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

Can Chiropractics cure Meniere’s disease?

By Mike Spencer

Founder of Meniere’s Help

Researcher and author of Managing Meniere’s Disease – How to Live Symptom Free and The Need for Balance – Dealing with the Causes of Meniere’s

Can chiropractics cure Meniere’s disease?

Can chiropractics cure Meniere’s disease?  For many Meniere’s sufferers it does seem to be a solution. 

After being told by three separate doctors that she had Meniere’s disease and being given the usual mix of diuretics and Serc (betahistine), nobody mentioned to Ana how she could actually free herself of Meniere’s completely, only treat it. Which of course they very rarely do.

The things that can actually help you overcome Meniere’s completely are not usually on the radar of the average ENT’s or audiologist. The reasons for that are clear. They have been taught that there is no known cure for Meniere’s and no known cause.

The mere mention of the word ‘cure’ seems controversial and invites much skepticism, which says a lot about modern medical culture. So then, let’s say ‘solution’ to appease those with the ‘treatment’ mentality.

The truth is, there is no known definitive cause or cure. When mainstream medicine comes to understand that there are several known possible causes and many contributing factors, then by going through the check list of these possibilities they can indeed identify and deal with the root cause (or causes) in each individual case. 

For a multitude of reasons, do not expect this to be happening anytime soon.  Each ‘specialist’ will be compartmentalized in their own specific field and the big picture will usually be obscured to them. Teaching at medical schools is very much focused on the ‘treating‘ of conditions such as Meniere’s with drugs and possibly surgery.

With huge pharmaceutical corporations funding so many medical schools and with their influence so powerful in federal and governmental ‘authorities‘, do not expect definitive ‘cures’ to be found anytime soon for anything. Treatments and perpetual writing of prescriptions are good for business; cures are not. As sad as it is to say, it is as simple as that. We live in a world where ‘profits’ for shareholders is everything.

But the causes are there and therefore so are the cures.

Each individual case of Meniere’s disease may be slightly different, sometimes very different in its overall pathology or root cause. The need soon becomes very apparent for the sufferer to identify their own cause and deal with it accordingly.

If you have been told, “There is nothing more to be done, take the drugs and learn to live with it” then of course it is down to you to take things into your own hands.

Learn how to do this by reading: The Need for Balance – Dealing with the Causes of Meniere’s

In Ana’s case, she was lucky enough to find her root cause within months and now says she feels cured.

Here below is her first email (used with permission):

In Ana’s case she found her cause to be related to neck issues. Excerpt from Ana’s mail:

“I want to share my experience. I am a Mexican 40 years old mother of two kids. I was diagnosed with Menieres early April, I had a very strong vertigo episode, lost 30% of hearing and had this noise on my left ear. I was with the medicine for almost three months (Serc, and a diuretic), of course no sodium, no alcohol, very little caffeine.

I read your page in April and saw all the alternative medicine but I am a University teacher so I had to wait until the semester was over to have some time and go visit the chiropractic. And as soon as I went to the first visit I felt the change, I stop taking the medicines and I eat normal, no sodium restriction, I have not exaggerated but eat normal food and feel great.

My ears are perfect, I am back to me.

I would not had visited the chiropractic if it wasn’t for your information so Thank you very very much! You guys gave me back my life. I wish more people would know about this, because I visited three doctors and they didn’t tell me anything about this possibility and I know they didn’t know because two of them were my relatives.

Thanks a lot!”

I asked Ana if I could use her story on this blog to encourage other sufferers. Below is her response:

“Hi Mike,

Sure please do so. And send a huge hug to the person that wrote about the chiropractic….I didn’t find it anywhere else.
I have a PhD in biotechnology so I am used to read scientific literature, but when it is about myself it is kind of depressing read stuff about Meniere, so I was reading slowly to try no to be overwhelmed. I still can’t believe that none of the three doctors that I visited (and gave me the same Meniere diagnosis) told me about the possibility of having a problem in the cervical vertebrae and that it was possible to fix it. One told me it was probably because I ate too much salt, the other because of too much stress, and the other one it was probably autoimmune, and I believed that it was probably caused because of a medicine (domperidone) that I took and there are two cases that relate it to menieres in the FDA . But I read you article which was straight to the point and started to do a check list on the alternative medicines. Not just mentioning “life style modifications” which I found in other articles and wonder…. WHAT life style modifications. So thank you thank you!

