Benign paroxysmal positional vertigo (BPPV) is an inner ear disorder that is a common cause of dizziness. But by watching videos on YouTube, you have a chance to look at what may be a new way to show the treatment for a common cause of vertigo, which often goes untreated by physicians, according to a study published in the July 24, 2012, print issue of Neurology®, the medical journal of the American Academy of Neurology.
"This type of vertigo can be treated easily and quickly with a simple maneuver called the Epley maneuver, explained Kevin A. Kerber, MD, in the July 23, 2012 news release, Is YouTube a prescription for vertigo? "But too often the maneuver isn't used, and people are told to 'wait it out' or given drugs," explained study author Kevin A. Kerber, MD, of the University of Michigan Health System in Ann Arbor and a member of the American Academy of Neurology. "We found that accurate video demonstrations of the maneuver that health care providers and people with vertigo can use are readily available on YouTube."
See the study's abstract, "A prescription for the Epley maneuver." And check out the site, on YouTube, Vertigo Treatment - Epley Maneuver, Therapies for, by AANChannel, developed by the American Academy of Neurology, the guideline. For the study, Kerber and his colleagues searched YouTube for videos showing the Epley maneuver and rated their accuracy. They also reviewed the comments posted regarding the videos to see how the videos were used.
"It was good to see that the video with the most hits was the one developed by the American Academy of Neurology when it published its guideline recommending the use of the Epley maneuver in 2008 and then posted on YouTube by a lay person," Kerber said in the news release, Is YouTube a prescription for vertigo? "But it was also good that the majority of the videos demonstrated the maneuver accurately."
Some comments showed that health care providers are using the videos as a prescribed treatment or to help patients learn about the maneuver. People with dizziness also seem to be using the videos to treat themselves.
Videos don't include information on how to diagnose BPPV
"One shortcoming of the videos was that they did not include information on how to diagnose BPPV, and some of the comments indicate that people who do not have BPPV may be trying these maneuvers because of dizziness from other causes," Kerber said in the news release.
"Despite this, we found it encouraging to think that YouTube could be used to disseminate information about this maneuver and educate more people about how to treat this disorder." Kerber and his colleagues are working on projects to test the effectiveness of video interventions on patient outcomes.
What causes the type of vertigo diagnosed as BPPV?
The disorder is likely caused by loose calcium carbonate crystals that move in the sensing tubes of the inner ear. The maneuver moves the calcium crystals out of the sensing tube and into another inner chamber of the ear, where they do not cause symptoms.
Accurate video demonstration of the Epley maneuver is available and widely viewed on YouTube. Video-sharing media may be an important way to disseminate effective interventions such as the EM. The impact of video Web sites on outcomes and costs of care is not known and warrants future study.
Video-sharing Web sites are being used for information about common conditions including dizziness. The Epley maneuver (EM) is a simple and effective treatment for benign paroxysmal positional vertigo (BPPV) of the posterior canal. However, the maneuver is underused in routine care. In this study, we aimed to describe and analyze the available information about the EM on youtube.com, according to the study's abstract. For more information about the AAN's guideline on treating benign paroxysmal positional vertigo, visit AAN-Guidlines.
The American Academy of Neurology, an association of more than 25,000 neurologists and neuroscience professionals, is dedicated to promoting the highest quality patient-centered neurologic care. A neurologist is a doctor with specialized training in diagnosing, treating and managing disorders of the brain and nervous system such as Alzheimer's disease, stroke, migraine, multiple sclerosis, brain injury, Parkinson's disease and epilepsy. For more information about the American Academy of Neurology, visit the AAN site, or find the organization on Facebook, Twitter, Google+ and YouTube.
The Brain Initiative
U.S. President Barack Obama announced the administration's BRAIN (Brain Research through Advancing Innovative Neurotechnologies) Initiative during an East Room event at the White House April 2, 2013 in Washington, DC. President Obama announced the new research effort to revolutionize our understanding of the human mind and advance the President’s vision for creating jobs and building a thriving middle class by investing in research and development, according to a White House news release.
