Materiały źródłowe

• #1 Vertigo: Causes, Symptoms, and Treatment

  https://www.webmd.com/brain/vertigo-symptoms-causes-treatment

  Treatment for vertigo depends on what’s causing it. In many cases, vertigo goes away without any treatment. This is because your brain is able to adapt, at least in part, to the inner ear changes, relying on other body processes to maintain balance. […] If treatment is needed, there are many options: […] This is a type of physical therapy aimed at helping strengthen the vestibular system. This system sends signals to your brain about your head and body movements. Your doctor may recommend vestibular rehabilitation if you have repeated bouts of vertigo. It helps train your other senses to compensate for vertigo. […] Some conditions that cause vertigo require surgery to fix. For example, surgery may be done to remove an acoustic neuroma if it’s affecting the function of your inner ear.

• #2 Physical Therapy Treatment for Vertigo – a Comprehensive Guide to Vestibular Rehabilitation Therapy – AOSMI

  https://advancedorthosports.com/blog/physical-therapy-treatment-for-vertigo/

  Vertigo, often described as a sensation of spinning or swaying even when stationary, is a vestibular disorder that disrupts balance and spatial orientation, causing dizziness and discomfort. […] Vestibular Rehabilitation Therapy (VRT) is a proven physical therapy treatment that can provide relief from vertigos disruptive effects. […] Vestibular Rehabilitation Therapy (VRT) is a specialized form of physical therapy treatment designed to tackle vertigo head-on. […] VRT targets the underlying issues within the vestibular system, helping the brain adapt to abnormal signals and promoting recovery. […] Through a series of exercises and maneuvers, VRT retrains the brain and body to regain balance and stability, ultimately alleviating vertigo symptoms. […] If youre struggling with vertigo, VRT may be the key to reclaiming stability and restoring equilibrium to your life. […] If you are experiencing the symptoms above and want to learn more about Vestibular Rehabilitation Therapy, a proven physical therapy treatment for vertigo, please request an appointment with Dr. Anthony Baldachino and Dr. WenBin Kuang at AOSMI today!

• #3 Vestibular Rehabilitation Therapy: What It Is & Exercises

  https://my.clevelandclinic.org/health/treatments/15298-vestibular-rehabilitation

  Vestibular rehabilitation therapy involves exercises that help you manage dizziness and balance issues (imbalance). This therapy may help people cope with the symptoms of conditions such as vertigo and labyrinthitis. […] Vestibular rehabilitation therapy helps stabilize vision, improve balance, increase core strength and reduce risk of falling. Vestibular rehabilitation therapy (VRT) is physical therapy that helps to reduce or eliminate balance issues. […] Vestibular rehabilitation therapy may help people with conditions including: Vertigo. […] Vestibular rehabilitation therapy helps restore those connections, ultimately reducing your symptoms of dizziness and imbalance. […] Studies show vestibular rehabilitation therapy helps: Reduce your risk of falling. Improve your balance. Reduce your dizziness symptoms. Improve your ability to stabilize your vision. Increase your body strength. […] In general, most people who continue doing their exercises have significantly fewer issues with dizziness and balance. […] Vestibular rehabilitation therapy involves exercises that help you regain your sense of balance and manage dizziness.

• #4 Vestibular Rehabilitation Therapy (VRT) – Vestibular Disorders Association

  https://vestibular.org/article/diagnosis-treatment/treatments/vestibular-rehabilitation-therapy-vrt/

  Vestibular rehabilitation therapy (VRT) is a specialized form of therapy intended to alleviate problems caused by vestibular disorders, primarily vertigo and dizziness, gaze instability, and/or imbalance and falls. […] Evidence has shown that vestibular rehabilitation can be effective in improving symptoms related to many vestibular inner ear disorders. […] Vestibular rehabilitation (VR) is a specialized form of therapy intended to alleviate both the primary and secondary problems due to vestibular disorders. […] The goal of VR is to use a problem-oriented approach to promote compensation. […] A customized exercise plan is developed from the findings of the clinical assessment, results from laboratory testing and imaging studies, and input from patients about their goals for rehabilitation.

• #5 Vestibular Rehabilitation Therapy: What It Is & Exercises

  https://my.clevelandclinic.org/health/treatments/15298-vestibular-rehabilitation

  Vestibular rehabilitation therapy involves exercises that help you manage dizziness and balance issues (imbalance). This therapy may help people cope with the symptoms of conditions such as vertigo and labyrinthitis. […] Vestibular rehabilitation therapy helps stabilize vision, improve balance, increase core strength and reduce risk of falling. Vestibular rehabilitation therapy (VRT) is physical therapy that helps to reduce or eliminate balance issues. […] Vestibular rehabilitation therapy may help people with conditions including: Vertigo. […] Vestibular rehabilitation therapy helps restore those connections, ultimately reducing your symptoms of dizziness and imbalance. […] Studies show vestibular rehabilitation therapy helps: Reduce your risk of falling. Improve your balance. Reduce your dizziness symptoms. Improve your ability to stabilize your vision. Increase your body strength. […] In general, most people who continue doing their exercises have significantly fewer issues with dizziness and balance. […] Vestibular rehabilitation therapy involves exercises that help you regain your sense of balance and manage dizziness.

