Articles on vertigo

Vertigo : What You Need to Know

Dr. Vinay S Bhat, Ear-Nose-Throat (ENT) Specialist
Vertigo or giddiness is a very common symptom encountered in routine practice. Its estimated that more than 10% of population of all age groups will suffer from this at least once in their life time. Its also one symptom which is very difficult to diagnose and treat and many patients with vertigo tend to consult multiple doctors of multiple specialties without much of benefit. One has to understand that vertigo is not a disease per se. Its a symptom of many diseases related to inner ear, brain, eye and sensory system. Inner ear diseases contribute to more than 80% of patients complaining of vertigo.True vertigo is defined as sensation of spinning of surroundings. it should not be confused with sensation of imbalance, unsteadiness, weakness or blackouts. This article is intended to give information about common causes for vertigo and imbalance which are mainly due to inner ear related diseases which is one of the important organ which maintains balance of an individual, technically termed as vestibular system.Below are the common inner ear related diseases which can cause vertigo and imbalanceBPPV (benign Paroxysmal Positional vertigo): Its a harmless condition commonly involving one of the inner ears. In this condition patients will complain of Short lasting multiple episodes of vertigo which occurs during particular position of the head. It will never stay for more than few minutes and will occur repeatedly in a day. Without Treatment it may continue to occur for many days to weeks. Usually no predisposing diseases can be identified except for few patients who will have history of head injury. Meniere's Disease : Its a common condition where patients will have sudden attacks of severe vertigo with sensation of ear fullness and ringing sensation in the ear. Many patients with recurrent attacks can even complain of hearing loss. Symptoms of vertigo are usually severe and associated with vomiting sensation or vomiting. Vertigo usually lasts for 20 minutes to a day unless treated early. Patients can have such attacks every few days or few months depending on the severity.Vestibular Neuronitis: This is a viral Infection of part of nerve connected to inner ear which Carries balance sensation to brain. Vertigo in these patients will be sudden and severe. symptoms may last for few days to weeks if not treated appropriately. This condition is usually devoid of any ear related problems. This is one condition where vertigo is continuous all through the day for many days and its very disabling.Labyrinthitis: Its a uncommon condition nowadays and is usually because of untreated middle ear infections. It usually will be severe and most commonly is associted with long standing ear discharge. Vestibular migraine (Migrainous vertigo): This a type of a headache disorder known as migraine. In this condition patients will have recurrent vertigo associated with features of migrainous headache. Patients will have disabling vertigo and imbalance during, before or after an attack of migraine.Vestibular paroxysmia: This is a rare disorder occurring in young adults and old aged patients mimicking BPPV. Thorough evaluation by a specialist is required to differentiate between the two.Phobic Postural vertigo: Its more of a functional disorder where patients complain more of imbalance when they are in crowded places. Its type of Phobic disorder and requires specific treatment and counselingDrug Induced vertigo: Certain medicines can injure inner ear especially commonly used antibiotics such as gentamycin and streptomycin. Apart from these common causes there are many rare vertigo and imbalance disorders which can exist. Vertigo can also be a symptom of many central nervous system (brain) diseases such as Acoustic neuroma, cerebellar stroke, cerebellar tumors, Brain stem disorders, degenerative brain disorders etcIts should be noted that unless the cause of vertigo is established its not possible to treat the symptom. Patients who suffer from vertigo are advised to consult specialist who has special interest in management of these diseases. Otolaryngologist (ENT Specialist) and Neurologist are usually specialized in this subject and patients are advised to consult these specialists. Patients should avoid self medication of anti vertigo drugs as they can cause severe side effects and sometimes aggravate symptoms of vertigo and imbalance.

Vertigo: Is the World Spinning or Is It My Head?

