In this issue of the Scandinavian Journal of Pain, Wenche Igle-bekk and co-workers report an observational study of patients referred from their GP for physiotherapy of musculoskeletal pain. Patients (N = 43) with head- and neck-pain of at least one year and with a positive Dizziness Handicap Inventory (DHI) were selected for the study . These patients were investigated for symptoms and objective signs indicating Benign Paroxysmal Positional Vertigo (BPPV): A history of dizziness provoked by sudden acceleration or deceleration movements and nystagmus (video-oculography) during the test positions for otoliths in one or more of the semicircular canals (SCCs) of the vestibule of the inner ear [1,2,3]. Most of the patients had severe neck pain, headache, and chronic fatigue. The patients often had visual disturbances, tinnitus, sleep disturbances, difficulties concentrating, and poor short-term memory. Physical exertion aggravated the symptoms. About half of the patients had pain in the temporo-mandibular region, generalized pain, nautical vertigo or combined rotatory and nautical vertigo, dizziness, and nausea. These 43 patients were treated with the specific otolith repositioning manoeuvres, depending on which SCC had symptomgiving otolith (s) .Clearly these patients were severely burdened and handicapped by their chronic complex pain condition that had lasted
Scandinavian Journal of Pain – de Gruyter
Published: Jul 1, 2015
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