• #6 An effect analysis of vestibular rehabilitation training in vertigo treatment

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8129239/

  Objective: This study aimed to explore the clinical safety and effectiveness of vestibular rehabilitation training in the treatment of vertigo. […] The vestibular nervous system is mainly responsible for the human bodys spatial orientation and balance, and vestibular rehabilitation training is the main physical therapy currently applied for vertigo patients. […] Some studies have confirmed that vestibular rehabilitation training can treat some vertigo diseases, such as benign paroxysmal vertigo, Menieres disease, and vestibular neuritis. […] The purpose of this study is to evaluate the clinical safety and effectiveness of vestibular rehabilitation training combined with drug therapy for vertigo patients, so as to provide a safer and more effective treatment for vertigo patients. […] The experimental group underwent vestibular training in addition to the common drug treatment.

• #7 Dizziness, Vertigo, and Imbalance Treatment & Management: Approach Considerations, Management of Peripheral Dizziness, Management of Central Dizziness

  https://emedicine.medscape.com/article/2149881-treatment

  Prolonged sessions of physical therapy are not necessary and not cost effective. […] Vestibular rehabilitation is an important management tool in certain vestibular disorders. […] Vestibular rehabilitation can be performed by patients at home using tailored exercises that focus on challenging the main vestibular reflexes (VOR, VSR) and visual interaction with both reflexes. […] Vestibular rehabilitation is useful for most stable (nonfluctuating) peripheral vestibular disorders such as vestibular neuritis and inactive Meniere disease. […] It is also helpful for chronic motion intolerance from migraine and after successful treatments of BPPV.

• #8 Vestibular Rehabilitation Therapy | WakeMed

  https://www.wakemed.org/care-and-services/rehab-and-physical-therapy/services-and-programs/vestibular-rehabilitation-therapy

  Feeling dizzy, unsteady or disoriented is not only unpleasant it can put you at risk for falls and serious injuries. At WakeMed, our vestibular rehabilitation therapy program aims to help our patients decrease dizziness and vertigo and improve their sense of stability and balance. […] Vestibular rehab focuses on targeted exercises to restore these connections, ultimately reducing your symptoms of dizziness and imbalance. […] A physical therapist will perform a comprehensive musculoskeletal, balance, gait and vertigo assessment to determine what problems are contributing to your dizziness and balance issues. From this information, the therapist will create a personalized treatment plan made up of exercises to specially address your unique challenges, lifestyle and exercise tolerance. These exercises can include repositioning maneuvers, habituation exercises, gaze stability exercises and balance training.

• #9 What is Vestibular Rehabilitation Therapy?

  https://ptsolutions.com/blog/vestibular-rehabilitation-therapy/

  Being dizzy, disoriented, or unsteady on your feet is unpleasant. […] By focusing on the inner ear disorders and neurologic conditions that can cause this feeling, vestibular rehabilitation therapy (VRT) aims to reduce dizziness and prevent these injuries from occurring. […] For those with issues related to dizziness and disorientation, vestibular therapy is a part of their physical therapy. […] It focuses on exercises designed by a specialist to improve balance and reduce problems related to their dizziness. […] Therapists can also specialize in vestibular exercises and maneuvers to manage vertigo. […] Most conditions related to persistent dizziness are candidates for VRT. […] One of the most common reasons people seek vestibular rehabilitation therapy is for vertigo, particularly benign paroxysmal positional vertigo, or BPPV.

• #10 Vestibular Rehabilitation Therapy Guide – Dizzy & Vertigo

  https://www.dizzyandvertigo.com/vestibular-rehabilitation-therapy-guide/

  You’ll be hard-pressed to find any dizziness treatment program that doesn’t include Vestibular Rehabilitation Therapy (VRT). VRT is a customized set of visual and physical therapies designed to alleviate the symptoms of vestibular disorders and other sources of imbalance. […] The overarching types of VRT treatments include: Balance Training – Strengthening the muscles used to balance. Gaze Stabilization – Reset the eyes’ perceived sense of balance. Habituation – Building up a patient’s internal defenses against dizziness triggers. Canalith Repositioning – Re-aligning the inner ear instruments used to detect balance. […] VRT is entirely customized to the patient’s case. Vestibular Audiologists (like ourselves) or Physical Therapists create a plan and range of exercises specifically addressing the data collected on the patient’s vestibular system.

• #11 Dizziness/Vertigo and Vestibular Rehabilitation Therapy (VRT) — Movement Matters Physical Therapy

  https://www.movementmatters-pt.com/dizziness-vestibular-therapy

  Treatment for BPPV involves canalith repositioning maneuvers (CRM) to move the crystals out of the semicircular canal and back in the vestibule. […] Gaze stabilization exercises are used to improve the vestibular-ocular reflex to improve symptoms of oscillopsia. […] Physical therapists use habituation exercises to stimulate your vestibular system to reduce sensations of motion sensitivity, lightheadedness, and imbalance over time. […] Balance training may include static tasks to improve balance reactions, including balance with eyes closed, on a foam surface or varying degrees of support.

• #12 Vestibular Rehabilitation Therapy (VRT) – Vestibular Disorders Association

  https://vestibular.org/article/diagnosis-treatment/treatments/vestibular-rehabilitation-therapy-vrt/

  An important part of the VRT is to establish an exercise program that can be performed regularly at home. […] Along with exercise, patient and caregiver education is an integral part of VRT. […] When patients participate in VR, different factors can impact the potential for recovery. […] Symptomatic relapses can occasionally occur because the brain de-compensates. […] The Vestibular Disorders Association (VeDA) provides a directory of health professionals who are specially trained to assess and treat vestibular disorders.