Dr. Pinky Parekh, Physiotherapist
Did you know Vertigo, Dizziness or Balance Problems can be cured with Vestibular and Balance Rehabilitation?Vertigo is feeling of motion mostly a spinning sensation.Vertigo can be very frustrating as it affects all our daily activities.Common causes of Vertigo are:Meniere’sDisease - there is increased pressure in inner ears causing vertigo, unsteadiness and hearing lossBPPV or Positional Vertigo Head Injury Ear infectionsInflammation of the inner ear  (Labyrinthitis)Inflammation of Vestibular Nerve (Vestibular Neurontis)High doses or long-term use of certain antibiotics and steroids. Other drugs, such as aspirin, caffeine, alcohol, nicotine, sedatives, and tranquilizers, as well as many narcotic drugsStrokeAcoustic Neuroma- a slow-growing tumor on the nerve that leads from the inner ear to the brainWhat is Vestibular Rehabilitation?Vestibular Rehabilitation is a highly specialized form of treatment involving specific exercises and maneuvers designed to(1) decrease dizziness; (2) increase balance function; (3) increase general activity levels.What is a Balance Disorder?BalanceA balance disorder is a disturbance that causes an individual to feel unsteady, for example when standing or walking. It may be accompanied by feelings of giddiness, or wooziness, or having a sensation of movement, spinning, or floating.Balance can be affected when there is Inner ear problem (Menieres, Positional Vertigo, Labrynthitis, Vestibular Neuronits etc)Hearing loss can be associated with Vertigo in some casesBrain disorder (Paralysis, Parkinsons, Tumors etc)MRI of Brain can rule out neurological causes of vertigo.Peripheral Nerve disorder (Neuropathy in legs) Numbness, tingling or pain in legs can cause balance problems.Poor Vision (Cataracts, Glaucoma etc) Eye problems can cause balance problemsMusculoskeletal Problem (Arthritis of back or leg joints)Pain or weakness in legs can cause balance issuesCervicogenic Dizziness: Dizziness or balance issues can occur due to neck related causes.Neck spasms and pain can cause dizziness and unsteadiness.Complete physical examination to rule out other causes of dizziness such as cardiovascular or central nervous system  Hearing testsRotary Chair testElectronystagmography (ENG)MRI of Brain and /or Neck Vestibular Evoked PotentialA thorough and complete evaluation by a Vertigo Specialist can help with accurate diagnosis. The treatment for vertigo varies considerably depending on the diagnosis. Treatment can include medications, Vestibular and Balance Therapy, Physiotherapy (Orthopaedic or Neuro Therapy) and in few cases invasive procedures and surgery. Vertigo such as Positional Vertigo and many more can be cured effectively with Vestibular Therapy. 

Feeling Dizzy? Did You Meet Your Ent Specialist?

Dr. Rajesh Kr. Bhardwaj
When Snehal woke up the morning, the motion of turning his neck brought about a sudden attack of giddiness – so much so that he could not stand up and had to lie down again. The whole room was whirling around him and he had to close his eyes. He felt slightly nauseous. He called out urgently to his wife who rushed him to the nearest hospital. At the Emergency Room of the hospital he was told it could be a serious cardiac problem or a serious neurological problem. He was admitted to the ICU and many expensive tests, including Echo Cardiography, MRI brain and blood tests were carried out. Though he felt better soon after this attack he was kept in the hospital for a further two days. The bill was huge.The cause of this sudden onset of giddiness was a common condition called ‘Benign Paroxysmal Positional Vertigo’ (BPPV). One of the commonest cause of acute peripheralvertigo, BPPV can be diagnosed by a simple bedside test and expensive tests are not needed. Neither is any expensive medication required. A simple manoeuvre cures it. Sudden dramatic episodes of giddiness are almost alwaysassociated with an ENT problem. These could commonly be either BPPV, Vestibular Neuronitis, Meniere’s Disease, or Labyrinthitis – all ENT Disorders which are diagnosed easily  and with simple tests by the ENT Specialist.However, Cervical Spondylosis is not known to cause giddiness. So, the next time you or your near one has a sudden episode of giddiness, especially if associated with nausea/ vomiting – kindly rush straight to the nearest hospital and ask for an ENT Specialist.

Positional Cervical Spondilitis.

