We've Got You Covered: Your Vestibular Migraine FAQ Answered

Do you experience dizziness, vertigo, or a feeling of imbalance that disrupts your daily life? These could be symptoms of vestibular migraine, a condition that affects millions of people worldwide. Vestibular migraines can be incredibly disorienting and frustrating, but the good news is that there are ways to manage them.  This FAQ dives into the most common questions about vestibular migraines, providing clear and concise answers to empower you on your journey to better health. Let's explore the causes, symptoms, treatment options, and helpful lifestyle tips for coping with vestibular migraines and finding relief.

1. What are vestibular migraines and how do they differ from regular migraines?

Vestibular migraines are a type of migraine that can cause vertigo, dizziness, and problems with balance, in addition to the typical symptoms of a migraine headache. Unlike regular migraines, which primarily involve throbbing head pain often accompanied by nausea and sensitivity to light or sound, vestibular migraines involve disturbances in the vestibular system, which controls balance and spatial orientation. These migraines may or may not include headaches. While the exact cause of vestibular migraines is not fully understood, researchers believe they may be related to abnormal changes in blood flow to the brain, as well as dysfunction in the vestibular nuclei of the brainstem.

2. What are the common symptoms of vestibular migraines?

Vestibular migraines cause a variety of symptoms, and their exact presentation can differ from person to person. Here are some of the most common ones:

Vertigo: This is the hallmark symptom, often described as a sensation of spinning or dizziness.

Imbalance: Feeling unsteady or off-balance can be a significant challenge during a vestibular migraine attack.

Concentration Issues: Difficulty focusing or foggy thinking can accompany the other symptoms.

Visual Disturbances: Some people experience visual disturbances like auras (sparkling lights or wavy lines) or increased sensitivity to light.

Nausea and vomiting: These digestive issues are common alongside other vestibular migraine symptoms.

It's important to remember that vestibular migraines don't present the same way for everyone. You might experience all of these symptoms, some of them, or none at all during a migraine attack. Additionally, the severity and frequency of symptoms can vary greatly from person to person.

Some people with vestibular migraines also experience motion sensitivity. This means certain movements or activities, like rapid head turns or crowded environments, can trigger or worsen their symptoms.

3. How are vestibular migraines diagnosed by healthcare professionals?

Diagnosing vestibular migraines can be tricky because the symptoms mimic those of other inner ear problems and migraines. Here's what healthcare professionals typically do:

Detailed Medical History and Physical Exam: They'll ask detailed questions about your symptoms, frequency, and potential triggers. A physical exam helps rule out other conditions.

Imaging Tests (Optional): In some cases, an MRI or CT scan might be used to rule out structural abnormalities in the brain that could be causing similar symptoms.

Vestibular Function Tests (Optional): Specialists may conduct tests to evaluate your inner ear and vestibular system's function, which plays a role in balance.

International Headache Society Criteria: The diagnosis often relies on meeting specific criteria outlined by organisations like the International Headache Society. These criteria consider the type, frequency, and duration of symptoms.

By following these steps, healthcare professionals can create a clearer picture and diagnose vestibular migraines effectively.

4. What causes vestibular migraines, and how can I avoid them?

Triggers for vestibular migraines vary greatly across individuals, but frequent triggers include stress, certain foods (such as old cheeses, chocolate, and processed meats), hormonal fluctuations (particularly in women), a lack of sleep, dehydration, and sensory stimulation such as bright lights or loud noises. Keeping a migraine journal might help you discover personal causes. To avoid vestibular migraines, you should manage stress using relaxation techniques such as deep breathing or meditation, stick to a regular sleep schedule, remain hydrated, and avoid recognised trigger foods. It may also be beneficial to limit exposure to sensory stimuli that cause symptoms.

5. What are the therapy options for vestibular migraines?

Treatment for vestibular migraines seeks to minimise the frequency and intensity of symptoms while improving the overall quality of life. This may encompass both pharmaceutical and non-pharmacological techniques. Preventive treatments such as beta-blockers, calcium channel blockers, and antiepileptic pharmaceuticals are routinely used to treat vestibular migraines, as are acute medications to ease symptoms during an attack, such as triptans or anti-nausea drugs. Non-pharmacological therapies may include lifestyle adjustments, dietary changes, physical therapy, vestibular rehabilitation, and stress management strategies.

