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Author: admin, 09.03.2015
Dizziness or loss of balance is the second most common complaint heard in doctors’ offices.
The first is dizziness, vertigo or motion intolerance that may occur in acute or sharp attacks lasting only seconds or sometimes for several hours.
The second is a persistent sense of imbalance, unsteadiness or what some people refer to as a loss of surefootedness.
The primary organ of equilibrium in the human body is located in the inner ear which serves as both the sensory organ for spatial orientation and head movement as well as hearing. Designed for the patient whose symptoms may be severe and who requires supervision during exercise.
Memorial Hospital’s Rehabilitation Services staff offers some of the region’s most comprehensive rehabilitation services.
Occupational Therapy: Orthopedic injuries, disorders of the upper extremities such as rotator cuff injuries and carpal tunnel injuries, CVA (stroke) and head trauma, work-related injuries, lymphedema, low vision and developmental delays. Physical Therapy: Back injuries, total joint replacement, soft tissue injuries, spinal cord injuries, developmental delays, CVA and other neurological disorders, dizziness and balance disorders, TMJ syndrome, work-related and sports-related injuries, functional capacity evaluations, and women’s health issues including urinary incontinence, pelvic pain, pregnancy and postpartum issues, etc. For more specific information, please call the Rehabilitation Services staff at 812-996-0682. If your browser does not meet minimum requirements, please call our customer service line at 812-996-0651 for assistance.
INTRODUCTION For the otolaryngologist the dizzy Pt often presents a diagnostic challenge, therefore the clinical evaluation has the following basic objectives: It aims to present the basic knowledge and concept of symptom of dizziness It presents the clinical approach to evaluating the dizzy patient.
Definitions cont It can be horizontal (back & forth ; left & right), vertical (up & down) or rotatory. CLINICAL FEATURES HISTORY: A patient who presents with dizziness should be questioned to distinguish true vertigo and nonvertigo.
Associated symptoms Sudden onset and vivid memory of vertiginous episodes are often due to inner- ear disease, especially if hearing loss, ear pressure, or tinnitus is also present. Physical examination General examination should emphasize vital signs, supine and standing blood-pressure measurement, evaluation of the cardiovascular and neurologic systems. Other Tests Specific examination of the vestibular system, beyond the ears, nose, throat and neurologic examination, is fundamental to the evaluation of the patient with dizziness. Whiplash may not be a minor injury, Even though damage to your car may be minimal, whiplash may have caused spinal damage.
The damage to the nervous system can cause tissue and organ damage throughout the body an enable it to function properly.
These objects can be difficult to remove because the ear canal is a tube of solid bone that is lined with thin, sensitive skin. The National Institute of Health statistics indicate that dizziness will occur in 70% of the nation’s population at some time in their lives. This condition may be caused or worsened by rapid head movements, turning too quickly, walking or riding. If for any reason there is an abnormal increase or decrease in the signal being sent to the brain, from any of the balance canals, the brain will perceive this as an exaggeration or hallucination of motion.
Motion intolerance may be experienced as either a sense of exaggerated motion or an inability to watch moving objects while stationary.  Although symptoms may only last for several days it is not uncommon, if left improperly diagnosed or treated, for them to linger for years.


