Objective: To describe the chiropractic management of a 33-year-old female with Benign Paroxysmal Positional Vertigo (BPPV).
Clinical Features: A 33-year-old female with BPPV presented to her chiropractor following a failed Epley maneuver by the patient’s otolaryngologist (ENT). She was prescribed medication, but refused to take it because she was nursing.
Interventions and Outcomes: Care began during the patient’s most severe episode of BPPV, rendering her unable to drive herself to appointments. Insight® technology was used to obtain paraspinal thermography as well as surface electromyography scans to assess for vertebral subluxations. Cervical radiographs were also taken prior to beginning care. Diversified adjusting techniques were administered, along with cranial adjustments, manual therapy, and massage. Within three visits, the patient was able to drive herself to her visits and her symptoms had greatly improved. By the 14th visit, the patient presented symptom-free.
Conclusions: This case study shows that chiropractic care was beneficial in the management of BPPV. More research on chiropractic’s potential role in vestibular disorders is warranted.
Author keywords: Vertebral subluxation, chiropractic, vertigo, Benign Paroxysmal Positional Vertigo, dizziness, Diversified Technique
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