• #13 Dizziness, Vertigo, and Imbalance Treatment & Management: Approach Considerations, Management of Peripheral Dizziness, Management of Central Dizziness

  https://emedicine.medscape.com/article/2149881-treatment

  Acute dizziness and vertigo is usually managed with vestibular suppressants, antiviral medication, and antiemetic medications. […] Vestibular rehabilitation is very useful in boosting central vestibular compensation. […] A brief course of antiemetic and vestibular suppressants is usually needed in the acute phase but should be withdrawn as soon as possible to facilitate the process of central vestibular compensation. […] Early vestibular rehabilitation is important. […] The pharmacological treatment of choice for acute vestibular neuritis is oral steroids beginning as soon as possible with gradual tapering of the dose. […] The American Academy of Neurology published an update to its guideline for the treatment of BPPV in 2017. […] The update group strongly recommends that clinicians diagnose posterior semicircular canal BPPV when vertigo associated with torsional, upbeating nystagmus is provoked by the Dix-Hallpike maneuver and treat patients with posterior canal BPPV with a canalith repositioning procedure.

• #14 4 Vertigo Maneuvers: Epley, Semont, Foster, and Brandt-Daroff

  https://www.webmd.com/brain/home-remedies-vertigo

  The spinning sensation and dizziness you get from vertigo can limit your activities and make you feel sick. Depending on the cause, though, some simple maneuvers you can do at home might bring relief. […] Before you try to treat it yourself, see your doctor. If you have vertigo, you’ll need to know what type it is and which ear has the problem. […] If you have BPPV, certain actions can move the calcium crystals that cause the problem out of your ear canal. That should bring relief. […] Your doctor or a therapist can show you how to do these moves. […] Do these movements three times before going to bed each night, until you’ve gone 24 hours without dizziness. […] Again, do these moves three times a day until you go 24 hours without vertigo. […] You may have to repeat this a few times for relief. After the first round, rest 15 minutes before trying a second time.

• #15 Benign paroxysmal positional vertigo (BPPV) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vertigo/diagnosis-treatment/drc-20370060

  Vertigo is caused by a problem with the nerves and structures in the inner ear that control balance (vestibular labyrinth). Benign paroxysmal positional vertigo (BPPV) occurs when tiny canalith particles (otoconia) break loose and fall into the wrong part of the semicircular canals of the inner ear. The goal of the canalith repositioning procedure is to move the particles from the inner ear to a part of the ear where they won’t cause problems (the utricle). […] To help relieve BPPV sooner, your doctor, audiologist or physical therapist may treat you with a series of movements known as the canalith repositioning procedure. […] The canalith repositioning procedure consists of several simple and slow maneuvers for positioning your head. The goal is to move particles from the fluid-filled semicircular canals of your inner ear into a tiny baglike open area (vestibule) that houses one of the otolith organs in your ear, where these particles don’t cause trouble and are more easily resorbed.

• #16 Benign paroxysmal positional vertigo (BPPV) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vertigo/diagnosis-treatment/drc-20370060

  This procedure usually works after one or two treatments. […] In rare situations when the canalith repositioning procedure doesn’t work, your doctor may recommend a surgical procedure. In this procedure, a bone plug is used to block the portion of your inner ear that’s causing dizziness. The plug prevents the semicircular canal in your ear from being able to respond to particle movements or head movements in general. The success rate for canal plugging surgery is about 90%. […] BPPV may recur even after successful therapy. Although there’s no cure, the condition can be managed with physical therapy and home treatments.

• #17 Vertigo: Causes, Symptoms, and Treatment

  https://www.webmd.com/brain/vertigo-symptoms-causes-treatment

  If vertigo is caused by a more serious underlying problem, such as a tumor or injury to the brain or neck, treating these problems may help to relieve the vertigo. […] Motion sickness medicines such as meclizine (Antivert, Bonine) or dimenhydrinate (Dramamine) can ease vertigo symptoms such as nausea and dizziness. If an infection or inflammation is the cause of your vertigo, you may need steroids to reduce swelling or antibiotics to get rid of the infection. For Meniere’s disease, diuretics (water pills) reduce pressure from fluid buildup. […] This procedure moves the small calcium crystals called canaliths out of your inner ear canals using a series of head movements. Either your doctor can do the Epley maneuver or you can do it yourself. Another name for it is a canalith repositioning procedure (CRP).

• #18 4 Vertigo Maneuvers: Epley, Semont, Foster, and Brandt-Daroff

  https://www.webmd.com/brain/home-remedies-vertigo

  The spinning sensation and dizziness you get from vertigo can limit your activities and make you feel sick. Depending on the cause, though, some simple maneuvers you can do at home might bring relief. […] Before you try to treat it yourself, see your doctor. If you have vertigo, you’ll need to know what type it is and which ear has the problem. […] If you have BPPV, certain actions can move the calcium crystals that cause the problem out of your ear canal. That should bring relief. […] Your doctor or a therapist can show you how to do these moves. […] Do these movements three times before going to bed each night, until you’ve gone 24 hours without dizziness. […] Again, do these moves three times a day until you go 24 hours without vertigo. […] You may have to repeat this a few times for relief. After the first round, rest 15 minutes before trying a second time.

