Tag: treatment

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

Post author By Mike
Post date March 9, 2023
No Comments on TMJ, Meniere’s Disease and Dizziness. What are the connections?

Image showing temporal jaw bone and muscles around the ear

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.

Causes

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.

Symptoms

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.

Diagnosis

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

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.

Management

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.

Conclusion

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.

Videos

TMJ, the Spine and the symptoms of Meniere’s

Jane’s Meniere’s Disease and TMJ pain relief story

TMJ Self Adjustment

If you find this site useful Click here to support Meniere’s Help paypal.me/menieres

References/Further reading:

“TMJ Symptoms.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 17 Apr. 2020, www.mayoclinic.org/diseases-conditions/tmj/symptoms-causes/syc-20350941.
“Meniere’s Disease.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 7 Oct. 2020, www.mayoclinic.org/diseases-conditions/menieres-disease/symptoms-causes/syc-20374910.
“Dizziness and Vertigo.” American Academy of Otolaryngology-Head and Neck Surgery, 13 Apr. 2021, www.enthealth.org/conditions/dizziness-and-vertigo/.
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.
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.
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.
Wiet, R. J., et al. “Dizziness and Otalgia.” The Journal of Family Practice, vol. 58, no. 6, 2009, pp. 322–27.
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.
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.
“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, www.nidcr.nih.gov/health-info/tmj/more-info/diagnosis-and-treatment.

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 meniereshelp@gmail.com

Tags causes, Diagnosis, Dizziness, management, Meniere's Disease, symptoms, TMJ, treatment

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

Can Chiropractics cure Meniere’s disease?

Post author By Mike
Post date June 28, 2017
1 Comment on Can Chiropractics cure Meniere’s disease?

Can Chiropractics cure Meniere’s disease? Two real accounts from sufferers

Can chiropractics cure Meniere’s disease? For many sufferering the symptoms of Meniere’s, 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.

Options such as Chiropractics, that can actually help you overcome Meniere’s completely, are not usually on the radar of the average ENT’s or audiologist. And not all chiropractors are able to help the symptoms of dizziness/vertigo, deafness and tinnitus.

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

Ana’s case

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. In fact it is one of the more common themes we have come across over many years. We often get mails from sufferers who have found this to be their root cause, fixed it and overcome Meniere’s.

Kelly’s case

Kelly from 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 much of my hearing.

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.”

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“.

Can Chiropractics cure the symptoms of Meniere’s disease?

It certainly seems a solution for many sufferers. Cervical spine issues can lead to tinnitus, deafness and vertigo/dizziness, so the neck and spine are very relevant to many with Meniere’s disease.

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.

If you found this article useful Click here to support Meniere’s Help paypal.me/menieres

Chiropractics for Meniere’s disease

Mike’s Meniere’s Story

Meniere’s Disease and Cervical Spine

By Mike Spencer

Founder of Meniere’s Help

Researcher and author of Managing Meniere’s Disease and The Need for Balance – Dealing with the Causes of Meniere’s

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

References/Further reading:

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

Tags atlas bone, back, c1, c2, cause, cervical spine, Chiropractic, Chiropractor, cure, cured, Meniere's Disease, Meniere's Syndrome, neck, treatment, Vertigo

General Information on Meniere's Disease / Syndrome

Can Lymphatic Drainage Therapy Relieve Meniere’s Symptoms?

Post author By Mike
Post date June 21, 2017
No Comments on Can Lymphatic Drainage Therapy Relieve Meniere’s Symptoms?

Lymphatic Drainage Therapy for Meniere’s Symptoms

Can Lymphatic Drainage Therapy Relieve Meniere’s Symptoms?

If you have been diagnosed with having Meniere’s, then you have probably heard the term “endolymphatic hydrops”.

‘Endolymph’ is the fluid that can be found in the labyrinth of the inner ear. In study’s done in 2001 it was concluded that the inner ear has a lymphatic drainage system connected to the lymph nodes close by in the neck.

The lymphatic system is the body’s drainage system. It is a complex network of vessels throughout the body that is designed to drain fluid from the tissues of the body and return the fluid to the circulatory system. The lymphatic system is also an integral part of the immune system.

If there is a build up of fluid inside the ear causing hydrops (inflammation or swelling) then it would make perfect sense to assume taking action to help the fluid drain away would reduce or relieve the symptoms that result from this excess fluid. After all the whole concept of an endolymphatic shunt is ‘drain’ the excess fluid away. Is it necessary to have such invasive surgery or can this fluid be drained into the lymphatic system as it should be through other means?

In the ‘Compendium of Dr Vodder’s Manual Lymph Drainage’ Renato Kasseroller is quoted as saying in relation to Meniere’s Disease:

“Experience has shown that improving the rheology (the ability to flow or be deformed ) and Lymphatic drainage flow also improves the symptoms. These patients usually exhibit clearly discernable paravertebral muscle tension in the neck region.

