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Viruses – As with sinusitis, viruses are the most common cause of inner ear infections.
Bacterial Infections – Though less frequent, bacteria is also a common cause of inner ear infections.
Ear Injuries – Patients who experience injuries to the ear, like extremely concussive noises, may get labyrinthitis. Allergic Reaction – Allergic reactions to certain medications may cause inflammation in the inner ear and lead to labyrinthitis.
High Stress – In some cases, patients with high levels of stress experience labyrinthitis.
Imbalance – Because the inner ear is responsible for regulating balance, another primary symptom of an inner ear infection is imbalance. Temporary Hearing Loss – Labyrinthitis is often accompanied by temporary hearing loss. Headaches and Ear Pain – Headaches and ear pain are also common with inner ear inflammation. Chronic Labyrinthitis – Once a patient begins recovery, she may experience symptoms on a longer-term basis.
In patients who experience chronic symptoms, doctors often conduct extensive testing to discover the exact cause of the condition.
One of the most common reasons for a visit to a healthcare physician is to seek out help for dizziness or vertigo.
Due to the many possible causes of dizziness, getting a correct diagnosis can be a long and frustrating experience. The symptom of dizziness can indicate some very serious central neurological disorders (problem with the brain) or cardiovascular issues.
Allow most cases of vertigo represent one of the above issues the physician will immediately rule out more serious causes of vertigo, i.e. 1) Acute cerebrovascular events such as stroke – can be immediately life threatening.
Autoimmune inner ear disease – Cogan’s syndrome, Wegener’s granulomatosis, systemic lupus, Sjogren’s syndrome, and rheumatoid arthritis, among others. Cervical vertigo – originating in the joints of the neck which chiropractic treatment can help with.
This problem originates in the inner ear, the problem is caused by floating debris inside the semicircular canals. This explains why many patients experience sudden and severe vertigo when rotating the head, often the patient will have severe vertigo in the morning when rolling over or getting out of bed as the settled crystals are suddenly moved. Often BPPV occurs intermittently, associated by turning the head in one direction (in most cases it only effects one ear), the vertigo can be severe and may cause nausea and vomiting.
Nystagmus (involuntary eye movement) is diagnostic when present after a neurological test called the Dix-Hallpike manoeuvre. Once a diagnosis for BPPV has been established then the clinician can treat with the commonly used Epley manoeuvre to reposition the inner ear crystals.


Vestibular neuritis is an inflammation of the vestibular nerve and is often confused with labyrinthitis, an inflammation of the labyrinth, the two are generally distinguished by hearing loss and or tinnitus (ringing in the ear) which are often present in labyrinthitis and generally not symptoms of vestibular neuritis.
Both vestibular neuritis and labrinthritis are most often caused by viral infections, if bacterial infection is present it can cause both middle ear and inner ear problems. The symptoms of vestibular neuritis can range from mild to severe vertigo the first onset of vertigo can be abrupt and frightening. The video above shows six patients with nystagmus(involuntary eye movement), the first two patients have BPPV and the following 3 patients have acute vestibular neuritis. Diagnosis of this condition is difficult with no specific test for an acute vestibular neuritis. Treatment during the acute phase of the condition involves medication to reduce nausea and vertigo. Characterised by attacks of vertigo, tinnitus(ringing in the ear) and hearing loss, Meniere’s disease is a chronic incurable inner ear disorder. In layman’s terms Meniere’s disease is a reoccurring set of symptoms caused by abnormally large amounts of endolymph fluid accumulating inside the inner ear. The exact cause of the disease is unknown and usually starts effecting adults between the ages of 40 to 60 years of age. Some people with Meniere’s disease find that certain events and situations, sometimes called triggers, can set off attacks. The disease may start with intermittent hearing loss and progress to attacks of vertigo and dizziness. Early stage attacks of the disease are characterised by violent episodes of vertigo, tinnitus, ear fullness and hearing loss. There is no cure for the disease, conservative management strategies are to eat a reduced-sodium diet, medications during attacks, vestibular rehabilitative therapy. He studied a full time masters degree in chiropractic at the Welsh Institute of Chiropractic. Part of the inner ear is made up of an extensive series of small passages called the vestibular system. Sometimes an inner ear infection begins in the ear, but viruses from a case untreated sinusitis can spread to the ear and cause this condition as well.
Inflammation of the inner ear interferes with the body’s ability to properly sense motion. Patients suffering from acute inner ear injuries typically take between one to six weeks to recover. Dizziness and fatigue are the most common chronic symptoms, and they may occur for weeks or even months. During the acute stage, doctors typically prescribe medications to minimize vertigo and nausea. Treatment options vary, depending on the precise issue, but physical therapy is one of the most common options. The very first thing that the physician tries to work out is what exactly is the patient experiencing. Vertigo is the most prevalent type of dizziness accounting for over 50% of cases presenting in primary healthcare.


Always visit a healthcare professional when it comes to any of the symptoms described in this blog post.
A review of the three most common causes of vertigo will help you work out what you maybe suffering from, remember you need to seek professional help to receive a correct diagnosis. The semicircular canals are what allows your brain to detect exactly where your head is in space, the canals have small hairs which normally detect motion of the head, the three canals are located at right angles to each other in the inner ear. The debris are called otoconia and are tinny crystals that are a normal part of the inner ear but have detached from the utricle and have collected in one of the semicircular canals, most of the time the posterior canal. The crystals abnormally brush agains the tinny hairs which provide the brain with a barrage of sensory information. Home exercises can also be used to assist the patient in repositioning and recovery from BPPV.
These triggers include stress, overwork, fatigue, emotional distress, additional illnesses, pressure changes, certain foods, and too much salt in the diet. Non-conservative management options for the disease are intratympanic gentamicin and surgery. Special interests are in family chiropractic (including pregnancy and neonatal care) and the promotion of wellness lifestyle.
He aims to help his community achieve better health and quality of life through chiropractic care. However, in patients who suffer permanent damage to the inner ear, symptoms may last for months or even years. The rapid onset of these symptoms is often very upsetting; most patients seek medical care immediately.
Antibiotics or antiviral drugs are typical as well in cases where the doctor suspects bacterials or viral infection as the cause.
For the proposes of this post we will focus on what conditions can cause the symptom of vertigo.
The video below has been produced by Dr Carol Foster, an MD who has developed a home exercise that she testifies gets her great results. In severe cases of nausea and vomiting, intravenous fluids will be administered to combat dehydration.
The labyrinths of the inner ear can become inflamed due to infection or other causes. This condition is formally known as labyrinthitis. In many cases the infection will last for several weeks and resolve with the patient’s symptoms disappearing.
The frequency of the attacks are highly variable with some people experiencing weekly episodes and others experiencing attacks every few years, this makes the management of disease difficult.
Sometimes the symptoms can persist leading to chronic vestibular neuritis where specialist investigation and treatment maybe needed.



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