Materiały źródłowe

• #1 Care and Treatment Options for Dizziness | American Geriatrics Society | HealthInAging.org

  https://www.healthinaging.org/a-z-topic/dizziness/care-treatment

  Treatment depends on the causes of dizziness and the persons health and medical history. Usually, therapy is simple and effective. […] Your healthcare professional may prescribe motion-sickness medications to treat vertigo and dizziness. Antibiotics may be necessary. A healthcare professional may recommend rehabilitation exercises if the condition does not end quickly. […] This disease is not curable, but medication can ease the symptoms. Other treatments include: […] Rehabilitation exercises may also help when symptoms continue. […] Medications and lifestyle changes can help with orthostatic hypotension. […] Changing medications you are taking may be needed necessary. Some medications may be helpful in treating orthostatic hypotension, including those that: […] Increasing the amount of salt in your food

• #2 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. […] Most vertigo has ear causes. Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo. By definition, BPPV is not indicative of some underlying malignant disease such as cancer, Dr. Leung said. It is caused by crystals inside the inner ear being dislodged from their normal positions. Most vertigo are 80% or 90% peripheral causes or ear causes. And then about 10% or 20% are the central causes. […] 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.

• #3 Vertigo: Symptoms, Causes & Treatment

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

  Vertigo treatment depends on the underlying cause. 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. These maneuvers consist of a series of specific head movements. A healthcare provider can perform a canalith repositioning procedure during an office visit. They can also teach you how to do it at home. […] Medication may help in some cases of acute (sudden onset, short duration) vertigo. Healthcare providers may recommend motion sickness medications (like meclizine or dimenhydrinate) or antihistamines (like cyclizine) to ease vertigo symptoms.

• #4 Vertigo – Symptoms, Types, Causes, Prevention, and Treatment PACE Hospitals – Best Hospitals in Hitech City, Hyderabad, India | Near Madhapur, Kukatpally, KPHB, Kondapur, Gachibowli, Jubilee Hills, Banjara HillsPACE Hospitals Contact Numb

  https://www.pacehospital.com/vertigo-symptoms-types-causes-prevention-and-treatment

  Vertigo prevention depends upon the cause of its occurrence. The following measures help in the prevention of vertigo in individuals: Taking an adequate amount of water to stay hydrated. Taking rest as much as possible. Avoiding sudden, fast head movements such as moving around too quickly or looking up suddenly. People need to change positions slowly while standing up after lying down. They need to sit for a couple of minutes before standing up. People need to hold onto the railing while climbing the stairs. Walking aids need to be used while walking. When experiencing vertigo, operating hazardous equipment or machinery, or driving, they must be avoided to protect themselves. […] Most of the individuals with vertigo get better without any treatment. The treatment of vertigo generally depends on its cause, and it includes the following: Medical management: Benzodiazepines, antihistamines, and antiemetics. Physiotherapy. Psychotherapy. Vestibular rehabilitation exercises. Surgical treatment in rare cases such as transection of the posterior ampullary nerve, occlusion of the posterior canal with bony plugs.

• #5 Expert Vertigo Treatment – Carolina Physical Therapy

  https://carolina-pt.com/expert-vertigo-treatment-carolina-pt/

  Several treatment options are available to relieve vertigo symptoms and enhance your quality of life. These include medication, physical therapy exercises, and self-care techniques. […] To prevent vertigo, consider the following: Stay hydrated throughout the day. Avoid caffeine and alcohol. Avoid sudden head movements or changes in body position. Practice relaxation techniques, such as yoga, to reduce stress and anxiety. Regular exercise can improve balance and strengthen posture-supporting muscles. […] Managing vertigo effectively includes: Finding a safe and comfortable place to sit or lie down during an episode. Avoid bright lights, loud noises, and busy environments. Focusing on a fixed point or object to stabilize vision and minimize dizziness. Use handrails or support when moving around to prevent falls. Consider using assistive devices, such as canes or walkers, for additional stability.

• #6 Natural Remedies to Treat Vertigo at Home

  https://www.healthline.com/health/home-remedies-for-vertigo

  Some conditions that cause vertigo, including Meniere’s disease and migraine, may occur as a response to stress. […] Yoga can help reduce stress while increasing flexibility and balance. […] Dehydration can sometimes cause vertigo. […] A study suggests that not getting enough vitamin D can worsen symptoms in people with BPPV. […] Treating vertigo at home using specific exercises and maneuvers may help.