Treatment always begins with draining the cervical Lymph nodes of the neck, beginning with the nape, and head. After that specialized therapeutic techniques are applied to the ear, inner ear along with internal oral drainage.

The extensor musculature of the back is also treated. Treatment time is around 45 minutes, with daily sessions at first. After about two weeks 2-3 sessions per week are enough. The attacks will become less frequent and less severe.”

I have serious personal doubts over the claim, “After about two weeks 2-3 sessions per week are enough. The attacks will become less frequent and less severe.” I can find no studies showing this and more importantly in my eyes I have seen no evidence from the thousands of sufferers who have contacted Meniere’s Help in the past.

That said, if I have learnt one thing in my years of support work and research it is to not discount anything off hand. Just because nobody is talking about it, just because I cannot find studies, it doesn’t mean it is not a valid treatment option. There are plenty of solutions to Meniere’s disease that we spoke of and were laughed at, discounted or attacked in the early years of Meniere’s Help. Now I see them spoken of commonly in online support groups and even by medical professionals.

So with that said, MLD may have some very beneficial effects and provide relief to the sufferer.

It is claimed that scientific studies have proven that the immune system is supported and even boosted as a result of receiving regular MLD treatments. A sluggish lymphatic system increases the chance of chronic illness and disease.

In addition to helping relieve Meniere’s, It is also claimed that MLD treatments can relieve tinnitus and sinusitis . Tinnitus is one symptom of Meniere’s and the sinuses are an important factor in many sufferers.

Among the emails sent to Meniere’s help from sufferers over the past 13 years, I could only find one that mentions Lymphatic drainage therapy or MLD and in this person’s case it didn’t prove successful.

So I went online to see if I could find anecdotal evidence from sufferers, either good or bad.

The first case I found was a lady who claimed she had reversed the symptoms of Autoimmune Inner ear Disorder (AIED) including regaining her hearing. In addition to AIED she also had several other conditions and had this to say:

“I have systemic autoimmune problems affecting my joints, thyroid, digestive tract and I’ve been diagnosed with Sjogren’s syndrome which is autoimmune and affects eyes, mouth etc. The lymphatic drainage therapy positively affected all of these to a lesser degree.

After one year, I returned for a hearing test. My left ear was completely normal. I could hear in my right ear at 25 decibels and could distinguish words at 98%. I continue to have mild tinnitus in the right ear.
At two years, I have maintained the improvement. The downside is that I find I must continue the lymphatic drainage therapy to maintain the improvement—although on a greatly reduced schedule. And, insurance won’t pay for it.”

I trawled the FB Meniere’s groups to see if anyone was commenting about Manual Lymphatic drainage. I found a few posts but not many comments. The comments were mixed in terms of results:

One post showed a video regarding a self MLD technique (see video below). Some comments on this post were:

“ Just gave it a shot while I was watching it. First up, I did feel a relief of pressure in my ears. Prior to starting I had a lot of pressure but low level dizziness. The pressure seems to have reduced but dizziness has increased a lot.”
“I tried it and it took a lot of pressure off my ears they don’t feel as full and my tinnitus has eased off a little And my head doesn’t feel as foggy.”
“I have, for the past year or so. I use it whenever my ears feel too full. It seems to help.”

FB Comments regarding MLD therapy on other posts:

“I already get MLD for a lymph condition I have in my arms and legs. No help for my MD.“
“I tried it and had terrible headache might Ave just been a coincidence.”
From Menieres disease UK forum:
“About a month ago I entered the best vestibular health I have ever had (with Vitamin supplements, massage, osteopathy, low salt diet and manual lymphatic drainage)”

The Lymphatic system drains and filters lymph circulating around the body. Unwanted contaminants are cleansed and clean fluid re-enters the blood stream. Primary lymphoid organs include the thymus, bone marrow and fetal liver.

Bone marrow and the thymus are vital to the immune system. Dysfunction in the thymus leads to problems with T-cell regulation. T-cell regulation has been linked to Meniere’s disease. Read more on T-cells and Meniere’s here.

If lymphatic fluid, lymph, is not drained and filtered properly it will re-enter the blood stream contaminated. Its primary re-entry point is in the base of the neck on the left. If contaminants are not drained they will accumulate locally around the body and can cause states of dis-ease.

Could the endolymphatic sac be one of these accumulation points?

Could the constant elevated immune response to that accumulation of contaminants in the endolymphatic sac be what results in Meniere’s symptoms? Could the fluctuations in symptoms be a result of partial drainage at times and more accumulation and blockage at others? Could natural remission be a result of enough of these contaminants being drained properly at that time?

After all it is believed that approximately one-third of Meniere’s disease cases seem to be of an autoimmune origin. It is generally accepted that blockage or over production of endolymph within the ear is the cause of hydrops. If, as studies show the inner ear has a drainage system to the lymph nodes then ‘drainage’, or the lack of it, would seem an obvious candidate for cause and treatment.