6. Are there any lifestyle modifications that can help me manage vestibular migraines?

Yes, various lifestyle adjustments can help manage vestibular migraines and lessen their frequency and intensity. These include sticking to a regular sleep schedule, staying hydrated by drinking plenty of water throughout the day, avoiding trigger foods like caffeine, alcohol, aged cheeses, and processed meats, engaging in stress-reduction techniques like yoga, meditation, or deep breathing exercises, and incorporating regular physical activity into your routine. It's also important to develop effective stress management techniques, as stress can be a major trigger for vestibular migraines.

7. Can vestibular migraines lead to long-term complications?

While vestibular migraines do not often result in long-term consequences, their symptoms can have a substantial influence on a person's quality of life and ability to complete everyday tasks. Chronic vestibular symptoms, such as vertigo and imbalance, can result in falls and injuries with long-term effects, particularly in older people. Also, recurrent vestibular migraines may lead to increased anxiety or sadness due to the unexpected nature of the symptoms and their influence on everyday functioning. However, with correct care and therapy, many vestibular migraine sufferers may effectively control their symptoms and avoid long-term consequences.

8. Are there any dietary advice for treating vestibular migraines?

While there is no one-size-fits-all diet for treating vestibular migraines, some dietary adjustments may help others lessen the frequency and intensity of their symptoms. It is critical to recognise and avoid trigger foods that might cause vestibular migraines, such as coffee, alcohol, aged cheeses, chocolate, and processed meats. Also, consuming regular meals and snacks throughout the day might help avoid migraines caused by hunger or low blood sugar. Some people may find relief by eating a low-sodium diet since too much salt can aggravate fluid retention and lead to migraines.

9. How do vestibular migraines impact balance and coordination?

Vestibular migraines can have a major influence on coordination and balance because of their effects on the vestibular system, which is responsible for maintaining balance and direction. Vertigo, dizziness, and imbalance can make it difficult to perform daily activities that require consistent balance, such as walking, standing, or driving. People with vestibular migraines may suffer episodes of vertigo or dizziness that can last from minutes to hours, making it difficult to engage in usual activities. Chronic vestibular issues can cause sensations of unsteadiness or disorientation, even between migraine attacks, lowering overall quality of life.

10. Are there any support groups or online forums for people who suffer from vestibular migraines?

Yes, there are various support groups and online forums dedicated to offering information, tools, and assistance to people who suffer from vestibular migraine. These communities frequently provide a platform for people to interact with others who have had similar experiences, exchange coping methods and suggestions for managing symptoms, and access educational information concerning vestibular migraines. Some respected organisations, such as the Vestibular Disorders Association (VEDA) or the Migraine Trust, may provide online forums, discussion groups, or virtual support meetings for those suffering from vestibular migraines and their carers. These forums can provide significant emotional support and practical guidance for navigating life with vestibular migraines.

11. How can osteopathy help with vestibular migraines?

Osteopathy can treat vestibular migraines by employing mild hands-on treatments to restore the function of the musculoskeletal system, which includes the spine, muscles, and joints. These procedures are intended to relieve tension in the muscles and tissues of the neck and head, which can contribute to migraine symptoms. Osteopaths also work on restoring bodily balance and alignment, which can help with vestibular symptoms like dizziness and vertigo. Osteopathy, by treating any underlying problems that may be creating or worsening vestibular migraines, can give symptom relief while also improving overall health.

12. What techniques do osteopaths use for treating vestibular migraines?

To treat vestibular migraines, osteopaths use several mild treatments, such as soft tissue manipulation, stretching, and spinal and joint mobilisation. These approaches try to relax and enhance mobility in the muscles and tissues that surround the head and neck, potentially lowering vestibular system discomfort. This may help to reduce the frequency and intensity of migraines.

Osteopaths may also employ cranial osteopathy, a mild therapy that focuses on the skull and its contents, to relieve any constraints or imbalances in the cranial bones and membranes. Also, osteopaths may offer recommendations on posture, ergonomics, and lifestyle changes to help avoid future migraines.