• #7 Prevention of Recurrent Benign Paroxysmal Positional Vertigo: The Role of Combined Supplementation with Vitamin D and Antioxidants

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9404917/

  Benign paroxysmal positional vertigo (BPPV) usually has a favorable course, although it is possible to observe BPPV with a high recurrence rate. […] This multicentric trial aimed to evaluate the effectiveness of oral nutritional supplementation with a compound of alpha-lipoic acid, Carnosine, and Zinc (LICA (Difass International, Coriano (RN), Italy)), vitamins of group B and vitamin D in preventing BPPV recurrences. […] After six months of follow-up, a significant reduction of BPPV relapses compared to the baseline was found only in Arm 1 (2.32, 95% CI: 3.411.62, p-value 0.0001). Study results suggested that oral nutritional supplementation with vitamin D3 plus antioxidants can prevent relapses in patients suffering from high recurrence-BPPV. […] This work aims to evaluate the effectiveness of oral nutritional supplementation with a compound of alpha-lipoic acid (ALA), L-carnosine and zinc (LICA), vitamins of group B and vitamin D3 in preventing recurrence of BPPV over six months follow up.

• #8 Prevention of recurrent benign paroxysmal positional vertigo with vitamin D supplementation: a meta-analysis – PubMed

  https://pubmed.ncbi.nlm.nih.gov/32767116/

  Vitamin D insufficiency/deficiency is known to be related to occurrences and recurrences of benign paroxysmal positional vertigo (BPPV). […] We performed a meta-analysis to determine the therapeutic effects of vitamin D supplementation, with or without calcium, for preventing recurrences of BPPV. […] The analyses showed a significant preventive effect on the recurrences of BPPV (RR = 0.37; 95% CI = 0.18-0.76; p = 0.007 with the random-effects model) with supplementation of vitamin D. […] Vitamin D supplementation provides a benefit for secondary prevention of BPPV. Supplementation of vitamin D should be considered in patients with frequent attacks of BPPV, especially when serum vitamin D is subnormal.

• #9 Dizziness & Vertigo: Causes & Treatments – Life Extension

  https://www.lifeextension.com/protocols/eye-ear/vertigo-and-dizziness?srsltid=AfmBOoqXOCbkgGB1IfCuM4dTyeaXtczVtdKLDTic2tq4dsrPEmDbZ2Vq

  Those in the intervention group who were given 400 IU (10 mcg) vitamin D daily along with 500 mg calcium carbonate twice daily for one year had a 24% lower annual risk of BPPV recurrence. […] In a double-blind controlled trial, 39 older adults with BPPV and vitamin D levels 30 ng/mL were randomized to receive 2,000 IU (50 mcg) vitamin D daily for 13 weeks, followed by 1,000 IU (25 mcg) vitamin D daily for 13 weeks, or placebo. […] Coenzyme Q10 (CoQ10) is centrally involved in cellular energy production in the mitochondria and has been studied for the treatment of cardiovascular disease. […] In one trial, 2,664 patients with congestive heart failure were treated with 50-150 mg CoQ10 daily. After three months of treatment, 73% of participants with vertigo reported improvement in their vertigo.

• #10 Prevention of Recurrent Benign Paroxysmal Positional Vertigo: The Role of Combined Supplementation with Vitamin D and Antioxidants

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9404917/

  Our results confirmed that the prevalence of hypovitaminosis D in those patients was significantly higher compared to the general population and that the serum concentration of 25 (OH) D was lower than in populations considered at risk, such as women over 60 y.o. […] Therefore, oral nutritional supplementation with vitamin D3 probably promotes a positive effect in the prevention of labyrintholithiasis by exerting a direct action on calcium metabolism in the inner ear, which improves otolith compactness, reducing their detachment. […] This study suggested that oral nutritional supplementation with a compound of vitamin D3, ALA, Carnosine, and Zinc (LICA), vitamins of group B, can prevent relapses and reduce symptoms related to high-recurrence BPPV in patients showing insufficient or deficient serum concentration of 25 (OH) D. […] The administration of vitamin D in association with a powerful antioxidant (LICA) enhances its effects resulting in reducing the risk of developing new episodes of BPPV and improving its clinical course after maneuvers.

