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, called trigger 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 positions.
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.
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.
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 treatments.
Dr. Grisanti's Comments: Abnormal glucose metabolism
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.
This is where I would suggest you start. Ruling out the above is a wise first start.
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Before starting any self treatment Dr. Grisanti recommends that you consider consulting with a doctor trained in functional medicine. Visit www.FunctionalMedicineUniversity.com to find doctors thoroughly trained in functional medicine
Functional medicine embraces the totality of the regulatory functions of the body. It encompasses all of the biophysical, biochemical, enzymatic, endocrine, immunological, and bioenergetic regulatory capacities.
Ronald Grisanti D.C., D.A.B.C.O., D.A.C.B.N., M.S.