Pain Medical Musing

Effectiveness of Treatments for Benign Paroxysmal Positional Vertigo of the Posterior Canal
Helen S. Cohen, Kay T. Kimball
Otol Neurotol  26: 1034–1040, 2005

Modified  Canalith  Repositioning  Maneuver  (CRP)  technique:

The head was held in each position as follows:

• The subject sat on the long side of the mat table.
• The investigator turned the subject’s head 45 degrees away from the involved side and tilted the patient en bloc into a side-lying position through the coronal plane, with the nose pointing upward.
• Ten seconds after the cessation of vertigo, the subject was tilted nose-down toward the uninvolved side and held there until 10 seconds after the cessation of vertigo.
• Keeping the head turned toward the uninvolved side, the patient was assisted to sit up and remained in that position for 10 seconds after the cessation of vertigo.
• This variation from the original description, eliminating the premedication and shortening the interval between head movements, is associated with significant reductions in vertigo

Comment – this is a companion article to one showing treating dizziness helps TMJ, whiplash and Fibromyalgia. canada goose pas cher canada goose pas cher

In MS cases, 1/6 noted clinical improvement over 2-8 months with Biotin 300 mg/day This is exciting not just for the improved people but potentially for a group that might not further deteriorate. Suggestion was to take 100-300 mg/day which might be tough considering commercially available Biotin comes in 10 mg (10,000 mcg). Vitamin D has promise to help, particularly since deficiency is so common and it helped to prevent relapses in pregnant women in a study this year. B12 helped nerve regeneration in Bell’s palsy and ulnar nerve transfer surgery so might be important to take at least 1000 mcg/day of it as well – though by self failed to help MS (though deficiency makes MS worse)

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