Vital Care PT February 2018

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PHYSICAL THERAPY FOR VESTIBULAR DISORDERS Many people come to Vital Care Physical Therapy complaining of dizziness, vertigo, unsteadiness, and balance problems. A number of factors contribute to these symptoms, but a large percentage are caused by a problem with the parts of the inner ear and brain that help control balance and eye movements. This is known as the vestibular system, and if diseases or injuries damage this system, it can result in a vestibular disorder. Vestibular disorders are common and can affect people of all ages and walks of life. They are most often caused by head traumas, ear infections, aging, illnesses or diseases, medications, or strokes and brain injuries. Symptoms range from mild dizziness and unsteadiness to severe vertigo and can last seconds, minutes, months, or even years. Other symptoms include a spinning sensation, difficulty reading or concentrating, poor balance, disorientation, nausea and vomiting, headaches, sensitivity to bright lights and noises, or poor tolerance of crowds. One specific disorder, benign paroxysmal positional vertigo, is caused by misplaced pieces of calcium carbonate material. These crystals occur naturally in the utricle of the inner ear, and when these crystals break off because of head trauma or infection, they can move to the semicircular canals of the inner ear and stimulate nerve endings, causing dizziness. Fortunately, vestibular rehabilitation is an effective treatment for vertigo and dizziness. Treatments vary widely according to diagnosis, but your specific program may include the following: balance retraining exercises; specific vestibular exercises; supervised therapy sessions to monitor progress and continually change the vestibular, visual, and balance systems; and repositioning maneuvers for benign paroxysmal positional vertigo. If you are experiencing dizziness, vertigo, unsteadiness, or balance problems, give us a call at (623) 544-0300 to discuss your symptoms and book an appointment.

S weet and Z esty D etox S alad

INGREDIENTS

For the Dressing: • 1 large carrot, roughly chopped • ¼ cup rice wine vinegar • 2 tablespoons olive oil • 1 tablespoon finely chopped ginger • 1 tablespoon honey

For the Salad: • 3 cups chopped kale leaves • 2 cups chopped broccoli florets • 2 cups chopped red cabbage • 1 cup matchstick carrots • 1 cup chopped cilantro • ½ cup toasted slivered almonds • ⅓ cup sliced green onions • 1 diced avocado

• 1 tablespoon white miso • ½ teaspoon sesame oil • Salt and pepper, to taste

DIRECTIONS

1. To make the salad, add all ingredients to a large bowl; toss to combine. 2. To make the dressing, add all ingredients to a blender or food processor. Pulse until smooth. Season to taste with salt and pepper or add extra honey for a sweeter taste. 3. Drizzle dressing over salad and serve immediately.

Recipe inspired by GimmeSomeOven.com.

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