• #19 Vertigo: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/symptoms/21769-vertigo

  Vertigo causes dizziness and makes you feel like you’re spinning when you’re not. […] Treatments vary and can include medication, repositioning maneuvers or surgery. […] Healthcare providers use a variety of treatments, which may include: repositioning maneuvers, vertigo medication, vestibular rehabilitation therapy (vertigo exercises), surgery. […] Canalith repositioning procedures, like the Epley maneuver, can help shift the crystals out of your semicircular canals back into your utricle. […] Medication may help in some cases of acute (sudden onset, short duration) vertigo. […] Vestibular rehabilitation therapy usually involves a range of exercises to improve common vertigo symptoms like dizziness, unstable vision and balance issues. […] It’s rare, but you might need surgery when a serious underlying health issue like a brain tumor or neck injury causes vertigo. […] If you have severe or frequent vertigo, talk to your healthcare provider about ways to manage your symptoms and improve your quality of life. […] Cleveland Clinics experts can craft a treatment plan that works for you.

• #20 Vertigo: Symptoms, Causes, and Treatments

  https://patient.info/signs-symptoms/dizziness/vertigo

  Vertigo treatment depends on what has caused it – the treatment may be a specific set of movements used to treat BPPV, it may be tablets or it may be special exercises to do. […] A number of medicines can be prescribed to help with the symptoms of vertigo. They include prochlorperazine or antihistamines such as cinnarizine, cyclizine or promethazine. […] These medicines are the same ones that are used to help treat any feeling of sickness (nausea) and motion sickness. […] It is important to note that these medications are not used to cure vertigo, they only reduce the severity and length of time the vertigo lasts for. […] The choice of medicine depends on what is causing your vertigo and how severe your symptoms are. […] Medicines to treat vertigo and sickness are usually only taken for a very short time – normally around 3 to 4 days.

• #21 Vertigo: Causes, Symptoms, and Treatment

  https://www.webmd.com/brain/vertigo-symptoms-causes-treatment

  If vertigo is caused by a more serious underlying problem, such as a tumor or injury to the brain or neck, treating these problems may help to relieve the vertigo. […] Motion sickness medicines such as meclizine (Antivert, Bonine) or dimenhydrinate (Dramamine) can ease vertigo symptoms such as nausea and dizziness. If an infection or inflammation is the cause of your vertigo, you may need steroids to reduce swelling or antibiotics to get rid of the infection. For Meniere’s disease, diuretics (water pills) reduce pressure from fluid buildup. […] This procedure moves the small calcium crystals called canaliths out of your inner ear canals using a series of head movements. Either your doctor can do the Epley maneuver or you can do it yourself. Another name for it is a canalith repositioning procedure (CRP).

• #22 Vertigo: Symptoms, Causes, and Treatments

  https://patient.info/signs-symptoms/dizziness/vertigo

  Vertigo treatment depends on what has caused it – the treatment may be a specific set of movements used to treat BPPV, it may be tablets or it may be special exercises to do. […] A number of medicines can be prescribed to help with the symptoms of vertigo. They include prochlorperazine or antihistamines such as cinnarizine, cyclizine or promethazine. […] These medicines are the same ones that are used to help treat any feeling of sickness (nausea) and motion sickness. […] It is important to note that these medications are not used to cure vertigo, they only reduce the severity and length of time the vertigo lasts for. […] The choice of medicine depends on what is causing your vertigo and how severe your symptoms are. […] Medicines to treat vertigo and sickness are usually only taken for a very short time – normally around 3 to 4 days.

• #23 Vertigo: Symptoms, Causes, and Treatments

  https://patient.info/signs-symptoms/dizziness/vertigo

  Vertigo treatment depends on what has caused it – the treatment may be a specific set of movements used to treat BPPV, it may be tablets or it may be special exercises to do. […] A number of medicines can be prescribed to help with the symptoms of vertigo. They include prochlorperazine or antihistamines such as cinnarizine, cyclizine or promethazine. […] These medicines are the same ones that are used to help treat any feeling of sickness (nausea) and motion sickness. […] It is important to note that these medications are not used to cure vertigo, they only reduce the severity and length of time the vertigo lasts for. […] The choice of medicine depends on what is causing your vertigo and how severe your symptoms are. […] Medicines to treat vertigo and sickness are usually only taken for a very short time – normally around 3 to 4 days.

• #24 Vestibular Rehabilitation Therapy – Performance Optimal Health

  https://performanceoptimalhealth.com/exercise/physical-therapy/vestibular-rehabilitation-therapy/

  Balance Training: restoring the connection between the inner ear its affect on balance and motor control. […] Medication can be short-term strategy to treat dizziness to help dampen symptoms, but medication can also make it more difficult for the brain to learn to compensate for vestibular dysfunction. […] Vestibular exercises should only be done after proper diagnosis and performed as prescribed by a physical therapist.