One area of research on the brain focuses on nutrition and the brain. For those with benign vertigo, what you eat may trigger vertigo. And what amounts of which foods or minerals you adjust can also change the outcome. One example is the idea of reducing salt intake to help shorten the length of a vertigo episode. Also see the study, "Vertigo Linked To Osteoporosis."
Sometimes vitamins if they are absorbed may be suggested by those researching benign vertigo. Sometimes you are what your body absorbs. Foods, cooking oils, or nutritional supplements, and extracts or certain protein powders processed with hexane, for example, can trigger an episode of vertigo in some people. Find out what chemicals were used, if any, to process your foods and supplements.
Vertigo and the foods you eat
Reducing your salt intake has been found to be helpful in stopping vertigo, Meniere’s disease, and migraines, along with a regimen of vitamins, minerals, and fish oils. After your doctor has determined that your vertigo, Meniere’s disease symptoms, and/or your migraines are not caused by tumors or aneurysms or any other condition that needs surgical repair, you can choose between standard treatments or supplements of vitamins and minerals.
A series of tests will tell you whether you have Meniere's Disease, or Benign Paroxysmal Positional Vertigo (BPPV). Meniere's Disease and BPPV are the two most common causes of vertigo. While one can be mistaken for the other, they are different diseases with different symptoms and different treatments. Sometimes migraines can be one cause of vertigo. View the PDF file article, "Treating Vertigo in the Office."
To learn more, read the article, "Vertigo, It's Causes and Treatment," by Huai Y. Cheng, M.D. Also see: Drachman DA. A 69-year-old man with chronic dizziness. JAMA. 1998; 280(24): 2111-2118. According to articles from as far back as 1937, doctors were studying the effects of vitamins and minerals on vertigo, Meniere’s disease, and migraines. See (1937). Abstracts. The Journal of Laryngology & Otology, 52 , pp 783-799 doi:10.1017/S0022215100044170. Also see, in the Annals of Otology, Rhinology, and Laryngology 1975 Jul-Aug;84(4 Pt 1):513-7. “Conservative management of Méniére's disease: Furstenberg regimen revisited.” Albert C. Furstenberg developed and promoted the Furstenberg regimen of a low-sodium diet and diuretics.
The Annals of Otology study reviews twenty years' experience at the University of Michigan with 500 consecutive patients suffering from symptoms of Méniére's disease. The Furstenberg regimen of a low-sodium diet has been satisfactory in relieving the most disturbing symptoms of Méniére's disease in the vast majority of cases and often in patients that have failed other treatment programs.The success of the Furstenberg conservative management program has been largely dependent upon the strict adherence by the patient to that specific professionally prescribed, low-sodium diet.
Doctors usually prescribe along with the low-sodium regimen, a high complex carbohydrate diet, omega 3 fatty acids from fish oils and flaxseed oils, and doses of niacin, multiple minerals, including magnesium, along with other B-complex vitamins, and vitamins C, A, and E.
Medical professionals noticed that migraines which may be caused by spasms of blood vessels in your head might also be connected to Meniere’s syndrome symptoms and vertigo. Migraines, vertigo, and Meniere's symptoms--all three--might be brought on by spasms of blood vessels located in your inner ear.
Treatment that might control those blood vessel spasms seems to be similar for vertigo, migraines, and Meniere’s disease symptoms. Research and diet-based remedies with additional nutritional supplements continue to be studied.
Let’s say you have a migraine. The same factors also might be responsible for your repetitive bouts of vertigo. As for Meniere’s disease, the symptoms include vertigo, hearing loss that comes and goes, and tinnitus, which is ringing or buzzing in the ears. The person may complain of fullness in the affected ear. Then headaches and/or nausea develop. What’s happening, according to doctors, is that the affected ear’s inner canal is filling with a fluid called endolymph.
This fluid causes an imbalance. The inner ear is not able to function. You could have problems keeping your balance in walking. At this point you have a choice between standard treatment and nutritional treatment.
