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Dizziness related to perturbations in information received from joint receptors in the neck that feed into the vestibular system are not usually taken into consideration. Any model of tinnitus or dizziness that looks at the cochlear (ear) in isolation is now considered inadequate2. I was discharged from ED early that evening with the possible diagnosis of vestibular neuritis and given medications to help curb the vomiting. For many weeks after this event I had the same episode almost every month for three months. Over the following weeks I spent a number of hours researching anything I could do to help alleviate the symptoms of Meniere‚Äôs disease. Sign up to receive our newsletter: a cutting edge knowledge update including case studies, research, videos, blog, and Dr Neil's periodic existential outrospection. Les troubles des voies nasales et des sinus paranasaux sont une autre cause de l’acouphA?ne pulsatile. La sinusite est une maladie qui affecte les fosses nasales et les oreilles d’une personne. Les problA?mes dans le fonctionnement du labyrinthe vestibulaire (un organe de l’oreille interne) sont responsables pour le vertige. I found on my examination that he had tenderness over 3 of his ribs which were displaced from their normal position, a spasm in the diaphragm as well as a hiatus hernia. Many people do suffer from problems for which conventional medicine has yet to find causes or offer effective answers. This skeleton made up from so many different bones gives our body its great manoeuvrability and flexibility. Each bone is connected to at least one other bone and usually to 2 or 3 other bones at a joint. A joint is flexible coupling between 2 or more bones which allows a definite range of movement.
Joints are flexible but not strong while long bones like the femur (thigh bone) are strong but not flexible.
Nature has allocated us different areas of strength & flexibility according to the function of each part of the body. The bones are covered with muscles, tendons, ligaments and fascia which hold it together and allow it, its large and delicate range of movements. If the impact of the fall is more than what the body can absorb then a bone may break or fracture. However if the body is unable to correct the dislocation the pain persists and the knee adjusts to try and compensate for the pain.
The body may also try to adjust from the hip, pelvis or lower back leading to pain and problems in these areas.
Similarly when we trip and fall forward, we try and break the impact of the fall with our hands.
The body is usually able to correct these displacement without treatment, and it recovers within a few days.
In many cases unfortunately this does not happen and pain and discomfort persist in the joint.
Since conventional medical treatment does not address these issues, these problems persist and you learn to live with the pain and discomfort.
The after effects of a fall on the hands may manifest as tennis or golfers elbow, frozen shoulder or a wry neck which may persist for years.
Anyone who has a fall, especially with fractures should consult an osteopath whenever the opportunity arises.
The osteopath can align the misaligned joint and allow a return to better and pain free function.
If this is neglected and not treated it develops into cervical Spondylosis or arthritis of the cervical spine. These can easily be persuaded to return to their normal position with osteopathic techniques within minutes. The series of photographs below show the treatment of a 68 year old lady with painful Osteoarthritis with a Misalignment of the left Knee. The first photo shows the leg dark & congested which has improved as the knee has been aligned and blood circulation restored.
The second picture on day 3 shows an angle of 20 degrees between the thigh and calf and there has been a 40% reduction in her pain. The picture on day 7 shows an angle of 15 degrees between the thigh & calf and she reported still further improvement in her pain. This final picture on day 12 below shows that the knee has been completely straightened without surgery. On her follow up visit a year later she reported was still pain free and taking her dog for an hour's walk every morning.
Any unexpected jerk or impact can disturb the alignment of the skull bones setting off a chain of events which can lead to many problems later in life.
Displacement at these joints can cause pressure on the brain and on cranial nerves which supply the eyes, ears, face, nose and mouth. An effective technique for doing this is called cranio sacral therapy or craniosacral osteopathy.
This is a very specialized technique which requires very high levels of learning, understanding of the human body, and the ability and patience to feel the oscillations of the bones. Cranial (skull) abnormalities are often associated with problems in the spine so the therapist normally treats them simultaneously.
All of these can be treated with cranio sacral therapy resulting in an improvement in the patient's health. Problems in the neck are often associated with problems in the lower back and those in the upper back with the sacrum.
Dislocation of the coccyx (tailbone) can cause pain at the tailbone area which makes sitting very painful & difficult.
Cranio sacral techniques are the treatment of choice for backaches, neck pain, shoulder pain, and sciatica.
Many people suffering from loss of strength in their arms, legs or tingling or numbness in these areas can be safely and quickly treated with this method with good results.
Cranio sacral therapy is a very precise scientific method for realigning bones which have been misplaced.

This process works with the body to relax muscles which are tight and then works with the body to correct the problem. The patient lies on a bed while the therapist gently exerts pressure on various parts of the body as required. Cranio sacral therapy is a gentle and painless procedure which yields excellent results in expert hands. The treatment takes between fifteen to thirty minutes and is usually repeated at intervals of 3-10 days till the skull and spine are perfectly aligned. These techniques known as position and hold techniques as the process of alignment proceeds through the physiological movements which occur as we breathe.