• #25 Treatment of Vertigo | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0315/p1115.html

  Vertigo is the illusion of motion, usually rotational motion. […] Most patients with vertigo do not require extensive diagnostic testing and can be treated in the primary care setting. Benign paroxysmal positional vertigo usually improves with a canalith repositioning procedure. Acute vestibular neuronitis or labyrinthitis improves with initial stabilizing measures and a vestibular suppressant medication, followed by vestibular rehabilitation exercises. Mnires disease often responds to the combination of a low-salt diet and diuretics. Vertiginous migraine headaches generally improve with dietary changes, a tricyclic antidepressant, and a beta blocker or calcium channel blocker. Vertigo associated with anxiety usually responds to a selective serotonin reuptake inhibitor. […] The canalith repositioning procedure (Epley maneuver) is recommended in patients with benign paroxysmal positional vertigo. Vestibular suppressant medication is recommended for symptom relief in patients with acute vestibular neuronitis. Vestibular exercises are recommended for more rapid and complete vestibular compensation in patients with acute vestibular neuronitis. Treatment with a low-salt diet and diuretics is recommended for patients with Mnires disease and vertigo. Effective treatments for vertiginous migraine include migraine prophylaxis (e.g., tricyclic antidepressants, beta blockers, calcium channel blockers), migraine-abortive medications (e.g., sumatriptan [Imitrex]), and vestibular rehabilitation exercises. Selective serotonin reuptake inhibitors can relieve vertigo in patients with anxiety disorders.

• #26 Treatment of vertigo – UpToDate

  https://www.uptodate.com/contents/treatment-of-vertigo

  Treatment of vertigo […] Appropriate management of vertigo often requires the correct diagnosis. This includes identifying that the dizziness is due to a problem with the vestibular system and then determining the site and origin of that problem. […] Vertigo treatment can be divided into three categories: those specific to the underlying vestibular disease, those aimed at alleviating the symptoms of vertigo, and those aimed at promoting recovery. […] Vertigo is caused by a number of conditions affecting either the peripheral vestibular apparatus in the inner ear or the central nervous system.

• #27 Treatment of Vertigo | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0315/p1115.html

  Vertigo is the illusion of motion, usually rotational motion. […] Most patients with vertigo do not require extensive diagnostic testing and can be treated in the primary care setting. Benign paroxysmal positional vertigo usually improves with a canalith repositioning procedure. Acute vestibular neuronitis or labyrinthitis improves with initial stabilizing measures and a vestibular suppressant medication, followed by vestibular rehabilitation exercises. Mnires disease often responds to the combination of a low-salt diet and diuretics. Vertiginous migraine headaches generally improve with dietary changes, a tricyclic antidepressant, and a beta blocker or calcium channel blocker. Vertigo associated with anxiety usually responds to a selective serotonin reuptake inhibitor. […] The canalith repositioning procedure (Epley maneuver) is recommended in patients with benign paroxysmal positional vertigo. Vestibular suppressant medication is recommended for symptom relief in patients with acute vestibular neuronitis. Vestibular exercises are recommended for more rapid and complete vestibular compensation in patients with acute vestibular neuronitis. Treatment with a low-salt diet and diuretics is recommended for patients with Mnires disease and vertigo. Effective treatments for vertiginous migraine include migraine prophylaxis (e.g., tricyclic antidepressants, beta blockers, calcium channel blockers), migraine-abortive medications (e.g., sumatriptan [Imitrex]), and vestibular rehabilitation exercises. Selective serotonin reuptake inhibitors can relieve vertigo in patients with anxiety disorders.

• #28 Treatment of Vertigo | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0315/p1115.html

  A wide variety of medications are used to treat vertigo and the frequently concurrent nausea and emesis. […] Vestibular rehabilitation exercises commonly are included in the treatment of vertigo. […] Treatment focuses on symptom relief using vestibular suppressant medications, followed by vestibular exercises. Vestibular compensation occurs more rapidly and more completely if the patient begins twice-daily vestibular rehabilitation exercises as soon as tolerated after the acute vertigo has been alleviated with medications. […] Medications generally are not recommended for the treatment of benign paroxysmal positional vertigo. The vertigo improves with head rotation maneuvers that displace free-moving calcium deposits back to the vestibule. […] Treatment lowers endolymphatic pressure. Although a low-salt diet (less than 1 to 2 g of salt per day) and diuretics (most commonly the combination of hydrochlorothiazide and triamterene [Dyazide]) often reduce the vertigo, these measures are less effective in treating hearing loss and tinnitus.

• #29 Treatment of Vertigo | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0315/p1115.html

  Vertigo is the illusion of motion, usually rotational motion. […] Most patients with vertigo do not require extensive diagnostic testing and can be treated in the primary care setting. Benign paroxysmal positional vertigo usually improves with a canalith repositioning procedure. Acute vestibular neuronitis or labyrinthitis improves with initial stabilizing measures and a vestibular suppressant medication, followed by vestibular rehabilitation exercises. Mnires disease often responds to the combination of a low-salt diet and diuretics. Vertiginous migraine headaches generally improve with dietary changes, a tricyclic antidepressant, and a beta blocker or calcium channel blocker. Vertigo associated with anxiety usually responds to a selective serotonin reuptake inhibitor. […] The canalith repositioning procedure (Epley maneuver) is recommended in patients with benign paroxysmal positional vertigo. Vestibular suppressant medication is recommended for symptom relief in patients with acute vestibular neuronitis. Vestibular exercises are recommended for more rapid and complete vestibular compensation in patients with acute vestibular neuronitis. Treatment with a low-salt diet and diuretics is recommended for patients with Mnires disease and vertigo. Effective treatments for vertiginous migraine include migraine prophylaxis (e.g., tricyclic antidepressants, beta blockers, calcium channel blockers), migraine-abortive medications (e.g., sumatriptan [Imitrex]), and vestibular rehabilitation exercises. Selective serotonin reuptake inhibitors can relieve vertigo in patients with anxiety disorders.

