Vestibular migraine is one of the most debilitating types of migraine, combining the typical throbbing headache with persistent dizziness. This combination can severely impact daily activities, making simple tasks like driving or even standing up a challenge. The underlying causes of vestibular migraine involve three key systems: the visual system, the vestibular system, and the proprioceptive system.
1. The Visual System
Our visual system, comprising our eyes and their coordination, plays a crucial role in maintaining balance. Proper functioning of the visual system involves the ability to track objects, manage peripheral vision, and focus on moving objects. Any discordance in eye coordination, such as difficulty tracking objects or converging on close-up items, can lead to dizziness. Regular check-ups with an optometrist or a neuro-optometrist and vision therapy can help in diagnosing and addressing issues within the visual system that may contribute to dizziness.
2. The Vestibular System
The vestibular system, located in the inner ear, includes three semicircular canals filled with fluid that help the brain understand motion and balance. When functioning correctly, this system allows us to move our heads and bodies without feeling dizzy. However, issues such as Benign Paroxysmal Positional Vertigo (BPPV) can arise. BPPV occurs when tiny crystals within the ear canals become dislodged and disrupt fluid movement, causing intense, short-term dizziness with head movements. Treatment often involves positional maneuvers to guide these crystals back to their proper location.
3. The Proprioceptive System
The proprioceptive system involves the neck muscles and joints, providing the brain with information about head and body position. When the neck has restrictions, tension, or improper alignment, this system can send incorrect signals to the brain, leading to a constant feeling of imbalance or dizziness. This type of dizziness, often termed cervicogenic dizziness, is associated with neck pain and tension. Addressing these underlying neck issues through physical therapy and proper management can significantly alleviate symptoms.
Integrating the Systems for Comprehensive Understanding
While vestibular migraine symptoms may seem irreversible, there is hope. By evaluating and addressing issues within the visual, vestibular, and proprioceptive systems, we can better understand and treat vestibular migraines. It’s essential to look beyond symptom management and focus on the root causes, providing a more effective and long-term solution.
For those suffering from vestibular migraines, this holistic approach offers a path toward relief. If you experience persistent dizziness alongside migraines, consider consulting healthcare professionals who specialize in these systems to get a comprehensive evaluation and treatment plan. Whether you live near or far, we would love to connect with you here at Novera: Headache Center and get you on the path to long-term relief.