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Vertigo


The feeling that you are spinning or the room is spinning. Vertigo is defined differently than Dizziness. Dizziness is described as feeling faint or off balance. Nausea can accompany both of these conditions. Both can be a sign of other more serious conditions that may require referral to a medical doctor or neurologist.

There are 2 types of dizziness and vertigo that a chiropractor can treat successfully, proper diagnosis is key (If you have been reading these blogs, I sound like a broken record about diagnosis, but it truly is the most important component of treatment). There are always zebra diagnoses to suss out, but in medicine we have a saying, “When you hear hooves think horses, not zebras” A zebra diagnosis will typically not respond to a horse treatment.

Benign Paradoxyl Position Vertigo (BPPV):

This is defined as vertigo (spinning) in short duration 30-60sec with a movement of the head or rolling over in bed. This type of vertigo is caused by calcium carbonate deposits known as otoconia. These deposits get loose inside of the semi-circular canals shifting the movement of fluid in the canals. The common symptom is feeling like you are spinning or the room is spinning.

TREATMENT FOR BPPV:

The Epley Manuever – this maneuver was created by Dr. Epley, a chiropractor from Portland, OR. There is NO cervical adjusting, it is only a series of head movements assisted by a chiropractor to move the otoconia out of the semi-circular canals. There are usually at-home instructions after treatment. This treatment works quickly and efficiently.

Cervicogenic dizziness:

This is dizziness; the feeling of being off balance, light-headed with neck movements/cervical spine. A tight and painful neck is also found in this type of dizziness and can be associated with headache. The cervical spine/neck is an important part of balance, it sends signals to the brain about where the body is in space.

TREATMENT FOR CERVICOGENIC DIZZINESS:

The treatment can be varied with different modalities and be effective. For example, acupuncture, active release, IMS, cervical adjusting/manipulation/mobilization can all be effective at releasing an immobile spine and loosen up tight muscles. Follow-up stretches and exercises are typically given due to the fact that most patients have had previous trauma to their neck and need the rehabilitation.

When dizziness and vertigo is something more.......repeated fainting episodes, double vision, vomiting, trouble with speech, trouble using arms and legs should all prompt a visit to the doctor. The above information is to simply educate people that there are manual therapy options for the two above conditions and that in my clinical experience these conditions get better quickly with manual treatment. BPPV and Cervicogenic Dizziness are some of my favourite conditions to treat, if the above sounds like you feel free to book in for an appointment or consultation via the book now tab up top.

#Physiotherapy #Healthandwellness #CalgarySportsTherapy #Physio #Calgary #Health #Chiropractic

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