Some of the patients also use the definition of dizziness to describe conditions that are not related to vertigo, such as imbalance, darkening, dizziness. Beyond dizziness, one of the important clinical symptoms disturbing many people is balance disorder. A sense of space in the head, feeling like walking on a spring bed or on a ship deck, being pushed from back, stepping on the space, imbalance towards right or left, dizziness, sense of somnolence or sliding of the ground are different expressions of balance disorder.
A real dizziness (vertigo) most frequently appears as a result of inner ear diseases, and cerebral and cerebellar diseases rarely. Alcohol and some medications may cause dizziness.
WHAT ARE THE CAUSES OF VERTIGO?
The factors causing vertigo are listed according to the frequency:
- Reasons Due to Inner Ear problems: Breaking away of balance crystals in the inner ear, obstruction in fluid flow, inflammations due to a virus infiltrating the balance nerve, tumours of nerve sheath.
- Neurological Reasons: Cerebral-cerebellar tumours, migraine, multiple sclerosis.
- Reasons Due to Musculoskeletal Problems: Cervical arthritis, herniation, low back and spine system problems.
- Reasons due to Psychological Problems: Panic attack, anxiety disorder, depression.
DEFINITION OF VERTIGO
Since the diagnosis of the disease causing vertigo is not easy in every case, the patients should be evaluated in specialized centres equipped with modern devices by an experienced team.
We offer the following services for diagnosis of vertigo through modern devices;
- Hearing tests
- Vertigo chair (TRV Couch)
- Videonistagmography (VNG): I. Measurement of ear functions
- Posturography: Balance analysis, risk of falling and the source of the problem (brain, ear or skeletal system) are determined by special programs and rehabilitation treatments may also be applied by this device.
The computer analysis (vertigoindicator) program is used to differantiate basic causes for dizziness such as ear, brain or neck; VNG (videonistagmography) test may detect if the problem originates from inner ear or brain. Furthermore, functions of the inner ear may be evaluated by creating an artificial dizziness through applying hot-cold water into the ear. Moreover, accurate diagnosis is searched by evaluating the blood tests and imaging tests in a complementary approach.
VNG (videonistagmography) may easily diagnose positional vertigo caused by ear crystals. Furthermore, functions of the inner ear may be evaluated by creating an artificial dizziness through applying hot-cold water into the ear.
Modern treatment methods are implemented in our centre. A specific rehabilitation program is created for the patient including special movements on posturography device by visual biofeedback method.
Furthermore, routine hearing test, blood tests when required and coordination with neurology, physiotherapy and psychiatry departments is provided in a multi-disciplinary approach.
TREATMENT OF VERTIGO
The public belief that "vertigo is untreatable" is not true. The main reason for failure in vertigo treatment is inability to diagnose the condition correctly.
The problem may vary between simple and short-term dizziness attacks and severe to prevent the person from continuing his / her daily life. Treatment of vertigo in 30% of the patients with some conditions such as positional vertigo caused by displacement of the crystals in the ear, anemia, B12 vitamin deficiency and brain tumour is performed depending on the cause. However, there is not any exact reason for diagnosis of almost 70% of the patients.
Different methods are utilized to manage vertigo. Vertigo is tried to be controlled by medical therapy and exercises. The primary objective is to find and control the disease indicated by vertigo. If the doctor diagnose the patient with vertigo after various tests, he or she will investigate the underlying disease and apply a causal treatment. Since no actual cause is detected in general, an ordinary treatment is applied. This ordinary treatment is as follows:
- Elimination of the triggering factors (alcohol, tobacco, stress, caffeine, salt etc.)
- Elimination of the triggering position,
- Medical treatment,
- Surgical procedure.
Benign Paroxysmal Positional Vertigo: This condition appears when the head is mover while lying on the bed, getting out of the bed, stooping to wear the shoes or reaching up to a shelf. Most of the patients experience dizziness for about 5 to 15 seconds; this rarely lasts for one minute or more. When a person moves from a sitting position to a supine position or straightens up and sits, severe dizziness occurs. After detection of accurate canal where the crystals fall, the crystals are sent back to their own area inside the spiral canal through a manoeuvre lasting for about 10 minutes.
It is the most successful method used to diagnose positional vertigo (crystal displacement). After the first manoeuvre done without medications, achievement rate is over 85%. It is an effective diagnostic technique for older, overweighted, disabled patients or the patients with low back/neck disorder. The patient is fixed by a safety belt, a leg belt, shoulder pads and a head apparatus, and she/he may be turned 360° around.
"Vestibular Rehabilitation" method is used to treat chronic vertigo with unknown cause which cannot be treated with medications through re-modulating the balance perception in the brain. When the gravity pulls us to the right and left, our brain corrects the body unconsciously; this actually causes us to swing. We do it unconsciously. However, when an individual focuses on herself/himself much, the brain starts to perceive such swinging which should not be perceived. This causes continuous dizziness and imbalance as a result of perception failure. This condition results with the desire of lying down and the patients start to afraid from standing up and walking. Vestibular Rehabilitation (Neurorehabilitation) method increases the perception threshold for natural swinging, and makes the body not to perceive such swinging movements which should not be perceived; the patient learns how to react against gravity.
IT IS POSSIBLE TO AVOID VERTIGO
- Avoid stress. Stress is one of the most important triggering factors for vertigo. Try to create special moments for yourself and keep the stress away as much as possible.
- Strengthen your immune system. Healthy diet is very important. Avoid frozen and processed foods. Drinking milk and eating protein rich foods also support your immune system and keeps you energetic.
- Have ing Vitamin D is essential for a healthy and energetic body.
- Have much fluid intake. You should drink much water to keep water and salt balance. The beverages such as tea and coffee should be avoided. Such drinks may cause fluid increase in the inner ear.
- Avoid sudden movements. Sudden movements may cause displacement of ear crystals.
- You should prefer calm sports. Having exercise with slight movements avoiding heavy exercises affect vertigo positively.