• #11 Natural Remedies to Treat Vertigo at Home

  https://www.healthline.com/health/home-remedies-for-vertigo

  You may be able to relieve vertigo by performing certain maneuvers or exercises. […] If you have vertigo, some home remedies and maneuvers you can do yourself may help. […] Research indicates that the Epley maneuver is effective for people with BPPV. […] The half-somersault maneuver is another strategy for people with BPPV. […] The Semont-Toupet maneuver is a similar set of movements you can perform at home to treat vertigo. […] The Brandt-Daroff exercise may also be easier to perform independently, but you shouldn’t perform it unless you are in a safe place and won’t be driving for a while because it may increase dizziness for a short time. […] Researchers have studied ginkgo biloba for its effects on vertigo. […] Not getting enough sleep may contribute to some causes of vertigo, such as migraine and balance disorders.

• #12 Can You Cure Vertigo Permanently? Exploring Effective Treatments

  https://georgiauppercervical.com/can-you-cure-vertigo-permanently

  There is some evidence that supplements may prevent future vertigo attacks caused by conditions like BPPV. Calcium, vitamin D, and ginkgo biloba have been identified as supportive in improving vertigo symptoms. […] While diet or lifestyle changes may not cure vertigo forever or eliminate symptoms permanently, there are ways to avoid some common vertigo triggers. Here are a few common lifestyle recommendations to improve vertigo outcomes: […] Your vertigo treatment may need to be a collaborative effort that includes your primary care physician, a physical therapist, and a chiropractor. Chiropractic care is particularly beneficial after neck injuries or head trauma that cause misalignment in the upper neck.

• #13 Treatment of Vertigo | AAFP

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

  Vestibular rehabilitation exercises commonly are included in the treatment of vertigo. […] 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. […] Treatment focuses on symptom relief using vestibular suppressant medications, followed by vestibular exercises. […] 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. […] 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.

• #14 Here’s A Diet To Help You With Your Vertigo! – Neuroequilibrium

  https://www.neuroequilibrium.in/heres-a-diet-to-help-you-with-your-vertigo/

  If you are experiencing vertigo conditions, here is a list of foods to avoid with vertigo: Avoid consuming fluids that have high sugar or salt content in it such as concentrated drinks and soda. […] Caffeine intake. Caffeine is present in coffee, tea, chocolate, energy drinks and colas. […] Excess salt intake. Salt causes retention of excess fluid in the body affecting the fluid balance and pressure. […] Nicotine intake/Smoking. Nicotine is known to constrict the blood vessels. […] Alcohol intake. Alcohol adversely affects the metabolism, dehydrates the body, and its metabolites are harmful to the inner ear and the brain. […] The above foods are shown to aggravate the conditions leading to vertigo. Avoiding these foods can help stabilize your condition. […] Incorporate foods that are anti-inflammatory and detoxifying. They reduce the swelling of the tissue in the inner ear, repair the cells and ensure healthy cell regeneration.

• #15 How Vertigo Is Treated

  https://www.verywellhealth.com/vertigo-treatment-7151933

  The Epley maneuver (also called the canalith repositioning procedure) can relieve a certain kind of vertigo called benign paroxysmal positional vertigo (BPPV). It is a form of vertigo thought to be triggered by a buildup of calcium deposits in the inner ear. […] Certain dietary modifications can improve vertigo symptoms by modifying the amount and changes of certain substances. They also involve reducing or eliminating other substances known to harm your inner ear. […] The following dietary modifications are advised for people with vertigo: Avoid foods and beverages that have high sugar or salt content. Add more fresh fruits and vegetables. Stay hydrated by drinking adequate amounts of water, milk, and low-sugar fruit juices, with at least five or more glasses of water a day. […] The following lifestyle changes can help reduce vertigo symptoms: Get adequate sleep: Getting insufficient or unproductive sleep is related to some vestibular diseases that result in vertigo. Modify exercises: Avoid doing exercises that use head rotation, like swimming laps. Control anxiety and stress: Areas in the brain that regulate dizziness interact with those areas that regulate anxiety, causing a relationship between the two symptoms.

