Rotational Vertigo

I've had several requests to describe what Rotational Vertigo feels like to me.  It is actually quite hard to describe in a way that the average person might be able to visualize. When I'm pressed for time I frequently say something like imagine the worst drunken binge you've ever been on. For most people (a majority, sadly) that gets an enlightened response.

But that really doesn't do the symptom justice.  For me, being drunk (even mildly intoxicated) can be vertigo inducing, has always been vertigo inducing.  I don't drink and go to sleep anymore. That almost never happens.  If I feel like having a glass or two of brandy or cognac, I'm generally up for the duration of the effect (8 hours or so) because lying down makes the vertigo worse.

So what is rotational vertigo really like?

First, imagine you are at the center of a merry-go-round.  The merry-go-round is spinning. It doesn't even have to spin fast, it can spin quite slowly, just enough that you can't fixate on a single point in the background.

This is the key problem with the spinning. It isn't real, but your body doesn't know this.  Your body doesn't know that the balance mechanism in the ears is broken. So your eyes try to track the spin that isn't there, causing your vision to dance back and forth (this is why reading can be a chore when you have a problem with vertigo) mimicking the spin the balance mechanism says is occurring.

So you are on a spinning merry-go-round. Now imagine that every stationary object you want to interact with is spinning at the same rate. There is no fixed point to anchor to (if you concentrate really hard you might just be able to override this. Maybe) so the handrails on the stairway, the walls of the shower, the glass of water to wash your pills down with dance madly around you while you try vainly to grab them from thin air.

Now imagine that this dance continues for the rest of your life; figuratively, if not in reality. Because it feels like forever. I've fought this thing for days at a time in the past, just because I'd already slept for what felt like days and I just couldn't sleep anymore no matter how many pills I took.

I can't describe it better than that. I don't dare go looking for video to describe it.  Just seeing video that includes rotation in the theater can bring on sympathetic feelings of spinning.  I frequently must look away from films with rapid rotation (Gravity was torturous. Loved that film, couldn't watch half of it. Go see Gravity in the IMax and sit real close with your hands trapped at your sides) or hold my hands up in front of my face so that I can see that there is a stationary object in view.

The real answer is you don't want to know.  You can trust me on this subject.



So how should I treat it? is the question you are probably left with if you have this symptom.

Treating Meniere's & Its Symptoms covers general treatment suggestions for Meniere's. Dizziness and vertigo are so common that they rate a separate discussion.

There are various treatments for re-aligning the otoconia in the inner ear, which is frequently the culprit causing dizziness and vertigo. I've tried a few of them for persistent dizziness (dizziness that lasts several days) with limited success. The half-somersault maneuver looks like one of those kinds of treatments.

If the problem is the otoconia then this kind of treatment should alleviate the problem. If it isn't then it won't. It is pretty straight-forward to just try these procedures if the vertigo doesn't let up after a few hours. You are liable to find that it won't help for meniere's vertigo and dizziness. If you still feel dizzy it is probably a good idea to see a specialist before ruling this kind of treatment out entirely. I have given up on them unless it is a specific kind of dizziness that I recognize as being different from the Meniere's.

from My Neighbor Totoro
The one thing I have found that helps for vertigo and dizziness aside from drugs is finding a head position and/or a focus point to stare at. I personally find that turning the head slightly to my right (I am afflicted in the left ear) and looking slightly downward is the best position for me. I have a catbus that sits near the correct position next to the bed. A friendly catbus that smiles its chesire grin at me while I try desperately not to spin.

It helps long enough for the drugs to kick in, or until the spell passes. One or the other of these two things will occur eventually. 

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