Vertigo Overview (cont.)
Danette C. Taylor, DO, MS, FACN
Dr. Taylor has a passion for treating patients as individuals. In practice since 1994, she has a wide range of experience in treating patients with many types of movement disorders and dementias. In addition to patient care, she is actively involved in the training of residents and medical students, and has been both primary and secondary investigator in numerous research studies through the years. She is a Clinical Assistant Professor at Michigan State University's College of Osteopathic Medicine (Department of Neurology and Ophthalmology). She graduated with a BS degree from Alma College, and an MS (biomechanics) from Michigan State University. She received her medical degree from Michigan State University College of Osteopathic Medicine. Her internship and residency were completed at Botsford General Hospital. Additionally, she completed a fellowship in movement disorders with Dr. Peter LeWitt. She has been named a fellow of the American College of Neuropsychiatrists. She is board-certified in neurology by the American Osteopathic Board of Neurology and Psychiatry. She has authored several articles and lectured extensively; she continues to write questions for two national medical boards. Dr. Taylor is a member of the Medical and Scientific Advisory Council (MSAC) of the Alzheimer's Association of Michigan, and is a reviewer for the journal Clinical Neuropharmacology.
Benjamin Wedro, MD, FACEP, FAAEM
Dr. Ben Wedro practices emergency medicine at Gundersen Clinic, a regional trauma center in La Crosse, Wisconsin. His background includes undergraduate and medical studies at the University of Alberta, a Family Practice internship at Queen's University in Kingston, Ontario and residency training in Emergency Medicine at the University of Oklahoma Health Sciences Center.
In this Article
- What is vertigo?
- What causes vertigo?
- What are the risk factors for vertigo?
- What are the signs and symptoms of vertigo?
- How is vertigo diagnosed?
- What is the treatment for vertigo?
- Are home remedies effective for treating vertigo?
- What is the prognosis for vertigo?
- Can vertigo be prevented?
- Balance Disorders - Slideshow
- Take the Vertigo Quiz
- Tinnitus: Why Are My Ears Ringing? - Slideshow
- Vertigo and Balance Disorders FAQs
- Find a local Ear, Nose, & Throat Doctor in your town
Are home remedies effective for treating vertigo?
While several suggestions for treatment of vertigo can be found, most of these are ineffective. Many cases of vertigo resolve spontaneously within a few days, which may promote the belief that a certain home remedy has been beneficial in resolving the symptoms.
The vestibular rehabilitation exercises (Cawthorne head exercises) or modified Epley maneuvers are meant to be done on a regular basis by patients, and may lead to marked improvements in vertigo.
What is the prognosis for vertigo?
Most patients with peripheral vertigo can find substantial relief with treatment; it has been suggested that the Epley maneuver in cases of BPPV can benefit as many as 90% of affected patients. Although recurrence of BPPV may be more than 15% in the first year after an episode, it is unlikely that vertigo will persist beyond a few days. When vertigo persists, evaluation for any underlying structural problems of the brain, spinal canal, or inner ear may be necessary.
Can vertigo be prevented?
Controlling risk factors for stroke may decrease the risk of developing central vertigo. This includes making sure that blood pressure, cholesterol, weight, and blood glucose levels are in optimal ranges. To decrease symptoms of vertigo in cases of Meniere's disease, controlling salt intake may be helpful. If peripheral vertigo has been diagnosed, then performing vestibular rehabilitation exercises routinely may help prevent recurrent episodes.
As most cases of vertigo occur spontaneously, it is difficult to predict who is at risk; as such, complete avoidance or prevention may not be possible. However, maintaining a healthy lifestyle will decrease the risks of experiencing this condition.
Bhattacharyya, N., et al. "Clinical practice guideline: benign paroxysmal positional vertigo." Otolaryngology -- Head and Neck Surgery 139.5 Suppl 4 (2008): S47-S81.
von Brevern, M., et al. "Epidemiology of benign paroxysmal positional vertigo: a population based study." Journal of Neurology, Neurosurgery, and Psychiatry 78.7 (2007): 710–715.
Burmeister, D. B., et al. "Management of benign paroxysmal positional vertigo with the canalith repositioning maneuver in the emergency department setting." The Journal of the American Osteopathic Association 110.10 (2010): 602-604.
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