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

Drop Attacks in Meniere’s Disease

Understanding and Managing Drop attacks in Meniere’s Disease


Image showing person falling to represent a drop attack

One of the most distressing symptoms of Meniere’s disease is drop attacks. These sudden terrifying falls without warning can be potentially dangerous, especially for older adults. In this article, we will discuss drop attacks and provide strategies for managing them. It is important to remember that not everyone who suffers from the other symptoms of Meniere’s, such as dizziness, vertigo, tinnitus and hearing loss, experiences drop attacks.

Symptoms of Drop Attacks

Drop attacks are, without doubt, one of the most extreme symptoms of Meniere’s disease. These sudden falls without any prior warning are caused by a sudden loss of balance, and the person may feel as though the ground has given way beneath their feet. Others speak of a sudden feeling of being on a jet coaster and their legs are thrown in the air. It can be a surreal experience and a dangerous one.

Causes of Drop Attacks

The exact definitive cause of Meniere’s disease is unknown, but it is believed to be caused by a buildup of fluid in the inner ear. This fluid buildup can affect the balance and hearing systems, leading to symptoms such as drop attacks. In drop attacks themselves, it would seem logical that a sudden shift in either fluid or crystals within the endolymphatic sac puts sudden increased pressure on the balance nerves.

Frequency of Drop Attacks

The frequency of drop attacks in Meniere’s disease can vary from person to person. Some people may experience several attacks per day, while others may have only a few attacks per year. The severity of the attacks can also vary, with some people experiencing mild falls and others experiencing more severe falls.


While there is no cure for Meniere’s disease, there are steps that can be taken to prevent drop attacks. These include making certain lifestyle changes such as reducing stress, maintaining a healthy diet, and avoiding triggers. Medications can also be used to manage symptoms, such as diuretics, antihistamines, and corticosteroids. Physical therapy and assistive devices can also help improve balance and reduce the risk of falls.


Managing drop attacks in Meniere’s disease is critical to improving the quality of life for those who suffer from this condition. Lifestyle changes, medications, physical therapy, assistive devices, and surgery are all strategies that can be used to manage drop attacks. Making certain lifestyle changes such as reducing stress and maintaining a healthy diet can help prevent attacks. Medications can be used to manage symptoms, while physical therapy and assistive devices can improve balance and reduce the risk of falls. In severe cases, surgery may be suggested.

Drop attacks in Meniere’s disease can be distressing and potentially dangerous. However, with the right support and management strategies, people with Meniere’s disease can live a full and active life despite the challenges posed by drop attacks. If you are experiencing symptoms of Meniere’s disease, it is essential to see a healthcare professional for proper diagnosis and treatment.

Sudden Drop Attack – JAMA – Video

“Drop attacks are sudden falls without warning that can occur without loss of consciousness or neurologic symptoms as a rare manifestation of Meniere disease. Patients typically describe a sensation of being pushed, thrown, or knocked to the ground or have a sudden illusion of environmental tilt causing the fall. This video shows a drop attack (also sometimes called an otolithic crisis, Tumarkin drop attack, or drop vestibular attack) in a 47-year-old man with Meniere disease manifest as longstanding recurrent vertigo, fluctuating hearing loss, and tinnitus in his left ear. Pathophysiology is thought to be associated with sudden changes of utricle or saccule function or by sudden stimulation and mechanical deformation caused by pressure differentials within the inner ear or by a rapid change in electrolyte levels in the endolymph and perilymph.” JAMA Neurology.

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References/Further reading:

  1. “Meniere’s Disease” (National Institute on Deafness and Other Communication Disorders) –
  2. “Meniere’s disease: Symptoms and causes” (Mayo Clinic) –

Help other sufferers. Have you experienced drop attacks? How did you deal with it? Tell us all about it in the comments box below or email Mike at

Meniere's Disease Triggers & Causes

TMJ, Meniere’s Disease and Dizziness. What are the connections?

TMJ disorder, Meniere’s disease, and dizziness are all conditions that can be incredibly disruptive to one’s daily life. While they are distinct conditions, there is often a significant overlap between them, with TMJ disorder and Meniere’s disease frequently causing dizziness and other balance problems. In this article, we will explore the connection between TMJ, Meniere’s disease, and dizziness, including their causes, symptoms, diagnosis, treatment, and management options.


TMJ disorder is a condition that affects the temporomandibular joint, which connects the jawbone to the skull. It can be caused by a variety of factors, including injury to the jaw, stress, grinding or clenching of the teeth, and arthritis.

Dizziness can be caused by a wide range of factors, including inner ear disorders, such as Meniere’s disease, as well as neurological conditions, low blood pressure, medication side effects and musculoskeletal imbalances including TMJ.


