We specialize in the comprehensive care for people with vestibular migraine, persistent postural perceptual dizziness (PPPD), and mal de debarquement syndrome (MDDS).
Vestibular migraine is a form of migraine that manifests predominantly with vertigo and dizziness. It may not necessarily be accompanied by the typical migraine headache, but can be associated with a variety of migraine symptoms like light sensitivity, sound sensitivity, nausea, vomiting, and visual aura. Vestibular migraine may also be accompanied by hearing changes, ear pressure, ringing in the ears, head pressure, brain fog, and a variety of often-confusing symptoms. It can cause significant impact on a person's job, family, and personal life. Once we ascertain the diagnosis of vestibular migraine, we will discuss the wide variety of treatment options with our patients, including vitamins, herbal supplements, exercise, neuromodulation, and medications, and help select the right holistic treatment plan.
Persistent Perceptual Postural Dizziness (PPPD)
PPPD is a common, but often under-diagnosed cause of dizziness. It can be triggered by conditions that cause vertigo, falls, medical illness, surgery, or highly-stressful events. People suffering from PPPD often describe an almost constant sensation of dizziness and/or dysequilibrium that is usually aggravated by walking, moving around, head movements, stress, and busy visual scenes. PPPD can cause almost constant dizziness, as well as many other symptoms including brain fog, disequilibrium, insomnia, and anxiety. Like vestibular migraine, PPPD can severely impact a person's life. Once the diagnosis of PPPD is ascertained, we will help our patients find the right treatment. PPPD is often improves with the right treatment. Treatment options include medications, vestibular rehabilitation therapy, and cognitive-behavioral therapy.
Mal de Debarquement Syndrome (MDDS)
MDDS is a fairly uncommon neurological condition characterized by a pervasive rocking, swaying and/or bobbing sensation (as if one is on a boat in choppy waters). People with MDDS often describe feeling that they are constantly in motion. The hallmark and most unusual feature of this condition is that this continuous sensation of motion improves when a person is in a moving vehicle (car, boat, plane, etc.) but almost immediately returns when the vehicle stops or when the person disembarks. MDDS can be a highly debilitating condition, and cause significant impact on one’s personal and professional life. Many patients find that their job performance suffer after MDDS, and almost all curtail and limit social, family, and leisurely activities because of it. There are treatments available for MDDS, and remission is very possible. These treatment options include medications, vestibular rehabilitation therapy, and vestibulo-ocular reflex re-adaptation therapy.