There has been research showing that patients who with chronic dizziness, visual vertigo, and subjective imbalance are very responsive to treatment with SSRI's. These patients had no physical explanation for their symptoms after vestibular testing. The researchers created the term "chronic subjective dizziness" to describe these patients. In the study group, 50% of the patients had a complete remission of symptoms, and 20% got significantly better. The research was done by two doctors from top facilities in the country. The study used prozac, celexa, paxil, zoloft, or lexapro.
It is suspected that these medications work so well because there is an abundance of serotonin receptors in the balance nerves. Glutamate and serotonin are co-localized in the vestibular nucleus complex (VNC). Glutamate is the major excitory neurotransmitter in the VNC, and its job is to mediate input from the vestibular nerve. Serotonin negatively modulates (controls) the release of glutimate in the VNC, so a decrease of serotonin allows an excess of glutamate in the neurons. As a result, the brain receives stronger signals from the vestibular nerve.
There has been research showing that patients who with chronic dizziness, visual vertigo, and subjective imbalance are very responsive to treatment with SSRI's. These patients had no physical explanation for their symptoms after vestibular testing..
Thanks Bindar. Looks like i've maybe found a "physical explanation" - although a vestibular disorder doesnt seem to be the root cause.
I'm with you "wellyoulookfine" on this one. I too am suffering very similar symptoms, disequilibrium and tinnitus, which started after a visit to the dentist. I've had chonic muscle tension in my shoulders and neck, mostly on the right side for several years already. I've been to so many chiropractors and massage therapists and often I left feeling worse than when I went in.
Only recently did I run across information that suggests that muscle tension in the neck and/or jaw area can affect the inner ear. It makes perfect sense knowing that I've had serious muscle tension issues for years and that the disequilibrium started after having my mouth open for a long time at the dentist's office.
So far the answers I've come up with are that you need to find someone who can actually help you correct your physical structure alignment. A manipulate osteopath or someone that does Rolfing (structural integration) is probably your best bet. It is my opinion that anyone that helps realign your body which should correct posture and reduce muscle tension will probably help to resolve this problem.
I was informed by an older, very experienced otolaryngologist (Joel Lehrer) that visual vertigo is typical of inner ear fluid disturbances which can be caused by a variety of different problems. In your case I certainly think you are on the right track by looking at your structural issues and trying to resolve those as much as possible. I'm assuming you probably have some muscle tension or pain in your jaw, neck and/or ear areas which I believe is the most likely cause of your symptoms.
Yes, for years when i was younger i grinded my teeth every night whilst asleep, i've also always been a teeth clencher, particularly when i'm concentrating on something. I've also always had a slight head tilt which i have been informed by my osteopath is to do with the scoliosis, which is worse when sitting. I've always had a tense jaw, and more recently (the last few years) i've had pretty constant neck and shoulder tension, which again has been attributed to the scoliosis. My osteopath has been "stretching" my neck and my hips so hopefully that should help.
Hi, I will share what I think might be helpful to you from my experience. You said you had one leg shorter than the other, I did also, but it was from a whiplash injury I had 20 years ago. My atlas (bone at top of spine) was pushed ever so slightly out of alignment causing all sorts of symptoms, vertigo and dizziness and anxiety being some of them. It is because the brain stem goes directly through the atlas bone, and if out of alignment, can press on nerves and blood vessels that serve other parts of the body. Hence creating health issues. Also, the body tilts to supports the head which is off balance when the atlas isn't rightly aligned. This causes the hip to lift up on one side and the spine to twist slightly to compensate, resulting in one leg seeming to be shorter than the other. My left leg was shorter than the right by half an inch, and I saw a NUCCA chiropractor who took x-rays and it clearly showed my atlas was off. I could see it myself. After a gently adjustment to my neck area (no snapping or cracking, just slight pressure with his hand) my atlas was slid back into place and when I walked out my legs were the same length! However, you need to keep having adjustments until it holds, it can slip back out until it stabilises. I have had three adjustments over 2 weeks, it seems to be holding after the third. Am having another on Saturday. Once the atlas is stable and holds, the nerves are freed up to start healing and sending correct signals to the rest of the body. Obviously, this can take a bit of time, so I have to be patient but did see some small results from the first time, so am convinced this is what will help me. You can check it out if you google nucca chiropractor, it's interesting reading and will show you what symptoms can be helped by this form of chiropractic adjustment. Good luck!
Thanks for your thoughts everyone who posted. Just thought i would update on my problem. I've since been to see a biomechanics consultant and have been wearing a 1cm cork heel insert in my right shoe. Generally speaking i would say i'm feeling slightly better, although when i revert back to a shoe without the insert i get the wonky "not my leg" feeling in my left leg and feel more spaced out again. I've still to gradually build up the heel a little more and am waiting for permanent inserts because my ankles are apparently too mobile which is a result of the constant balance adjustments for years but is affecting my gait so my feet need stabilising while i walk.
I do still get roaring and full ears, and i still feel as bad as ever whilst driving so obviously visual vertigo is something i might be stuck with until my body gets used to being balanced again. I'm attending pilates to slow down the process of osteoarthritis in my hip so that should help me all over.
Would just like to say to anyone who is trying to get to the bottom of their dizziness problem to consider EVERYTHING, not just inner ear or MAV (a cop-out diagnosis in MANY cases in my opinion). Good luck everyone, will keep you posted.
As you posted this so long ago I hope and assume things will be better for you. However, I had to reply as I am new to the board and after 15yrs yours is the first thread that duplicates mine. I think you may have helped me understand my undiagnosed balance problem as I originally had a spinal problem, then a vestibular disease and have been left with the overwhelming visual, shopping, driving, computer screen problem which is still dibilitating although vestibular and mri tests show nothing. Thank you for stopping me going completely mad..