• #30 Treatment of Vertigo | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0315/p1115.html

  A wide variety of medications are used to treat vertigo and the frequently concurrent nausea and emesis. […] Vestibular rehabilitation exercises commonly are included in the treatment of vertigo. […] Treatment focuses on symptom relief using vestibular suppressant medications, followed by vestibular exercises. Vestibular compensation occurs more rapidly and more completely if the patient begins twice-daily vestibular rehabilitation exercises as soon as tolerated after the acute vertigo has been alleviated with medications. […] Medications generally are not recommended for the treatment of benign paroxysmal positional vertigo. The vertigo improves with head rotation maneuvers that displace free-moving calcium deposits back to the vestibule. […] Treatment lowers endolymphatic pressure. Although a low-salt diet (less than 1 to 2 g of salt per day) and diuretics (most commonly the combination of hydrochlorothiazide and triamterene [Dyazide]) often reduce the vertigo, these measures are less effective in treating hearing loss and tinnitus.

• #31 Treatment of Vertigo | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0315/p1115.html

  Vertigo is the illusion of motion, usually rotational motion. […] Most patients with vertigo do not require extensive diagnostic testing and can be treated in the primary care setting. Benign paroxysmal positional vertigo usually improves with a canalith repositioning procedure. Acute vestibular neuronitis or labyrinthitis improves with initial stabilizing measures and a vestibular suppressant medication, followed by vestibular rehabilitation exercises. Mnires disease often responds to the combination of a low-salt diet and diuretics. Vertiginous migraine headaches generally improve with dietary changes, a tricyclic antidepressant, and a beta blocker or calcium channel blocker. Vertigo associated with anxiety usually responds to a selective serotonin reuptake inhibitor. […] The canalith repositioning procedure (Epley maneuver) is recommended in patients with benign paroxysmal positional vertigo. Vestibular suppressant medication is recommended for symptom relief in patients with acute vestibular neuronitis. Vestibular exercises are recommended for more rapid and complete vestibular compensation in patients with acute vestibular neuronitis. Treatment with a low-salt diet and diuretics is recommended for patients with Mnires disease and vertigo. Effective treatments for vertiginous migraine include migraine prophylaxis (e.g., tricyclic antidepressants, beta blockers, calcium channel blockers), migraine-abortive medications (e.g., sumatriptan [Imitrex]), and vestibular rehabilitation exercises. Selective serotonin reuptake inhibitors can relieve vertigo in patients with anxiety disorders.

• #32 Treatment of Vertigo | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0315/p1115.html

  A wide variety of medications are used to treat vertigo and the frequently concurrent nausea and emesis. […] Vestibular rehabilitation exercises commonly are included in the treatment of vertigo. […] Treatment focuses on symptom relief using vestibular suppressant medications, followed by vestibular exercises. Vestibular compensation occurs more rapidly and more completely if the patient begins twice-daily vestibular rehabilitation exercises as soon as tolerated after the acute vertigo has been alleviated with medications. […] Medications generally are not recommended for the treatment of benign paroxysmal positional vertigo. The vertigo improves with head rotation maneuvers that displace free-moving calcium deposits back to the vestibule. […] Treatment lowers endolymphatic pressure. Although a low-salt diet (less than 1 to 2 g of salt per day) and diuretics (most commonly the combination of hydrochlorothiazide and triamterene [Dyazide]) often reduce the vertigo, these measures are less effective in treating hearing loss and tinnitus.

• #33 Treatment of Vertigo | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0315/p1115.html

  Vertigo is the illusion of motion, usually rotational motion. […] Most patients with vertigo do not require extensive diagnostic testing and can be treated in the primary care setting. Benign paroxysmal positional vertigo usually improves with a canalith repositioning procedure. Acute vestibular neuronitis or labyrinthitis improves with initial stabilizing measures and a vestibular suppressant medication, followed by vestibular rehabilitation exercises. Mnires disease often responds to the combination of a low-salt diet and diuretics. Vertiginous migraine headaches generally improve with dietary changes, a tricyclic antidepressant, and a beta blocker or calcium channel blocker. Vertigo associated with anxiety usually responds to a selective serotonin reuptake inhibitor. […] The canalith repositioning procedure (Epley maneuver) is recommended in patients with benign paroxysmal positional vertigo. Vestibular suppressant medication is recommended for symptom relief in patients with acute vestibular neuronitis. Vestibular exercises are recommended for more rapid and complete vestibular compensation in patients with acute vestibular neuronitis. Treatment with a low-salt diet and diuretics is recommended for patients with Mnires disease and vertigo. Effective treatments for vertiginous migraine include migraine prophylaxis (e.g., tricyclic antidepressants, beta blockers, calcium channel blockers), migraine-abortive medications (e.g., sumatriptan [Imitrex]), and vestibular rehabilitation exercises. Selective serotonin reuptake inhibitors can relieve vertigo in patients with anxiety disorders.