I wish more people knew about the chiropractic and find that solution. Probably that is not the case for all… but it is worth to try it, and of course to go with someone that knows how to treat it, probably not all chiropractics would know how to treat it but this guy is very good.

Million thanks!

Ana Leal”

The point of posting Ana’s story is to encourage you the sufferer to understand Meniere’s is not as hopeless as you may have been led to believe. On the contrary, you CAN overcome this condition completely.

Cervical spine misalignment may or may not be relative to your own condition. If it is, it is important that you get checked by a reputable cervical certified chiropractor or osteopath. This can be fixed. Ana’s story is not uncommon. We often get mails from sufferers who have found this to be their root cause, fixed it and overcome Meniere’s.

Kelly from Michigan in the US emailed Meniere’s Help with a similar story a few months ago.

Kelly read both of my books Managing Meniere’s Disease and The Need for Balance and we had also corresponded before I received an email from her with her story:

 

During our correspondence it was clear that Kelly was aware she had both allergies and neck issues.  Kelly dealt both with her allergies and neck issues to free herself of Meniere’s symptoms. She wrote,

“I did some research on Meniere’s & found you (Thank God). I made an appointment with an Allergist & an Atlas Orthogonist. They have both helped me tremendously. I found out I am allergic to dust mites, feathers, cats, dogs, ragweed, weeds, grass pollen, cockroach, molds, tree pollen and pine. The Dr put me on allergy medicine and a nasal spray. I haven’t felt dizzy or had a headache since

In regards to her neck issues, she was shown on her MRI where the nerve was being pinched & the blood flow was being cut off.  She went on to say,

“When I went to the back doctor she discovered I have C1/C2 misalignment, loss of cervical curve, herniated discs in cervical spine. In her words, “You’re one twisted girl”. My x-rays show how tilted my head is. It’s leaning to the right. You can also see on my MRI where the nerve is being pinched & the blood flow is being cut off. I’m on a 3 month treatment plan which includes cervical decompression & cold laser therapy. So far so good. This is the best I’ve felt in a year. Thank you so much for pointing me in the right direction.”

Neck and spinal issues are very common in Meniere’s sufferers, especially C1 and C2 but often further down the spine too. Kelly’s atlas bone being out of alignment and her shoulder being pulled down was very similar to my own case. Although I had lived for 10 years 95% symptom free through dietary changes and supplementation ( I still had slight tinnitus and deafness), it wasn’t until I saw an excellent chiropractor in Japan in 2012 and had my neck misalignment corrected that I was totally freed of Meniere’s and finally regained my hearing. I could no longer just say I was symptoms free, but I could say in fact that I was now fully ‘cured‘.

Kelly’ most recent email to me read:

“Mike, I would love for you to share my story. If it can help just one person that would be awesome. I still cannot believe how great I feel. I feel like my old self again. Which I thought that person was gone forever. I just can’t thank you enough. (My husband thanks you too). So yes, you have my permission to share my story.”

Cervical spine issues may or may not be relevant to your own individual Meniere’s case. If this is not the case with you then there are several other possibilities for you to consider, make a check list and get checked for.

Once you have identified what is relevant to you, you have the keys to your ‘solution’. Knowledge is useless though unless you, yourself, take the appropriate action.

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

Do not let lack of knowledge or lack of belief cause you to suffer one day more. You too can soon be saying “I am back to me and feel great” or ” I feel like my old self“.

So can Chiropractics cure Meniere’s disease?

It certainly seems a solution for many sufferers. 

Help other Meniere’s sufferers: Have you successfully overcome Meniere’s or do you have experience with Meniere’s and cervical spine? Tell us all about it in the comments boxes below or email Mike at meniereshelp@gmail.com

Chiropractics for Meniere’s disease

Mike’s Meniere’s Story

Meniere’s Disease and Cervical Spine

Further reading:

https://pubmed.ncbi.nlm.nih.gov/21629395/

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

Meniere’s disease – Cervical Spine and TMJ

Meniere’s disease – Cervical Spine and TMJ

By Mike Spencer

Founder of Menieres Help -Supporting sufferers since 2004

Researcher and author of Managing Meniere’s Disease – How to Live Symptom Free, The Need for Balance – Dealing with the Causes of Meniere’s and The Meniere’s Help Reports – Ten Part Series

Misalignment in the cervical spine, neck and jaw (TMJ) have all been linked to Meniere’s disease.