This makes it suitable for use even in patient's with a severe neurological deficit as the entire process can be carefully and exactly controlled. All children born with the help of forceps, vacuum delivery or caesarean section should be reviewed by a cranial osteopath in the first few weeks of life especially if the skull looks deformed in any way. Conditions caused due to deformation of the skull respond well to treatment, with best results when the baby is brought for treatment within the first few weeks of life. The baby underwent cranio sacral treatment at my clinic at intervals till the age of 3 years. Improvement is also possible many years later with treatment, but complete recovery is rare when treatment is started late. It is estimated that Dyslexia affects almost 10 % of the population, and signifies incomplete communication between different areas in the brain.
This often manifests as a person with excellent verbal skills but poor written skills or vice versa.
Very often a teacher may tell the parents that your son is very clever but he is lazy, as his written work is bad. This can be easily corrected, preventing any long term damage to the body long before symptoms have had time to develop. The literature about the Neuromonics device is very positive but the opportunities for bias in the studies has been very high. Davis and Paki (2007), published an article in Ear Hearing, indicating that it is the 3rd clinical trial for this device. The aim of this study was to observe the usefulness of betahistine dihydrochloride - Betaserc - in therapy for vestibular disorders in patients with vertebrobasilar insufficiency.
Betahistine is well-known as an H3-receptor antagonist, increasing the synthesis, turnover, and release of histamine [1].
We tested two groups of participants, each group consisting of 150 patients (74 male, 76 female in each group). Every person complained of vertigo or dizziness, imbalance, hypoacusis, headache, and fluctuating visual disturbances. Oral betahistine was administered in two different doses: 8 mg three times daily and 16 mg three times daily, for 120-180 days (mean, 132 days).
The frequency of pathological findings on the basis of VNG before treatment with betahistine can be observed in Table 2. The disappearance of cervical nystagmus in VNG after betahistine treatment was accompanied by decreased platform and head sway during stabilometry. The thrice-daily dose of 16 mg of betahistine was more efficient than was the dose of 8 mg three times daily.
In vertebrobasilar insufficiency, visuo-oculomotor reflexes together with cervical test results are more pathological than are vestibuloocular reflexes.
The attacks of vertigo appear suddenly, last from a few to 24 hours, and subside gradually. All patients with a history of tinnitus, vertigo or dizziness should be questioned about a history of trauma, especially whiplash from a car accident, contact sports injury, or serious fall1. Decreases in sensory information to the brainstem (medullary somatosensory nucleus) from a problematic upper cervical spine can lead to overactivation of the dorsal cochlear nucleus. I went to see an ear, nose and throat (ENT) specialist who sent me for an MRI, as well as to the balance disorder clinic. The knowledge I have gained and the trust I now have in chiropractic has been fundamental in my great results. This went on for more than 5 years and Bill became depressed and very neurotic about his health. Bill came to see me, I listened to his history, examined him and reviewed all his investigations, and like his cardiologist was unable to find a problem with his heart.
I treated Bill with osteopathy to relax the diaphragm and replaced the ribs in their correct position. I advised about correct dietary habits, so would not get gas and cause a recurrence of the hernia. These falls are often soon forgotten as the pain recede,s but the dislocations caused by these falls may persist for years , initially causing mild discomfort which increases over the years. Any persistent pain which has not resolved in a few months may point to a dislocation which needs treatment.
As she was unable to walk even 50 metres without severe pain, she had been advised total knee replacement of the left knee.
She reported that more than 80% of her pain has gone and she is now able to walk 300 metres after which some pain recurs.
This series of pictures is a clear example of how misaligned joints can be corrected, without surgery with excellent results.
These problems respond well to craniosacral treatment and are often the only effective answer. If your baby has dents or deformation of the skull, early treatment from a competent cranial osteopath can give your child the hope of a normal life.
He had been delivered with the help of a vacuum when an inexperienced midwife had pulled out the baby. He recovered, he was able to walk and run, and a few months ago the ophthalmologist examined the child who now attends a normal school & certified that the vision was perfect. As disclosed in the fine print associated with this study, this was an industry funded study. Treatment of tinnitus with a customized acoustic neural stimulus: a controlled clinical study. Two groups of patients, in each of which were 150 patients (mean age, 52.2 years), were tested on the basis of videonystagmography and stabilometry.

Histamine has a vasodilating effect on blood vessels, plays an important role in vestibular compensation, and is able to modulate the action of histamine in histamine receptors and probably other synaptic transmission (dopamine, norepinephrine, muscarine) [1,2]. They ranged in age from 32 to 67 years (mean, 52.2 years) and had presented with vertebrobasilar insufficiency (Table 1). The test was not random, but the evaluation was objective because of objective findings (not voluntary vestibular reactions in VNG). This table also demonstrates the frequency of pathological vestibular findings on the basis of VNG after betahistine treatment. That superiority was seen clearly in the frequency of pathological eye-tracking test results, in saccadic movements, and in cervical nystagmus.
After betahistine treatment, the symptoms of visuo-oculomotor disorders were corrected more effectively than were vestibulooculomotor reactions.
