Treatments of Vertigo


Treatments delivered are :

1. One staged Therapeutic Manouvres
  1. The Epley’s maneuver
  2. Semont maneuver
  3. Guffoni maneuver
  4. Yacovino maneuver

2. Vestibular Rehabilitation Therapy
Vestibular Rehabilitation Exercises
  • Eye movements
    • Up and down
    • From side to side
    • Focusing on finger moving from three feet to one foot away from face

  • Head movements
    • Bending forwards and backwards.
    • Turning from side to side.
    • Stretch your arms out infront with your thumb pointing upwards. Now turn your head to the left and the right while keeping your eyes fixated on your thumb.
  • Shrug and circle shoulders
  • Bend forward and pick up objects from the ground
  • Bend side to side and pick up objects from the ground
  • Eye, head and shoulder movements, as 1 and 2
  • Change from a sitting to a standing position with eyes open, then closed (please note this is not advised for the elderly with postural hypertension)
  • Throw a ball from hand to hand above eye level
  • Throw a ball from hand to hand under the knee
  • Change from a sitting to a standing position, turning around in between
  • Walk up and down a slope
  • Walk up and down steps
  • Throw and catch a ball
  • Any game involving stooping, stretching and aiming (for example, bowling)

Gaze stabilization exercises

The aim of gaze stabilisation exercises is to improve vision and the ability to focus on a stationary object while the head is moving. Your therapist should assess you and say which exercises are suitable for you. Look straight ahead and focus on a letter (for example, an ‘E’) held at eye level in front of you. Turn your head from side to side, keeping your eyes focused on the target letter. Build up the speed of your head movement. It is crucial that the letter stays in focus. If you get too dizzy, slow down. Start doing the exercise for a length of time that brings on mild to moderate symptoms (you could use the number rating scale). This might only be for 10 seconds. Over time, you can build up to one minute (the brain needs this time in order to adapt). Build up gradually to repeat three to five times a day.

3. Fundoscopy Reports from Retina Specialist
Normal Fundus
Diabetic Retinopathy
Hypertensive Retinopathy

Optic Neuritis

Equipage partnering with Dr Vaishali Sangole’s Headache and Vertigo Clinic - for FUNDOSCOPIC EXAMINATION.
Why get your Fundus Examined?
1.Preventable blindness / Preventive blindness- an initiative for elimination of avoidable blindness - in collaboration with Equipage Health Pvt Ltd.
2.Higher Prevalence of Blindness - Visual impairment and Blindness disproportionally affecting larger populations in present days.
3.Systemic diseases - Hypertension causing hypertensive retinopathy and Diabetes causing diabetic retinopathy ( eye sight may be normal till advanced stage of the diseases ) are the various causes of irreversible vision impairment and blindness.
4.Use of phones ,Laptops ,TV screens - especially during lockdown because of work from home and in children with online schooling -dryness is eyes,blurring of vision and headaches have become common symptoms.
5.Raised CSF Pressure - Raised intracranial pressure in Vertigo patients or related to other intracranial conditions.
6.Trauma - Damage to optic nerve, retinal tear or detachment secondary to trauma . 7.Raised pressure of eye - Glaucoma (which is excessive pressure in your eye), causes slow progressive vision loss which is irreversible hence needs screening, typically side or peripheral vision is affected first hence goes undetected.
8.Age related - Macular degeneration (a loss of vision in the center of your visual field) is a common cause of visual loss in older aged groups.
9.Infection of eye- Cytomegalovirus (CMV) retinitis (an infection of your retina)
10.Tumours - Melanoma (a type of skin cancer that can spread to your eyes.

4. Yoga and meditations

5. Diet
Diet To Help You With Your Vertigo | Dizziness

Food rich in sodium like soy sauce, chips, popcorn, cheese, pickles, papad and canned foods are to be avoided. You may replace your regular salt with low sodium salt as sodium is the main culprit in aggravating vertigo. Nicotine intake/Smoking. Nicotine is known to constrict the blood vessels.
Ginger may ease vertigo associated symptoms, like nausea, lightheadedness and vomiting. Ginger roots are counted as the best foods for vertigo. Drinking ginger tea daily is quite effective in treating vertigo.
Vitamins B12 deficiency in prevalence is a commoner cause of systemic and central Vertigo. To increase the amount of vitamin B12 in your diet, eat more of foods that have enriched Vitamin B12 like Beef, liver, and chicken, fish and shellfish such as trout, salmon, tuna fish, and clams. Fortified breakfast cereal. Low-fat milk, yogurt, cheese and Eggs.
Iron deficiency anaemia is a common cause of giddiness with fainting episodes. These foods to your diet to get more iron and help fight iron deficiency anaemia: Leafy greens. Leafy greens, especially dark ones, are among the best sources of nonheme iron, Meat and poultry, all meat and poultry contain home iron, Liver, Seafood, Fortified foods, Beans.