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Vertigo is a type of dizziness where the patient experiences the perception of motion, due to a problem with the inner ear, vestibular system or central nervous system.
Symptoms associated with vertigo can often include: headaches, vision problems and ringing in the ears (tinnitus).
Vertigo can be quite debilitating: one study showed that 86% of affected individuals sought medical consultation and had interruption of their daily activities or sick leave from work.
The management of vertigo depends on its cause – there is evidence to support the rationale for chiropractic care in many cases, often in conjunction with repositioning maneuvers.
Numerous case reports have shown that chiropractic care is beneficial for patients suffering from vertigo.
One specific study followed 60 patients over 8 years, al treated with upper cervical chiropractic. Within 1 to 6 months all patients were showing improvements and 80% were symptoms free.
By correcting spinal misalignments (subluxations), particularly in the neck, one of the potential contributors of vertigo can be eliminated.
Vertigo can be disabling and distressing
Vertigo can be managed with chiropractic care
Vertigo repositioning techniques are very effective
In general, the reflexes responsible for maintaining balance are regulated through the inner ear, eye muscles and cervical spine (neck). Disturbance in any one of these regions can cause symptoms of vertigo.
Some specific causes of vertigo include:
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Benign Paroxysmal Positional Vertigo (BPPV)
BPPV is the most common type of vertigo, caused by free floating calcium carbonate crystals in the inner ear.
BPPV may be diagnosed by your chiropractor using a simple in-office test and once positively identified, can often be treated successfully using simple repositioning techniques, such as The Epley Maneuver or The Semont (Liberatory) Maneuver.
The Epley Maneuver
**The maneuver may be done up to 3 times in succession
**It is normal for the patient to experience dizziness during each step of the treatment.
The Semont or Liberatory Maneuver
Post treatment instructions for the Epley and Semont Maneuvers
Patients should wait 10-15 minutes before returning home and should not drive themselves.
Following treatment, patients are encouraged to maintain an upright head posture for a minimum of 24 to 48 hours including during sleep (sleeping semi-reclined in a chair instead of lying flat).
For at least one week following treatment, patients should avoid sleeping on the affected side.
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