Vertigo Treatment: Can Chiropractic Care Help You?
Suffering symptoms of vertigo and dizziness can be worrying and effect all areas of your life. It can affect your ability to go to work, play sports and even enjoy the fun things in life. Vertigo and dizziness are subjective terms which makes assessing patients from a clinical perspective quite difficult. One person’s vertigo and dizziness may result in a basic sensation of unsteadiness while another person may experience the whole environment moving. Cases that seem minor, require proper assessment due to the potential of serious underlying disorders.
What is the difference between dizziness & vertigo? Dizziness is typically reported as the sensation of an individual’s external environment abnormally moving causing a feeling of imbalance. Vertigo is a form of dizziness in which an individual experiences the sensation of abnormal spinning motion while they’re stationary. Associated sensations also include a feeling of falling forwards or backwards no matter what position a person is in. Interestingly the prevalence of vertigo increases as we age and is clinically seen to affect women more commonly then males. Vertigo is classified as either peripheral or central depending on the location of the causing abnormality.
CENTRAL & PERIPHERAL VERTIGO
Peripherally caused vertigo are due to problems with the inner ear or vestibular system. The most commonly diagnosed peripheral vertigo’s are Benign paroxysmal positional vertigo (BPPV) closely followed by Meniere’s disease. Individuals suffering peripheral vertigo generally present with imbalance, nausea, vomiting, tinnitus and ear pain.
Centrally caused vertigo arises from dysfunction of the central nervous system, brainstem or cerebellum. Commonly diagnosed central vertigo’s include cervical spine misalignment and multiple sclerosis.
PROBLEMS ASSOCIATED WITH VERTIGO & DIZZINESS
- Headaches & Migraines
- Nausea & Vomiting
- Gait changes
- Nystagmus & Blurred vision
- Neck pain & Cervical misalignment
VERTIGO TREATMENT: HOW IS IT MANAGED?
If following a comprehensive examination it is determined your vertigo and dizziness is vestibular or musculoskeletal in origin than Chiropractic management may be able to help you. The cervical spine, particular the upper neck has great influence upon the integration of vestibular, visual and proprioceptive information. Therefore dysfunction in this area of the spine can greatly effect an individual’s posture and balance. Cervical spine dysfunction may be the result of spinal misalignment (subluxation), disc degeneration and arthritis amongst other things. There are a variety of techniques that Chiropractors may use to help relieve symptoms of Vertigo and dizziness that will be appropriate to your specific situation.
- Spinal manipulation is the most recognised therapy that Chiropractors and manual therapists use in practice. Spinal manipulation is the technique that causes the characteristics ‘popping’ noise when a joint is moved. Spinal manipulation involves ‘adjusting’ a specific joint to realign, reposition and enhance movement therefore reducing nervous system interference.
- Specific upper cervical technique (Atlas Orthogonal) is a relatively unknown technique in Australia as only a handful of Chiropractors are qualified. However, overseas this technique is extremely popular and has achieved fantastic results with vertigo and dizziness sufferers as well as problems like neck pain, headaches, migraines and trigeminal neuralgia. Atlas Orthogonal is the most gentle of all Chiropractic techniques and involves the patient lying on their side while an instrument is used to adjust the top bone in the neck (the atlas).
- Joint mobilisation is a gentle form of spinal manipulation that is preferred in some individuals. Joint mobilisation involves stretching joints to improve movement
- Gentle Activator methods is another gentle technique that may be used in your individual situation depending upon your presentation. The Activator is the hand held instrument that Chiropractors use to improve joint movement and alignment.
- Specific Vertigo techniques (i.e Epley maneuvre) may be implemented by your practitioner to alter the position of floating crystals within the inner ear. This technique has proved very effective for cases of BBPV
CHIROPRACTIC & VERTIGO RESEARCH
- It appears that manipulative and vestibular physical therapies are best suited to individuals suffering cervicogenic vertigo. Yacovino, D.A. (2012). Cervical vertigo: Myths, facts and scientific evidence. Neurologia.
- Improvements were noted in dizziness, ataxis and visual disturbance in a paediatric patient following specific upper cervical Chiropractic care highlighting its potential benefits as a vertigo treatment option. Willemin, A. (2010). Improvement in ataxia, dizziness and visual disturbance in a child with vertebral subluxations undergoing Chiropractic care: A case study. Journal of Paediatric, Maternal & Family Health, 2; 89 – 94
- Specific upper cervical Chiropractic management is effective for improving symptoms of vertigo following trauma. Elster, E. (2006). Sixty patients with chronic vertigo undergoing upper cervical Chiropractic care to correct vertebral subluxation: A retrospective analysis. Journal of Vertebral Subluxation Research, 1 – 9