Friday, March 26, 2010
Dizziness responds to the Epleys maneuver- BENIGN PAROXYSMAL POSITIONAL VERTIGO
I have been treating one of my patients that has been a regular Chiropractic patient for years when he came in with a totally different set of symptoms. He described having dizziness,vertigo,being light headed and feeling a bit nauseous and it usually was triggered by getting out his bed.
He only had these symptoms for a week or so and did not do anything out of the ordinary, immediately I thought of BPPV- which is short for Benign Paroxysmal positional vertigo. Read more about BPPV here
Basically Benign Paroxysmal Positional Vertigo (BPPV) dizziness is generally thought to be due to debris which has collected within a part of the inner ear. This debris can be thought of as "ear rocks", although the formal name is "otoconia". Ear rocks are small crystals of calcium carbonate derived from a structure in the ear called the "utricle" (figure1 ). While the saccule also contains otoconia, they are not able to migrate into the canal system. The utricle may have been damaged by head injury, infection, or other disorder of the inner ear, or may have degenerated because of advanced age
The Epley maneuver is also called the particle repositioning or canalith repositioning procedure. It was invented by Dr. John Epley. Click here for a low bandwidth animation. It involves sequential movement of the head into four positions, staying in each position for roughly 30 seconds. The recurrence rate for BPPV after these maneuvers is about 30 percent at one year, and in some instances a second treatment may be necessary.
I have used the Epley's maneuver many times over the years in my NYC practice with great success.
Whats nice about this procedure is it is very easy to do and is painless and very effective.
I have have seen patients that where so bad that they where on medications like Antivert and could barely function respond amazingly in two to three visits.
To make a long story short,He was in yesterday and told me that his symptoms where 100% gone in that one visit,he couldn't believe it.
If you have been suffering with Dizziness or vertigo and have been searching for someone in NYC to do the Epley's maneuver feel free to call us at (212)645-8151 or visit the website at www.livingwellnewyork.com
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