Vestibular Neuritis - Comprehensive Guide to Recovery
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- Опубліковано 2 жов 2024
- Vestibular Neuritis - Comprehensive Guide to Recovery
In this video I cover:
What is vestibular neuritis?
How do I know if I have vestibular neuritis?
Why does it cause dizziness?
Why does it cause imbalance?
What should I do if I experience a vestibular neuritis?
What puts me at risk for developing a vestibular neuritis?
What are the best treatment options?
What supplements might help?
What are the BEST exercises to recover from vestibular neuritis?
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Excellent video. I saw myself in every word you said. I actually started out being treated for stenosis of the neck for 3 years. Neurologists, MRI's CT scans.etc. until about 6 months ago I woke up with the room spinning. Called my ENT went in for an appt. had ear testing ( normal). The audiologist didn't notice any back and forth eye movements when laid back. Scheduled a VNG ( normal) for whatever they look for with that except a slight weakness on the right side. Prognosis labyrinthitis. No meds no exercises, let it run it's coarse, it's a virus. Dizziness came back a few weeks later, only lasted a couple days. It has returned twice again in the past 3 months but short term. I found this video very informative, more than my doctor ever informed me. My one question I have is can cervical stenosis bring on neuritis or labyrinthitis rather than the other way around? I am wondering now if I had the neuritis/labyrinthitis all along and the stenosis had nothing to do with it. Except I had no spinning until 6 months ago. Just curious about how much Covid could have affected this issue. When my dizziness ( not spinning) started Covid was something they weren't even checking for. Could this be long term affects of Covid virus? Ya. dizzy, hospital, meclizine go home.
So sorry you’re going through this! I don’t think cervical stenosis can cause vestibular neuritis or the other way around as one is a virus and the other is a structural problem. COVID can definitely lead to vertigo, I haven’t looked into the research ok if people are developing vestibular neuritis after COVID, but that would be interesting! People are definitely developing dizziness with post COVID syndrome. If you had a pre-existing neck problem, then develop a vestibular neuritis, I’d say you may be more susceptible to developing cervicogenic dizziness. All good things to look into and address!
I don't have access to a vestibular therapist in an African country this was absolutely helpful!
I'm so glad! If you need any more help please reach out!
Does it always come with an onset of bad symptoms or vertigo? My onset came slowly and I never had a real vertigo attack. Testing does show my right ear has a 63% weakness compared to left ear. I did have shingles about a year ago. I dont have spinning dizzy. I have more of an imbalance feeling. Mainly on right side when i move head or eyes closed. I also dont think I was sick when symptoms occured 2 months ago.
It can come on slowly, just most of the time a vestibular neuritis is a sudden onset. Your brain typically compensates for the spinning dizziness but you may still have lingering imbalance, that’s where vestibular rehab comes in! Not everyone experiences cold or flu symptoms with a vestibular neuritis, most of the time it’s just an onset of dizziness.
When the brain is still adapting post acute phase, I’ve been told that overstimulating the nerve can cause a flare up. So right now sound triggers me to have a dizzy episode. The visual vertigo was treated well with therapy. But if I hear competing loud background noises, within 10 minutes I start getting dizzy and depending how loud or how long I was exposed to sound, my dizziness can resolve in an hour or it can trigger dizziness and visual vertigo again for days. I’ve been told this is normal progress but do you think this sounds more like vestibular migraine? Can vestibular migraine start as a result of recovering from neuritis? I’m 14 weeks post acute attack, 10 weeks into vestibular rehab. I feel about 95% normal except for this sound sensitivity.
Yes a vestibular neuritis can affect how the brain processes sensory information, including sound, but what you're describing seems like dizziness is being triggered by loud noises. Typically with migraines you will have a migrainous episode and will have light/sound sensitivity during the episode (not always, can have light/sound sensitivity outside of episodes). When someone describes that loud noises are triggering their episodes I usually think of perilymphatic fistual or semi circular canal dehiscence. When sounds trigger your dizzy episodes, what do you experience/feel, how would you describe the dizziness? Spinning, lightheadedness, head up in the clouds, etc...