In Meniere’s, the attack begins with loud ringing or roaring and buzzing in the affected ear. Then comes the sensation of pressure inside the ear, as if the ear is stuffed up or clogged. Within a few hours, usually at night or when the person lies down, there’s a sudden onset of severe vertigo, but in Meniere’s the vertigo is accompanied by a loss of hearing in the affected ear. The dizziness may last for hours. And there may be nausea and vomiting.
Sometimes the symptoms occur frequently and last for weeks or months. Then the symptoms disappear for months or years at a time. Other times the attacks are intermittent, coming at going at unexpected times. Other times, if the person with these symptoms can sleep, the symptoms might disappear when the individual awakes.
When standard treatment fails, patients turn to natural solutions. Those natural solutions include seeing a nutrition-oriented physician specializing in ear problems. The physician should have experience treating Meniere’s successfully with vitamin B3 (niacin) and other B complex vitamins as well as vitamin C, fish oils high in Omega 3 fatty acids, magnesium, and vitamins A and E.
One daily regimen calls for supplements that include magnesium, ground flaxseeds, fish oils, multiminerals, niacin three times daily, vitamin B complex, and vitamins A, E and C. The vitamin dosages are not very high. But the vitamin B complex needs to be taken together. The vitamins are taken along with a high complex carbohydrate diet. What happens is that vitamin B3 (niacin) puts a damper on the spasms. Magnesium also helps control the blood vessel spasms.
You can’t go overboard and take higher vitamin dosages assuming that they will work correctly. So ask your doctor how much you should take. You only need about 200 mg of magnesium three times a day. And the 50 mg vitamin B complex works well. You don’t need any high dosages of vitamins that could impair your nervous system. The usual recommendation of niacin is 200 mg, three times a day, but again, ask your doctor. Too much niacin damages your liver. You need to tailor the amounts to your individual body.
For Meniere’s disease, causes attributed to the symptoms of the disease include not only blood vessel spasms but also calcification, aspartame (known cause), MSG, HVP, Cysteine (known cause), HSV-1 virus (this is the facial herpes virus that causes cold sores and non-genital herpes. The virus may or may not be a cause. Food allergies or lack of lipase enzyme also may be probable causes.
You have to distinguish between only the symptoms of Meniere’s disease and having been diagnosed with the actual disease. If you have been diagnosed with the actual disease, then you need to find out whether it is due to nerve degeneration or other causes. See the Proposed Natural Treatment for Meniere’s Disease site for further details about causes and natural remedy information.
There are so many possible causes of Meniere's, vertigo, and migraines that have been studied to see whether there is a connection between all three, that you and your doctor need to work together to find out which cause applies to your own situation. Diet changes have been shown to work in the various medical studies you’ll find in the scientific journals under the key words, "research on natural treatment for migraines, Meniere's, and vertigo." The latest scientific news to date is that possibly all three are caused by blood vessel spasms. But the research continues.
You’ll have to decide whether to try the nutrition, mineral, vitamin, and fish/flax oil approach or go with standard drugs, which include the anti-vertigo medications, sedatives, anti-nausea drugs, specific blood-pressure medications, and surgery for severe cases. If you decide to try the nutritional approach first, at least you have the backing of the studies in medical journals that have been shown to prevent and reduce those attacks.
Interestingly, similar treatments for migraine, vertigo, and Meniere’s symptoms have been similar diet changes, minerals, and vitamins. Could migraine, vertigo, Meniere’s and other similar inner-ear problems all be connected to the same causes? And if so, could the causes of the three illnesses be blood vessel spasms, allergies, calcification, herpes virus outbreaks, fluid leaking into your inner ear, a deficiency of the B vitamins, fish oils, complex carbohydrates? Or all of the above?
Or could a combination of all the possible causes named for migraines, Meniere’s symptoms, as well as vertigo attacks lead researchers back to similar roots, viruses, or genetic issues that created malformed blood vessels creating the spasms? Continuing scientific and medical studies will connect the clues and help you to tailor your treatment to your own body’s needs.
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