General Information on Meniere's Disease / Syndrome Meniere's Disease Triggers & Causes

Chiropractics for Meniere’s disease

Chiropractics for the symptoms of Meniere’s disease

You can find several posts on this blog regarding the use of Chiropractics for Meniere’s disease and how it may help your reduce your symptoms. It may be worth visiting a reputable cervical certified Chiropractor and have them check your spine and neck, to see if your symptoms are cervical in origin. A significantly sizable enough number of sufferers have contacted Meniere’s Help over many years and reported significant improvements with their symptoms after treatment for this to be ignored or dismissed.

Chiropractic Rehabilitation in the Treatment of Dizziness

By Donald Murphy, DC, DACAN and Craig Liebenson, DC

Dizziness is a common complaint in the chiropractic office. It is a generic term that must be clearly defined and its cause properly characterized and diagnosed for appropriate treatment to be implemented.
It is a complaint that is often treatable via chiropractic manipulative and myofascial/rehabilitative procedures.

The first stage in the workup of a complaint of dizziness is to accurately identify the actual nature of the symptom. There are essentially four symptoms that can be described by a patient as being “dizziness.”

lightheadedness — The patient feels “not right in the head.”

presyncope — The patient feels “faint.”

disequilibrium — The patient feels off balance, often as if they are being “pulled to one side” and feels as if they could easily fall over.

vertigo — The patient feels as if they are spinning or the world is spinning around them. This can often occur in acute attacks, or it can be a constant, low level feeling. This can be rotatory or can occur in a sagittal plane.

Karel Lewit, MD, one of the foremost authorities in the world on locomotor system dysfunction and its effects on equilibrium, states: “It is important to stress that a cervical factor may be present in all forms of vertigo and dizziness … in no field is manipulation more effective than in the treatment of disturbances of equilibrium.”1

Because the entire locomotor as well as vestibular and visual system is involved in the regulation of equilibrium, all factors must be considered in the patient who suffers from disorders of this system. Michel Norre, noted authority in the field of vertigo and disequilibrium, states: “The dysfunction causing vertigo concerns the total balance function and not the inner ear function alone.”2 The types of dizziness that are generally most likely to fall into the chiropractic rehabilitative realm are disequilibrium and vertigo.

Disequilibrium is most often cervical in origin, as has been demonstrated by Hulse.3 It has been shown in several studies that the cervical spine plays a very strong role in the body’s regulation of equilibrium sense.4-7 In fact, Guyton7 states that the cervical spine plays the most important role in this regulation. One test that can be useful in determining whether a complaint of disequilibrium is of cervical origin is Hautant’s test.1 Have the patient sitting, preferably in a chair with back support to prevent falling, and holding their arms straight out in front of them, palms down. Have them close their eyes and observe for drifting of their arms to one side. Repeat this with the head turned to the right and to the left and often the deviation will become more marked, particularly when the head is turned to the direction of cervical joint dysfunction. This tests the ability of the cervical spine to appropriately regulate muscle tone in the extremities by properly eliciting the tonic neck reflexes.

Vertigo, as stated earlier, is by definition an abnormal sensation of movement, usually spinning. Attacks of vertigo can be elicited by various maneuvers or can be constant. When the vertigo is caused by Meniere’s disease it is accompanied by unilateral tinnitus and hearing loss. Benign positional vertigo is caused by dysfunction of the labyrinthine apparatus in the inner ear and attacks are elicited by changes of head position in space, as can be tested for utilizing the Barany maneuver. Cervicogenic vertigo also occurs in attacks and these attacks are elicited by changes of head position relative to the trunk. This can be tested for by utilizing the rotating stool test,8 wherein the patient sits on a stool that has the ability to rotate and is told to rotate their entire body from side to side while the doctor holds their head in position, thus restricting movement to the cervical spine and avoiding stimulation of the inner ear mechanism. If this elicits an attack of vertigo, it is most likely of cervical origin.

