Auntie Liu is a square dance enthusiast, often go to the park near the neighborhood to dance after dinner. But recently, dancing in the turn, twisting the head often suddenly appear dizziness, spinning the situation, but very soon on their own to ease. A few days ago to go to the market to buy food sudden vertigo, fortunately by others to help a hand did not fall, if the road suddenly fainted, the consequences are unimaginable.
After realizing the potential danger of a vertigo attack, Aunt Liu went to the Shandong Ear, Nose and Throat Hospital accompanied by her partner. In the vertigo section of the director of the Lv Yafeng clinic, she described herself: "doctor I recently often sudden dizziness, and sometimes nausea, blood pressure is also a little high, could it be cervical spondylosis committed?" Aunt Liu's partner told the doctor that Aunt Liu had otoliths ten years ago, which were easily cured by Zhang Daogong, director of Shandong Ear, Nose and Throat Hospital, with his "masterstroke"-manipulative repositioning. Recently, my partner's allergic rhinitis has returned, and she sneezes frequently and violently. Doctor, her recent sudden dizziness is not due to sneezing, which leads to the recurrence of otoliths?
Position test, find the "murderer" of vertigo
Director Lu communicated with Auntie Liu and hypothesized that the vertigo was caused by otolithiasis. The first thing you need to do is to get your hands on a pair of shoes or boots, and then you'll be able to get your hands on a pair of shoes or boots that you want to wear. Director Lv Yafeng asked her to sit halfway on a hardboard bed, lie down quickly, and then turn her head 45 degrees to the side, at which point Auntie Liu experienced a brief period of rotational vertigo, and her eyes moved uncontrollably, which manifested the nystagmus symptom that is typical of otolithiasis, and Auntie Liu was diagnosed as having otolithiasis, which is closely related to her frequent and forceful sneezes recently!
Revealing the "true face" of otolithiasis
In the inner ear, there is a structure to feel and regulate the balance of the body, which is the vestibule and the semicircular canals, and the otoliths are the substances that help the human body to feel the changes in the center of gravity. When one side of the otolith is dislodged due to certain pathogenic factors, these dislodged otoliths swim in the endolymphatic fluid of the inner ear. When the body's head position changes, these semicircular canals change position, and the submerged otoliths move with the flow of the fluid, and stimulation of the vestibular nerve may enter the adjacent semicircular canals. When the head position changes, the otolith particles will move under the effect of gravity, which will drive the flow of endolymphatic fluid and stimulate the receptors in the semicircular canals, and a temporary sense of vertigo will occur. Otolithiasis is a benign condition and is not life-threatening. It is characterized by dizziness associated with a change in body position, which usually occurs when getting up, lying down, turning over, or turning the head, and can be accompanied by nausea and vomiting in severe cases, and usually lasts less than a minute.
Otolithiasis Treatment Tips - Manipulation
After the diagnosis of otolithiasis, the simplest treatment is the restoration, about 98% of the otolithiasis can be cured by manipulation restoration. The purpose of manual repositioning is to return the dislodged otolith to its place, depending on which side of the patient's otolith is dislodged, dislodged into which semicircular canal, and then through a few movements, with the help of positional changes, the otolith from the semicircular canal back to the vestibule, so that the vertigo symptoms are eliminated, and then the otolithiasis can be cured.
Auntie Liu, according to the instructions of Director Lu, did a few specific left and right head movements, Director Lu let Auntie Liu up to try to see if there is still a feeling of dizziness, Auntie Liu tried a few bending down and low action did not trigger the feeling of vertigo, she was happy to praise Director Lu's treatment is too magical, do not take medication, do not take injections, lying down by the director of the left and right Lu". She was happy to praise Director Lu's treatment method as amazing, without medication or injection, and cured her vertigo by lying down and being manipulated by Director Lu! Director Lv Yafeng told Auntie Liu that some patients' otolithiasis can't be completely cured by a single reset, and that they should take some medicines to improve their vestibular function, and asked Auntie Liu to take the medicines according to the doctor's instructions, and then to come back for review a week later.
Is otolith manipulation an immediate solution for all patients?
Otolith repositioning is basically effective for patients with otolithiasis, but the results are not immediate for everyone. The effect of otolith manipulation is related to the type of otolithiasis and the patient's physical condition, and the recovery of the disease is affected by a variety of factors.
Some patients may experience immediate results after a single repositioning, with effective relief of dizziness and a feeling of relief. However, patients with horizontal semicircular crural cap stones need to be repositioned several times. In most cases, otoliths should float freely in the endolymphatic fluid, while horizontal semicircular crural cap stones are otoliths that stick to the top and are not easy to return to their place, so they need to be repositioned several times to be cured. There is also a part of the patient after the restoration, may be left with persistent dizziness uncomfortable feeling, and even the possibility of otolith recurrence, repeated dislodgement need to be repeated restoration treatment, its treatment time is long, and even can not be completely cured. The metabolism of the elderly slows down the health condition is relatively poor, the location of the otolith organ structure began to degenerate, as opposed to the structure of young people solid, so the recovery is relatively slow, after the reset is also prone to recurrence.
Therefore, not all otolithiasis can be completely cured by a single repositioning, and some patients will need multiple repositioning of the otolith. Patients who are found to have otolithic vestibular function damage during vestibular function tests also need to be treated with a combination of medication and vestibular rehabilitation training to promote recovery from otolithiasis.
Why are older people more likely to develop otolithiasis?
Older people have a higher incidence of otolithiasis, and osteoporosis is a major cause of otolith loss in older patients. In old age, the otoliths are more fragile, usually if you do some of the amplitude of the movement, such as running, jumping, etc. is very likely to trigger otolithosis. This is because the structure of the otolith itself is calcium carbonate crystals, the human body if the lack of calcium, the foundation of the otolith will not be strong, the otolith is difficult to grow again after the reset of the otolith, easy to fall off again leading to otolithiasis recurrence. Especially peri-menopausal women, the decline in estrogen levels accelerate the calcium deficiency, otoliths incidence, recurrence rate will rise accordingly. Experts suggest that if the elderly lack of calcium, calcium supplementation should be supplemented with vitamin D, to help calcium absorption.