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Vestibular Migraine

22/6/2022

 
Did you know that vestibular migraine is now considered one of the most common vestibular Disorders??
It affects 1-2.7% of the general population and 11% of patients who attend a specialized dizziness clinic. (Shen et al 2020)
Vestibular migraine is a clinical syndrome of transient episodic vertigo/dizziness, or unsteadiness. It can last seconds to hours, in some cases lasting for several days. It includes features of temporary vestibular dysfunction such as nausea, dizziness, nystagmus, imbalance and at times falls.

Following a Vestibular migraine an individual may feel symptoms of fatigue, brain fog, poor concentration, imbalance, motion sensitivity, nausea, and in some instances have continuous light headedness.
30% of individuals with vestibular migraine will have no associated migraine before or after the episode of vertigo/dizziness.
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Diagnostic criteria for Vestibular M​igraine

A. At least five episodes of significant dizziness/vertigo lasting from minutes to days

B . A current or past history of migraine

C. At least half the episodes of vertigo have one or more migrainous feature associated with them such as typical migraine headache (one sided location, pulsating quality, moderate or server pain intensity, aggravation by routine physical activity, photophobia/photophonia, or visual aura)

D. Not better accounted for by another vestibular or headache diagnosis

(Simplified from the International Headache Society Classification of Headache ICHD-3-Feb 2018)

​Treatment of vestibular migraine

Management of Vestibular migraine requires identification of the main triggers for the migraine, assessing for the vestibular and functional issues that arise due from the migraine, then taking a multi-modal approach to management, combining:

  • Medical management & supplementation
  • Lifestyle changes addressing triggers that can arise from sleep, stress, diet, hydration and exercise
  • Vestibular rehabilitation to address visual motion hypersensitivity, balance and graded exercise protocols
​​​​

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Cancellation Policy: 

Out of courtesy to your therapist, and other clients who may be waiting for an appointment, please inform us of cancellations as soon as possible.

Cancellations Charges:  Short notice cancellations within 48 hours of your appointment or reschedules will incur a late cancellation fee of 60%.

For block bookings, one session will be deducted for three cancelled appointments. 

Please be aware that ACC does not cover all cancelled appointments.


How to Cancel Your Appointment
 If you need to cancel your appointment, please call us at 09 424 3254 between the hours of 8am – 5pm. If necessary, you may leave a detailed voicemail message. We will return your call as soon as possible.
 Late Cancellations/No-Shows
A cancellation is considered late when the appointment is cancelled less than 48 hours before the appointed time. A no-show is when a patient misses an appointment without cancelling. In either case, we will charge the patient a 60% missed appointment fee. 

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  • Home
  • Who We Are
    • Job Opportunities
  • Services
    • Telehealth
    • Neurological Rehab
    • Vestibular Rehab
    • Parkinson's Disease
    • PD warrior
    • Concussion
    • Nordic Walking
    • Classes
    • Free 15 min Consult
  • Referrals & Cost
  • Learn
    • Previous Blog Posts
    • Links