Dr. Amita Arora, Homeopath
Dear Readers,With advanced technology, habits of living in comfort zones have given birth to aches and pain in nape of our neck.We use wrong postures while watching T.V,working on desktops,laptops and mobiles for long hours.Unknowingly we are producing harm to our own body and system.Holding cell phones and bending our neck at same side produces lot of traction in muscles of neck.Advancement in technology has brought great revolution in world but with that it has invited lot of problems of health too.We type on laptops for hours and sit for longer durations in one position,this brings on pain, stiffness in neck.Sometimes we get Vertigo along with Cervical pain.MRI reveals the effect or degeneration of Cervical vertebrae.Homoeopathic Medicines arrests the further degeneration and it helps in reducing the Inflammation.Spondilitis is more of inflammation and spondylosis is degeneration of vertebrae.With the help of Homoeopathic Medicines we arrest the stage of inflammation and reduce pain,swelling and stiffness.Its important to discuss your complete case details and your work schedule with your homoeopath and he/she will help you in recovery.Homoeopathic Health: Conium and Gelsimium helps in Cervical problems,and vertigo.But Every Cervical Patient will not recover with Conium or Gelsimium.There are other good remedies which help in healing.A registered homoeopath is the best person to judge your remedy and give you permanent solution.Health Tips: Avoid sitting for too long in one position.Give rest to your eyes and neck every half an hour for 5 to 7 minutes.Shrug your shoulders,rotate in circular movements to ease the muscles.Before going to bed apply Arnica Ointment (Homoeopathic medicine Arnica helps in inflammation and pain) and give HOT fomentation with hot towel.Practice Yoga daily under guidance.(Cervical patients who have Vertigo should avoid Chakrasan. Practice only under guidance.)

5 Tips to Get Relief From Migraine

Ms. Swati Kapoor, Dietitian/Nutritionist
What helps one person with migraine may have no effect for someone else. But still there are certain guidelines which might pacify your migraine symptoms.Watch what you eatThere are certain food items that might trigger migraines such as chocolates, caffeine, artificial sweeteners, alcoholic drinks and many more. So, one should be cautious about his /her eating food groups.Rule your lifeMigraine doesn’t like noise or excitement so you need to follow a schedule in your day to day life. Eat your meals on time. Make sure you go to bed at the same time every night and get up at the same time in the morning.Get good and adequate sleep but don’t oversleep.Nourish your bodyDon’t skip meals and drink adequate water because it is seen that people who don’t have proper eating pattern and drink less water, complain of migraine problem.Get movingDaily exercise might help migraine patients but sometimes it can even aggravate the problem. To be on safer side, go for moderate exercise regime i.e. not too quick and not too slow. Also be sure to hydrate before and after.Reduce stressStress seems to be one of the biggest lifestyle factors associated with migraines.Of course you can’t get rid off it. But there are certain things which can be done to subsidise it such as meditation.You can keep a note of things that trigger your migraine - maybe a food item that you consumed, a change in your workout pattern, anything. This will help you keep a track of your lifestyle.   

