Therapy for dizziness

The therapy for dizziness that occurs in the ear depends largely on the underlying cause. For this reason, comprehensive diagnostics are particularly important before initiating therapy. If the dizziness is associated with an inflammation of the vestibular nerve (so-called neuritis vestibularis), drugs must be used for the symptomatic therapy of dizziness, nausea and vomiting.

In this way, the symptoms can be effectively relieved and the well-being of the person affected can be increased. In addition to the administration of these drugs, targeted physiotherapeutic training should help to strengthen the vestibular organ and treat the dizziness in the long term. Persons whose dizziness in the ear is due to Meniere’s disease can also be treated symptomatically with drugs for dizziness, nausea and vomiting in the acute Meniere’s attack.

For particularly pronounced dizziness attacks, these drugs should not be administered orally, but via the vein. Special training of the vestibular system can also help to reduce the frequency of acute dizziness attacks. In addition, therapy for this form of dizziness that develops in the ear includes the administration of betahistine.

This drug can also effectively reduce the frequency of acute dizziness attacks. Persons who suffer from frequent dizziness attacks despite drug therapy may need surgical treatment. One possible surgical measure to treat this form of dizziness, which develops in the ear, is to sever the balance nerve on the affected side.

Alternatively, it is also possible to reduce the pressure in the area of the inner ear (so-called saccotomy). If the dizziness in the ear is associated with sudden deafness, it should be noted that there is no therapy that has been proven to be effective for this clinical picture.In clinical everyday life, however, one tries to alleviate the acutely occurring symptoms with high-dose cortisone. Depending on the severity of the symptoms, cortisone can be administered either in tablet form or by infusion.

In the case of a slight hearing loss, which only slightly impairs the hearing ability and does not lead to dizziness in the ear, no therapy is usually necessary. If the vertigo in the ear is a benign paroxysmal positioning vertigo, a completely different treatment strategy must be chosen. Since the symptoms in these cases are mostly caused by small stones in the posterior semicircular canal of the vestibular organ, these stones must be removed by special positioning maneuvers.

Medicinal measures,
Surgical interventions,
Physiotherapy and psychotherapy in question.
In some cases, a combination of these treatment columns may also be useful.