• #16 Physical Activity in the Prevention of Benign Paroxysmal Positional Vertigo: Probable Association

  https://arquivosdeorl.org.br/additional/acervo_eng.asp?id=1913

  Physical inactivity is an important risk factor for many age-related diseases and symptoms such as dizziness and vertigo. […] The aim of the study was to investigate the possible association between benign paroxysmal positional vertigo (BPPV) and regular physical activity in elderly subjects. […] The present study indicates no significant association between BPPV with lack of physical activity in men and in the total population. […] We have confirmed associations between BPPV with lack of physical activity in women (p=0.01). Women with a sedentary lifestyle who do not practice physical activity are 2.62 more likely to have BPPV than those with regular physical activity. […] These results highlight the importance of identifying risk factors for BPPV that can be modified through specific interventions. Regular physical activity is a lifestyle with potential to decrease the risk of vertigo in women.

• #17 Dizziness and vertigo – aftercare: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000692.htm

  Dizziness can also describe the feeling that you are spinning or moving, or you feel like the world is spinning around you. This is called vertigo. […] If you have vertigo, you may be able to prevent your symptoms from getting worse by: […] Avoiding sudden movements or position changes, especially of your head […] Keeping still and resting when you have symptoms […] Avoiding bright lights, TV, and reading when you have symptoms […] Chronic dizziness or vertigo can cause stress. Make healthy lifestyle choices to help you cope: […] Learn and practice ways to relax, such as guided imagery, progressive muscle relaxation, yoga, tai chi, or meditation. […] Your provider may prescribe medicines for nausea and vomiting. Dizziness and vertigo may improve with some medicines. Commonly used medicines include: […] Too much water or fluid in your body may make the symptoms worse by increasing fluid pressure in your inner ear. Your provider may suggest a low salt diet or water pills (diuretics).

• #18 Treatment of Vertigo | AAFP

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

  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.

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

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

  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 Mnire disease. It is also helpful for chronic motion intolerance from migraine and after successful treatments of BPPV.

• #20 Exercises for preventing vertigo – Acare Global

  https://acare.abbott.com/en/neurology/managing-the-disease-central-nervous-system/exercises-for-preventing-vertigo/

  Depending on the cause of vertigo, some exercises can be helpful to reduce vertigo events. […] A study shows that 75-80% of patients who practice balance exercises feel better within a few months. […] If your vertigo and imbalance are due to eye movements, doing eye exercises might prevent future vertigo attacks. […] Doing head exercises can get your brain used to and reduce future vertigo attacks. […] If you have experienced vertigo attacks when walking, walking exercises can help to reduce future attacks. […] To recover from vertigo due to BPPV, there is one efficient exercise called Epleys maneuver. […] A study found that 72% of patients recovered immediately after Epleys maneuver, and 92% reported feeling better after one week. […] Consult with your doctor to determine which exercises fit your needs.

• #21 Physical Therapy for Vertigo – Peak

  https://peak.urpt.com/conditions/vertigo/

  Vertigo, the sensation or illusion of spinning, can have many root causes. Physical therapy can help diagnose and determine your best course of treatment. […] A physical therapist can determine if BPPV is causing an individuals symptoms using balance testing and specific movement tests. […] Treatment for BPPV typically includes canalith re-positioning procedures, which move the particles out of the way, most commonly known as the Epley Manuever. […] Not all vertigo comes from BPPV. A specially trained physical therapist will complete a comprehensive evaluation to determine the underlying cause of your vertigo and tailor an individualized program to meet your needs. […] A physical therapist will complete a comprehensive evaluation to determine the underlying cause of your vertigo and will create a customized program to address your needs. Treatment for vertigo may include: Eye tracking exercises, Balance exercises on various surfaces, Walking exercises with various head movements, Habituation (Brandt Daroff) exercises, Canalith re-positioning procedures.

• #22 Dizziness and Vertigo – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/approach-to-the-patient-with-ear-problems/dizziness-and-vertigo

  Meniere disease is best managed by an otolaryngologist with training in management of this chronic disorder, but initial management typically consists of a low-salt diet and a potassium-sparing diuretic, or betahistine. […] Patients with vestibular migraine should be referred to a neurologist for management. […] Patients with persistent or recurrent vertigo secondary to unilateral vestibular weakness (such as secondary to vestibular neuronitis) benefit from vestibular rehabilitation therapy done by an experienced vestibular physical therapist. […] Vestibular rehabilitation therapy is also highly effective for other chronic dizziness disorders, including non-peripheral etiologies such as vestibular migraine and PPPD.

