Dizziness for three months?
Hello Doctor, I have been experiencing dizziness for three months.
After ruling out cervical spine and brain issues, I was diagnosed with "vestibular neuritis." I would like to ask if I should avoid positions or movements that still cause dizziness (for example, rolling onto my right side while lying down) or if I can perform these actions as long as I don't feel like the room is spinning, treating it as vestibular rehabilitation.
I have been hesitant to sleep on my right side, which has led to shoulder pain that has persisted for over two months.
Should I intentionally engage in movements that cause dizziness to train my vestibular system for better balance?
A Xin, 30~39 year old female. Ask Date: 2023/03/09
Dr. Peng Shiwei reply Neurology
Hello, if you have already passed the acute phase, you can gradually train yourself to adapt to various positions.
You may refer to this article: https://tcmc.tzuchi.com.tw/images/pdf/62/68-70.pdf Thank you for your question.
Reply Date: 2023/03/09
More Info
Managing dizziness from vestibular neuritis can be a challenging process, especially when symptoms persist for an extended period. Vestibular neuritis is an inflammation of the vestibular nerve, which can lead to dizziness, balance issues, and other related symptoms. Here are some tips for recovery and management of your condition.
Understanding Vestibular Neuritis
Vestibular neuritis often results from a viral infection that affects the inner ear or the vestibular nerve. Symptoms typically include sudden onset of vertigo, dizziness, balance problems, and sometimes nausea. While the acute phase may resolve within a few days to weeks, some individuals experience lingering symptoms, which can be frustrating.
Recovery Tips
1. Gradual Exposure to Movement: It is essential to gradually reintroduce movements that may cause dizziness. While it might be tempting to avoid certain positions or movements altogether, this can lead to increased sensitivity and fear of movement. Instead, try to engage in gentle movements that provoke mild dizziness, as this can help your brain adapt and recalibrate its balance system. This process is often referred to as vestibular rehabilitation.
2. Vestibular Rehabilitation Therapy (VRT): Consider working with a physical therapist who specializes in vestibular rehabilitation. VRT involves specific exercises designed to improve balance and reduce dizziness. These exercises can help your brain learn to compensate for the loss of input from the affected vestibular system.
3. Avoiding Triggers: While it is important to challenge your vestibular system, you should also be mindful of specific movements or positions that lead to severe dizziness. If certain actions, like rolling onto your right side, cause significant discomfort, it may be wise to avoid them temporarily until you feel more stable. However, don’t let fear dictate your movements; instead, aim for a balance between challenging yourself and avoiding extreme discomfort.
4. Posture and Positioning: Pay attention to your posture and how you position yourself during daily activities. If sleeping on your right side exacerbates your symptoms, consider using pillows to support your body in a way that minimizes discomfort. You might also explore sleeping in a more upright position if that helps alleviate symptoms.
5. Neck and Shoulder Care: Since you mentioned experiencing shoulder pain from avoiding certain positions, it’s crucial to address this discomfort. Gentle stretching and strengthening exercises for your neck and shoulders can help alleviate tension. Additionally, consider heat therapy or massage to relieve muscle tightness.
6. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support overall health and recovery. Some individuals find that certain dietary changes, such as reducing caffeine or alcohol intake, can also help manage dizziness.
7. Mindfulness and Relaxation Techniques: Anxiety and stress can exacerbate dizziness. Incorporating mindfulness practices, such as deep breathing exercises, meditation, or yoga, can help reduce anxiety and improve your overall sense of well-being.
8. Follow-Up with Healthcare Providers: Regular follow-ups with your healthcare provider are essential. If your symptoms persist or worsen, further evaluation may be necessary to rule out other underlying conditions.
Conclusion
Managing dizziness from vestibular neuritis requires a multifaceted approach that includes gradual exposure to movements, vestibular rehabilitation, and attention to overall health. While it’s important to avoid severe triggers, challenging your vestibular system in a controlled manner can facilitate recovery. Remember to listen to your body and consult with healthcare professionals to tailor a recovery plan that suits your specific needs. With time and appropriate management, many individuals experience significant improvement in their symptoms.
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