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Vestibular Rehabilitation:
Vestibular rehabilitation is the primary treatment for many causes of dizziness. This treatment consists of several tailored exercises that are designed with two concepts in mind: "adaptation" and "substitution." Adaptation is designed to retrain the brain to compensate for loss of inner ear function. When one inner ear is injured and not functioning properly and the other inner ear is functioning well, the brain perceives the mismatched signals as movement. This is analogous to an airplane with an engine on each wing. If one engine stops, the plane will no longer fly straight unless corrected by the pilot or an onboard computer.
Adaptation is a process by which the brain learns to balance out asymmetric signals received from the inner ears. In this sense, the brain is like the computer that makes the plane fly straight when one engine is out. Adaptation is made possible by the "programming" offered by vestibular rehabilitation exercises.
Substitution is a process by which a patient learns to compensate for the disability caused by inner ear dysfunction by relying more on other senses. Balance depends not only on inner ear function, but also on visual cues and sensory input from the extremities and trunk. The patient is taught to "substitute" inner ear input by paying more attention to their visual surroundings and other sensations.

Canalith Repositioning:
The canalith repositioning maneuvers are specific treatments for benign paroxysmal positional vertigo (BPPV). There are several techniques that can be used to accomplish these maneuvers, however, all involve turning the head in certain positions that use the force of gravity to move dislodged calcium carbonate crystals back to their normal position. These maneuvers are extremely effective and most patients with BPPV enjoy immediate relief from vertigo.

Medications:
For the majority of patients with dizziness, medications are a negative influence on recovery. This is especially true for patients suffering from chronic dizziness after an acute attack of vestibular neuritis. Recent studies have shown that medications can actually interfere with the adaptation process that occurs naturally and during vestibular rehabilitation. Nevertheless, certain medications can be very helpful for certain causes of vertigo, especially fluctuating conditions such as migraine and Ménière's disease.

Fresno Headache & Balance Center
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  Headache Types
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Migraine in pregnancy
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