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What if exercise worsens your vertigo?

It’s a mantra everywhere: exercise is good for you.  If you want to lose weight, you should diet and exercise.  If you want to slow aging, exercise is key.  But what do you do if exercise sets off vertigo?  Is the dizziness a sign you are hurting yourself even more?  Should you avoid exercise?  That…

The truth about exercise

At the New Year we’re always looking for good resolutions.  How about a book that helps you and your family?  An exciting new book is out about exercise, by the noted vertigo expert and famed neurologist, Dr. Robert Baloh.  He has researched vertigo for over 50 years and saw thousands of patients in his practice…

Ask the Doctor: BPPV

As a scientist and an engineer I couldn’t grasp how this condition I have is so… analog. Everyone just says “Oh a crystal got into your vestibular system”. And I think, “why is it so much worse some days than others?” How can I feel 95% ok like I do now with no real lasting…

How is Meniere’s disease treated?

There are three main ways to treat Meniere’s disease:  treating the hydrops problem, reducing vascular risk factors, and if all else fails, shutting down the problem ear.  The first step to take is to eliminate all of your vascular risk factors.  If you can’t control these, you will usually keep having spells, and you will…

How does vascular disease set off Meniere attacks?

Having hydrops is like walking a tightrope.  The ear is very vulnerable, on the edge of losing blood flow.  Slight changes, like eating a salty meal (Thanksgiving is notorious for this!) can put you at risk.  But hydrops alone doesn’t make the spell happen.  That requires a decrease in blood flow in the brain itself. …

How does hydrops cause Meniere attacks?

The first thing a person has to have in order to have a Meniere attack is endolymphatic hydrops, a ballooning of the endolymph-filled labyrinth with a decrease of the cushioning perilymph fluid surrounding it.  Normally these compartments have a careful pressure-regulating system that keeps them from ballooning. Since the inner ear is a pressure sensor—sound…

Meniere attack causes, continued

Some researchers felt that migraine was all that was needed to cause a Meniere attack, and others thought hydrops was the entire cause.  While this battle was going on in the literature, I continued to see hundreds of people with Meniere’s disease. 

What causes Meniere’s disease?

Several decades ago researchers noticed a surprising finding.  Ears that were dissected after death in people with Meniere’s symptoms showed a dilation of membranes, called endolymphatic hydrops. 

Meniere’s disease from the inside

The first Meniere attack was so surprising that I didn’t even know what it was. I’d been on a long flight to Maui and landed in a bad thunderstorm.  We stopped at a restaurant in the pouring rain to wait out the storm, and I ordered a pina colada to celebrate our arrival.  After the…

Meniere’s Disease

Meniere’s disease, often called endolymphatic hydrops, is one of the more feared vertigo disorders because it lasts for many years, results in repeated vertigo spells that can be very severe and disabling, and results in permanent hearing loss. It is also frequently overdiagnosed, so many of the people who may have been told that they…

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