Dizziness and Vertigo - Brain Injury

As you recover from a concussion or other type of brain injury, you might expect frequent headaches or even sensitivity to light and sound. But few people understand the prevalence of dizziness and vertigo throughout the recovery process. 

Sudden balance problems and disorientation can be difficult to cope with. Thankfully, this guide outlines effective ways to manage your symptoms. Discover tips from a top neurologist in NYC for dealing with lightheadedness and unsteadiness. 

Defining Dizziness vs. Vertigo

Some people use these terms interchangeably, especially those who frequently feel like the room is spinning. However, they have different definitions. 

When you experience dizziness, you might feel woozy or unbalanced. Some people also report a feeling of being in motion. This uneasy sensation could be due to an inner ear disorder, a bout of motion sickness, or even issues with your eyesight. 

Vertigo, on the other hand, refers to the feeling that the room around you is spinning. In severe cases, this medical condition can also cause nausea, vomiting, headaches, or ringing in your ears. It’s estimated that up to 40% of Americans experience vertigo at some point in their lives, according to UCSF Health. 

Certain demographics may be at a higher risk. Research suggests that women may be more likely to experience vertigo due to changing hormone levels, especially during menopause. A study published in Maturitas found that 39.8% of participants aged 55 and up reported some instance of dizziness or vertigo over a 10-year period. 

What Causes Vertigo?

Several health concerns can prompt a bout of dizziness, including dehydration and low blood sugar. Vertigo usually stems from vestibular system dysfunction. Inner ear disorders like benign paroxysmal positional vertigo (BPPV) and vestibular neuritis are among the most common causes of peripheral symptoms. Doctors may perform an ENG or other testing to confirm.

However, there is another form of the condition called central vertigo, which is brought on by neurological issues. Dizziness and vertigo are common in those recovering from traumatic brain injuries. When the brain can’t accurately process balance signals, patients are more likely to feel like the room is spinning. 

Tips for Managing Dizziness and Vertigo After a Brain Injury

The Brain Injury Association of America reports that as many as 50% of people who sustain traumatic brain injuries suffer from some type of balance issue afterward. If you’re struggling with dizzy feelings during your recovery, there are a few ways you can cope with your symptoms and feel more centered. 

Adjust Your Surroundings

Trying to walk around with intense dizziness and vertigo may increase the risk of falling, which can lead to further injuries. To protect yourself, experts recommend changing your environment to meet your needs.

Keep the floors clear of any objects that you might bump into or trip over. Even having a decorative rug on the floor could cause a fall if you lose your footing. 

Equip your home with plenty of lights so you can see exactly where you’re going. If you have to get up in the middle of the night, have a night light set up for your convenience.  

Begin Vestibular Rehabilitation Therapy

Neurologists and otolaryngologists, also known as ENTs, often recommend vestibular rehabilitation therapy to anyone suffering from consistent dizziness and vertigo. This treatment involves various exercises that help the body stay balanced despite damage to the vestibular system. 

The main goal is to teach the brain to rely on sight, touch, and other senses for balance when it can’t receive proper signaling from the inner ear. One common exercise taught in vestibular rehabilitation therapy is the Epley Maneuver. It’s a repositioning exercise that involves the following steps, typically performed by or under the supervision of a doctor:

  • Sit up straight with your head turned at a 45-degree angle toward one ear. 
  • Lean backward so the ear is now pointed toward the ground. 
  • Switch your head’s position 90 degrees so the opposite ear faces the ground while your body remains flat. 
  • Roll the rest of your body onto the side.
  • Slowly sit back up. 

This practice may help reduce the frequency and severity of your symptoms.

Consult Your Doctor 

If your symptoms do not improve with vestibular rehabilitation therapy, let your doctor know. They may recommend certain medications to help you feel more balanced. 

Keep them informed of any improvements you see. They’ll need to monitor your progress throughout your recovery process. 

Consult a Top Neurologist in NYC for Support Following a Brain Injury

Few things impact your life and long-term health like a traumatic brain injury. If you’re struggling with dizziness and vertigo following an accident, reach out to Neurodiagnostics Medical P.C. Led by Dr. Ashwin Malhotra, our practice is devoted to both diagnosing and treating various neurological injuries and conditions. 

Whether you need balance therapy for managing dizziness and vertigo or help with a deeper neurological issue, we welcome all patients in need of our services.

Contact us today at (347) 602-9530 to book an appointment at one of our 11 locations throughout New York City. Our doctors accept most insurance plans, including workers’ compensation, no-fault, and PIP (personal injury protection). Same-day appointments may be available.

প্রায়শই জিজ্ঞাসিত প্রশ্নাবলী

Get answers to common patient questions regarding brain injury recovery. 

How Are Central and Peripheral Vertigo Different?

Central vertigo is caused by a neurological condition, such as a stroke or traumatic brain injury. Peripheral vertigo is brought on by an inner ear issue or a problem with the vestibular nerve. 

What Can You Do To Feel More Balanced?

Rehabilitation exercises are key to regaining your balance. Strengthening the muscles in your lower extremities and having support while standing or walking may help. 

Why Are Dizziness and Vertigo so Common After a Brain Injury?

Vertigo and dizziness are common after brain injuries because key parts of the vestibular system become damaged.

How Long Will I Need Vestibular Rehabilitation Therapy?

It depends. Patients with mild dizziness and vertigo may only need a few sessions, while those with more severe symptoms could require ongoing therapy. 

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