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At some point in your life, you have perhaps experienced dizziness. There are a variety of different things that can cause this sensation of being dizzy, but one of the worst is a condition called MENIERE’S DISEASE, because there are several other symptoms that you experience along with dizziness, that make it one of the most horrible inner ear condition that you can experience.
If you have ever had vertigo, which is an episode of intense dizziness, combined with tinnitus, aural fullness or congestion, and fluctuating hearing loss, then you may actually have MENIERE’S DISEASE.
MENIERE’S DISEASE usually affects only one ear, but it can progress to your another ear in time. And while the sensation of dizziness will eventually go away, you are usually left with permanent hearing loss.
MENIERE’S DISEASE caused by increased pressure in the inner ear due to the build-up of fluid in the inner ear, and this build-up of fluid in the inner ear causes a disruption in how the cochlea and vestibular system communicate with your brain, other causes can be blood vessel constriction, viral infections, allergies, autoimmune conditions, or genetic factor.
In normal conditions, your brain supposes to receive similar information from both of your ears. And due to a mismatch of signal between your affected ear and your not-affected ear which you why you typically have symptoms that involve balance and hearing at the same time.
Episodes of MENIERE’S DISEASE may be triggered by being tired, emotional stress, dietary factors like too much caffeine or too much sodium,
Go for diagnosis of MENIERE’S DISEASE if you have 2 or more episodes of vertigo lasting 20 minutes each. The onset of loud tinnitus. Low-frequency hearing loss and the feeling of ear fullness along with nausea and vomiting.
There are some modifications to reduce the effect of MENIERE’S DISEASE like reduce intake of salt, chocolate, caffeine, and alcohol.
Physiotherapy treatment of MENIERE’S DISEASE includes: vestibular rehabilitation.
Epley maneuver.
Upper cervical ROM exercises.
Neck rotations for 15 seconds with open eyes and 15 seconds with closed eyes.
Head nodding up and down with eyes open and closed 15 seconds each.
Head lateral rotation while looking at a point.
Balancing exercises on Bosu ball or wobble board, single-leg standing, walking on an uneven surface, etc.
Proprioception training.
Mobilization of the upper cervical spine with the temporomandibular joint.

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