Vetebrobasilar insufficiency can cause vertigo, though with this disorder the vertigo almost never occurs by itself, rather being generally accompanied by other symptoms of brainstem ischemia, such as numbness in the ipsilateral face and/or contralateral body; nausea; vomiting; loss of consciousness; visual problems; difficulty walking; incoordination of the extremities; tinnitus; speech problems and nystagmus. The symptoms can be provoked by rotation of the cervical spine, although this is not always the case, and there may be a history of TIA. Vertigo caused by other brainstem diseases such as CP angle tumor can cause a constant, low intensity vertiginous sensation that increases in intensity as the tumor grows.

So it can be seen that before a referral or management strategy can be formulated, there must be accurate diagnosis of the cause of the disequilibrium or vertigo. There are various treatment/rehabilitative approaches that can be taken to restore normal function and eliminate the complaint.

When vertigo or disequilibrium is caused by dysfunction in the cervical spine or labyrinythine apparatus, it is most often treatable in the chiropractic setting. Optimum function of the cervical spine is essential to the recovery from these disorders regardless of the cause. Lewit10 showed that patients with Meneire’s syndrome can be effectively treated with manipulation, demonstrating that 79 percent of 21 cases showed an “excellent” outcome. Fitz-Ritson8 showed that patients with posttramatic vertigo of cervical origin treated with chiropractic manipulative, myofascial and rehabilitative procedures experienced a 90.2 percent success rate. Treatment must not only be directed towards the correction of joint dysfunction via manipulation, but must also be directed toward muscular dysfunction, such as myofascial trigger points and muscle tightness.11 In addition, faulty movement patterns that involve the cervical spine, including cervical flexion, sit-to-stand, breathing and swallowing12 must be detected and corrected. This is especially important because often these patients will have imbalance in activity between the deep neck flexors and the upper cervical extensors. Examining for this imbalance and correcting it through rehabilitative procedures will help the patient improve locomotor system function as a whole and prevent treatment resistance and recurrence of the problem.

Meniere’s disease and upper cervical chiropractic care: Video

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Further reading/references: Chiropractic Rehabilitation in the Treatment of Dizziness

General Information on Meniere's Disease / Syndrome Meniere's Disease Triggers & Causes

Stress And Meniere’s Disease

Stress And Meniere’s Disease -New Study

Does stress trigger Meniere’s symptoms? New study

According to a new set of trials are set to begin at Osaka University, related to stress and Meniere’s Disease.

One important aspect of this is that, while many doctors in the west may dismiss stress as a major factor the researchers in Osaka had this to say,

“Attacks in Meniere’s disease, characterized by vertigo and hearing loss, are well known to occur repeatedly under stressed environment.

Hitherto, its pathology was revealed to be inner ear hydrops through human temporal bone studies in 1938″

Stress And Meniere’s Disease – The Vicious Cycle

A 2013 study published in Acta Otolarygol, ‘Psychological condition in patients with intractable Meniere’s disease’ states:

“Physicians should consider additional treatment strategies for Meniere’s disease patients with a long history of disease and hearing loss in the secondary affected ear and also provide psychological support regarding future progressive bilateral hearing loss.”

This conclusion was based on the following:

“Between 1998 and 2009, we enrolled 207 patients with intractable Meniere’s disease in this prospective study. We used the Cornell Medical Index and the Self-rating Depression Scale to evaluate their psychological condition.

We also obtained demographic and background information relating to sex, age, duration of disease, vertigo frequency, hearing level in bilateral sides, and plasma vasopressin level.”

Vasopressin is stress hormone that was was initially viewed as strictly a beneficial hormone to help prevent water loss.  It is also referred to as ADH, meaning ‘anti- diuretic hormone’.

This means when stress produces this hormone fluid is being retained. The most common medicine to given to Meniere’s patients is a diuretic. This is meant help reduce the fluid in the inner ear causing Meniere’s.

Vasopressin is a very damaging hormone to the body. It has been implicated as a mediator of renal injury, and acute effects including glomerular hyperfiltration and albuminuria.

Side effects of producing vasopressin include:

  • slow heartbeat
  • dizziness
  • headache
  • nausea
  • vomiting

Poor blood flow has been linked to Meniere’s disease. The vicious cycle of stress = Meniere’s = stress = Meniere’s is well known. If you have Meniere’s disease, there will be accompanying high stress and anxiety and in turn this will produce more Meniere’s symptoms.

Dizziness, headaches, nausea and vomiting with vertigo are all symptoms of Meniere’s.

