Dizziness and Vertigo
Dizziness may relate to many differing causes but vertigo (sensation of spinning) usually indicates an inner ear problem. A common cause is Benign Paroxymal Positional Vertigo (BPPV) which can be easily diagnosed with positional testing and treated with the Epley or Particle Repositioning manoeuvre. BPPV is a condition where crystals of calcium carbonate collect in the semi-circular canals of the inner ear. Other causes include Menieres disease which can usually be controlled with medication. Occasionally an injection into the middle ear of Gentamicin or steroid, may be necessary to control symptoms. Labyrinthitis/ acute vestibular failure often occurs as a sudden attack which usually gets better on its own but sometimes recovery is slow or incomplete and treatment is needed. This usually takes the form of specially designed physiotherapy exercises.