Management Techniques for Vestibular Migraine an interview with Michael Teixido MD 2022
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- Опубликовано: 8 сен 2024
- This video is the audio track only of an interview with Neurotologist Michael Teixido MD at the 2022 Migraine world Summit. For a video version, a written transcript, and access to dozens of other high quality expert interviews on migraine topics visit: www.migraineworldsummit.com.
Questions addressed in this interview include:
What is vestibular migraine?
Does vestibular migraine always feature a headache?
What does vestibular migraine feel like?
Is vestibular migraine related to the inner ear?
Is there a relationship between vestibular migraine and inner-ear disorders like Meniere’s disease and BBPV?
How do you distinguish between vestibular migraine and inner-ear disorders?
What are the primary ways to treat vestibular migraine, both acutely and preventively?
What medications are appropriate for treating vestibular migraine?
Do people with vestibular migraine experience symptoms sporadically or are they always present?
What is the relationship between vestibular migraine and anxiety?
Are motion-sickness medications like meclizine effective in treating vestibular migraine symptoms?
Are CGRP medications an effective treatment for vestibular migraine?
Can vestibular migraine be treated the same ways as regular migraine?
What is vestibular therapy? Can it be helpful in managing vestibular migraine?
What type of therapist is most appropriate for treating vestibular migraine?
What is PPPD and how is it related to vestibular migraine?
How does vestibular migraine affect one’s balance?
How can someone with vestibular migraine improve their movement and stability?
If vestibular therapy isn’t effective, does that mean it never will be?
What are some nonmedicinal ways to improve vestibular migraine?
What other specialists might be involved in treating vestibular migraine and its associated symptoms?
By far one of the most renowned doctors on the planet fully understanding this condition and the varied debilitating symptoms. I'm blessed to be under his care from May of 2020 to the present. My condition was severe and at a point of hopelessness prior to seeing him. Today it is nothing short of a miracle how much my condition has improved since treating with him. I'm not there yet, but on a positive path where the light at the end of the tunnel is closer every day.
Been suffering for 3 years this gives me hope
That is the same year mine started 2020 and has become stronger each year. I have been told there is no treatment as it is damage to the brain, specifically the cerebellum.
@@JanWhite-ui3le Dr. Teixido offers hope.
Would you share the treatments he has you on? Prescriptions, supplements, etc? Thank you!!
@@tannerodom1854
Nortrypline increased dosage from 10 up to 50 m g
Propranolol 60 m g
3mg of melatonin at night
It's not a 1 size fits all. He assessed your condition based on intensive testing and symptoms
I have symptoms all day, every day. Alot of vestibular migraine patients have constant symptoms. It csn lasts for years at a time. I wish so called experts would acknowledge this instead of thinking of migraine as episodic. I'm very grateful my neurologist recognised vm and diagnosed me.
Same here. Symptoms every day for the past 8mo (started after a mountain bike accident), my diagnosis by exclusion was Vestibular Migraine.
Vestibular Rehabilitation is too intense for me - feel debilitated for a few days afterwards… - so I’m doing my own rehabilitation - walk/run/swim/bike, increasing duration/intensity every week, making sure I “recover” (back to baseline) after a few minutes/hours post exercise (started with 1min, now I’m able to run for >1h).
@@MillerMedeiros i hope you find some successful treatment.
same here symptoms 24/7
I feel you, Dear One... I'm the same ... I feel migraine on top of vm... Best Healing to You ❤️🙏🏽
Thank God for Dr Teixido! I'm so happy to have found him after 6 yrs and 10 different Dr's here in South Florida. I went back to my hometown in Wilmington, DE and was treated by him. He is the only Dr who understands this disorder and gave me hope. Thank you Dr T for all the material and resources you have shared. Prayers answered.
How are you now?❤
I am seeing my third neurologist. It’s sad the time, money and suffering that I have been through trying to get help. Almost three years of constant pain and suffering with symptoms that have not been able to be resolved as of yet. Excellent lecture.
This was the best discussion I have heard on VM and treatment. Frustrated is an understatement. I've had to do so much research n then have to convince the provider what treatment works for me. Thank you for being so clear here.
By far the best information I have found about Vestibular Migraine. I stopped seeing my doctor at Hopkins two years ago because, apart from finally having a diagnosis, I felt there really wasn’t a lot a doctor could do for me. Physical therapy helped me get back behind the wheel after not being able to drive for several months. Even so, I still have days when I’m too impaired to drive.
