Balance and Dizziness
Treatments for Balance/Dizziness
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Depending on the cause of dizziness, there may be general or very specific treatment options. 

Many people suffering from dizziness, vertigo, or imbalance benefit from physical therapy that is designed to strengthen and retrain the vestibular system. Vestibular therapy is effective in improving the functional deficits and subjective symptoms resulting from most vestibular problems. By improving vestibular function, vestibular rehabilitation aims to improve balance, minimize falls, decrease subjective sensations of dizziness, improve stability while walking, and reduce overdependence on visual or other sensory inputs.

For Meniere’s disease there are conservative and aggressive treatment options.  Treatment will depend on the severity of symptoms and the recommendation of your physician. 

  • Diet & Life Style:  A low salt diet is very helpful to reduce the attacks of vertigo. In fact, a meal high in salt may induce an attack.  Avoid caffeine, smoking and alcohol.  Regular sleep and remaining physically active, while avoiding stress and excessive fatigue may decrease the frequency of attacks and tinnitus.
  • Medications:  A diuretic (water pill) combined with a low salt diet, is the primary treatment for Meniere disease.  Anti-vertigo medications may provide temporary relief during the attacks of vertigo.  Anti-nausea medication is sometimes also prescribed.  Both anti-vertigo and anti-nausea medications may cause drowsiness so caution must be used when taking these medications.
  • Surgery: If vertigo attacks are not controlled medically and are disabling, surgery may be an option. 

Patients diagnosed with an acoustic neuroma may also be treated conservatively or aggressively, depending on the severity of symptoms. One of the most common approaches when symptoms are mild is to simply monitor the growth of the neuroma with routine testing. If symptoms are more debilitating, more aggressive treatment options may include surgery. 

For many patients with superior canal dehiscence, avoidance of provocative stimuli such as loud noises may be sufficient treatment. For patients who are debilitated by their symptoms, surgical plugging of the hole in the boney area above the superior canal can be very beneficial in alleviating or substantially reducing symptoms.

BPPV is treated with a very simple procedure. The procedure is called canalith repositioning or the Eply maneuver. During the Eply maneuver your doctor, audiologist, or physical therapist maneuvers the position of your head with the goal of moving the loose otoconia in your semi-circular canal to a place within your ear where they won't cause dizziness and will ultimately be reabsorbed into your body's fluids. The success rate of this procedure can be as high as 90 percent. You may need to have the procedure repeated. You may also be given home exercises that can help relieve your BPPV.

To combat vertigo associated with a vestibular migraine, your doctor will likely try to help you determine and avoid the triggers for your attacks. They may suggest that you avoid certain foods, reduce stress in your life, develop a regular sleep pattern and practice aerobic exercise. Certain medicines may help prevent attacks of migrainous vertigo or make them less uncomfortable by providing relief for nausea and vomiting.