13. Is there evidence that osteopathy works for relieving vestibular migraine symptoms?

While there is minimal empirical data on the efficacy of osteopathy in treating vestibular migraines, many people describe favourable experiences and symptom alleviation following osteopathic care. Some studies have demonstrated that osteopathic manipulative therapy can lessen the incidence and severity of migraines in general, but further study is needed to understand its particular impact on vestibular migraines. These studies frequently have shortcomings, such as small sample numbers or the absence of control groups.

However, many healthcare experts and patients think that osteopathy can be an effective supplemental treatment for vestibular migraines. Osteopathy, which addresses musculoskeletal disorders and promotes relaxation, may help control symptoms and enhance general well-being in addition to traditional medical treatment.

14. Can osteopathy treat both the dizziness and headache of vestibular migraines?

Yes, osteopathy can alleviate both the dizziness and headache caused by vestibular migraines. Osteopathic treatments seek to address probable causes of vestibular migraine symptoms, such as muscular tension and spinal and neck misalignments. Osteopathy, by relieving tension and restoring correct function to these regions, may help relieve both vestibular symptoms such as dizziness and vertigo, as well as the headache component of vestibular migraines. However, the success of osteopathy varies from person to person, so it is critical to consult with a certified osteopath to design a customised treatment plan.

15. How does osteopathic treatment ease muscle tension and improve blood flow in vestibular migraines?

Osteopathic therapy provides a hands-on approach to treating vestibular migraines. Osteopaths treat muscular tension and fascial limitations, particularly around the head and neck, using mild pressure and manipulation methods such as massage, stretching, and mobilisation. This can enhance blood flow and drainage in these regions, potentially alleviating vestibular migraine symptoms such as dizziness and vertigo. Osteopathic treatments can also help with general relaxation and circulation in the body. Osteopathy seeks to relieve symptoms and enhance general comfort and well-being for those suffering from vestibular migraines by treating both muscular tension and circulation difficulties.

Now, what’s next for you?

Now that you have a thorough grasp of vestibular migraines, you should see a healthcare expert about your symptoms and concerns.  A doctor, neurologist, or otolaryngologist may conduct a full assessment, provide an accurate diagnosis, and propose a treatment plan that is specific to your requirements. Medication, lifestyle modifications, physical therapy, and alternative therapies such as acupuncture or osteopathy are all possible treatment choices.

In addition to medical therapy, self-care strategies are essential for controlling vestibular migraines. This might include recognising and avoiding triggers, leading a healthy lifestyle with regular exercise and balanced eating, dealing with stress via relaxation techniques such as meditation or yoga, and prioritising excellent sleep hygiene. Keeping a migraine journal can help you document your symptoms, triggers, and treatment reactions, providing useful information for you and your healthcare team.

Also, seeking help and connecting with those who understand what you're going through may be quite therapeutic. Consider joining a support group or online forum for those suffering from vestibular migraines, such as the Vestibular Disorders Association. Sharing experiences, discussing coping tactics, and receiving encouragement from others facing similar issues may provide a significant source of support. Remember that controlling vestibular migraines takes patience and effort, but with the correct assistance and tools, you may take proactive actions to improve your quality of life and alleviate your symptoms.

Ready to take the next step towards overcoming your migraines and headaches?

Consider booking your initial consultation with our skilled team at Melbourne Headache Solutions today! We've shown how osteopathy can be a game changer in addressing these conditions, and our dedicated osteopaths are experts in this field. During your initial appointment, we will explore your issues, treatment objectives, and how osteopathy might benefit you. Our osteopaths are here to listen, answer questions, and develop a tailored strategy, particularly for you. Don't let migraines hold you back any longer. Schedule a consultation with us now, and we'll work together to address the root of the problem.

In conclusion…

We hope we've shed light on vestibular migraines and offered a more complete view.  Understanding the illness is the first step to successful management. Remember: you have options! 

If you're interested in osteopathy as a migraine treatment option, Melbourne Headache Solutions can assist. We provide consultations with skilled osteopaths who can develop a personalised strategy based on your requirements. The ultimate objective is to provide you with the knowledge and resources you need to find relief and enhance your quality of life.