WHAT WE TREAT
DIZZINESS – VERTIGO – IMBALANCE – UNSTEADINESS
1. UNILATERAL VESTIBULAR LOSS: Patients with some form of vestibulopathy, may report a sense of or feeling of exaggerated motion when turning, bending over, or moving their head quickly. For others, because of distortion within the vestibular-ocular reflex, there may be a visually provoked vertigo, nausea, movement of the visual field with difficulty riding as a passenger, scrolling on a computer screen or specifically oscillopsia.
2. BILATERAL VESTIBULAR LOSS: Patients in this category will report an unsteadiness or loss of surefootedness. They are usually visually and surface dependent. Rapid movement or change in position does not typically provoke any vertigo, unless of course they also have an otolith involvement.
3. BENIGN PAROXYSMAL POSTIONAL VERTIGO: BPPV patients are usually very good historians and can relate very specifically the move or change in position that provokes vertigo. They are symptom free as long as they avoid the position change. Many patients however will feel unsettled for several hours after the provocation, although the acute attack lasts for only seconds. It is also fairly common for many of these patients to also have some vestibular weakness, as indicated by caloric response on the same ear with the BPPV.
4. CENTRAL DIZZINESS: Patients in this category tend to report “constant lightheadedness and foggy head feeling”. This is usually related to cerebrovascular or vertebrobasilar vascular insufficiencies. They often report that the only time they feel any relief is when they are lying down. This group often has underlying medical needs that need ongoing attention. It has been suggested that even minimal head and neck movements used in vestibular rehabilitation protocols may be of value as compared to the relatively sedentary lifestyle some of the patients lead.
Cardiovascular ( Hypertension, arrhythmia, coronary artery disease)