I am dizzy when I lay on my right side. Benign Paroxysmal Positional vertigo

by Shannon
(New albany,IN)

BPPV

BPPV

Benign Paroxysmal Positional Vertigo (BPPV)

A few weeks ago this happend and my Chiropracotor said my neck was off? Neck is off?

Hello Shannon,

Well, I've never heard of a neck being off. Something related to the guillotine?!!!

Dizziness, vertigo in medical terms, is one of those areas where we chiropractors tread carefully. Adjustments of the neck can certainly make it worse.
It's not difficult really, beacause the most common cause of dizziness, especially if comes from lying on one side, is from small crystals that have come loose in the inner ear. I say not difficult, because there's a very specific test, called the Hallpike Manoeuvre. If it's positive, then it's strong recommended you go through the "Epley Manoeuvres" rather than have your neck adjusted.
Type these terms into the Search this Site at C-H. In fact there are some free courses at Chiropractic-Books.com for your chiropractor, should he s/be interested.
But if Hallpike Dix is negative, then I adjust the neck if I find a subluxation. But with great care, because it really can make the dizziness much worse.
And, if you are a middle aged woman, a smoker, on the pill, then I would probably decline to adjust your neck. It's risky.
I suppose the proof of the pudding is in the eating. Did putting your neck back on fix the dizziness?
Perhaps discuss these things with your chiropractor. And do some reading on BPPV. There's plenty on it at C-H.
I hope this has contributed.

Dr B

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Interesting challenges of the day

1. Mrs D, a 78 year old woman has very severe sacroiliac joint pain, and even more severe cramps in her right leg. There are two problems; she is on two diuretics but no slow K. Taking her temporarily off one diuretic and adjusting the SIJ brought 50 percent relief within four days. 

2. Mr S, a 48 year old man, has right low back pain, groin pain and a numb feeling in his lower leg when he sports. For six months he's been off football. He too has two problems; a very treatable lumbar facet syndrome and a very serious blocked artery in the groin; it's called intermittent claudication. Smokers beware.  

3. Mr S looks like the leaning tower of Pisa; he has a slipped disc at L5 making him lean towards the opposite side. It's called the postero lateral disc hernia; we'll fix it, but he has to stop for a week or two. Antalgias are serious so take them seriously. 

4. Mrs V too has  two conditions; a chronic low grade sciatica giving her an ache in the right leg, and a threatening Morton's neuroma. She's glad I'm back in Holland; chiropractic fixed it before, and we'll fix it again. 

5. Mrs W is one of the lucky ones, says her doctor. I agree. He says only 40% of patients with lumbar stenosis have a successful operation. We fixed a nasty slipped disc three years ago, but it came back two years later; the surgeon did a fine job but she has a weak ankle now giving her subtalar joint pain; it's routine stuff. 

6. I myself had an acute exacerbation of a femoral nerve lesion last year. One immediate treatment of the new strain by my colleague has fixed the pain in the lower back, but there's some residual numbness in the lower leg; no soaring tomorrow alas.

7. This lady is a 86 year old woman with a 63 scoliosis. Chronic lower back has been her lot in life but she's well pleased with chiropractic and comes for chiropractic help once a month; some conditions you can never cure.

8. She is an 78 year old woman, is doing remarkably well with a bad sciatica. But over 200 pounds she is not losing weight; in fact, gaining despite my suggestions. She's high risk for a stroke. I have referred her to a dietician to crack the whip.

9. A 61 year old man with upper cervical pain yesterday; it's not severe but also not getting better of its own accord. He's afraid it may turn very acute as when I treated him three years ago. Since then it's been fine. 

10. A 64 year old woman has had scheuermanns disease; it's left her with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment provides she come every six weeks or so for maintenance treatment.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mrs D, a middle aged woman with hip pain of one year duration, despite other treatment. Xrays reveal an impingement syndrome and early hip arthritis. There's much to be done.

13. Mrs B has had one of the nastiest of conditions; vertigo caused by a disturbance in the inner ear. Falling repeatedly and vomiting she consulted her doctor but medication didn't help. After two sessions of the Epley manoeuvres she was 50 percent better. After two weeks 75 percent improved. No longer vomiting all falling. She's not enjoying the Brandt Daroff home exercises.

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



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