Vestibular dizziness and vertigo
A thorough history will reveal any potential injuries, specifically noting any whiplash or head injuries. A specific physical exam is performed. Anatomically, the inner ear (semicircular canals) are lined on the inside with tiny hairs with otoconia crystals at their base. If these otoconia are disrupted, they can build up at the base of the hairs. If enough of the otoconia debris is present, it will cause the hairs to be dysfunctional, creating an abnormal signal to the brain, which the brain then processes as a balance and equilibrium problem. This is always a positional problem, so the exam is gentle specific positioning, looking for abnormal eye movement, or nystagmus, in order to determine which side is involved. Treatment is a gentle positioning technique. The treatment duration is between 1 and 4 visits, until there is no more dizziness.