On the Origins of Vestibular Symptoms in Migraine - Sub Classifying Vestibular Migraine Patients
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- Опубликовано: 15 окт 2024
- In this 25 minute presentation at the Prosper Meniere Society Meeting in Austria in 2023, Dr. Teixido reviews possible sites of origin of vestibular symptoms in migraine. It challenges clinicians to consider dividing symptoms into three broad groups: supratentorial, infratentorial and labyrinthine. A model is presented which emphasizes combined migraine management and augmentation of cerebellar suppression of migraine enhanced activity of the vestibular nuclei.
Thanks for the great info! As a vestibular physical therapist I do not fully agree with the dosing of the 6 min versus the 40min. Rehab approach can be attacked from various directions during a session: VOR exercises, to static/dynamic balance, visual motion habitation exercises (optokinetic), gait training with head movement incorporated. A vestibular PT knows how to have an effective workout without setting a patient over the edge. I think one great thing to discuss too, is the concept that Migraine is a like an ankle sprain. Vestibular rehabilitation by physical therapy works on the after effects of a bad vestibular migraine episode like unsteadiness, dizziness with head movement, etc. Therapy will help to improve the patient's tolerance to head movement and functional deficits, but if they have uncontrolled migraines it's like constantly spraining an ankle over and over again. The recovery cannot be fully complete, because rehab progress will be constantly hindered by the constant migraines. Working with a physician on the medication side to reduce and help eliminate migraine episodes will allow the therapy to fully work. Also eliminating triggers like diet, decreased sleep, neck tension, stress, etc can reduce migraine episodes also allowing therapy to be more effective.
Amazing Stuff Michael!!!!
Great explanation
What food is to avoid for stopping vestibular Migraine. Reducing its impact or less vertigo episodes.
For me its gluten, sugar, processed food and seed oils.
Sodium!
Def.coffee and sugar. Coffee more so!!
Take care
I cannot find a neurologist who takes vestibular migraine seriously😮😡 I suffer from neurogenic orthostatic hypotension also along with PPPD and cannot find proper help anywhere. I live in the 30135 zip code...I've written you before and realize I may never get a response but I keep trying
Janet, I am blessed to be treating with Dr. Teixido for a vestibular migrane
. You can reach his practice by phone by calling ENT of Delaware located in Wilmington, DE. You can inquire if he is taking new patients. I live 4 hours away, but eagerly take the round trip. Patients come to him from all over the world.
God bless you and hope this helps and you find relief.
@@yournightmareracing1754 I live in Douglasville Georgia...I'm so sick I cannot travel. Your reply is so kind heartfelt. I wish I could get there. I haven't left the house in 2 years because of the autonomic disorder I have (NOH)that just 8 weeks ago attacked my digestive system which has caused intense problems... Also I suffer from PPPD…. on the Easter Sunday I pray for a miracle. God bless you for caring about a stranger..my own family thinks I'm faking which is heartbreaking. They shut me or of their lives..I see nobody and talk to nobody...you are a blessing ❤️
@@janetjones1456 ((Janet)) I understand and know without any doubt of your daily fight. Hope and prayers your family has a change of heart, but in these days, rarrly does that happen.
Under the right care your condition will improve. 🙏❤
@@yournightmareracing1754 you're so extremely kind!!! My issues are so complex..getting to Delaware would be a miracle...not sure if you know what 3PD is but that is also a huge challenge along with autonomic disorders😢💔..I pray for miracles and know if it's in God's plan I'll heal..bless you on this Easter Sunday
@@janetjones1456 Thank you Janet. Happy Easter to you!! God's peace be with you today.
The sites that my Doctor told me to listen to were... you may already be familiar with but I'm going to share. Dizzy Cook, Dr Shay Beh sp?? He is in TX this is the Doctor my Doctor wanted me to see...He has calabs with Dizzy Cook. I then found Physical Therapist podcast Talk Dizzy To Me, VERY HELPFUL one of these PT I believe is in FL. it might be worth a phone call. Their podcast is where I found Dr MT. I REALLY liked that he wants to know what part of brain misfiring...I really hope to get answers as to why and where not just migraine take this!! Then podcasts rolled into Migraine World Summit, Migraine association etc More & More VALUABLE info Dr MT sharing...idk but Maybe the Migraine association might have list of doctors...its sure worth a call!! Again LORD BLESS YOU!! Tj❤
Migraine world summit is where I found MT…I email the summit and they sent suggestions not endorsements. Both bombed. They didn’t get it and they don’t get 3PD or autonomic disorders.. I have nOH thats affecting my digestive system and the nOH is awful. I’m going for my first IV infusion treatment tomorrow for that because my body does not tolerate and medications without severe reactions. I’m saddened that my family has turned away from me. It’s just my husband and me alone for 2 years😘💔😢
@janet jones oh Janet I'm TRULY soo very sorry!! Idk about your condition but I will look up!! I struggle with meditation also!! Doctors don't understand, I can't tolerate!! Please hold on with your family. I feel like I've experienced some of that, as I've been told "you always have something, whats wrong with you" it hurts deeply when you've sought help over and over, yr after yr with no help, only to be patted on your head and sent on your way. I will ask the LORD to make a way where there seems to be no way. You are NOT alone, and we (my Beloved husband & I) will lift you to the LORD. May you find a caring knowledgeable doctor to help you & may healing follow swiftly!! From my heart to yours Tj 🙏
@@Tj-TrustJESUS God bless you Tj! We will pray for you as well. I am blessed by my husband and his faithful love for me and how he cares for me. God has a plan for me. I pray it's one that makes it possible for me to dress and leave the house..but as of now we have nowhere to go. God brought me you! I know He loves me..neurogenic orthostatic hypotension is not curable but I'm hoping the infusion will help since the meds don't agree with me. My spasming intestines..I dont know what the gi doc can do for me as those meds also make me so sick..so I'm on a low fodmap diet which doesn't allow for much when you have migraine and food triggers..and 3PD is persistent postural perceptual dizziness..so on top of orthostatic hypotension dizziness I'm a mess looking for Gods hands to grab on to. Your beautiful words touch my heart today.❤️ God bless you and your husband for your prayers. Our faith is all we have..I need it to get me out of this depression I have sink into. Blessings and love ❤️👆💫🙏 Janet
I tried watching just now
the talk dizzy to me..but I can't watch a split screen because of PPPD😢💔..thank you for sharing..God bless you, janet
@@Tj-TrustJESUS look up whose number????🥺
Bonjour vous etes un formidable médecin, j adore vous ecouter. Je voulais vous poser une question si les crises de migraines vestibulaires poyrrait faussé les tests PEO otolitiques. Chez moi diminué d une oreille. Je suis diagnostiquée Mv depuis des années. Mais maintenant on sait apercu de ce probleme aux tests PEO
I think that it's better to treat migraine and if it relieves we can diagnose it, instead of using betahistine, etc
Bonjour Aimovig n enleve pas la sensation de s enfoncer dans le sol malheureusement
How do i find treatment plans???? I'm unable be on a computer because of 3PD..but my husband can do it
You need a nearby specialist who understands this problem. In Atlanta the person to see is Mohammad Seyeddi MD.
I am the only Person I know with Vestibular Migraine.
lots of us out there, you're not alone.
You are not alone, and I believe that most who have it don't even have a diagnosis yet due to the run down health care system that we are having to deal with these days.
Some of us like me are doing our research to find what we/I am almost certain am suffering with. Am going to better communicate with the neurologist.
i am cochlear implanted child. i am six years old
No ur not