• #23 Physical therapy for vertigo: Exercises, benefits, and more

  https://www.medicalnewstoday.com/articles/physical-therapy-for-vertigo

  Physical therapy can help with vertigo. The most suitable exercises may vary depending on the type of vertigo. A person should make sure that they have the correct diagnosis before seeking physical therapy or trying exercises at home. […] A person should also follow all exercise recommendations from a doctor or therapist. These professionals can explain each exercise in more detail and provide guidance on what to expect and when to stop. […] With physical therapy and other effective treatments, most people should see their vertigo improve. A doctor can address any underlying conditions responsible for the vertigo. […] Physical therapy can help improve a persons vertigo. A person should speak with a doctor before starting any new program to make sure that they receive effective treatment for the underlying condition.

• #24 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. […] 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.

• #25 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.

• #26 Top 4 Maneuvers for Vertigo Treatment at Home | MovementX

  https://movement-x.com/neurological-conditions/top-4-maneuvers-for-vertigo-treatment-at-home/

  Vertigo is a type of dizziness described as a sensation that you, or the environment around you, is moving or spinning. It is actually a symptom of a problem, not a condition itself, despite its misuse as a diagnosis. The most common cause of vertigo is a vestibular disorder in the inner ear called Benign Paroxysmal Positional Vertigo, or BPPV, for short. It is also the most commonly diagnosed vestibular disorder, and it is estimated to affect roughly 50% of all people at some time in their lives. It becomes progressively more common with age, and women and elderly individuals are slightly more likely to get it than men. […] While BPPV can be very debilitating and is the most common cause of vertigo, its also the easiest to treat. Vestibular Rehabilitation therapy (VRT) includes a few strategic movements that work to reposition the calcium crystals, or canaliths, in your ear and eliminate your vertigo symptoms. If performed properly, these simple maneuvers are extremely effective to treat positional vertigo at home.

• #27 Top 4 Maneuvers for Vertigo Treatment at Home | MovementX

  https://movement-x.com/neurological-conditions/top-4-maneuvers-for-vertigo-treatment-at-home/

  Most importantly, if you dont feel you can perform these maneuvers exactly as instructed, have a specially trained physical therapist or other health care professional evaluate you to identify the correct ear and canal(s) affected, determine the type of BPPV you have, and then perform the appropriate treatments properly. […] The Epley maneuver is the gold standard treatment for vertigo caused by BPPV (clinical practice guidelines). It is something you can do every day, in the morning or at night, until you’ve gone 48 hours without experiencing any vertigo. […] The Semont maneuver might be more effective to use than the Epley maneuver if your vertigo/dizziness lasts a minute or longer. The Semont maneuver can be done up to three times per day until vertigo symptoms subside. […] The Foster maneuver, also known as the half somersault, is another very popular maneuver to treat BPPV. However, it has also been found in the research to be less effective than the self-Epley maneuver for resolving vertigo, and is much harder to perform.

• #28 Vertigo Treatment in Joliet, New Lenox and Morris, Illinois

  https://www.entsurgicalillinois.com/vertigo.html

  In our opinion, it is better to treat it actively and be done with it rather than taking the wait/see approach. […] There are two treatments of BPPV that are usually performed by a physical therapist. Both treatments are very effective, with roughly an 80% cure rate, according to a study by Herdman and others (1993). […] The maneuvers, named after their inventors, are both intended to move debris or „ear rocks” out of the sensitive part of the ear (posterior canal) to a less sensitive location. […] The Epley maneuver is also called the particle repositioning, canalith repositioning procedure, and modified liberatory maneuver. […] The recurrence rate for BPPV after these maneuvers is about 30 percent at one year, and in some instances a second treatment may be necessary. […] If the exercises described above are ineffective in controlling symptoms, symptoms have persisted for a year or longer, and the diagnosis is very clear, a surgical procedure called „posterior canal plugging” may be recommended. […] This procedure poses a small risk to hearing, but is effective in about 85-90% of individuals who have had no response to any other treatment (Shaia et al, 2006).

