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Truths About Vertigo & Balance Disorders

August 31st, 2010 No comments

Truths about vertigo & balance disorders.

23 things you might not know about vertigo, dizziness and balance disorders

· In 1994, 11 million physician visits for dizziness were recorded.

· In 1988, Dysequilibrium was the second most common diagnosis for a Medicare hospital admission, with an average stay of 4.3 days.

· 50% of patients complaining of dizziness in a primary care setting do not get a diagnosis.

· 70% of patients complaining of dizziness in a primary care setting get a prescription for Meclizine.

· Meclizine is known to hinder the natural vestibular compensation process.

· Most medication geared towards treating the symptoms of dizziness and dysequilibrium (vestibular suppressant, anti-emetics, anti-cholinergics, sedatives, and tranquilizers) hinder the natural vestibular compensation process.

· Meclizine has the slowing effect on reaction time equal to a blood alcohol level of .04 to .06.

· Reduced reaction time is a leading cause of falls in the elderly.

· Vestibular abnormalities are found in 50 percent of fallers.

· Falls lead to over 200,000 hip fractures per year in the U.S.

· Nearly 50% of elderly patients admitted for hip fractures become chronic patients.

· Nearly 50% of elderly patients admitted for hip fractures die within one year.

· MRI exams have a very low yield for patients undergoing examinations for dizziness.

· Vestibular evaluations including auditory evoked potentials and electronystagmography are over 90% sensitive for auditory nerve, brainstem or cerebellar pathology causing dizziness.

· Vestibular evaluation generally costs about one half of a MRI with contrast.

· All that is dizzy is not vestibular. Visual and Somatosensory input, as well as efficient brainstem integration also contributes to normal balance function.

· Approximately 1000 medications in the PDR list dizziness, vertigo, or light-headedness as a possible side effect.

· Vestibular disorders are responsible in 85% of patients complaining of dizziness.

· Benign paroxysmal positional vertigo (BPPV) is the most common cause: of episodic vertigo.

· BPPV is treated successfully in one or two office sessions over 90% of the time.

· In patients with chronic balance problems, only vestibular rehabilitation has shown to improve balance function and performance when compared to medical therapy or general exercises.

· Therapy directed towards a specific diagnosis resulted in resolution of symptoms in 85% of patients, while general vestibular rehabilitation exercises resulted in complete resolution in only 64%.

· There is a high correlation between ‘”panic disorders” and abnormal vestibular function.

References

Micromedical Technologies, 10 Kemp Drive, Chatham, IL 62629, in the booklet entitled “Dizziness and Balance Disorders”, “Evaluation and Treatment”: “A Short Course for Primary Care Physicians”, second edition”, May 2001.

More information is available on our website listed below.

Dr. Scopelliti has over 1000 hours in postdoctoral neurology, and is a board certified chiropractic neurologist, practicing at the 279 Professional Arts Bldg at the rear of Monmouth Medical Center, in Long Branch, NJ. He is also currently the president of the NJ Chiropractic Council on Neurology, (website: http://dcneuro.info) With over twenty years of practice, ten of those years specializing in neurology, his office focuses on the drug free management of patients with vertigo, dizziness, balance loss, presyncope, dystonia, various stages of coma, and many other neurologic as well as behavioral and cognitive disorders. Dr. Scopelliti is a lecturer of postdoctoral neurology, and has also written several software applications for vestibular rehabilitation; http://www.dcneuro.biz Because of the nature of our practice and the high level of difficulty involved with the types of patients seen, our office customarily sees patients from several states for consultation and/or co-management. Dr. Scopelliti offers a free no obligation consultation including a balance test/risk of fall analysis prior to the commencement of any examinations or treatment. The office can be reached at (732) 229-5250 to arrange a free consultation, ($75 value), and balance screen. Dr. Scopelliti has a wealth of information updated weekly on the web (listed above). Go to the Guest Book link at the top of the home page to see what real patients have had to say.