Many people who have had chiropractic readjustments and manipulation of the cervical spine have freed themselves of Meniere’s symptoms, notably C1 through C6.

The most commonly found misalignment in the neck is C1 or also known as the Atlas bone. The skull sits on this cup like bone and often in Meniere’s sufferers or sufferers of vertigo, it has slipped out of place. This is usually due to trauma of some kid such as whiplash or sudden jerk like movement.

This can go years without being detected, and years before causing disturbances with equilibrium and the ear.

Treatment for TMJ/TMD has also been successful in stopping Meniere’s disease symptoms in some people. Such testimonials are common in emails to Meniere’s Help. Neither cause is recognized by ENTs and GPs in general but the numbers speak for themselves. When researched, the science also backs this up.

This message was posted by Bryann in a Meniere’s group on Facebook recently (May 2017) regarding TMJ and Meniere’s:

“Hey y’all, just a treatment update. I’ve been in treatment for TMJD with Dr. Foskin and Adelina in Oklahoma City since November 2016 and I’ve been symptom free since December 2016. I just had a check up this week and it looks like my jaw is stabilizing!

Please, please, please get an assessment to rule out TMJD!!! I would have never thought I had it, but I did! An amazing thing about this last visit, when I was first assessed, I had a tremendous amount of neck and shoulder pain. I had Dr Foskin do the same assessment and the pain is gone! I also used to have a lot of headaches and they are gone too! If you are having random neck and shoulder pain, this is a telltale sign of TMJD.  Good luck to you all in your journey to health!”

Have you had your neck, back and jaw checked for any irregularities?

You can read more information on links to Meniere’s symptoms and the neck and spine on this page: Chiropractics for Meniere’s disease

On the page linked to above you will read in one section about the work of Doctor Michael Burcon and his peer reviewed paper in 2010 after performing a study on 139 patients. In March 2017 a press release was published and circulated on social media with the headlines ”

“After 155 Years, the Cause of Meniere’s Disease has Finally Been Discovered,”

The headline is rather misleading in that yes, although neck and spinal issues are very significant in a many Meniere’s cases, it cannot be claimed to be “THE” definitive cause, just as nothing else can be claimed to be the outright definitive cause.

The reasons for this are simple, there are several possible causes and possibly more than one cause in each individual case. This is discussed at great length, how to find your own particular cause(s) and how to eliminate them from your life (therefore eliminating Meniere’s from your life) in the book, The Need for Balance – Dealing with the Causes of Menieres.

The significance of this press release is that Doctor Burcon’s work has now extended to 300 patients over 6 years.

“Six years of treatment on 300 patients demonstrated a 97% improvement in the intensity and duration of vertigo attacks,” Journal of Upper Cervical Chiropractic Research.

The paper was actually released in 2016 and is discussed in The Need for Balance. Dr Burcon explained: “Seven hundred and twenty one consecutive patients diagnosed with Meniere’s disease have entered my clinic, most denying a history of a head/neck injury,” .

In the press release, The Journal went on to state: “Most patients are diagnosed with Meniere’s in middle age. That’s because they were injured in high school or college, when they were learning to drive, playing sports or attempting to do something they came to regret. Luckily, it’s not too late to benefit dramatically from upper cervical specific care. These doctors take post graduate training to get certified in their technique. They spend more time testing to create an adjustment, based on x-ray analysis, tailor-made for the patient. This translates to faster, safer results, especially with patients with one-sided neurologic disorders like Meniere’s disease or Trigeminal neuralgia.”

Having communicated with Dr Burcon on several occasions I cannot imagine he was responsible for the sensational headline. But that said, his work is significant and should not be ignored or ridiculed as it is by some who have alternative (and potentially lucrative) treatments.

Dr Burcon says: “The reason it took so long to discover the cause of Meniere’s disease is simple, it takes an average of 15 years from the time of the trauma, a whiplash/concussion injury caused by a vehicular accident or significant blow to the head, before the onset of symptoms.”

Ligaments are damaged allowing an upper cervical subluxation complex to slowly develop over time. Additionally, the brain slips lower into the foramen magnum, slowing the flow of cerebrospinal fluid out of the skull, creating normal pressure hydrocephalus. Since the skull acts as a closed hydraulic system, less blood flows into the head. This syndrome is often missed on supine MRIs. These films should be taken upright, seated or standing, and should include the upper cervical spine in addition to the head.

So is Meniere’s disease – Cervical Spine and TMJ relevant?

