Hello and welcome to health care magic,
I am Dr Sriram Nathan an ENT surgeon who has been exposed to thousands of patients with vertigo
and have a fair amount of success in treating them.
Now there are some things and check list which you must understand so that you can be assured. Let me put it in points so that you can get it more clearly:
-Vertigo is like headache which can have many many causes and in most of the cases we cannot frankly tell you the exact cause. The test which we do are only to reassure you and us that the cause is not something sinister like a tumour for example. Most of the tests in vertigo are just indirect pointers to the cause and none of them are definite.
-In spite of this we need to do these tests so that we do not miss the obvious and the sinister as I explained above.
-I am assuming that you have done most of the tests. In any case the routine test battery of vertigo should have audiometry
, balance testing, electronystagmography, CT Brain and CT temporal bones and VEMP. I do hope you have done these tests as a priority and I am assuming that these were normal. If not get them done and share the results with me.
-Now assuming that all these test were normal we know that you have a balance problem that is better now but not completely relieved. You must realize that any balance problem will recover if sufficient time is given. Our brain has tremendous capacity of recovery and adaptation and if you give support to the brain as I will explain below you can recover.
-The supportive measures include these:
1. Avoid any sudden movements including when you get up from the bed
2. Do not enter or go into a dark place or room
3. Google for vestibular rehabilitation
exercise and do them regularly
4. While climbing stairs do hold the side railings for support
5. Reduce your mental stress and try relaxation techniques
like yoga or meditation
6. Be active but slow and steady which will exercise your brain like a muscle and help the recovery
7. Do not take prolonged bed rest
as it will impair the recovery
-You must also continue anti vertigo medications like betahistine
in consultation with your doctor and gradually reduce the dose of the same.
-Finally a neurologist
can help you out in terms of ruling out any major cause of headache and also examine whether your nervous systems are fine which will definitely help in your recovery. So do go ahead with the consultation
Just remember that it is only a matter of time and you will definitely recover.
Hope this helps and if you have any other doubts I will be only happy to help
Dr Sriram Nathan