@@VertigoRecoveryDr At first the dizziness was triggered by visual stimulus and caused an imbalance, falling to the left, nausea, light headed and a spinning sensation. After VRT this has resolved. Then I noticed environments with white noise or loud background noise triggered a disorientation, a quick spin sensation but not repeatedly just like everything quickly spun to the left, and like my brain was scrambled. Trouble concentrating. Not light headed from sound. If I lay down it resolved within 60-90 mins. I then have intense left eye fatigue for a day or so. Vision is clear but my eye and temple area get very sore inside like a spot I can’t reach. Not a headache. Thank you so much for your response. 🙏🏻
typically dizziness from a semicircular canal dehiscence will last just as long as the noise is happening for, as for a perilymphatic fistula it may be possible that there are prolonged symptoms, but also very possible that it's triggering a migraine. I would definitely recommend you find an ENT that specializes in vestibular disorders. Ask about VNG, oVemp, and cVemp testing, which may help to rule in or out some of these disorders.
@@VertigoRecoveryDr thank you for this advice. I’m going to see my ENT next week and they are doing more tests.
This was more information I received than all my Dr visits combined. Thanks you. God bless.
Thanks! If you have any questions or need help just let me know!
Hey, does doing exercises for vestibular neuritis effect the recovery time in a negative or positive way?
Will shorten the recovery time and reduce risk of developing chronic vestibular conditions! So yes, affects it in a positive way. Just remember to pace them appropriately to not overwhelm your brain too much, you need to take breaks to allow your brain to adapt.
This was so informative. I’ve suffered from two different episodes of vestibular neuritis and have been recovering for almost a year now without much progress. Been in PT on meds and tried almost everything but not much change
So sorry you’re still dealing with it! Super frustrating when things aren’t improving. Did you have a VNG test done?
Finally i see someone saying they went through two episodes of vn.. all i see on the net and everywhere is that you only get vn once.. and here i am having 2 episodes 3 months apart in my pregnancy and postpartum looking for a reason WHY
@@uzmanausheen5475the fact you were pregnant and had bppv or bn you are stronger then you think you are ❤
@@ClixCFC Thanks for the encouragement.. Life just teaches to be strong.. u dont actually have a choice
@@uzmanausheen5475 well said I’m getting better day by day
Hello dr. I'm 21 yrs old , 2months ago i was diagnosed with VN, now it's been 2months still I'm not fully better. I still feel dizzy when i go outside or noisy environment, i can't ride bike, I can't do many things, I'm not feeling normal, anxiety and many things.
I'm taking betahistine tablets for dizziness but not so effective. I'm very tired and frustrated kindly tell me how much time it will take to fully recover.
It’s going to be very different based on the severity of loss to the vestibular nerve, differences between each person, and how you have been doing your rehab. Could be anywhere from 1 month or 6, although I know people who have never fully recovered. But you should be able to get back to being in busy environments and riding bikes!
If you’d like help recovering check out my membership!
Https://www.vertigorecoverydr.com/membership
Volume is not working
So sorry, not sure why it isn’t. It’s working on my end.
Sometimes you have to tap the video to unmute
Hi!
I am almost in 6 months in VN because of Gentamicin side effect.
My recovery is very slow.
Do you think that it is more difficult to recover if it is a toxic caused?
It can be if the gentamicin affected both sides, so sorry you’re going through that! Use of that medication is becoming less common though. Keep doing the x1 viewing and gaze stabilization exercises, lots of balance activities with eyes closed too!
Thanks for the answer!
I am doing all the ecercises and your video was also very useful for me!
Can you approx. guess the recovery time of me?
It’s hard to approximate, especially when I don’t have your medical history, and everyone recovers at a different pace, but generally people start to feel better within a couple weeks of therapy. “Feeling normal” again can be anywhere from 1-2 months to 6 months or even a year. If you are having symptoms from VN longer than 6 months, I’d want to make sure you don’t something else contributing to your symptoms such as 3PD, cervicogenic dizziness, or vestibular migraines.
Thanks for the answer happy Xmas for you!
Merry Christmas to you as well!
If you have vestibular neuritis unknowing caused from the virus mentioned are you suppose to take a medication to kill the virus?