Each program is individually and especially designed for the patient based on test results and the situations which bring on symptoms. Through Vestibular Rehabilitation and Balance Retraining, the vast majority of our patients find the relief they’ve been seeking.
Akomolafe is certified by the American Institute of Balance and is one of few certified physical therapist within El Paso to provide vestibular rehabilitation. The dynamic team of rehab professionals includes physical therapists, occupational therapists, speech language pathologists and audiologists who provide services across the continuum of care from inpatient treatment and skilled care, to home care and outpatient treatment. Nonvertigo includes light-headedness, unsteadiness, motion intolerance, imbalance, floating, or a tilting sensation. Ask patient to use other words other than dizziness in describing symptom The rationale for using other words is that patients may use word dizzy nonspecifically to describe vertigo, unsteadiness, generalized weakness, syncope, presyncope, or falling. Episodic true vertigo that lasts for seconds and is associated with head or body position changes is probably due to benign paroxysmal positional vertigo (BPPV).
History of prescription medicines, over-the- counter medications, herbal medicines, and recreational drugs (including smoking and alcohol) can help to identify pharmacologically induced syndromes. This occurs when the force of the accident ‘whips’ the head violently from direction to another farther than normal limits, resulting in muscles, tendons and ligaments that support the spine are overstretched, torn or irritated. Frequently, lifelong health problems begin as a whiplash injury that was dismissed as minor at the time.  Any trauma to the spine can disturb the normal position and motion of the vertebrae, affecting nearby muscles, ligaments and discs. This degenerative chain reaction is the result of many underlying health problems and can slowly destroy even good health. Adam Jacobs from SF Custom Chiropractic provides exercises and stretches for his patients to help ensure proper form.
Although very common, acute or chronic problems with equilibrium may indicate serious health risks, or limit a person’s everyday living. The good news is that 90% of all causes of dizziness can be found through a thorough evaluation. We emphasize practical solutions to the common problems of difficulty getting around in the dark, walking on uneven surfaces and moving unencumbered on ramps or stairs.
This approach is most commonly used with patients that do not require supervision during exercise. This dichotomy is helpful because true vertigo is often due to inner-ear disease, whereas symptoms of nonvertigo may be due to CNS, cardiovascular, or systemic diseases. The slow phase originates from the vestibular system and fast corrective phase from the brain. Vertigo that lasts for hours or days is probably caused by Meniere disease or vestibular neuronitis. The soft, cushioning discs that occupy the space between the spinal bones can herniate or rupture.  Symptoms may take hours, days or weeks to appear. Medical doctors are trained to treat life threatening emergencies such as bleeding and broken bones.
An adjustment is a precisely applied force to an area to help restore balance to the spine and relieve pain and stiffness. As a reminder, if there is any pain experienced while performing these stretches, be sure to stop and consult a medical health professional.


Illness, infections, disease, head trauma, and the natural aging process may cause changes in the equilibrium portion of the inner ear. Eighty-five percent are caused by inner ear disturbance and can be treated medically, surgically, or with Vestibular Rehabilitation. Typically the patient participates in two or three 60 minute sessions per week, with an average of eight to twelve sessions.
Fall prevention, movement coordination, and improved participation in everyday activities are all high priorities of the program.
Best results occur when the patient spends 20-30 minutes per session two to three times a day. Akomolafe ensures that patients seen by him will receive the best quality and up to date therapy available.
The therapy staff pursues continuing education and training to ensure they stay up-to-date on the latest and most effective forms of treatment available. Vertigo of sudden onset that lasts for minutes can be due to brain or vascular disease, especially if cerebrovascular risk factors are present. The vertebrae protect the spinal cord so even a small disturbance can have a profoundly adverse affect on the delicate nerve tissue. Other therapies may be recommended to help relax or strengthen the muscles or to reduce swelling.
Then, get medical help to make sure the entire object was removed. If you think a small object may be lodged within the ear, but you cannot see it, DO NOT reach inside the ear canal with tweezers. Most patients report a significant reduction in their symptoms within a two to four week time span. Many patients leave the emergency room with a health problem that will only grow worse with time.
You can do more harm than good. Try using gravity to get the object out by tilting the head to the affected side. Health conditions seemingly unrelated to the back can often be traced to the nervous system impairment involving the spine. Lifestyle modifications such as the reduction of stress or dietary changes may be suggested. As you pour the oil, pull the ear lobe gently backward and upward for an adult, or backward and downward for a child. AVOID using oil to remove any object other than an insect, since oil can cause other kinds of objects to swell. Even if an insect appears to come out, get medical attention. Small insect parts can irritate the sensitive skin of the ear canal. RUPTURED EARDRUM The person will have severe pain.



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