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Medical Forum / Diseases and Disorders / Tinnitus / June 2006

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wisdom tooth extraction and dizziness

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Elly Byrne - 16 Jun 2006 21:12 GMT
I met a very chatty lady last night who informed me that she recently
had a wisdom tooth removed. Shortly after that she developed severe
dizziness, but only when she was lying down. She already had tinnitus
she told me later.

But this lady has a friend who is a physiotherapist. And this friend
started to do some prodding in her neck, also some stretching of the
neck.

Last night she had just come back from the physio friend. And her
dizziness is slowly improving.

Elly's Tinnitus Resources
http://eebee.net/

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jga.socal - 16 Jun 2006 21:42 GMT
Possibly dizziness was from the drugs administered at the dentist
office?
Jim Chinnis - 17 Jun 2006 17:58 GMT
Elly Byrne <elly@eebee.net.noway> wrote in part:

>I met a very chatty lady last night who informed me that she recently
>had a wisdom tooth removed. Shortly after that she developed severe
[quoted text clipped - 10 lines]
>Elly's Tinnitus Resources
>http://eebee.net/

Such dizziness is usually benign paroxysmal positional vertigo (BPPV). It is
caused when the otoconia (calcium carbonate crystals) in the inner ear
dislodge from their hair cells and float to abnormal positions. This can
result from prolonged abnormal position of the head or head movements

It can just go away, but often comes back. There's a very effective
treatment (particle repositioning maneuver, sometimes called the Epley
maneuver) that many ENTs can perform in their offices.
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Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Elly Byrne - 18 Jun 2006 21:10 GMT
"The Epley manoeuvre - also known as canalith repositioning procedure.
The patient's head is moved into four different postures. The head is
held in each postural position for about half a minute."

Is there any proof that these crystals actually exist - that they move
position - that this position is reversed when the manoeuvre is done?
Is that a proven fact? Or is that another medical supposition?

I can accept that this manoeuvre will work in some cases. In how many
cases?

But suppose that it works for a totally different reason:
It undoes the kink in the neck!

It does sound like something a physiotherapist might do.

Elly's Tinnitus Resources
http://eebee.net/

>Elly Byrne <elly@eebee.net.noway> wrote in part:
>
[quoted text clipped - 21 lines]
>treatment (particle repositioning maneuver, sometimes called the Epley
>maneuver) that many ENTs can perform in their offices.

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Jim Chinnis - 19 Jun 2006 02:12 GMT
Elly Byrne <elly@eebee.net.noway> wrote in part:

>"The Epley manoeuvre - also known as canalith repositioning procedure.
>The patient's head is moved into four different postures. The head is
>held in each postural position for about half a minute."
>
>Is there any proof that these crystals actually exist

Yes.

> - that they move
>position

Yes.

> - that this position is reversed when the manoeuvre is done?

Not in humans, that I know of. It would destroy the inner ear to find out.

>Is that a proven fact? Or is that another medical supposition?
>
>I can accept that this manoeuvre will work in some cases. In how many
>cases?

90% or more are cured by the treatment, which takes just a few minutes. It
only works when the ENT has learned the particular sequence of maneuvers,
though.

>But suppose that it works for a totally different reason:
>It undoes the kink in the neck!

I can't prove it doesn't...to your satisfaction. Why the precise sequence of
movements that would move loose crystals through the semicircular canals to
a zone where they wouldn't cause trouble (rather than other motions) relaxes
the neck sure is a coincidence though.

>It does sound like something a physiotherapist might do.

If they learn the sequence of motions, sure.

>Elly's Tinnitus Resources
>http://eebee.net/
[quoted text clipped - 24 lines]
>>treatment (particle repositioning maneuver, sometimes called the Epley
>>maneuver) that many ENTs can perform in their offices.

Yes,
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Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

 
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