TMJ disorder can cause a wide range of symptoms, including pain and tenderness in the jaw, difficulty chewing, clicking or popping sounds when opening or closing the mouth, and headaches.

Meniere’s disease can cause vertigo (a spinning sensation), tinnitus (ringing in the ears), and hearing loss.

Dizziness itself can cause a range of symptoms, including lightheadedness, feeling faint, a spinning sensation, and loss of balance.


Diagnosing TMJ disorder and Meniere’s disease can be challenging, as their symptoms can be similar to those of other conditions. A healthcare professional will typically perform a physical examination, take a medical history, and may order imaging tests or blood tests to help diagnose these conditions.

Dizziness can be diagnosed through a variety of tests, including balance tests, hearing tests, and neurological exams.


Treatment options for TMJ disorder and Meniere’s disease vary depending on the severity of the condition and the individual’s symptoms. Treatment options for TMJ disorder may include medications, physical therapy, lifestyle changes, and, in severe cases, surgery. Treatment options for Meniere’s disease may include medications to manage symptoms, such as anti-nausea medications, and vestibular rehabilitation therapy to improve balance.

Dizziness treatment will depend on the underlying cause of the condition. Treatment options may include medications, lifestyle changes, or vestibular rehabilitation therapy.


Managing TMJ disorder, Meniere’s disease, and dizziness requires a multi-disciplinary approach, involving a combination of medications, physical therapy, lifestyle changes, and, in some cases, surgery. Lifestyle changes may include avoiding certain foods, practicing good posture, and reducing stress.

It is also important for individuals with these conditions to be proactive in managing their symptoms, such as by keeping a diary of their symptoms and triggers, and working closely with healthcare professionals to develop a personalized treatment plan.


TMJ disorder, Meniere’s disease, and dizziness are all conditions that can significantly impact one’s quality of life. While they can be challenging to diagnose and manage, there are various treatment options available, both traditional and complementary. It is essential to seek medical attention if you experience any symptoms related to TMJ, Meniere’s disease, or dizziness, as early diagnosis and treatment can help manage the conditions and prevent further complications. If you experience any of these symptoms, do not hesitate to contact your healthcare provider to discuss your treatment options and find the best approach for your specific needs.

By understanding the connections between TMJ, Meniere’s disease, and dizziness, you can take the necessary steps to manage your symptoms and improve your overall quality of life. With the right treatment plan and management strategies, it is possible to live a fulfilling life despite these conditions.


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References/Further reading:

  1. “TMJ Symptoms.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 17 Apr. 2020,
  2. “Meniere’s Disease.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 7 Oct. 2020,
  3. “Dizziness and Vertigo.” American Academy of Otolaryngology-Head and Neck Surgery, 13 Apr. 2021,
  4. Lee, A. T., et al. “Temporomandibular Joint Disorders and Associated Comorbidities.” Current Pain and Headache Reports, vol. 23, no. 10, 2019, p. 72. PubMed, doi:10.1007/s11916-019-0813-3.
  5. Callahan, L. F., et al. “Temporomandibular Disorder and Comorbid Pain Conditions in a National US Sample.” Journal of Orofacial Pain, vol. 33, no. 1, 2019, pp. 11–20. PubMed, doi:10.11607/ofp.2316.
  6. He, Z., et al. “Magnetic Resonance Imaging-Based Evidence of Structural Changes in the Temporomandibular Joint Disc in Patients with Meniere’s Disease.” The Journal of International Medical Research, vol. 47, no. 1, 2019, pp. 120–28. PubMed, doi:10.1177/0300060518814589.
  7. Wiet, R. J., et al. “Dizziness and Otalgia.” The Journal of Family Practice, vol. 58, no. 6, 2009, pp. 322–27.
  8. Jafari, S., et al. “Association between Temporomandibular Disorders and Vertigo: A Systematic Review and Meta-Analysis of Observational Studies.” The Journal of Oral Rehabilitation, vol. 46, no. 2, 2019, pp. 166–75. PubMed, doi:10.1111/joor.12734.
  9. Schrepf, A., et al. “Pain and Inflammation in Patients with Meniere’s Disease: An Observational Study.” Frontiers in Neurology, vol. 8, 2017, p. 265. PubMed Central, doi:10.3389/fneur.2017.00265.
  10. “Diagnosis and Treatment of Temporomandibular Disorders.” NIH National Institute of Dental and Craniofacial Research, U.S. Department of Health and Human Services, 3 Dec. 2018,

Help other sufferers. Do you have experience with TMJ and Meniere’s type symptoms? Let us know all about it in the comments box below or email Mike at

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