Fight or flight fear literally turns the immune system off. A constant drip feeding of fear then, must impair the immune system constantly.

Stress, anxiety, fear and anger are extremely detrimental to human cellular health. The body has to be constantly in a state of building, regeneration on cells. Stress hormone impairs that process and can result in disease states developing.

This is why people who are calm, happy, meditate often are usually much healthier than constantly stressed or angry people.

It would seem stress can be both a contributing trigger and perhaps a root cause of Meniere’s disease.

The results of the above mentioned study were:

Neurosis and depression was diagnosed in 40.1% and 60.4%, respectively, of patients with intractable Meniere’s disease.

Our results showed that surgical treatment significantly improved vertigo and hearing ability in patients with no psychological symptoms compared with those exhibiting psychological symptoms.

Patients with a longer duration and worse hearing level in the secondary affected ear had a significantly higher incidence of mental illness than those with a shorter duration and better level of hearing.”

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Related articles:

Click here to read Managing Meniere’s Disease

Click here to read The Need for Balance – Dealing with the Causes of Meniere’s

Do you suffer from stress and Meniere’s disease ? Use the comment box below or email Mike at

References/Further reading: Psychological condition in patients with intractable Meniere’s disease

General Information on Meniere's Disease / Syndrome Meniere's Disease Triggers & Causes

Meniere’s Disease And Allergies

Meniere’s Disease And Airborne Allergies

It is Spring in the northern hemisphere and in many countries hay fever and allergens in the air, pollen from trees and flowers, grasses etc will be causing havoc for people with Meniere’s disease.

Meniere’s disease and allergies in the spring and the autumn/fall to a less extent ho hand in hand. Airborne allergies are a very common trigger and symptoms increase for many sufferers at these times.

Click here to read a more in depth article on how to prevent an increase in symptoms during allergy seasons.

If you have Meniere’s disease the pollen may get clogged up in your sinuses and cause dizziness and vertigo.  This can happen even if you do not directly suffer from hay fever or pollen allergy.

Every year the number of people contacting  Menieres-Help.Com increases significantly around this time of year.

Many sufferers of Meniere’s disease don’t need a doctor or studies to tell them allergies increase pressure and tinnitus and result in increased dizziness and other symptoms. 

They can feel it every season. However there are many studies confirming this. To quote the conclusion of  the 2015 study on the NIH, The link between Allergy and Meniere’s disease:

“MD, although described greater than 150 years ago, is still considered an idiopathic disease. Continued research is needed to further understand the etiology to assist in treatment.

An association between allergy and MD has been shown in cross-sectional and observational studies while animal studies have shown evidence of allergic activity within the inner ear.

Further studies are needed to demonstrate this association via well-designed randomized trials with inclusion of potential confounders. However, given the low risk to patients, inclusion of allergy avoidance and immunotherapy should be considered as part of the treatment plan to help patients control MD symptoms”

Meniere’s Disease And Allergies – Prevention

Prevention is always better than the cure as they say. When you know what your triggers are then why not take steps to avoid this triggers. 

You could wear a dust mask during this season, steam your sinuses regularly. You can also make sure you take great care in other areas of your life that could increase the chances of Meniere’s attacks such as diet, stress and lifestyle (smoking, drinking etc).

There are always triggers in foods, drinks,  the environment, your lifestyle etc . The more you are exposed to the more this will compound your symptoms. Reducing the chances of triggering an increase in symptoms as much as you can would seem prudent.

Steaming with pure clean steam, (not saline solutions), regularly during the allergy season and/or if you work in dusty/polluted environments can help a great deal in keeping symptoms at bay.

Cleaning your sinuses this way keeps them moist. Medications can dry up the sinuses and prevent them from doing their job. The symptoms of allergies are uncomfortable, but the sinuses are doing their job.

The sinuses, along with the tonsils are the first line of defense in your immune system and they should not be prevented from working.

Steaming is a safer and effective way to clean them.

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Related articles:

Help other sufferers. Do you experience problems with Meniere’s disease and allergies ? Tell us all about it in the comments box below or email Mike at meniereshelp@gmail

Click here to  read Managing Meniere’s disease 

Click here to read The Need for Balance – Dealing with the Causes of Meniere’s

Further reading:

General Information on Meniere's Disease / Syndrome Meniere's Disease Triggers & Causes

L-lysine for Meniere’s Disease


Can L-lysine reduce the symptoms of Meniere’s Disease?