• #29 Vertigo treatment – Institute for Neurology and Neurosurgery | Northwell Health

  https://www.northwell.edu/neurosciences/treatments/vertigo-treatment

  What to expect will depend on which type of treatment your doctor recommends. For instance, Canalith repositioning treatment involves a series of maneuvers performed in order to cause the calcium crystals to be repositioned back into their normal location. This is a safe and effective treatment and does not carry significant risk. […] Recovery will depend on your treatment type. For instance, upon completion of the Canalith repositioning treatment, your doctor may ask you to wear a cervical collar to limit your head movement for 24 hours, and/or to keep your head elevated (including during sleep) for the following few days and nights. Meanwhile, physical therapy-based vestibular rehabilitation would extend over a period of weeks or even months depending on the severity of your symptoms. […] If you are being treated with medications for your vertigo, always check with your doctor to determine the individual risks and side effects associated with the specific medications being prescribed for your condition.

• #30 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.

• #31 Meniere’s Disease Treatment NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/ear-institute/conditions/vertigo-balance-disorders/menieres-disease

  Dizziness (vertigo) is the most troublesome symptom for most patients. Attacks of vertigo (whirling or spinning) begin unexpectedly. These are often accompanied by nausea and vomiting. A typical spell may last for hours at a time. A sense of fatigue or imbalance can continue long after the vertigo has subsided. The attacks of vertigo can come and go unpredictably. […] The vertigo associated with Meniere’s disease can usually be controlled with medications and dietary changes. If those measures do not work, gentamicin injections might give lasting relief. Surgery is an option when other measures fail. […] Diuretics are the most commonly prescribed maintenance medications for Meniere’s disease. Diuretics work by restricting the overproduction of fluid in the inner ear. Diuretics are long-term medications. They help reduce the number of vertigo attacks, and in some cases, they help stabilize hearing.

• #32 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Treatment-of-vertigo.aspx

  During an attack the patient is asked to lie still in a quiet, darkened room. Stressful situations should be avoided. Anxiety can make the symptoms worse. […] For Mnires disease there are a number of treatment options. Patient is advised low salt diet, medication for treating the disease and preventing attacks. Betahistine is a medicine that can help to prevent vertigo caused by Mnire’s disease. […] Separate management of symptoms of stress, anxiety and depression associated with vertigo is important. […] Vertigo due to disease of the central nervous system need treatment of the underlying disease rather than the symptom of vertigo alone. Those with stroke, brain tumors or severe migraine may need to be admitted and treated by specialists and neurologists.

• #33 Meniere’s Disease Treatment NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/ear-institute/conditions/vertigo-balance-disorders/menieres-disease

  Cutting back on salt will help keep the inner ear fluid low and help prevent vertigo. For most patients, 2000 mg of sodium a day is the target value. When symptoms are severe, 1500 mg a day is advisable. […] If the incidences of vertigo are not controlled by medications, surgery may be recommended. Surgical procedures can eliminate the frequent spells of vertigo that occur in Meniere’s disease; however, no surgery has been found to improve the hearing loss.

• #34 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 suppressants should be used for a few days at most because they delay the brains natural compensatory mechanism for peripheral vertigo. 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. […] Vestibular rehabilitation is an important management tool in certain vestibular disorders.

• #35

  https://link.springer.com/article/10.1007/s40266-021-00877-z

  The use of vestibular suppressants for the management of vertigo should be limited only to the acute phase of the disease, and such drugs must be used with caution in the older population because of their side effects and potential interactions with other pharmacological treatments. […] In older patients, physical activity and vestibular rehabilitation exercises are recommended for more rapid and complete vestibular compensation; repositioning maneuvers are highly indicated and effective in the older population with benign paroxysmal positional vertigo. […] The importance of the vestibular compensation must be taken into consideration when prescribing pharmacotherapy, as some drugs applied in the treatment of vertigo may negatively impact the development of the compensatory phenomenon, and therefore their usage must be limited to brief periods of time, especially in older patients, in whom numerous comorbidities (impaired musculoskeletal functions, inadequate CNS activity, impaired visual input) could negatively affect this mechanism.

