This article will discuss two common methods of treating the symptoms of positional vertigo, which can both be effective at reducing and eliminating the problem. Before we discuss those two options though, it’s important to understand what causes it in the first place. Positional vertigo is a condition where patients experience a sensation of spinning or moving around in their eyes when looking at something in the rear sighted. It typically manifests as a series of symptoms, including nausea, vomiting, lightheadedness and sometimes even fainting. In some cases it can cause a patient to have trouble standing up.
There are two main theories on how to treat the symptoms of positional vertigo. One way is known as the traditional management, which works by treating the vertigo by correcting the misalignment of the inner ear. This is accomplished by gently redirecting the flow of blood to the ear. Another approach to treating this condition is known as the carotid-cavernous sinus fistula, or cCSF. This approach attempts to repair the damage that has been done to the inner ear with surgical intervention.
One of the traditional methods of positional vertigo treatment is to correct the misalignment of the inner ear canal. By making small, gradual movements or pulsating sounds in the ear canal, doctors can help patients control the movement of their inner ear. By doing so, they can often relax their neck and head, allowing the visual clarity to return. This method is also useful because it can be used to help reduce or eliminate the dizziness that can come with the problem.
If traditional methods don’t work, one of the newer treatments available is the use of paroxysmal instigators. Paroxysmal instigators are small devices that, when positioned over the auditory nerve, provide the same amount of stimulation (and some sound) that a parent might use while rocking a baby to sleep. The downside to paroxysmal instigators is that they must be used over prolonged periods. This typically takes six months to a year. Some doctors also use transcutaneous electrical nerve stimulation (TENS) in order to provide a more rapid relief from vertigo.
TENS is conducted by placing a finger in a small metal tube that is attached to a machine. When the finger comes in contact with a stimulus, the machine generates a small shock to the finger. This is commonly used as a mild spasm against the common cause of BPPV (benign paroxysmal positional vertigo). However, when the TENS machine is used to treat BPPV, it usually provides a more intense sensation that is experienced as a jolt.
For more severe cases of BPPV, physicians may perform a more elaborate treatment called the Epley maneuver. The Epley maneuver essentially requires the doctor to redirect the patient’s gaze in a circular motion in order to break their gaze into two separate groups. The first group includes the upper visual areas and includes vision that is caused by convergence insufficiency or loss; and the second group includes the lower visual areas and includes vision that is caused by reflection. With this maneuver, doctors are able to break the concentration of the patient’s eyes onto either side. While the Epley maneuver was developed specifically for the treatment of BPPV, it has also been used successfully in the treatment of other symptoms of this disorder.
Positional vertigo is often a symptom of a more serious condition. In such cases, doctors will perform several additional tests in order to rule out any kind of medical condition that could be causing the vertigo. A thorough medical exam, eye examinations, and nerve testing are often performed in order to rule out problems with the vestibular system, balance, and hearing. Often, these three tests will show that the patient does not suffer from any kind of BPPV-related conditions, but in order to confirm these findings, additional tests will have to be performed.
One of the most common symptoms of positional vertigo is a feeling of being dizzy or unsteady on the floor. This feeling is often described as being one that makes people feel like they are “lurching” forward, or that they are “walking upside down”. The symptoms of dizziness are typically worse when the person is lying down. The degree of dizziness can also vary and could be as little as a slight nudge off to one side, or could be a complete loss of balance. To prevent the occurrence of symptoms of dizziness while pregnant, or to limit the amount of dizziness that one experiences during pregnancy, one should visit one’s physician regularly for a thorough examination, including a checkup for vertigo.