I must try to be brief as screens are a major trigger:
49 yr old female, with two months-long (3 months and 5 months) chronic dizziness/vertigo episodes in past (2006 and 2008 after car accident).
Never fully explained—all tests negative and only resolved with time and with getting new dental splint for bruxism (which is a migraine trigger so I’m told).
Long history of intense headaches but no official migraine diagnosis until now.
Episode of BPPV in October successfully treated with Epley seems to have kicked off full blown hideous chronic VM. Definite migraine on day of Epley and then 1 week later after full day of computer work everything exploded and I’m barely functional since. Experiencing all kinds of motion, regular headaches, light and sound sensitivity, ear fullness, etc.
Primary doc and neuro willing to go with VM diagnosis as nothing else seemed to fit. Neither is super well versed in VM.
Currently on 40mgs nortriptyline daily, noticed some improvement but still logging one VM per week.
DILEMMA: I now have recurrence of BPPV on other side and tried home Epley and it was too hideous so have appt with PT tomorrow to get it done in office. Primary says to premedicate with 5mg Valium 1 hr before (I’m thinking also of premedicating with ibuprofen).
My fear is I’ll be back where I was three months ago after the first Epley. Unfounded? I know no medical advice can be had from strangers on internet but is there any wisdom in just waiting this BPPV out or should I treat it with the theory that you treat the thing you have for which there’s a good treatment, despite the possibility of triggering a migraine cascade?