Sunday, March 10, 2013

Learn to Manage Vertigo Migraine


For many of us migraine and vertigo are related to lifestyle choices. This is not a criticism: it is an acceptance of reality because sometimes we do not even know which choice led to manifesting a migraine. Modern life can be toxic—especially modern chemistry. Migraine triggers include: Foods, Stress, Sensory stimuli, Changes in wake-sleep pattern, Physical environment factors, Changes in the weather, Hormonal changes, and Medications.

I painted my living room—the chemicals in the paint created a feeling of anxiety, my throat and lungs hurt, and my vision blurred. In another case I did not realize that I was hyper-reactive to the nitrites and sulfites used as food preservatives. I was drinking red wine for my health and the next thing I know I have a headache, blurred vision and racing heart. 

I have learned from experience that the toxicity, in processed foods and manmade environmental toxins, has an accumulative effect—especially when mixed with emotional and mental stress. It is the accumulative effect that is never or seldom scientifically researched. Each individual chemical or medication is studied on its own and this skews the information we are given on product usage, or from physicians. For me it is the cumulative effect of food sensitivities along with my individual structural self that creates the “perfect storm” that are my migraines.

Food and chemical sensitivities, and allergic reactions are a huge, complex, and highly individual topic. If you have true allergic reactions, it is essential to understand these thoroughly with the help of a physician, as allergic reactions can be deadly. Many of us are aware of foods, medications, chemicals, and other issues that trigger our migraines. However we also need to be aware that physical body structural issues and concerns can trigger migraines.

Migraine symptoms can be frightening. Some individuals experience extreme head pain while others do not. Others will have very odd visual experiences. I once watched the face of the person I was talking to pixilate into colored lights. I have also had objects disappear from my visual field. It is not unusual for one’s first reaction to be—do I have a brain tumor? Stay calm, to avoid panic and anxiety, as these will worsen symptoms by raising your blood pressure. If you are away from home I recommend you do not drive and be honest enough to call family or friends for help.

 Many people get nauseous, sensitive to light and sound, or have visual disturbances. If your migraine symptoms are severe and include vertigo you may require a trip to a physician. You can learn to deal with migraine and vertigo to limit their severity. 

It is thought that a migraine occurs when swollen blood vessels in the brain press on nearby nerves, causing pain. Migraines can trigger feelings of vertigo. Vertigo occurs when there is a mismatch of information from two or more of these systems in the Central Nervous System. Central Nervous System coordinates and integrates sensory input from the visual, vestibular, andproprioception systems. (Proprioception is the unconscious perception of movement and spatial orientation arising from stimuli within the body itself.) 

It is important to know the difference between dizziness and vertigo. Vertigo is the feeling that you or your environment is moving or spinning. Dizziness is a disturbed sense of one’s relationship in space. To physicians dizziness refers to problems with a variety of body systems including circulation, cardiovascular, eyes, brain, and ears. Vertigo is a hallucination of motion frequently caused by inner ear dysfunction. Unsteadiness is a sense of “falling” and may be due to problems with the ear, brain, or nerves. Lightheadedness typically occurs with rapid changes in position and is usually due to a circulation problem such as low blood pressure.

A vertigo migraine is simply another name for what many medical professionals call a vestibular migraine, which is ultimately a migraine that is accompanied by a sense of vertigo. Cervical vertigo is a vertigo or dizziness that is provoked by a particular neck posture. Misaligned Temporo-mandibular joints can cause migraine because of their proximity to the ear. 

Vertigo Symptoms
                Visual Aura
Manifests as a flicker in your peripheral vision, spots in your visual field or flashes of light. 


                Altered Perception
The room may begin to spin around you, or your surrounding may begin to tilt either up or down. 

Dizziness
Caused by that spinning or tilting impression from the vertigo.


                Instability
An overwhelming sense of instability, wobbliness, shakiness, or lack of coordination that may force to sit back down or find a chair almost immediately. 


                Nausea
Queasiness which may result in vomiting or retching

                Head Pain
Vertigo migraine will be the severe head pain, overarching throb or a sharp, piercing pain (not every one experiences severe head pain)


                Ringing in the ears

30% of the population will experience vertigo symptoms at sometime in their lifetime. Vertigo, which is an inner ear (vestibular) disorder, can be treated with pharmacological therapy, physical therapy, psychotherapy, surgery or a combination. Because vertigo can be caused by problems in the brain or the inner ear it is important to get a specific assessment from a physician.

Vertigo can be caused by:

                Migraine, a severe form of headache may also cause vertigo. The vertigo is usually followed by a headache. There is often a prior history of similar episodes but no lasting problems. 