• #34 Treatment of Vertigo | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0315/p1115.html

  A wide variety of medications are used to treat vertigo and the frequently concurrent nausea and emesis. […] Vestibular rehabilitation exercises commonly are included in the treatment of vertigo. […] Treatment focuses on symptom relief using vestibular suppressant medications, followed by vestibular exercises. Vestibular compensation occurs more rapidly and more completely if the patient begins twice-daily vestibular rehabilitation exercises as soon as tolerated after the acute vertigo has been alleviated with medications. […] Medications generally are not recommended for the treatment of benign paroxysmal positional vertigo. The vertigo improves with head rotation maneuvers that displace free-moving calcium deposits back to the vestibule. […] Treatment lowers endolymphatic pressure. Although a low-salt diet (less than 1 to 2 g of salt per day) and diuretics (most commonly the combination of hydrochlorothiazide and triamterene [Dyazide]) often reduce the vertigo, these measures are less effective in treating hearing loss and tinnitus.

• #35 Treatment of Vertigo | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0315/p1115.html

  Acute vertigo caused by a cerebellar or brainstem stroke is treated with vestibular suppressant medication and minimal head movement for the first day. As soon as tolerated, medication should be tapered, and vestibular rehabilitation exercises should be initiated. […] Vestibular suppressants and benzodiazepines most frequently are used to treat dizziness that is associated with anxiety disorder, but these medications provide only transient or inadequate relief. SSRIs such as citalopram (Celexa), fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft) may provide better relief.

• #36 Vertigo: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/symptoms/21769-vertigo

  Vertigo causes dizziness and makes you feel like you’re spinning when you’re not. […] Treatments vary and can include medication, repositioning maneuvers or surgery. […] Healthcare providers use a variety of treatments, which may include: repositioning maneuvers, vertigo medication, vestibular rehabilitation therapy (vertigo exercises), surgery. […] Canalith repositioning procedures, like the Epley maneuver, can help shift the crystals out of your semicircular canals back into your utricle. […] Medication may help in some cases of acute (sudden onset, short duration) vertigo. […] Vestibular rehabilitation therapy usually involves a range of exercises to improve common vertigo symptoms like dizziness, unstable vision and balance issues. […] It’s rare, but you might need surgery when a serious underlying health issue like a brain tumor or neck injury causes vertigo. […] If you have severe or frequent vertigo, talk to your healthcare provider about ways to manage your symptoms and improve your quality of life. […] Cleveland Clinics experts can craft a treatment plan that works for you.

• #37 Benign paroxysmal positional vertigo (BPPV) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vertigo/diagnosis-treatment/drc-20370060

  This procedure usually works after one or two treatments. […] In rare situations when the canalith repositioning procedure doesn’t work, your doctor may recommend a surgical procedure. In this procedure, a bone plug is used to block the portion of your inner ear that’s causing dizziness. The plug prevents the semicircular canal in your ear from being able to respond to particle movements or head movements in general. The success rate for canal plugging surgery is about 90%. […] BPPV may recur even after successful therapy. Although there’s no cure, the condition can be managed with physical therapy and home treatments.

• #38 Benign paroxysmal positional vertigo (BPPV) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vertigo/diagnosis-treatment/drc-20370060

  This procedure usually works after one or two treatments. […] In rare situations when the canalith repositioning procedure doesn’t work, your doctor may recommend a surgical procedure. In this procedure, a bone plug is used to block the portion of your inner ear that’s causing dizziness. The plug prevents the semicircular canal in your ear from being able to respond to particle movements or head movements in general. The success rate for canal plugging surgery is about 90%. […] BPPV may recur even after successful therapy. Although there’s no cure, the condition can be managed with physical therapy and home treatments.

• #39 Vestibular Rehabilitation Therapy: What It Is & Exercises

  https://my.clevelandclinic.org/health/treatments/15298-vestibular-rehabilitation

  Vestibular rehabilitation therapy involves exercises that help you manage dizziness and balance issues (imbalance). This therapy may help people cope with the symptoms of conditions such as vertigo and labyrinthitis. […] Vestibular rehabilitation therapy helps stabilize vision, improve balance, increase core strength and reduce risk of falling. Vestibular rehabilitation therapy (VRT) is physical therapy that helps to reduce or eliminate balance issues. […] Vestibular rehabilitation therapy may help people with conditions including: Vertigo. […] Vestibular rehabilitation therapy helps restore those connections, ultimately reducing your symptoms of dizziness and imbalance. […] Studies show vestibular rehabilitation therapy helps: Reduce your risk of falling. Improve your balance. Reduce your dizziness symptoms. Improve your ability to stabilize your vision. Increase your body strength. […] In general, most people who continue doing their exercises have significantly fewer issues with dizziness and balance. […] Vestibular rehabilitation therapy involves exercises that help you regain your sense of balance and manage dizziness.

• #40

• #41 What doctors wish patients knew about vertigo | American Medical Association

  https://www.ama-assn.org/delivering-care/public-health/what-doctors-wish-patients-knew-about-vertigo

  Vertigo is a symptom, not a medical condition. Just like sore throat or ear pain, said Dr. Leung. […] Treatment is dependent on the cause of vertigo. For example, for BPPV, a simple physical therapy maneuver such as the Epley maneuver, can be used to treat vertigo, Dr. Fattal said. […] The Epley maneuver is an exercise that helps treat symptoms of BPPV through a series of head movements. […] Additionally, if the vertigo is Menieres disease related, a water pill can help, said Dr. Fattal. And if it is migraine related, treating the migraines can help. […] Vertigo is not just something you need to live with. Sometimes you hear, I was told I had vertigo and I just had to deal with it, said Dr. Wycherly. But patients shouldnt just deal with it or live with vertigo. […] That is why patients should be pursuing vertigo with an ear, nose and throat specialist or start with their primary care physician, Dr. Wycherly said.

