Vertigo Treatment

What is vertigo?

Vertigo is a particular type of dizziness that makes you feel like your environment is moving around you, and it is often accompanied with feelings of nausea. Vertigo and dizziness are symptoms that can be related to a variety of health issues, including cardiovascular disease, anxiety, neurological disorders, visual deficits, viruses, or vestibular dysfunction.

Vestibular Rehabilitation

Do you ever feel like the room is spinning around you, or do you feel dizzy and nauseous when you change positions and roll over in bed? Do you experience difficulty with balance or a fear of falling? If so, vestibular rehabilitation can help you.

What is the vestibular system?

The peripheral vestibular system involves the anatomy of the inner ear. Our inner ear detects static, linear, and rotational movements of our head. The vestibular system gives sensory information to our brain about where our body is in space, so it plays an important role in balance. It also communicates with our eyes, through the vestibulo-ocular reflex, to help stabilize our vision while our head is moving.

What is Benign Paroxysmal Positional Vertigo (BPPV)?

BPPV is a common, and very treatable, cause of vertigo which stems from the vestibular system. BBPV is when the crystals in the inner ear are dislodged and are free to move around inside the inner ear canals. The crystals move when your body changes position and they stimulate nerve cells that give your brain incorrect information about where your body is in space. This causes a sensation of vertigo, nausea, and abnormal eye movements. BPPV can easily be assessed and treated within only a few physiotherapy sessions. Since BPPV is benign, it can be assessed and treated at any time, even if you haven’t had an episode of vertigo that day. Treatment includes a variety of manual repositioning techniques, accompanied by a personalized home exercise program to improve your balance, decrease your symptoms, and increase your confidence to move through the world without fear of vertigo.

Who can help me?

Jennifer Mildon, one of our Physiotherapists at Diversified, has a special interest in vestibular rehab and has completed post graduate courses in Introductory and Advanced Vestibular Rehabilitation. If you experience any of the symptoms discussed above and are interested in having an assessment, please request a vestibular session with Jennifer when you contact the clinic. She kindly asks that you arrange travel plans so that you will not have to drive home after your session. You are welcome to bring a friend or loved one with you to your appointment. If you are still not sure whether or not vestibular rehab would benefit you, free five minute consultations are also available upon request. We look forward to hearing from you soon!

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Gardening Guidelines For A Healthy Spine

It’s that time of year again when the garden beckons for our attention! After a few months of inactivity – for the garden blossoms and your outdoor gardening activity – it’s easy to overdo it when you do get back outside.

 

Here are a few things to keep in mind as you venture into the wilds of your yard this spring:

 

  • Avoid bending with your low back.
    • Squat with your knees, or kneel down on both knees with one arm out creating a “tripod” effect for stabilization. Or better yet, sit on a small stool or using a kneeling bench for comfort on your knees
  • Use caution when pulling on stubborn weeds.
    • Sudden jerking or twisting motions as roots give way can cause problems with your spine.
  • Carry heavy or awkward objects close to your body.
    • “Hug” items in tight to you. Keeping the load close to your center of gravity reduces the risk of strain on your neck and back.
  • Stay hydrated. Wear a hat and sunscreen.
    • You are expending energy, remember to drink water often. While the sun may seem weak still in the early season, even mild sunlight can cause damage if you’re not careful.
  • Stretch often and take movement breaks as much as you can.
    • Staying in one position for long periods of time isn’t healthy for your body. Remember to stand up and stretch every now and then. Take a stroll along your yard to keep joints moving and limber while you admire your work.
  • Be body aware.
    • Be aware of your posture and use good placement. When mowing the lawn, stand upright and maintain good core body position. Rake using both arms for a balanced impact on your body.
  • When shovelling, point your feet where the dirt goes.
    • No twisting and turning while you toss those shovels of dirt out of your way. As a rule of thumb, toes always point in the direction you are throwing the dirt.

 

With some attention to alignment and proper rest breaks, your forays into the garden this spring can be injury free for your spinal health.

 

If you do notice any twinges or pains that don’t go away after some rest and stretching, consult your medical professional such as a Chiropractor, Physiotherapist or Registered Massage Therapist to help with assessing your body’s needs.

 

Enjoy the gardening and stay healthy!

 

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Ouch! Is It A Strain or A Sprain?

When an injury occurs, it can often be difficult to determine just how severe an injury is – or even what type of an injury you have. Strains and sprains are similar but different and they can be hard to assess. A sprain or a strain of a muscle can be so intense that it can easily mimic a fracture of a bone. Even trained medical professionals will often have to rely on imaging to help them make an accurate diagnosis.

There are some common signs and symptoms that each of these injury types have that can help you in assessing just what type of injury you may be dealing with.

Here is a quick overview of what to look for:

Strains

 

  • A strain is a stretching or tearing of a muscle or tendon. Tendons are the connective tissue that connect muscle to bone.
  • There are two main types of strains: chronic and acute.
    • Acute strains may happen when slipping or falling on ice, jumping or running ballistically, an awkward bend or movement during lifting a heavy object’
    • Chronic strains happen over time, occurring from repetitive use activities such as golf, tennis, rowing or other sports.
  • Common symptoms include:
    • Pain
    • Swelling
    • Muscle spasms or soreness
    • limited ability to move the affected area

 

Sprains

 

  • A sprain is the stretching or tearing of ligaments. Ligaments are the bands of fibrous tissue that connect bones to each other throughout the body. They are most often seen in joints that have multiple normal ranges of motion such as ankles, knees, wrists and shoulders.
  • Commonly caused from an acute traumatic injury or the extreme sudden stress on a joint.
  • Patients often report hearing a “pop” or “crack” at the time of injury. It’s this that can cause the confusion between a severe sprain or a break. Medical imaging is often necessary to rule out a fracture.
  • Common symptoms include:
    • Pain
    • Swelling
    • Bruising
    • Limited or complete inability to move the joint or bear weight

 

When to seek immediate medical attention for a suspected strain or sprain

 

If you are experiencing any of the following, an urgent trip to a medical professional is your best course of action:

 

  • Numbness or loss of circulation in the affected area
  • Inability to walk more than a few steps without severe pain
  • Inability to move the affected joint area
  • Pain directly over the bone

 

Strains and sprains can range from mild, requiring no medical intervention, to sever, requiring surgery and rehabilitation to heal properly. If you are in doubt, let a professional assess you and determine what course of action is best.

 

For mild to moderate strains and sprains the initial course of treatment is home care and includes:

 

  • Rest: stay off the affected joint and allow the area to rest.
  • Ice: cold helps to reduce swelling and inflammation and reduces pain. Apply ice in intervals of for 10-20 minutes, repeating for the first 2 to 3 hours immediately following the injury.
  • Compression: To help with swelling and to assist in stabilizing the joint, you can use an elastic bandage to compress the area. Be sure not to wrap too tightly as you want to ensure proper circulation. If wrapping causes an increase in discomfort, numbness or if swelling increases, loosen or remove the wrap.
  • Elevation: elevating the injured area (above the level of your heart) will help with swelling and discomfort.

 

Most mild to moderate strains and sprains heal on their own with some care and attention as noted above but if you are not seeing some improvement in pain and the ability to move and bear weight in a few days, you may want to see a medical professional to assess the injury.

 

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