Mississauga Chiropractor Presents: Vertigo

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Here`s another blog from a Mississauga Chiropractor…

Benign Parosysmal Positional Vertigo (BPPV) is a disorder inthe inner ear. Its symptoms are repeatedepisodes of positional vertigo (spinning sensations caused by changes in theposition of the head). it normallyaffects females twice as much as males within the ages of 50-57 years of age.

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Some causes of vertigo include: Motion sickness, visual exposure to nearbymoving objects, diseases such as (labyrinthitis, Meniere’s disease)

Risk Factors: Headtrauma, inactivity, acute alcoholism, major surgery, ear disease

History:

  • Caused when the head is in a specific position
  • Vertigo may last for seconds up to severalminutes
  • Severity will vary (some patients are aware thatit’s there, but can function, while others report nausea & vomiting withslight head movements.
  • Patient may wake up with vertigo, noticing thevertigo while trying to sit up suddenly or with the neck in extension lookingup

Treatment:

  • Epley’smaneuver (removes debris from posterior semicircular canal)
  • Semmont’smaneuver (removes debris from cupula)
  • After completing the maneuvers, the patientshould wait 10 minutes before leaving the office. Sleep in a recumbent position for 2-3 days& avoid rapid or oscillating head movements.

Exercises:

  • Repeated head range of motion movements
  • Finding a provocative head position and holdingit for 30 seconds
  • Progressively increase the complexity ofmovement of the head, neck & eyes
  • Mobilization and Adjustments of the cervicalspine
  • Soft Tissue Therapy to cervical and shouldermuscle spasms and trigger points
  • Acupuncture

Prognosis:

  • BPPV tends to resolve spontaneously after several weeks or months, although somepatients may experience recurrences months or years later.

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