• #42 An effect analysis of vestibular rehabilitation training in vertigo treatment

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8129239/

  Our study found that the vestibular rehabilitation training combined with the drug treatment is superior to the drug-only group in all the vertigo scores, and the treatment success was more accurate. […] Therefore, the total index and sub-index of DHI of the patients in the experimental group were improved, mainly due to the patients trust in the doctors, the increased face-to-face communication opportunities between the doctors and the patients, and the advantages of vestibular rehabilitation training itself. […] To sum up, vestibular rehabilitation training combined with common medicine treatment can better eliminate the symptoms of vertigo, improve patients quality of life, and make the patients more satisfied with the treatment, so it will accelerate the progress of their rehabilitation and improve their quality of life.

• #43 Vestibular rehabilitation – Wikipedia

  https://en.wikipedia.org/wiki/Vestibular_rehabilitation

  Research has shown that, overall, 80 to 85 percent of patients with chronic vestibular disability reported a reduction in symptoms after VR. […] There is evidence that vestibular rehabilitation therapy increases the „balance, quality of life, and functional capacity” of patients with multiple sclerosis. […] Both phobic postural vertigo and chronic subjective dizziness may be treated with vestibular rehabilitation therapy or other therapeutic methods such as cognitive behavioral therapy and conditioning.

• #44 An effect analysis of vestibular rehabilitation training in vertigo treatment

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8129239/

  Our study found that the vestibular rehabilitation training combined with the drug treatment is superior to the drug-only group in all the vertigo scores, and the treatment success was more accurate. […] Therefore, the total index and sub-index of DHI of the patients in the experimental group were improved, mainly due to the patients trust in the doctors, the increased face-to-face communication opportunities between the doctors and the patients, and the advantages of vestibular rehabilitation training itself. […] To sum up, vestibular rehabilitation training combined with common medicine treatment can better eliminate the symptoms of vertigo, improve patients quality of life, and make the patients more satisfied with the treatment, so it will accelerate the progress of their rehabilitation and improve their quality of life.

• #45

• #46 Treatment of vertigo – UpToDate

  https://www.uptodate.com/contents/treatment-of-vertigo

  Treatment of vertigo […] Appropriate management of vertigo often requires the correct diagnosis. This includes identifying that the dizziness is due to a problem with the vestibular system and then determining the site and origin of that problem. […] Vertigo treatment can be divided into three categories: those specific to the underlying vestibular disease, those aimed at alleviating the symptoms of vertigo, and those aimed at promoting recovery. […] Vertigo is caused by a number of conditions affecting either the peripheral vestibular apparatus in the inner ear or the central nervous system.

• #47 Treatment of vertigo – PubMed

  https://pubmed.ncbi.nlm.nih.gov/15791890/

  Vertigo is the illusion of motion, usually rotational motion. As patients age, vertigo becomes an increasingly common presenting complaint. The most common causes of this condition are benign paroxysmal positional vertigo, acute vestibular neuronitis or labyrinthitis, Meniere’s disease, migraine, and anxiety disorders. Less common causes include vertebrobasilar ischemia and retrocochlear tumors. The distinction between peripheral and central vertigo usually can be made clinically and guides management decisions. Most patients with vertigo do not require extensive diagnostic testing and can be treated in the primary care setting. Benign paroxysmal positional vertigo usually improves with a canalith repositioning procedure. Acute vestibular neuronitis or labyrinthitis improves with initial stabilizing measures and a vestibular suppressant medication, followed by vestibular rehabilitation exercises. Meniere’s disease often responds to the combination of a low-salt diet and diuretics. Vertiginous migraine headaches generally improve with dietary changes, a tricyclic antidepressant, and a beta blocker or calcium channel blocker. Vertigo associated with anxiety usually responds to a selective serotonin reuptake inhibitor.

• #48 Vertigo: Causes, Symptoms, and Treatment

  https://www.webmd.com/brain/vertigo-symptoms-causes-treatment

  Treatment for vertigo depends on what’s causing it. In many cases, vertigo goes away without any treatment. This is because your brain is able to adapt, at least in part, to the inner ear changes, relying on other body processes to maintain balance. […] If treatment is needed, there are many options: […] This is a type of physical therapy aimed at helping strengthen the vestibular system. This system sends signals to your brain about your head and body movements. Your doctor may recommend vestibular rehabilitation if you have repeated bouts of vertigo. It helps train your other senses to compensate for vertigo. […] Some conditions that cause vertigo require surgery to fix. For example, surgery may be done to remove an acoustic neuroma if it’s affecting the function of your inner ear.

• #49 Vertigo

  https://www.nhs.uk/conditions/vertigo/

  Most people with vertigo get better without treatment. […] Treatment will depend on the cause. A GP might prescribe antibiotics if it’s caused by an infection. […] You could also be given exercises to do to try to correct your balance. […] Antihistamines can sometimes help with vertigo symptoms.

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