People often forget these accidents, thinking that they were not hurt because they did not break any bones and were not bleeding. A clear explanation of cranio sacral osteopathy and treatment for a variety of problems like back ache, sciatica, neck pain, cervical spondylosis, arthritis, mental retardation, joint pains, allergic rhinitis, deviated nasal septum, migraine, sinusitis, snoring, loss of smell, vertigo, tinnitus, Trigeminal Neuralgia, facial palsy, Meniere's disease, cerebral palsy, Dyslexia, poor coordination, crowding of the teeth, facial asymmetry, nystagmus, eyestrain, diminished vision and headaches. Pain is the body's way of telling you that it has a problem which needs treatment, to warn you that the painful area is weak and that you should not strain or stress it. She is very encouraged by her improvement and even her sceptical husband is convinced enough to accompany her for the treatment. This led to the back of the skull being compressed and when I saw the baby the skull was triangular shaped instead of being round as is normal in people. Betaserc was administrated in two separate doses: 8 mg three times daily and 16 mg three times daily for 120-180 days (mean, 132 days). The goal of our study was to estimate, on the basis of objective vestibular findings, the usefulness of betahistine in patients suffering from vertebrobasilar insufficiency.
The diagnosis of vertebrobasilar insufficiency was made by a neurologist on the basis of anamnesis, typical neurological examination, radiological pictures of the cervical vertebral column, transcranial Doppler sonography of the vertebral and basilar arteries, and computed tomography or magnetic resonance imaging to exclude other organic reasons. To compare the effect of betahistine on the vestibular system before and after pharmacological treatment, VNG and stabilometric examinations were performed.
The results were compared statistically among all others using the Student's t-test for parametrical values. Only the results after betahistine treatment with the higher dose were significantly different from the results obtained before therapy.
Cervical nystagmus according to Greiner's test was considered to follow vascular insufficiency. The disappearance of cervical nystagmus was accompanied by a decrease of platform and head sway during stabilometry.
Histamine release from hypothalamus induced by gravity changes in rats and space motion sickness. The person may have a recurrent feeling of fullness in the affected ear and hearing in that ear tends to fluctuate, but worsens over the years.
This is why prolonged periods of fear, anxiety, tension and stress can manifest with Menieres-like symptoms such as vertigo or tinnitus. The child was unable to see, had difficulty in feeding and was lying totally without movement. In our conversations with patients who use this device, they generally think (after 6 months of listening and counseling visits to the dispensing audiologist) that it is modestly helpful. Davis and Hanley are employees of the company that sells this device (Neuromonics), and Dr.
In every case before and after therapy, visuo-oculomotor and vestibulooculomotor reflexes were tested, and amplitude and velocity of the sway were measured during dynamic posturographic testing.
During VNG (VNG-Ulmer, Synapsys, France), we evaluated the following reactions: spontaneous nystagmus, positional nystagmus, cervical nystagmus in Greiner's test, saccadic movements, eye-tracking test, optokinetic nystagmus, and gaze nystagmus. Stabilometric parameters in patients before and after betahistine therapy are outlined in Table 3.
Therefore, its absence may be evidence of an excitatory effect of betahistine on brain circulation [7]. The laryngologic findings were obtained from tonal audiometry, videonystagmography (VNG), and stabilometry. A caloric test according to Brunings was the last examination during VNG, and we observed unilateral weakness, directional preponderance, and excitability of the labyrinth. The increase in sensorimotor alertness (in the histaminergic pathways at the cervical brain level) is supposed to be the main element of that compensation [1,4,5]. The improvement in eye-tracking test results and saccadic movements as the representation of oculomotor-vestibular joining at a higher level of the central nervous system may point out the modification of neural activity in cortical and subcortical structures [1]. The thrice-daily 16-mg dose of betahistine was more efficient than was the 8-mg dose administered three times daily. Other symptoms often associated with Meniere’s syndrome are nystagmus, brain fog, headaches, depression, neck stiffness, sinus pain and fatigue. During stabilometry, mean and maximal platform amplitude and mean head velocity decreased as compared with results from tests performed before treatment.
Additional laboratory tests, such as evaluation of cholesterol levels, glucose, and sex hormones, were included in our diagnostic procedures in those cases in which the indication was very important for further treatment.
These observations were significant after the greater dose of Betaserc; nonetheless, improvement was noted after both doses. The usefulness of Betaserc in vertebrobasilar insufficiency was proved, 4-6 months' therapy was sufficient, and the effect on central compensation seemed to be most probable. The platform was able to move backward and forward and to the sides, so the test consisted of four sequences: first backward-forward with eyes open, then with eyes closed, then to the sides with eyes open and with eyes closed.
Betahistine as such an antagonist may change the asymmetry of cervical projection to the brainstem, promoting the release of histamine to the vestibular nuclei [1]. We calculated the mean and maximal amplitude of platform sway, mean velocity of the platform, and mean velocity of the head.
To summarize, this trial reported very positive results for this device, but the possibility of bias was very large.
We hope that rigorous studies, not funded by the manufacturer, randomized, with intent to treat methodology, and with at least single-blinding will follow.

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