Great question! Research hasn’t shown that anti-viral medications are very effective. If you can see a vestibular ENT within the first 72 hours of your vestibular neuritis starting (first 24 hours has shown to be the MOST effective), steroids may be helpful in recovery, most likely helping to reduce inflammation and damage caused through inflammatory mediators.
This is a wonderful video. Thank you very much!
You’re welcome!! Thanks so much for the encouraging words! If you have any questions feel free to reach out! hello@vertigorecoverydr.com
Had undiagnosed hypofunction for almost a year, been awful. Thanks for your information
Thanks!! So sorry you didn’t get diagnosed earlier! If you have any questions feel free to ask!
I used archupuncture it helped a lot
Awesome! I love that!
What about taking steroids after 72 hours? Is there any data for that?
The research I’ve read has mostly not recommended it because the side effects won’t outweigh any potential benefit. I’m assuming after 72 hours the inflammation has probably resolved and you’re left with the damage to the nerve, so if there’s no longer that inflammatory process happening there’s probably not anything for the steroids to do. I would defer that question to an ENT who specializes in vestibular disorders though.
@@VertigoRecoveryDr thanks. In my case I've had very severe acute 5 days and steroid really helped me on the fifth day. Now I'm left with dizziness issues
@@VertigoRecoveryDr thanks. In my case I've had very severe acute 5 days and steroid really helped me on the fifth day. Now I'm left with dizziness
Glad they helped! If you can see a vestibular physical therapist to get an exercise program it will help! You can also grab my go-to vestibular exercises here:
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You’re so off buddy
The only vestibular spin is BPPV Or menierres you have no clue what you’re talking about. Vestibular nueritis is like a boat
People describe dizziness differently, but typical people experience the spinning sensation when there is nystagmus. Nystagmus can be caused from BPPV, vestibular neuritis, meniere’s, sometimes migraines, central disorders, etc. Typically the rocking/swaying/on a boat is described by people experiencing 3PD or mal de debarquement. Often people can experience spinning in the acute phase of vestibular neuritis, but then transition into developing a swaying sensation from 3PD. I hope that helps!
😮 agreed ...im not convinced your an expert on this to be honest?
😮 I've suffered this for 6months now and all youvr said doesnt ring true 😮
@Lovemy911 you sure you have a vestibular neuritis?
😮 sent you a long reply it's been deleted 😮
@@Lovemy911 My daughter has had it since January about as long as you, and she has never had the spins just feeling like she’s on a boat, floaty, fullness in ears in the past few weeks. Her ENT said vestibular neuritis but she thinks she may even have vestibular migraines because she’s had many migraines in her life before the onset of this. Bppv is spins and menierres
Can i contact with you to help me ?please
Yes email me at hello@vertigorecoverydr.com
@@VertigoRecoveryDr i sent you email dr ♥️
I am still searching for the answer as to why did i have a second episode of vn.. and it was definitely vn.. the first time when i had it in my third trimester it was a clinical diagnosis but later PTA revealed very slight decrease in right hearing so i am assuming the right ear was affected..postpartum 6 weeks when i had 2nd attack i got all the vertigo tests done and it was the left ear which was abnormal in the caloric testing.. i just want an answer why.. also will this keep happening or is it a one time event for each ear.. please reply
If you have VN you have a permanently damaged vestibular system. You have to manage it properly with VRT exercises and healthy lifestyle.
@@eleanorrigby5759 yeah but y did i get it twice though.. everywhere i see it is written that u go thru it only once
@@eleanorrigby5759 i mean the severe acute attack.. i had it twice 3 months apart
@@uzmanausheen5475 because like I say, you have a permanently damaged vestibular system. I get an attack every few years or so and have to go for VRT. I don’t know what information you’ve heard and where from but it’s incorrect. The man in this video is incorrect 😂 just find a VRT specialist and you’ll be fine.
Sounds like you may have had a labyrinthitis in the right ear if your hearing was affected. While it is not very common, it is possible to have another VN, when this happens in the other ear, people usually notice balance issues are more prominent than dizziness or vertigo, unlike the first episode. It’s thought that VN is caused by a latent herpes simplex virus that gets activated, if you’re asking why it keeps happening, maybe dig deeper into how your immune system is functioning? That gets out of my realm as a PT, let me know if you have any other questions!
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