Yes, absolutely for some people.

Whether it be the neck, the spine, the jaw or teeth, Musculoskeletal imbalances are an important possibility that you should get checked for and corrected if need be.

Click here to read Managing Meniere’s Disease – How to Live Symptom Free
Click here to read The Need for Balance – Dealing with the Causes of Meniere’s

Help other Meniere’s sufferers. Do have experience with Meniere’s, the spine, neck or jaw? Tell us all about it in the comments boxes below or email Mike at meniereshelp@gmail.com

Further reading:

https://pubmed.ncbi.nlm.nih.gov/12555932/

Categories
Meniere's Disease Triggers & Causes

Meniere’s Disease and Cervical Spine

Meniere’s Disease and Cervical Spine

Chiropractics And Meniere’s Disease

The link between Meniere’s symptoms, particularly vertigo and neck irregularities may be one of the several possible causes of Meniere’s Disease and you would be wise to have your neck and spine checked if you are a sufferer. You can also will find more information related to Chiropractics and Meniere’s Disease & vestibular problems elsewhere on Meniere’s Help.

Supplementation, Diet Changes & Chiropractics to beat Meniere’s Disease

This lady combined supplementation and diet changes for a yeast overgrowth with Chiropractics to free herself of Meniere’s Disease symptoms. Below is her a summary of her communication with Meniere’s Help:

Hi Michael,

Sorry for the delay in replying to you.

I am doing much better these days. I was initially taking the supplements for over 4 months without real improvement and not being able to pinpoint any factors which was my trigger. Someone told me about a doctor in Belfast who no longer worked for the NHS as he took a more alternative therapy view on health, a more holistic approach. I attended his clinic about 3 months ago and after a consultation and some investigations he diagnosed my problem as candida overgrowth. To deal with the bacteria overgrowth and he put me on a strict diet (no yeast, no dairy, no sugar). He also had me attend a chiropractor as he felt my neck had a lot of tension in it which could be triggering some of my dizziness/vertigo. Since I have been on this diet & the supplements and finished course of chiropractor treatment i am feeling much better, more energy, no vertigo in 2 months, sleeping better….just feeling like my old self again! The only thing that still bothers me at times is the tinnitus but i can live with that!

Thanks once again for the help and support i received from yourself and Karin

Joanne

Used with permission.
Learn more about how you can free yourself from Meniere’s

Note: Candida is a yeast infection that can occur in several parts of the body including the stomach (often the root), the genital area, the mouth and the EAR. Natural things that combat candida are ginger, garlic, grapefruit and probiotics. Some things that can cause or encourage candida growth are sweet foods, alcohol (especially beer) and ani-biotics. It is generally advised these day that after a course of anti-biotics you should use probiotics or Probiotic yogurts are plentiful in the shops these days.

Ear candling is said to be a good treatment for candida.

———————————————————————————————————————-
Nuerocranial Restructuring

We occasionally hear from people who have a difficult time getting completely over the symptoms of Meniere’s Disease, even while on the supplements we recommend. One or two of them have combined the supplements with Neurocranial Restructuring. We had one gentleman this week who combined the two and was so happy that he requested that we put a video or some info on the website, “even if helps just one person” he said.

Below is a 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 because you use the supplements we talk about so much on this blog and Menieres-Help.Com .

While it is true many people are living symptom free from strengthening their immune system with the 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 not a cure. 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 also mentions TMJ, Migraines, Neck pain, Sinuses, Whiplash, Fibromalgia, Back pain, Tinnitus, Fatigue, Dizziness, and Core posture. All of these are claimed to have a correlation with “Meniere’s Disease” from different sources.

Email us at meniereshelp@gmail.com 

……………………………………………………………………………………………………….

Meniere’s Disease and Cervical Spine

How Chiropractic Rehabilitation May Help Your Meniere’s Symptoms

We have posted a few times on Chiropractics, and how it may help your Meniere’s disease symptoms. Here is a detailed report on this topic. It may be worth visiting a reputable Chiropractor and have them check your spine and neck, to see if your symptoms are cervical in origin.

* Note: Your Chiropractor should be cervical certified *

In the article below (click the link at the bottom for the full article) The doctor states: “The dysfunction causing vertigo concerns the total balance function and not the inner ear function alone.” The eyes are part of that system and if you have Meniere’s, you will notice how it often feels the state of the eyes can trigger an attack. Simply watching TV, observing a moving object, strain from staring at computer screens etc.