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Get Back Your Balance Now Here Is How

May 22nd, 2010 No comments

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Dizziness | Vertigo & The Bodys’ Sense of Balance

May 10th, 2010 No comments

The most often used description of Dizziness is a sensation of feeling unsteady, a loss of balance or being lightheaded. One specific type of Dizziness is refereed to as Vertigo. Vertigo manifests in such a way that the you feel a false sense of movement of either your self or the environment around you. Vertigo can be very unpleasant, bringing on such maladies as severe nausea and migraine headaches that often result in debilitating the individual, thus forcing a halt of all activities and requiring them to either sit or lay down until it passes.

Motion sickness is another form of Dizziness and is a feeling of nausea which occurs when riding in a car, airplane, aboard a boat, or on amusement rides. All three of these Vertigo, Motion Sickness, and Dizziness relate directly to the your sense of balance and equilibrium. The human bodys’ sense of balance is maintained by a complex interaction of several different parts of the nervous system.

The individual parts of the nervous system are as follows

1… The Labyrinth (or inner ears) monitor the direction of motion, ie… side-to-side, forward and backward, up an down, rolling, and turning motions.
2… The eyes , there job is to monitor directions of motion and also where the body is positioned in space i e … upside down, right side up, and so on.
3… The muscle and joints sensory receptors, that alert the body what parts of the body are moving.
4… The skin pressure receptors located in the spine and joints, that tell what part of the body is down and on the ground.
5… The Brain and Spinal cord or ” central nervous system ” is the command center that coordinates and processes the data from all four systems in order to make sense of it

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“new 4 Weeks to Good Balance Program” Introduced for Seniors and Others Afraid of Falling

May 7th, 2010 No comments

Falls have become a leading cause of death, especially amongst seniors. Falls are also a leading cause of nonfatal injuries in all age groups, not just seniors. Risk of fall is clinically measurable, and it is detectable long before you physically realize that there is a problem. So, if you perceive that your balance is bad, the problem has already become severe.

The inability to perform the once normal activities of daily living, like walking, and simply moving about without a fear of falling is terrifying. To make this worse, often those with risk of fall progress to the use of a cane, then to a walker, and ultimately to a wheelchair as the problem progresses. At this point, dementia/Alzheimer’s is the most likely endpoint. But it doesn’t have to go this way.

This is why we have created our new “4 Weeks To Good Balance Program” This program requires little or no money out of your pocket. You will be accurately assessed for risk of fall before, during and after the program to demonstrate the improvement you have made. We will also send this information to your primary doctor for you so that they may be kept abreast of your improvements, and also to demonstrate that you have been properly assessed for risk of fall as per current medical practice guidelines.

“There are no other programs like this one around” is what we are hearing from patients whom we have already had the opportunity to help, which has been life transforming when they find that their balance is dramatically improved, some in less than four weeks. “I am so happy to have my life back” & “After only 4 appointments, the change is remarkable”, are common comments from our guest book on our website at www.dcneuro.net. Life is too short to talk about the things you “used to be able to do” before you lost your balance, or worse still, “before you took your fall”. For more information on getting started call our office at (732) 229-5250.

Dr. Scopelliti has over 1000 hours in post doctoral neurology, and practices at the 279 Professional Medical Arts Bldg at the rear of Monmouth Medical Center & in Toms River next to Community Hospital; Tel. (732) 229-5250. Information is updated weekly on the web at www.dcneuro.net.

Dr. Scopelliti has over 1000 hours in postdoctoral neurology, and is a board certified chiropractic neurologist, practicing at the 279 Professional Arts Bldg at the rear of Monmouth Medical Center, in Long Branch, NJ. He is also currently the president of the NJ Chiropractic Council on Neurology, (website: www.dcneuro.info). With over twenty years of practice, ten of those years specializing in neurology, his office focuses on the drug free management of patients with vertigo, dizziness, balance loss, presyncope, dystonia, various stages of coma, and many other neurologic as well as behavioral and cognitive disorders. Dr. Scopelliti is an author and lecturer of postdoctoral neurology, and has also written several software applications for vestibular rehabilitation; www.dcneuro.biz. Because of the nature of our practice and the high level of difficulty involved with the types of patients seen, our office customarily sees patients from several states for consultation and/or co-management. Dr. Scopelliti offers a free no obligation consultation including a balance test/risk of fall analysis prior to the commencement of any examinations or treatment. The office can be reached at (732) 229-5250 to arrange a free consultation, ($75 value), and balance screen. Dr. Scopelliti has a wealth of information updated weekly on the web at www.dcneuro.net. Visit our Guest Book link at www.dcneuro.net/guests.htm to see what real patients have had to say.

