is time to urgently seek medical attention and get vertigo addressed for good:
Causes of BPPV:
If there is on known cause associated with BPPV, the condition is termed as idiopathic BPPV. In most of the cases, though, BPPV is associated with a severe to minor blow to the head. Other causes include an injury to the inner ear, prolonged sitting position in a fixed posture, even migraine pain is at times associated with BPPV.
What are the risk factors?
Benign paroxysmal positional vertigo is likely to occur in the age group of 50 and above, this being said it can happen at any age in case of any injuries. Statistically, it is found that the likelihood of BPPV is more in women than men. Head injury of any sort is by far the most likely reason of BPPV.
What are the tests and diagnosis involved?
A doctor is likely to perform a physical examination followed by a series of tests. Some typical signs that a doctor looks for include the following:
Ability to control eye movement- especially side to side movement
Symptoms of dizziness
In case it is difficult to spot the symptoms, a doctor might suggest video- nystagmography or electronystagmography. It helps to track irregular eye movement. An MRI can also be prescribed to study the cross-sectional images of the body and the head.
Treatments associated with BPPV:
BPPV mostly go away within months or weeks on its own. If however, it still persists, a doctor can suggest Canalith Repositioning- series of small movements that helps to counter BPPV. For extreme cases, a doctor might advise a surgery for blocking the portion of the inner ear that might be causing the problem. It guarantees close to a 100 percent fix to BPPV. If you wish to discuss about any specific problem, you can consult an ENT specialist.