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.

Dr Burcon’s work with Meniere’s Disease and Cervical Spine

World Renowned Chiropractic doctor and international speaker on the subject of Meniere’s and Cervical problems Mike Burcon published a peer reviewed paper in 2010 after performing a study on 139 patients.

The paper “Upper Cervical Specific Protocol and Results for 139 Patients with Medically Diagnosed Menieres Disease” is well worth a read.

Here is a short extract from the paper’s abstract:

The cause of Menieres disease is unknown; the pathophysiology is poorly understood, and the treatment empirical. One theory is that the most common cause of Menieres disease is a structural problem, i.e., an upper cervical subluxation complex that is irritating the origin of CNVIII and partially blocking the Eustachian tube. The objective is to demonstrate the effectiveness of cervical specific chiropractic management with one hundred and thirty nine patients medically diagnosed with Menieres disease.

Results:

One hundred thirty out of one hundred and thirty nine patients had inferior and posterior listings with laterality on the opposite side of their involved ear. After one or two specific cervical adjustments, one hundred and thirty six out of the one hundred and thirty nine patients presented with balanced legs and an absence or dramatic reduction of symptoms, especially vertigo. After two years, on a scale of 0 to 10, with 0 representing the absence of the symptom and 10 being the worst imaginable, vertigo was lowered from an average of 8.5 to 1.4.

Conclusion:

Prior to the onset of symptoms, all one hundred and thirty nine cases suffered cervical traumas; most from automobile accidents, resulting in previously undiagnosed whiplash injuries. It is unlikely coincidental that one
hundred and thirty out of one hundred and thirty nine consecutive Menieres patients would present with a posterior and inferior atlas listing with laterality on the opposite side of the involved ear. More research on Menieres and chiropractic is needed.

Dr Burcon has been very helpful with information and communication with Menieres-Help.Com and has even been kind enough to treat sufferers who have contacted us.

Help other Meniere’s sufferers. Tell us your thoughts or experiences with chiropractics, the neck or back and Meniere’s in the comment box below or email Mike at meniereshelp@gmail.com

Related articles:

Categories
Meniere's Disease and Nutrition Uncategorized

Meniere’s Disease and Vitamin Supplements

Meniere’s Disease and Vitamin Supplements

Holistic approach to Overcoming Menieres Disease

This lady combined supplementation and diet changes for a yeast overgrowth with Chiropractics to free herself of Meniere’s symptoms

“Hi Michael,

Sorry for the delay in replying to you.

I am doing much better these days. I was taking the supplements for over 4 months without any improvement and not being able to pinpoint any factors which was my trigger. Someone told me about a doctor in Belfast who no longer worked for the NHS as he took a more alternative therapy view on health, a more holistic approach. I attended his clinic about 3 months ago and after a consultation and some investigations he diagnosed my problem as candida overgrowth. For this he put me on supplements to deal with the bacteria overgrowth and a strict diet (no yeast, no dairy, no sugar). He also had me attend a chiropractor as he felt my neck had a lot of tension in it which could be triggering some of my dizziness/vertigo. Since I have been on this diet & supplements and finished course of chiropractor treatment i am feeling much better, more energy, no vertigo in 2 months, sleeping better….just feeling like my old self again! The only thing that still bothers me at times is the tinnitus but i can live with that!

Thanks once again for the help and support i received from you

Joanne”

Used with permission.

Click here to read Managing Meniere’s Disease – How to Live Symptom Free

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

Help other Meniere’s sufferers. Do you have a similar experience to Joanne? Let us know in the comments box below or email Mike at: meniereshelp@gmail.com

Related articles:

Candida Albicans and Meniere’s Disease

Chiropractics for Meniere’s disease

 

 

Further reading:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3081245/

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

Chiropractics for Meniere’s disease

Chiropractics for Meniere’s disease

You can find several posts on this blog regarding Chiropractics for Meniere’s disease and how it may help your symptoms. Below is a link to a detailed report on this topic. 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 sizable enough number of sufferers have contacted Meniere’s Help over many years and reported significant improvements with their symptoms after treatment.

Extract:

Chiropractics for Meniere’s disease

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.

Click Here to Get Managing Meniere’s Disease – How to Live Symptom Free
Click Here to Get The Need for Balance – Dealing with the Causes of Meniere’s

 

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

Related articles:

Further reading: http://www.dynamicchiropractic.com