Vertigo

WHAT IS VERTIGO?

Vertigo is a specific type of dizziness that is characterized by the sudden sensation that you are spinning or that the world around you is spinning. The feeling can come and go or it can last for hours or days. Along with the dizziness, people may also experience nausea or vomiting, headaches, double vision or a racing heartbeat.

WHAT CAUSES VERTIGO?

• Stress
• Dehydration – Need to drink more water
• Inner Ear Infection – Most common cause
• High Blood Pressure
• Head or Neck Injury
• Migraine Headaches – which is usually lack of drinking enough water
• Lack of Nutrients – improper diet
• Medication
• Lack of sleep –
• Low Vitamin D – Get out in the sun for an hour a day unless raining
• Alcohol Consumption – don’t drink any
• Low magnesium – eat foods high in magnesium or make this magnesium drink

HOW DO YOU TREAT VERTIGO?

EPLEY MANEUVER

If your vertigo comes from your left ear and side:

1. Sit on the edge of your bed. Turn your head 45 degrees to the left (not as far as your left shoulder). Place a pillow under you so when you lie down, it rests between your shoulders rather than under your head.
2. Quickly lie down on your back, with your head on the bed (still at the 45-degree angle). The pillow should be under your shoulders. Wait 30 seconds (for any vertigo to stop).
3. Turn your head halfway (90 degrees) to the right without raising it. Wait 30 seconds.
4. Turn your head and body on its side to the right, so you're looking at the floor. Wait 30 seconds.
5. Slowly sit up, but remain on the bed a few minutes.
6. If the vertigo comes from your right ear, reverse these instructions. Sit on your bed, turn your head 45 degrees to the right, and so on.

Do these movements three times before going to bed each night, until you've gone 24 hours without dizziness.

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SEMONT MANEUVER

This exercise is similar to the Epley maneuver, though not as popular in the United States. For dizziness from the left ear and side:

1. Sit on the edge of your bed. Turn your head 45 degrees to the right.
2. Quickly lie down on your left side. Stay there for 30 seconds.
3. Quickly move to lie down on the opposite end of your bed. Don't change the direction of your head. Keep it at a 45-degree angle and lie for 30 seconds. Look at the floor.
4. Return slowly to sitting and wait a few minutes.
5. Reverse these moves for the right ear.

Again, do these moves three times a day until you go 24 hours without vertigo.

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HALF-SOMERSAULT OR FOSTER MANEUVER

Some people find this maneuver easier to do:

1. Kneel down and look up at the ceiling for a few seconds.
2. Touch the floor with your head, tucking your chin so your head goes toward your knees. Wait for any vertigo to stop (about 30 seconds).
3. Turn your head in the direction of your affected ear (i.e. if you feel dizzy on your left side, turn to face your left elbow). Wait 30 seconds.
4. Quickly raise your head so it's level with your back while you're on all fours. Keep your head at that 45-degree angle. Wait 30 seconds.
5. Quickly raise your head so it's fully upright, but keep your head turned to the shoulder of the side you're working on. Then slowly stand up.

You may have to repeat this a few times for relief. After the first round, rest 15 minutes before trying a second time.

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BRANDT-DAROFF EXERCISE

Here’s what you need to do for this exercise:

1. Start in an upright, seated position on your bed.
2. Tilt your head around a 45-degree angle away from the side causing your vertigo. Move into the lying position on one side with your nose pointed up.
3. Stay in this position for about 30 seconds or until the vertigo eases off, whichever is longer. Then move back to the seated position.
4. Repeat on the other side.

You should do these movements from three to five times in a session. You should have three sessions a day for up to 2 weeks, or until the vertigo is gone for 2 days.

Follow Up

For the rest of the day after doing any of these exercises, try not to tilt your head too far up or down. If you don't feel better after a week of trying these moves, talk to your doctor again, and ask what he/she wants you to do next.

You might not be doing the exercises right, or something else might be the cause of your dizziness.

Don’t do anything that’s dangerous while you lack balance, such as driving or exercising, which can cause you to fall and become injured.

Sit down or lay down and rest immediately when you feel dizzy.

Be careful about getting up suddenly in the middle of the night to use the bathroom, and always use good lighting if you do get up from bed when it’s dark.

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THINGS THAT CAN HELP VERTIGO:
Gingko Biloba

Ginkgo biloba has been studied for its effects on vertigo and found to be as effective as the leading prescription medication to treat vertigo. Gingko biloba extract can be purchased in liquid or capsule form. Taking 240 milligrams of ginkgo biloba each day should lessen your vertigo symptoms and make you feel more on-balance.
 
Vitamin D
If you suspect your vertigo is connected to something you aren’t getting in your diet, you could be right. A study suggests that a lack of vitamin D can worsen symptoms for people that have BPPV, the most common cause of vertigo. A glass of orange juice, will give your levels of vitamin D a boost. Have your doctor check your vitamin D levels so you know if you need more in your diet.

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