• #36

  https://link.springer.com/article/10.1007/s40266-021-00877-z

  Currently, a strongly effective preventive treatment is not known. Considering MD as a heterogeneous category of diseases with the same phenotypic presentation but multiple pathogenetic mechanisms, prevention should ideally consider the specific etiology. […] In most cases, antivertigo drugs such as betahistine give good results, with minor secondary effects. On the other hand, neuroleptics and antihistamines are more difficult to manage because of their relevant side effects, such as parkinsonism and depression. […] The therapeutic goal is to help the patient to recover from the acute phase. Prolongation of therapy should not be needed in MD, as the vertigo attacks do not usually exceed 24 h in duration, including the post-critical malaise. […] The use of this drug (a carbonic anhydrase inhibitor) in treating VM started from its demonstrated efficacy for the therapy of episodic ataxia type 2 and familial hemiplegic headache. The vestibular symptoms encountered in these two diseases are supposed to be caused by an ion channel deficit, and the efficacy of acetazolamide could be attributed to the possible involvement of neuronal ion channels in the pathogenesis of VM.

• #37 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

  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.

• #38

  https://journals.lww.com/neur/fulltext/2015/63060/drug_treatment_of_vertigo_in_neurological.23.aspx

  In addition to the pharmacological treatment, psychotherapy and physical therapy may also be used in the treatment of chronic vertigo. […] The treatment depends on the underlying disease. […] For patients with chronic vertigo, vestibular rehabilitation is also recommended. […] While administering medications for the treatment of vertigo, it is important to understand their mechanisms of action and side effects.

• #39 The Pharmacological Treatment of Pediatric Vertigo

  https://www.mdpi.com/2227-9067/9/5/584

  Vertigo in children is a challenging topic. The lack of dedicated trials, guidelines and papers causes inhomogeneity in the treatment of vertigo in children. […] Several drugs are proposed for the management of these conditions, even if their use is subordinated to the child’s age. In this review, we summarize the existing evidence related to the use of drugs for this clinical condition in children as a start point for new trials, stating the urgent need for international guidelines. […] Guidelines for diagnosis and treatment of RVC and VMC have not yet been established and there are only few suitable treatments for children. […] In our experience, a prophylaxis is indicated when attacks are more than three per month or if symptoms are severe. […] The prophylactic treatment of VMC and RVC relies on the same medications used for migraine headache, therefore, there are no specific drugs for migraines.

• #40 The Pharmacological Treatment of Pediatric Vertigo

  https://www.mdpi.com/2227-9067/9/5/584

  A retrospective analysis of 28 patients (9–18 years) showed that several drugs used as a prophylactic treatment reduce vestibular symptoms, i.e., tricyclic antidepressant, cyproheptadine, topiramate, triptans, and gabapentin. […] The management of these clinical pictures must, therefore, be guided by the etiological diagnosis, which, often, does not require pharmacological treatment. […] In some cases, a vigilant observation or a rehabilitative approach can be the better choice. […] Although their possible use is anecdotal and based on a unique paper, we described SNRI and SSRI, summarizing their current indication. […] In this situation, clinical trials must be performed in children with vertigo to obtain clinical data useful to treat this clinical situation that is related to chronic pain and a decrease in the quality of life.

• #41 Vertigo in Children | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/vertigo-in-children

  To avoid getting hurt during an episode of vertigo, your child should not drive or use machines. Activities that involve climbing or hiking should also be avoided. […] To prevent the symptoms from getting worse, your child should avoid sudden movement and changes in position. It is important to change positions slowly.

• #42 Vertigo: Symptoms, Causes & Treatment

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

  Vestibular rehabilitation therapy usually involves a range of exercises to improve common vertigo symptoms like dizziness, unstable vision and balance issues. A healthcare provider will tailor your treatment according to your unique needs. Exercises may include stretching, strengthening, eye movement control and marching in place. Your provider can teach you how to do these exercises at home so you can manage your symptoms whenever you have a vertigo episode. […] Its rare, but you might need surgery when a serious underlying health issue like a brain tumor or neck injury causes vertigo. Providers typically only recommend surgery when other treatments dont work. Your provider or surgeon will tell you which type of procedure you need and what to expect.

• #43 Vertigo: Causes, Symptoms, and Treatment

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

  Vertigo can also happen because of: […] 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: […] Vestibular rehabilitation 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. […] Surgery 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.

• #44 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. […] Vertigo medication 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. […] Epley maneuver 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).