Please try migraine preventative medicine. Try for a few months bc it works for dizzy patients. You could be having a silent migraine - no pain but u have symptoms
50% of migraines (pain and no pain) have dizziness/vertigo
Please try a migraine med that works for you even if u no have the pain migraine
Thank you soooo much for your pursuit to illuminate this misunderstood condition.i am diagnosed with VM, as you said no migraine nor headache for the last 50yrs( I was given small dose of Valium 50 yrs ago for new job stress related which stopped in a month,no head ache since then).My VM attack to me is disabling,stays in bed almost like a mummy,no head movement nor bed jarring for 1-2 days.Hugs my toilet bowl for violent vomitting and sometimes comes with urge to do #2 .Cold clammy all over my body.Gravol helps.Tried Cerc pill,made my vertigo worse(spinning not only vertically ,but horizontally).I feel that the Epley maneuver dont help.This vertigo started 40 yrs ago and happens at least 2x in a year.I still havent recognise my triggers.Just grateful that all attacks happened at home.I will watch my hydration and some food triggers.
I will follow up your podcasts.More power to you.
Hi Dr. Texeido, I want to thank you from the button of my heart how much I appreciate your very invaluable support and information you have posted . God blesses you for helping all of us with Vestbular Migraine.
I do have one top question and hoping you get a chance to response back . If not I completely understand.
I have VM everyday that come with dizziness/vision vibration, it is worsen after I eat a meal. So far no doctor knows why, I am hoping you might have heard from other patients before and know why.
Thank you so much for your time.
Respectfully yours,
Mayline
Hi
I also have VM and improved greatly after VM physio ..I now continue physio by running 3 times weekly
I still had a degree of dizziness although improved so much so I did an elimination diet and found my dizziness was due to food sensitivities. I now attend a GP who tested my food allergies and commenced me on EPD Injections which reduces my sensitivity to foods. It's Enzyme Potentiated Desensitisation.
Check it out and see if this may apply to you.
Every good wish to you in your symptoms relief Ann 🙂
Thank you so much Dr. Texido.. God Bless you from a Vestibular Migraine sufferer. I was lucky to have an ENT and family doctor who diagnosed me when a fancy neurologist on MIchigan avenue almost caused me to be suicidal with his dismissal of my issues... You are very clear and succinct..
great respect for this doctor
Hi Dr. Teixido , I want to thank you for your hard work and the invaluable information you have shared with VM patients. The word alone can't describe enough of how much I appreciate all that you do . I used to have 30 migraine days for many years with vertigo and tinnitus. I am now got less amount of migraine attacks per day. I took your information to share with my doctors. That has help tremendously. God blesses you and your loved ones with good health . Thank you from the button of my heart for your compassion in helping all of us 🙏 ❤️
I live in South Africa and I have been for every test MRIs CT scans blood tests and the doctors know tells me it is physiology problems but I have severe headaches, balance, depression and anxiety the medication gave me more headaches but the dr said I must go on with it...This is me that you are speaking to everything started in my left ear always throbbing
Hi I live in Los Angeles CA and I was reading your comment..I hope I can be helpful..I was Diagnosed April 2021 after suddenly getting sick ..I also started with a Aggressive headache that took me to the ER ..I waited for eight long months for a full Diagnosis..i had all the symptoms that you are describing..it now one year and a few months and I'm doing much better..I'm not 100%o out of the woods but I can tell you it was much worse before I'm so grateful I'm now back to work and able to function almost normally but let me say acceptance is First key once you full except Immediately you see change and Anxiety will start to heal..I have no Anxiety.. it's all gone..prayer is another to get through the day ..if there is anything I can do for you please let me know..iv meet great people here on RUclips that really helped me with support..have a blessed day.
Hi Joey did you take any medication?
Hi sorry for the late response ..
I'm on Nortriptyline 10 mg
One pill at night..it's been a very good medication..I don't take any meds during the day.. lately the change of weather has been challenging but not as bad ..as it was in the beginning of this whole ordeal..hope your doing well.. prayers 🙏
@@joeyboy2013could very well be vestibular migraines. Try avoiding migraine triggers. Some foods can also trigger it. Try an elimination diet.
Thank you for this video. It’s very informative, I have learnt so much.
This is SO helpful! Your descriptions are so clear and understandable. I’ve been diagnosed with VM by an ENT. I’ve had Mineare’s Disease dx for 60 yrs and was told recently that VM rules out the Mineare’s. I’m glad to hear your explanation and interaction of the two!
Very informative Dr Teixido! For me, All of this started after having the Covid vaccine. Is this common or a possibility?
Same here 😢
Good to know!
Did anything help you
Me too i was ok before the vaccine then chronic vestibular migraine and a thyroid disorder.