Anti-viral treatments and L-lysine for Meniere’s disease

One of the many possible root causes of Meniere’s disease is thought to be viral in origin.

Because of the relative success of various anti-viral treatments in some people this belief has held ground over many years.

If you have ever had a cold sore, the virus can show up in your blood test, so the study done in Hokkaido Japan showing that high numbers of Meniere’s sufferers have this present appears slightly flawed.

That said, viral infections are a possible cause to check for and rule out. It does have to be said that at least some people contact Meniere’s Help and say Valtrex has helped them reduce their symptoms.

The same cane be said of L-lysine.

L-Lysine Study: Recovery of Hearing in Meniere’s Disease after Antiviral Treatment

According to a study published in the American Journal of Otolaryngology published in 2014, ‘Recovery of Hearing in Meniere’s Disease after Antiviral Treatment,’ “Out of thirty one Meniere’s patients hearing was improved in twelve and not improved in nineteen of those patients.

Complete control of vertigo was achieved in those patients with improved hearing.  It may be important to note that the duration of Meniere’s in the group with hearing improvement was shorter (2.4 years) than the group with no improvement (5.5 years).”

Valtrex (valacyclovir) -anti viral medicine

Valtrex (valacyclovir) is an antiviral drug. It slows the growth and spread of the herpes virus to help the body fight the infection. Valtrex will not cure herpes and will not prevent you from spreading the virus to other people. However, this medicine can lessen the symptoms of an infection.

Moreover, Valtrex may also harm your kidneys. This effect is increased when you also use certain other medicines, including: antivirals, chemotherapy, injected antibiotics, medicine for bowel disorders, medicine to prevent organ transplant rejection, injectable osteoporosis medication, and some pain or arthritis medicines (including aspirin, Tylenol, Advil, and Aleve).

Valtrex or valacyclovir is what is known as purine nucleoside class of drug. Purine nucleosides are antiviral agents that have selective activity against herpes simplex virus types 1 (cold sores) and 2 (genital herpes) and varicella zoster virus (chicken pox).

The purine nucleoside molecule is converted to a monophosphate by viral thymidine kinases. The monophosphate is then converted to diphosphate and then into a triphosphate form by cellular enzymes.

The triphosphate form blocks the replication of viral DNA by inhibiting viral DNA polymerase and terminating the growing viral DNA chain.

Other drugs may interact with valacyclovir, including prescription and over-the-counter medicines, vitamins, and herbal products.

Possible side effects of Valtrex include:

  • confusion, aggression, feeling shaky or unsteady
  • hallucinations
  • problems with speech
  • a seizure (convulsions)
  • kidney problems–little or no urination, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath.
  • fever, pale skin;
  • unusual bleeding (nosebleeds, bleeding gums)
  • red or pink urine, little or no urination
  • red spots on the skin (not related to herpes or chickenpox)
  • feeling weak or tired
  • stomach pain, bloody diarrhea, vomiting
  • swelling in your face, hands, or feet

More common side effects are:

  • nausea, stomach pain
  • headache
  • rash
  • tired feeling

Perhaps a much safer natural alternative to Valtrex and other synthetic anti-viral drugs, and one with little to no known side effects is L-Lysine.

Using L-lysine for Meniere’s Disease

L-Lysine is a natural essential amino acid that the body uses to build proteins, the same protein building block that helps treat cold sores and can also help fight cancer.

In fact L-Lysine also benefits the brain and gut. Gut issues are also linked to Meniere’s disease. Low lysine levels have been found in people with Parkinson’s, hypothyroidism, kidney disease, asthma, and depression.

L-lysine is an essential amino acid, meaning it is necessary for human health, but the body cannot make it. You have to get L-lysine from food or supplements.

Foods high in L-lysine include:

  • meats
  • sea food
  • eggs
  • yogurt
  • legumes
  • potatoes
  • tomatoes
  • beets
  • avocado

Spirulina also has high amounts of lysine.

Viruses need arginine – another amino acid – to reproduce, but several studies have found that l-lysine blocks arginine activity.  This can help prevent viruses spreading, or reduce the length of infections.

