Balance issues still unresolved 3 years down the line

[Dr Damien]

To Mr Physio and Alan31

I missed Alan31's entry yesterday. Lying back on a table and getting dizzy lasting 10 seconds does indicate a possible positional effect (Hallpike dix maneovere type assesment). Mrphysio may be right that this could be a case of BPPV then...you have also said that your dizziness is not constant which is also possible an indicator for a BPPV

Dear Alan31 have you ever been assessed for BPPV then?

To Mr Physio, I am a physiotherapist...not an osteopath/chiro, my comments are not intended to scare anybody. We have to be careful what advice we give to people we are not seeing, so i take into consideration every symptom that is said, i consider every possible contraindication and make the client aware. It is called educating a patient, that is what this forum is for. It is not for proving that anybody is knowledgeable. whether or not this problem is a BPPV, the client has reported some radiological evidence of a subluxed C1-C2, who are we to discredit what we are not seeing?

I believe you have quite good reason to reason as you do, and if i had read Alan31's last comment I may have agreed with you quickly. Rather than advice an Epley's maneovere , I would advise to be assessed for BPPV first, because this is jumping the gun...remmeber that these maneovers are pasted over the internet and cn be easily carried out, but when somebody has reported they have been told that C1-c2 is subluxed...then the safest advice I would give is to go back to a trained professional with these knew thoughts because, with an epleys maneovre...your are going to extend your neck, you are going to rotate it...often enough you may have to repeat this two or three times to see an effect...

The aftercare after Epley's maneover is the most crucial part of the treatment not the treatment itself...Mr Physio may be right in the sense that neck adgustments might temporarily move loose crystals, but since a BPPV diagnosis has not been confirmed the after care of that is lacking causing a comeback of the symptoms...

To Alan31, again i ask, has anyone assessed you for a BPPV?
To Mr Physio, thank you for the lateral thinking...like i said, my words should not scare anyone, if my Alam31 tried the Epley's maneovre and suddenly started getting lower limb weakness how would you feel about that? or numbness in his arms...shouldnt he be seeing someone physically before trying something that may well have a contrainindication or caution attached to it...

Im just saying educating about safety first....

[alan31]

Hi all, and thanks for your opinions. Regarding BPPV, I am unsure if I have been assessed for this...I have been to so many doctors, and I can think of a number of occasions where I was put on a bed and had my head turned in certain ways, to test whether I got dizzy. However, I cannot remember the specifics, so...while it seems I have, I cannot say 100%. I think it would be wise to get my chiro or physio to test this to confirm. In saying this, I have also been to an ENT, and had audiology testing - would this not rule out BPPV? Perhaps I am looking at this wrongly, but the mild vertigo occurs less than 0.1% of the time, and is hardly a problem. What is a massive problem to me is the remaining 99.9% of the time feeling car sick and foggy brained. Could the crystals causing BBPV also be causing this? I appreciate there is only so much you can tell me through my descriptions. When speaking about not ruling anything out, I guess it is possible that both my ears and my neck are contributing? (touch wood). What would you folks do in my position? I live in Townsville, and, being a smallish and isolated town, I have limited access to specialist health care providers. If there was a balance disorder specialist who springs to mind as being my saviour, who works out of Melbourne, Sydney or anywhere else in Oz, I would consider visiting him. Thankyou all for taking an interest in my troubles, it is really appreciated.