Vertigo and Balance Problems Screening for Appropriate Referral

March 13th, 2010 No comments

With complaints of dizziness, vertigo or disequilibrium, symptoms can be the result of vestibular, neurologic, vascular, psychologic and even orthopedic pathology. As such, it is not always clear which specialty is appropriate for referral. In this age of cost awareness and effectiveness, the primary care physician must make important decisions as to the appropriateness and cost-effectiveness of diagnostic procedures and referrals to specialists. Patient’s complaining of dizziness or disequilibrium without obvious objective signs, for lack of a more specific diagnostic direction, are often referred for MRI/CAT scan imaging studies to rule out the possibility of brain lesions. The cost effectiveness of this decision deserves scrutiny, as the yield of these studies is very low whereas the diagnostic yield of appropriate physical examination in the doctor’s office is very high. "Balance disorders are common, while brain tumors are rare". Prior to the commencement of tests such as MRI, points that need consideration are the likelihood that MRI will provide any relevant diagnostic information and whether the sensitivity of less expensive more diagnostically useful tests can be performed first. In our office, the goal of the initial office examination is to determine the probable cause of the patient’s symptoms. A directed history and extensive neurologic physical examination allows for more exacting diagnosis and thus successful treatment. Unfortunately, in this day of managed care, many providers must succumb to time constraints prohibiting extensive examinations, necessitating referrals to specialists. Currently, 50% of patients seen in the primary care setting receive no diagnosis for their complaints of dizziness, yet 70% receive a prescription for meclizine, (Antivert). Meclizine has not been demonstrated to be effective or appropriate in the treatment of chronic disequilibrium, dizziness or imbalance. It is occasionally effective in reducing nausea associated with vertigo/spinning in some forms of chronic vertiginous disease, however, it is not curative in any way, and in fact interferes with the natural recovery process often worsening matters further. It is appropriate to state at this time, that you do not need a specialist referral to consult with me in my office.

Dr. Scopelliti is a chiropractic neurologist, practicing at the 279 Professional Arts Bldg at the rear of Monmouth Medical Center, in Long Branch, NJ. He is also currently the president of the NJ Chiropractic Council on Neurology. His office specializes in the drug free management of vertigo, dizziness, balance loss, presyncope, dystonia and headaches. Dr. Scopelliti offers a free no obligation consultation to discuss your problem prior to the commencement of any examination/treatment. The office can be reached at (732) 229-5250 to arrange a free consultation, ($75 value). Dr. Scopelliti has a wealth of information updated weekly on the web at www.dcneuro.net.

Dr. Scopelliti has over 1000 hours in postdoctoral neurology, and is a board certified chiropractic neurologist, practicing at the 279 Professional Arts Bldg at the rear of Monmouth Medical Center, in Long Branch, NJ. He is also currently the president of the NJ Chiropractic Council on Neurology, (website: www.dcneuro.info). With over twenty years of practice, ten of those years specializing in neurology, his office focuses on the drug free management of patients with vertigo, dizziness, balance loss, presyncope, dystonia, various stages of coma, and many other neurologic as well as behavioral and cognitive disorders. Dr. Scopelliti is an author and lecturer of postdoctoral neurology, and has also written several software applications for vestibular rehabilitation; www.dcneuro.biz. Because of the nature of our practice and the high level of difficulty involved with the types of patients seen, our office customarily sees patients from several states for consultation and/or co-management. Dr. Scopelliti offers a free no obligation consultation including a balance test/risk of fall analysis prior to the commencement of any examinations or treatment. The office can be reached at (732) 229-5250 to arrange a free consultation, ($75 value), and balance screen. Dr. Scopelliti has a wealth of information updated weekly on the web at www.dcneuro.net. Visit our Guest Book link at www.dcneuro.net/guests.htm to see what real patients have had to say.

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