L-lysine is known to be particularly effective at tackling the virus that causes cold sores, herpes simplex 1, so could it also help with viral ear infections?

There’s an increasing amount of anecdotal evidence that taking l-lysine can help relieve the symptoms of Meniere’s disease such as vertigo, tinnitus, or pain and pressure in the inner ear.

The evidence may be “anecdotal” but do not let that discredit the possibility that it may help. Anything helping any health condition that is natural will always be labelled “anecdotal” because giant pharmaceutical companies will never pay for test or studies.

Nature cannot be patented so there is no chance on monopolizing the market. The big money for studies, trials and tests will only go to pharmaceuticals that can be patented. This is the way the medical “industry” works.

If either valtrex and other anti viral medications or L-lysine work in a Meniere’s patient then that would suggest that indeed, in this particular case a virus is persistently present.

This would mean the regular use of either valtrex or L-lysine would be needed. Chose wisely which one you would use.

Bottom line, it is an elimination process when trying to find your individual root cause and dealing with it. When considering possible causes of your Meniere’s symptoms herpes should be one of the several possible root causes checked for.

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Help other sufferers. Do you have experience with L-lysine for Meniere’s disease?

Tell us all about it in the comments box below or email Mike at

References/Further reading/references:

General Information on Meniere's Disease / Syndrome Meniere's Disease Triggers & Causes

Neurocranial Restructuring

Neurocranial restructuring for Meniere’s disease and vertigo

Neurocranial Restructuring, also known as NCR is a treatment that has been around for well over a decade now and is a powerful therapy in physical medicine.

NCR is similar to cervical spine chiropractic treatment in that it concentrates on the muscular skeletal aspect of the body as an holistic solution to Meniere’s disease or vertigo.

Neurocranial Restructuring is a manipulative craniosacral procedure that works directly on the primary cause of neuro-musculoskeletal dysfunction – a misaligned skull.

Like an earthquake, NCR unlocks the binding pattern in the skeletal system and causes the body to shift into its original and optimal design: head, neck and spine in proper alignment.

By correcting the causes of dysfunction, rather than just treating symptoms, like pain, NCR produces permanent, cumulative changes to the skull, spine, pelvis and nervous system. 

Consequently, unlike other physical medicine techniques where you need maintenance visits for lasting treatment effects, each new NCR series takes you to a new level of functioning. As treatment progresses, life gets better and better.

We had one gentleman this week who combined NCR and supplementation. He was so happy that he requested that we put some information on the website, “even if helps just one person” to quote him.

While it is true many people are living symptom free from strengthening their immune system with the correct quality supplements and this allows our own immune system to take care of the inflammation causing the build of fluid in the inner ear.

It is neither a cure nor a treatment. If you have Meniere’s as a result of skeletal muscular problems in the back and neck area etc then NCR (seen in this video) may actually tackle your root cause.

Around the 6 minute mark there is a patient who had Meniere’s Disease and Vertigo. In this video it mentions:

NCR is said to successfully improve many conditions including other conditions related to Meniere’s disease and vertigo. These include:

All of these have been are often claimed to have a correlation with Meniere’s Disease from different sources.

NCR is reported to allow patients with many conditions come off of medication after years of reliance of painkilling drugs.

Neurocranial Restructuring was created by an American, Doctor Dean Howell. His website states: “In natural medicine, there are three modes of treatment: 1) nutrition, environment, and lifestyle; 2) detoxification; 3) musculoskeletal.” A mantra that very much echoes similarly to what we have been saying at Meniere’s Help for 16 years.

Here is an excellent video about a unique Neurocranial Restructuring (NCR) method. You may find it worth investigating, especially if you have sinus trouble or persistent slight tinnitus that won’t go away despite living otherwise free of all the other symptoms.

Neurocranial Restructuring: Video

If you found this article useful Click here to support Meniere’s Help

Click here to read Managing Meniere’s Disease 

Click here to read The Need for Balance – Dealing with the Causes of Meniere’s

Help other sufferers.

Do you have experience with Neurocranial Restructuring ?

Let us know all about it in the comments box below or email Mike at:

Further reading:

Neurocranial Restructuring

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