Anxiety Disorders - Phobias - Homeopathy Treatment

Dr. Satish Erra, Homeopath
Fear is a normal emotion, but overwhelming, paralyzing fears of particular places, things, or situations are known as phobias. Here are some of the most common.Fear is a normal human emotion. But if what you fear is really not very dangerous, and you fear it so much that it causes emotional and physical distress, you could have an anxiety disorder called a phobia. Phobias affect people of all ages and can include the fear of people, places, activities, and things. Symptoms of phobias include panic, rapid heartbeat, difficulty breathing, and an overwhelming desire to get away. And while people may realize that their phobias are irrational, that doesn’t mitigate their power.Agoraphobia: Fear of Leaving HomeFear of being alone outside your home, where escape and assistance might be difficult, is called agoraphobia. This phobia may involve fear of being on a bridge, a busy street, or in a crowded mall or elevator. People with agoraphobia may only be able to leave home with friends or a family member. In severe cases, they may not be able to leave home at all, feeling that it is the only safe place to be. This phobia usually starts around age 30 with severe panic attacks.Social Phobia: Fear of PeopleFear of being embarrassed in front of other people is called social phobia. In mild cases it may be experienced as the common fear of public speaking, but for some people this fear may extend to something as simple as writing a check in front of another person or eating in public. Social phobias are also called social anxiety disorders and they affect about 15 million American adults, men and women equally.Acrophobia: Fear of HeightsThis is another type of specific phobia in which a certain situation causes unreasonable fear or panic. Specific phobias, like acrophobia, are twice as common in women. These phobias tend to start in childhood, but persist into adulthood. Many people use the term vertigo to describe fear of heights, and the famous 1958 Alfred Hitchcock movie about the fear of heights was called Vertigo. But vertigo is actually the sensation of spinning, just one symptom of acrophobia.Claustrophobia: Fear of Closed SpacesAnother common specific phobia is fear of closed-in spaces, or claustrophobia. Like other specific phobias, claustrophobia is more common in women. Specific phobias are estimated to affect about 19 million Americans. Claustrophobia may develop after a traumatic childhood event, such as being trapped in a closet.Mysophobia: Fear of GermsThe excessive fear of germs is a common anxiety disorder in America. The medical term for this phobia is mysophobia. Mysophobia may be related to obsessive-compulsive disorder (OCD) and hypochondria. Symptoms include obsessive washing and fear of public spaces. In the television show Monk, actor Tony Shaloub played a detective with OCD and numerous phobias, including mysophobia.Paruresis: Shy - Bladder PhobiaA phobia that many people have never heard of is paruresis. This phobia has also been called shy-bladder syndrome and is considered one of the social anxiety disorders. People with this phobia are afraid of urinating in public bathrooms. The fear may be so great that it interferes with their ability to go to school, to work, or to travel, and can result in dangerous retention of urine. The fear may start with a traumatic event in childhood. Necrophobia: Fear of DeathThe actor and director Woody Allen is famously quoted as saying: “I’m not afraid of death — I just don’t want to be there when it happens.” In fact, death is the great unknown and a fear that most people share. But some people have an abnormal fear of death or of dead things, a condition known as necrophobia. Fear of death may be at the root of many other phobias such as acrophobia or claustrophobia.Help for Phobias:-The good news about phobias is that you don’t have to go through life paralyzed by your fear. When a phobia becomes an anxiety disorder that interferes with your ability to lead a normal life, you need to get help. Most phobias can be treated successfully. SPIRITUAL HOMOEOPATHY TREATMENTS -------- include a type of talk therapy called cognitive-behavioral therapy, medications, or a combined approach. 

Cancer Rehabilitation

Dr. Dibyendu Roy (PT), Physiotherapist
Do you have Swollen Hand or Leg or face (LYMPHOEDEMA)?Joint Pain ?Thinning of Bones?Balance and Co ordination problem ?Vertigo?General Weakness?Gripping Problem ?Difficulty in Swallowing ?Slurred Speech and Difficulty in Hearing?These can be the Early or Late side effects of Chemotherapy,Radiation Therapy or any Cancer Surgeries.COREL (Centre for Onco Rehab with Expertise in Lymphoedema) introduces a Multidisciplinary team approach where trained Physiotherapist,Occupational Therapist,Lymphoedema Therapist,Speech Swallow and Language Pathologist play a major role in managing oll of the above problems efficientlyOur Goal :to restore the quality of life of the Cancer survivors to get them back to their normal lives as soon as possible.What is LYMPHOEDEMA ?Excessive accumulation of protein rich fluid in the tissue spaces caused by impaired lymphatic drainage system (Swelling of Hand/Leg/Face/Chest/Genital areas)                                                                 Lymphoedema of LegAt COREL we are introducing COMPLETE DECONGESTIVE THERAPY (CDT) for Lymphoedema ManagementCDT Includes Skin Care,Exercise Therapy,Manual Lymphatic Drainage (MLD),Multilayered Lymphoedema Bandaging (MLLB)We Deal Rehabilitation afterBreast SurgeryOvarian,Cervix,Prostate,Colon Cancer SurgeriesHead, Neck and Oral Cancer Surgeries.