                Benign paroxysmal positional vertigo (BPPV) is rarely serious and can be treated. It is characterized by the sensation of motion initiated by sudden head movements or moving the head in a certain direction. 

                Vertigo may also be caused by inflammation within the inner ear due to a viral or bacterialinner ear infection is characterized by the sudden onset and may be associated with hearing loss.
                Meniere's disease has abrupt onset of severe vertigo, fluctuating hearing loss, as well as periods in which the individual is symptom-free. 

                Acoustic neuroma is a nerve tissue tumor that can cause vertigo with one-sided ringing in the ear and hearing loss. 

                Vertigo can be caused by: 1.) Decreased blood flow to the base of the brain or, 2.) Bleeding into the back of the brain characterized by vertigo, headache, difficulty walking, and inability to look toward the side of the bleed. 

                Vertigo is often the presenting symptom in multiple sclerosis.
                Head trauma and neck injury may also result in vertigo, which usually goes away on its own

For certain vertigo conditions a physical therapist will teach the patient the Epley or Semont maneuvers. The Epley or Semont maneuvers movements are designed to help to move calcium debris from any sensitive parts of the inner ear. Gaze Stabilization exercises for vestibular rehabilitation work by improving the neurological connection between the eye and the ear. Balance Exercises are used to improve the neurological reflexes between movement and visual input. Alternative activities such as yoga, Tai Chi or sports like golf and bowling can also improve balance and ease dizziness. 



I developed a personal protocol for dealing with my migraine symptoms. My first step is to take an antihistamine. Antihistamines can be used to short circuit migraine and vertigo symptoms in the early stages by helping to eliminate inflammation. If the migraine is food related I take a digestive enzyme and drink plenty of water.
I once had a strong reaction to food preservatives at a restaurant. I was a little bit panic-ed as I get visual disturbance and should not drive. I ordered a big cup of black coffee and the caffeine worked!

For a migraine put your hands in hot water, as hot as you can stand, to help equalize blood circulation away from your brain—or try a hot pack on you stomach. Homeopathic treatments work quiet well but should be tailored to you as a whole person—check with a homeopathic physician or a good homeopathic website. For visual aura problems homeopathic Belladonna works for me. Cervical vertigo and misaligned Temporo-mandibular joints can be treated by a chiropractor. 

For my particular needs, I have experienced great improvement by taking supplemental magnesium. Also, have found that if I feel dizzy, disoriented, and clumsy this signals avestibuloocular reflex issue. In this case I go to the chiropractor as soon as possible to check  forCervical vertigo (provoked by a particular neck posture) or Misaligned Temporo-mandibular joints.

On occasion I have had a vertigo migraine that caused me to go to the emergency physician and stay in bed for a couple of days. Obviously, my inner ear (balance reflex) was off. When this occurred I found I needed to practice sitting up and walking in order to short circuit the vertigo.

A natural migraine management plan might include supplemental B vitamins, Coenzyme Q10, Magnesium, Calcium, Folate, Omega 3, Vitamin D, Biotin, and Melatonin. If you have a tendency to migraine you might try these lifestyle changes if they are appropriate to you as a unique individual.

1 Rise slowly in the morning to a sitting position at the edge of your bed. Find a spot on the nearest wall to fix your eyes on to steady any dizziness you feel. Stay in bed sitting upright until the dizziness subsides. 


2
 Limit your exposure to bright light and loud noises. Avoid direct sunlight during the onset of this condition for at least three consecutive days. 




3 
Sit quietly away from noise. Sitting with your feet up, comfortably relaxing, will help abate the headache. 


4
 Drink plenty of water, because hydration is a key component to recovery. Avoid alcohol consumption, which will aggravate the condition and/or lengthen your recovery period. 


5
 Eat a balanced diet. Choose foods like sweet potatoes or a whole grain like brown rice, quinoa, barley and oats. Limit caffeine and chocolate intake over the three days following an acute onset of migraine vertigo. 


6 
Breathe in slowly and fully expanding your lungs to ease the headache and the pressure. Inhale through your nose, and then exhale through your mouth five times, repeating three times or more, if needed. 


7
 Move your neck slowly from side to side, shoulder to shoulder. Gently roll your head forward and around while sitting upright in a chair. Do this movement three times with 20 to 30 seconds rest in-between. 




http://emedicine.medscape.com/article/1836134-overviewhttp://ptjournal.apta.org/content/84/4/373.full#sec-19

http://hpathy.com/cause-symptoms-treatment/vertigo/

No comments:

Post a Comment