• #45

  https://www.prevention.com/health/health-conditions/a37928029/what-is-vertigo/

  Better your balance […] A meta-analysis of six randomized trials found that taking a vitamin D supplement might help prevent recurring BPPV-related vertigo. […] Exercise, a balanced diet, proper hydration, sleep, and managing stress can all help you keep control of heart and mental health conditions, thereby lessening the chance of vertigo associated with them. Migraine management tactics can similarly help. […] If you have BPPV, a vestibular specialist can perform simple yet effective techniques (such as the Epley maneuver) to reposition the tiny calcium crystals in the inner ear that can cause vertigo when they become dislodged.

• #46 What Is Vertigo? Symptoms, Causes, Diagnosis, Treatment, and Prevention

  https://www.everydayhealth.com/vertigo-signs-symptoms-latest-treatments-home-remedies-tests-more/

  Most of the time, vertigo cant be prevented. But knowing and avoiding certain risk factors may help prevent it. For instance, you can protect yourself from a head injury by wearing a helmet when bicycling or playing sports or taking measures to prevent a fall. […] Several treatment options are available to help symptoms of vertigo. The Canalith Repositioning Procedure (also known as the Epley maneuver), a popular therapy that involves exercises to reposition canaliths (calcium crystals) in your inner ear, has a success rate of about 80 percent, in helping people with the most common cause of vertigo. […] Your doctor can help you decide which options are best for you. […] Many people also report that changing their diet and eliminating foods that are salty, sugary, or high in caffeine can improve their symptoms, particularly when they have been diagnosed with Mnires disease. Good hydration is another way to help combat vertigo. […] Additionally, yoga, tai chi, relaxation techniques, and adequate sleep might help you improve balance and ward off a vertigo episode. Talk to your doctor before performing any at-home remedies.

• #47 How Vertigo Is Treated

  https://www.verywellhealth.com/vertigo-treatment-7151933

  Tai chi has proven to promote a greater awareness of your body and movement. It can help reduce postural sway that occurs with vertigo by focusing on your ability to be aware of input from your body in the balancing process. […] Treatment for vertigo can correct a problem, reduce symptoms, or address a bigger health concern. Many cases of vertigo improve with treatments that have few side effects. Changing your diet, increasing water intake, and certain movement programs can help relieve dizziness. A wide range of drugs can also work. When these treatments don’t improve symptoms, surgery may be an option.

• #48 Patient education: Vertigo (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/vertigo-beyond-the-basics

  Patient education: Vertigo (Beyond the Basics) […] This article is primarily about vertigo, including causes and available treatments. […] If your doctor is able to identify the cause of your vertigo, they can recommend treatments such as medications, procedures, or lifestyle changes. […] If you have episodes of vertigo that are severe or last for hours or days (regardless of the cause), your doctor may recommend a medication to relieve severe vertigo and associated symptoms, like vomiting. […] Most people with vertigo feel better if they keep their head still. However, lying still and not moving your head can actually delay recovery in the long term. Vestibular rehabilitation can help people recover from vertigo that is caused by a problem within the vestibular system. […] Talk to your doctor, nurse, or therapist if you are worried about falling. To reduce the risk of falls, remove hazards in your home, such as loose electrical cords, slippery rugs, and clutter; wear sturdy shoes; and avoid walking in unfamiliar areas that are not lighted.

• #49 Coping with recurring vertigo – Harvard Health

  https://www.health.harvard.edu/diseases-and-conditions/coping-with-recurring-vertigo

  Attacks of vertigo can be terrifying, temporarily disabling, and dangerous increasing the risk of falls and injuries. […] Fortunately, there are ways to end an episode and reduce suffering, and you may be able to prevent vertigo from coming back. […] If vertigo persists, you may need to see an ear, nose, and throat doctor, who can determine if a balance-related disorder is to blame. Getting a vestibular disorder under control with medication may be the first step in treatment. […] Physical therapy tailored for balance disorders is another helpful aspect of treatment. […] When BPPV strikes, a simple maneuver to reposition loose crystals in the ear can reduce or eliminate symptoms. […] These approaches and others aren’t a guarantee that vertigo won’t return. „But they may help you avoid an episode,” Joy says. „And they’ll help restore your equilibrium so you can get back to doing the things you love.”

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