Alarming Signs That Your Body Needs Some More B12!

Dr. Richa Garg, Ayurveda
One of the most critical but overlooked vitamins in the world is vitamin B12.  Vitamin B12 is involved in the metabolism of every cell of the body. If left untreated, vitamin B-12 deficiency can lead to prolonged blood diseases as well as neurological issues. Here are seven alarming signs associated with vitamin B-12 deficiency.Dizziness                                            Frequent bouts about dizziness and vertigo can indicate B12 deficiency. You may experience a feeling of wobbles when you get up too fast from a sitting position. You may also feel dizzy when you walk up or downstairs, it could also be dangerous. Chronic vertigo symptoms should be brought to your doctor’s attention, so you can be given the required treatment for the deficiency.ForgetfulnessChronic and uncharacteristic forgetfulness may indicate a B12 deficiency. Many patients assume that they are suffering from dementia or Alzheimer’s, especially in their senior years while all they lack is B12. A simple blood test can diagnose B12 deficiency, and a supplemental regimen can help improve your memory.Muscle WeaknessLack of vitamin B12 and insufficient oxygenation to muscles can result in sluggishness and uncharacteristic muscle weakness. Suddenly an individual who carries big loads will not be able to manage a heavy purse or a gym bag.Pale ComplexionThose suffering from B12 deficiency are pale in complexion due to the lack of red blood cells. The body releases excess bilirubin, which zaps those rosy cheeks and leaves behind a pale, yellow visage.Pins and NeedlesExperiencing pins and needles throughout your body when you haven’t compressed your body could be signs of B12 deficiency. Numbness or the feeling of electric shock waves could be a result of nerve damage in B12 deficient patients. Nerve issues in the body can be traced back to low oxygen levels, due to poor red blood cell production, which the B12 vitamin largely affects.Unexplained FatigueFatigue felt for days even though you regularly get a good night’s sleep may be the result of a B12 deficiency. This is due to lack of red blood cell production, which is one of B12s responsibilities. Lack of red blood cells means oxygen transport to your organs is lacking, which is what is causing extreme fatigue.Vision IssuesLow B12 stores over the long term can lead to vision changes and damage your vision. Retinal damage can be results of the blood vessels in the eye are blocked. As a result, you may experience light sensitivity, blurred or double vision, tracers or shadows, which all result from damage to the optic nerve. However, supplements can restore full vision.

Aching Neck? Try Ayurveda

Dr. Phanindra V V, Ayurveda
Cervical spondylosis is a wear and tear disease caused by degeneration of bones, discs – cartilage cushion between the neck bones and joints of the neck. This is usually found in middle aged and elderly people. Neck pain, vertigo, stiffness, headache, numbness, etc. are some symptoms. Ayurveda offers the best remedies for neck pain and related painful conditions. Among them, Greeva Basti is the most popular one.In Greeva Basti, medicated oils are poured and pooled for a fixed duration of time over the neck or nape of the neck. Greeva Vasti is highly beneficial in the below said conditions:Cervical spondylosis, Sprains and strains, Tension headaches, Migraine with aura, Wry neck (Torticollis), Ankylosing Spondylitis,, Osteoporosis, Fibromyalgia, Polymyalgia Rheumatica, Spinal stenosis, Slipped herniated disk, Trauma to neck bones, Neck pain due to poor posture etc.Benefits of Greeva Basti:Relieves pain in the neck, shoulders and upper limbsRelieves stiffness in the neck, shoulders and upper limbRelieves swelling and inflammation in the neck, shoulders, in the bones and soft tissues of the neckBrings lightness and a sense of health in the upper portion of the bodyImproves movements of the neck and upper limbs and enable us to move and work freelyStrengthens the neck, shoulders and armsSoothes the nerves supplying the neck, shoulders and arms (upper limbs)Enhances blood supply to the neck and upper limbsAlleviates associated conditions like headache, dizziness etc