It would make a lot of sense, and something to consider despite the somewhat hypothetical nature of the questions.

You can look at all science and possibilities but the simple fact that if there is an accumulation of lymphatic fluid in the inner ear and manipulative massage can help drain that fluid away then pressure should reduce within the ear.

In theory and from the claims of therapists who practice MLD it would make perfect sense that this could help reduce symptoms. But as yet we have very little evidence of this available in the way of first hand accounts from sufferers.

MLD is a specialized technique but you can also practice self lymphatic drainage massage. Watch the video below for self massage for the ear.

(see comments from FB above regarding this video)

Some comments on youtube under this video:

“this worked great!!! i first boiled a pot of water and let the steam cover my face and ear for 5 min allowing the steam to open things up a bit then followed massage techniques on this video, (doing 2 rounds of the massages in one evening).. My ear was feeling full and had tinnitus.. ALL has cleared up!! AND tinnitus gone!!! Thanks so much for posting this video :))”
“Absolutely amazing! I was able to clear my clogged ear by following your instructions.”
“It worked for me! I get tinnitus because of stress and tension in the neck area, and this definitely helped a lot with that.”
“This worked for me! I can hear much better now. Thanks!”
“Thanks, now I’m not dizzy anymore. My ear was bothering me because of my allergies. Now, if I can only stop my ears from buzzing.”

There are many more comments, many positive, some negative and some moronic. None actually mention ‘Meniere’s‘, but several mention sinuses and tinnitus.

The video below is not directly related to the lymphatic system, but claims this technique can help reduce tinnitus headache, vertigo and sinus congestion. Perhaps by combining the two techniques in these videos you can find some quick relief from your symptoms in times of increased pressure.

NOTE: It would be well worth reading the comments under this video on youtube for advice and perspective and some less positive remarks. It seems technique is important. You could make things worse if you pull too hard, but below is a small selection of the many positive comments.

Not a cure for Meniere’s and highly unlikely to be a permanent fix for tinnitus related to Meniere’s. However, if this can give relief when allergies and sinuses are increasing your symptoms, it is well worth trying. Strangely enough, there is certainly more positive feedback found regarding this odd little trick than for MLD.

“absolutely brilliant. Suffering with Migraines and vertigo for yrs and now I feel much better.”
“My ear crackled or popped, it did not hurt at all. Immediately my sinus’ started draining! I always have thick drainage in my throat, constantly clearing it… NOTHING is hanging back there for me to clear! This is freaking incredible.”
“Vertigo is the worst thing ever! Used the techniques and stopped it!”
“I haven’t been able to really breathe through my left nostril for years. My sinuses are terrible. It worked almost instantly! Thank you!”
“I’m a truck driver and have had tinnitus for some time. I tried this technique and it calmed the tinnitus in my right ear almost immediately. Thank you”
“I have suffered with Ménière’s disease for years. I’ll try anything. I did feel a pressure release and something draining. Hopefully this is what I needed.”
“It worked for me! Thank you”
“Holy crap it works!”
“I tried this and the tinnitus volume immediately lowered. That’s quite amazing.”
“Dr. Mendel thank you this has helped get rid of my vertigo. Wow!”

One final note that may give credence theoretically to the benefits of manual lymphatic drainage, the importance of the lymphatic system, the fact that there may be a blockage and also the relevance of the sinuses.

Below is a short excerpt from my own Meniere’s story. I had been almost symptom free for several years. I say almost because I still had hearing loss at that time but then this happened:

“While playing football I broke my cheek bone and eye socket in a clash of heads. It was on the same side as my affected ear and after the initial stunning blow and minutes of intensely heavy pain, blood started pouring down through my left sinus and out of my nose. The blow severed nerves between my eye socket and cheek bone and that left my teeth numb. I was very lucky that the nerves somehow fixed themselves.
The shock was that only minutes after the clash of heads my sinuses felt clearer than I could remember and all my hearing returned! I was so happily surprised that I almost forgot about the painful injury.
For four or five years I had believed, ever since my endolymphatic shunt implant that the hearing in my left ear had been damaged permanently. The hearing only lasted for a few weeks but it had me asking more and more questions.
I had been hearing of so many others regaining their hearing while on the supplements and knew it was possible but in my case, after years with the worst symptoms it had fluctuated then abruptly after the shunt operation it seemed doomed to a permanent low level.
Had the blow moved some skeletal alignment, had it unblocked some tubes, what was going on?”

The blood that was pouring out of my nose was mixed with a clear fluid – lymph!

Click here to read my full story of recovery from Meniere’s disease

So, Can Lymphatic Drainage Therapy Relieve Meniere’s Symptoms?

I believe it is worth considering as a valid treatment option. As always with any treatment or therapy, it can depend very much on the practitioner as to whether you get results or not. So second and third opinions are always worth it.