Me too!
with this disease I have to educate myself, had a series of bad lucks with doctors
Thanks for posting this, it gives me some options to discuss with my neurologist :)
Thank god I found this video. I finally understand what is going on with me. I have vestibular migraine and with Alice in wonderland syndrom. I have been to sooooo many specialists in Peru and no one has been able to diagnose me since my migraines have such strange symptoms and no headache.
Dr do you do online sessions? I would love to speak to you and book a consultation 🙏🏻
I am curious if bad neck alignment can cause vertigo.
Would i be able to get an appointment with you remotely please? You are the only person I have any faith in and my hope is fading fast.. I live in the UK. thank you for all of your good work
My mum had migraines until menopause and then started to get vertigo episodes and still gets them now she's 80 but I'm the only person telling her it could be migraine
Thank you so much for sharing all this information!
Absolutely brilliant inerview 😊
Do we need to take the medications for life long? Previously, I was on meds for 8 months then doing well without meds for 8-9 months. Then my symptoms came back and I am on meds again.
thank you Dr. Teixido. So informative. I'm wondering if anyone says they feel very sleepy during a vestibular migraine attack ? and my VM attacks last a few hours is that a symptom ?
Tiredness and sleepiness is a migraine symptom for sure
There's better ways to reduce anxiety than starting pharmacotherapy that is difficult to taper off
excellent
Can vestibular migraine, aura migraine and motion sickness be triggered by impaired function of blood vessels in the cerebellum? I have all these three, and I have an srterial abnormality in my cerebellum (persistent trigeminal artery).
I have a question in case of vestibular migraines. If i take medication on more than 10 days does the dizziness get worse like a headache does?
I had 2 vestibular therapist say I had the worst bppv they ever seen. Roughly 1 1/2 years of therapy. My regular dr today said I have migraines. If you know of anyone worthy to see in NW FL please tell me
Me: VM diagnosis.
Recurrent bppv
Tinnitus intermittent
One ocular migraine ever
Congestion
Ear pain / full/pressure intermittent
PPPV
One childhood nausea while reading in a car
Sensitive to rides at park
Family has migraines but non seem to have dizziness like me
Is there any way to make an appt with Dr Tiexido? I call and call his office and no one calls me back 😢
Can a person with VM live a normal life eventually?
Does Dr. Teixdo take patients via telemedicine? Does he take insurance if one decides to take a flight to see him?
Hello sir. Plz guide.
I am vestibular migraine patient. Gained weight due to rest more. And less activity. Now I want to reduce . For that I need change my diet also. I am vegetarian. May I increase my protein intake. Wil high protein affect or trigger vertigo
Anything that balances and doesn’t spike your insulin is good for your vertigo so yes protein and good fats are beneficial
@@gloriasaliba3395 thanx dear
I have all these symptoms. I am helpless. Need your help. How can I contact you. I am from india
my migraine is in my ear what is the name of this migraine
I can't run now, can't do many exercises and many movements. Due to anxiety my weight getting up. I can't do fasting also. Joints always have pain. What exercises will help me. Plz suggest me. Last hope. I am 36. Will it be continued whole life
I’ve been feeling dizzy every single day for the past 8mo, at the beginning I couldn’t even walk around the block without feeling really nauseous…
I started to walk, faster, and for longer durations, each day.
I also started to ride a stationary bicycle (slow speed, low intensity).
After a few weeks, walking didn’t make me dizzy anymore, so I started to run and swim.
At the beginning, 3min was enough to make me really nauseous, but now I’m able to run for 1h, and swim for 30min…
I made sure the symptoms got back to baseline after a few minutes/hours after the exercises… - if a couple hours afterwards you’re still feeling worse than when you started, you probably went above your limit (so you should reduce duration/intensity).
Good luck!
@@MillerMedeiros thank you so much. Useful advise. I will do this . Made me hopeful.
Can you talk about other things besides meds? I realize the American medical system loves to treat symptoms and not the root cause. I’ve had excellent results from the Gonstead method of chiropractic care and it has worked wonders. Why doctors don’t even consider things other than meds is ridiculous!!!!!!
Can you please share more about these treatments? I do not want to take any meds, but at this point I don't know what to do😢
Yes eg it's pretty narrow to only think of anti anxiety meds as the treatment when anxiety is treatable without medication
Is it curable
I certainly hope so! I haven’t gotten an answer until now on what I’ve been dealing with. Now I can share this with my doctor.
No it’s not, but you’re diet have to completely change.
@@keltaphillips1343 will protein rich diet make worse the symptoms
@@shekhars5314no
Not curable, treatable. Just listen to the entire conversation
EFFEXOR meds was game changer for dtr that suffered for 3 yrs