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An Osteopathic Approach to Dizziness Secondary to Meniere’s Disease

Journal: The AAO Journal Date: 2023/06, 33(2):Pages: 23-24. doi: Subito , type of study: case report

Full text    (https://meridian.allenpress.com/aaoj/article/33/2/20/493544/LBORC-NUFA-Poster-Abstracts-2023-Students)

Keywords:

case report [514]
dizziness [33]
ear [562]
hearing loss [9]
male [479]
Meniere&rsquo [1]
s disease [48]
OMT [2951]
osteopathic manipulative treatment [2973]
tinnitus [18]

Abstract:

Introduction/Background: Meniere’s Disease is a chronic inner ear disorder characterized by spontaneous and recurrent vertigo, hearing loss, and aural fullness and/or tinnitus. Current treatment is aimed at symptom management through pharmacologic and surgical interventions. The National Institute of Deafness and Other Communication Disorders estimates that 615,000 people are currently living Meniere’s Disease. Meniere’s disease often effects patient’s physical, emotional, and social functioning. Case: A 58-year-old male with history of Meniere’s disease presented to the osteopathic treatment center with a complaint of constant, severe, 9/10 dizziness for 3 years. Daily dizzy attacks lasted 12 hours, not improved by diuretics or steroids. He reported dizziness prevented him from exercising and participating in social activities. Osteopathic treatment was focused to somatic dysfunctions of head and neck and osteopathic cranial manipulative medicine (OCMM), using indirect and direct techniques coupled with cranial lifts and venous sinus drainage. Results: At 3 monthly treatments, the same somatic dysfunctions were found and treated in the occipito-atlantal joint, cervical spine, frontal and temporal bones, and dural venous sinuses. After treatment course, the patient reported decreased frequency of severe dizzy days and duration of dizzy attacks lasting 4-6 hours. He reported maximum effects of treatment occurred 2-3 days after treatment and lasted 2 weeks. The patient stated he began participating in exercise and social activities, due to symptom relief. Discussion: Osteopathic manipulative treatment (OMT) is a non-invasive technique that may be used to effectively decrease symptomatology of Meniere’s disease that is not adequately controlled by traditional interventions. Treating somatic dysfunctions of the head and neck improved the primary symptom of dizziness and quality of life of the patient. A limitation of this study included lack of objective dizziness scale.


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