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Find Your Balance
Recent statistics show that more than 90 million Americans will experience dizziness at some time during their lives. The good news is that 80 to 90 percent of sufferers can find relief. In this comprehensive guide, one of the nation's leading authorities on balance disorders tells the millions of sufferers what they can to do to conquer dizziness -- what it is, why they feel this way, and what they can do about it.
In Dizzy, Dr. Jack Wazen uncovers the root causes of this disabling, difficult-to-diagnose syndrome and shares the therapies and techniques that can return patients' lives to normal, including essential information on:
• How to identify balance disorders
• Types of disorders: from the inner ear to the circulatory and central nervous systems to systemic, sensory, and visual disorders
• Balance rehabilitation therapy
• Medication and surgical options
• Acupuncture, biofeedback, hypnosis, and nutritional and herbal supplements
From where to get help to the surprising benefits of a low-sodium diet, filled with encouraging stories of patients who have found permanent relief, Dizzy shows chronic sufferers how to get their lives back on track -- and in balance.
- Sales Rank: #718465 in Books
- Brand: Wazen, Jack J./ Mitchell, Deborah R.
- Published on: 2004-02-10
- Released on: 2004-02-10
- Original language: English
- Number of items: 1
- Dimensions: 8.44" h x .80" w x 5.50" l, .61 pounds
- Binding: Paperback
- 285 pages
About the Author
Jack J. Wazen, M.D., is the medical director of the Balance Management Center at Lenox Hill Hospital and associate professor of clinical otolaryngology at Columbia University College of Physicians and Surgeons. The founder and former director of the Tinnitus, Hearing & Balance Center at Columbia-Presbyterian Medical Center, he is also president of the Research Institute for Hearing and Balance Disorders. He maintains a private practice in New York City.
Most helpful customer reviews
6 of 6 people found the following review helpful.
A good personal reference book.
By Stephanie E. Howell
Dr. Jack J. Wazen and Deborah Mitchell take an appropriately medical approach to explaining the causes and factors associated with balance disorders, and incorporate most doctors' diagnosis and treatment processes. Although this book is not as user-friendly for someone interested in the biology of these disorders, it provides a useful overview of the many factors associated with loss of balance as well as a comprehensive source of current treatment options.
Dr. Jack J. Wazen and Deborah Mitchell's "Dizzy: What You Need to Know About Managing and Treating Balance Disorders" is a useful guide to the recognition of a balance disorder and the procedures for diagnosis and treatment. I purchased this book, most interested in the causes and treatments of vestibular disorders, but a "balance disorder" certainly does not always mean a "vestibular disorder," and the authors incorporate many external factors in the causes of balance disorder-related symptoms. Overall, the book is set up as a case-specific procedural guide to recovering from a disorder or coping with the symptoms. This can be helpful when trying to find treatment for a disorder, but proved a bit confusing when trying to read through the entire book. The authors have set up the book according to three sections: an overview of the concept of balance loss, types of balance disorders with causes, and treatment options. Each section is divided into chapters related to a different facet of information, such as categories of balance disorders or types of surgery, and chapters end with a "bottom line" summary that provides a clear message through the information previously given. Throughout the book, the authors have provided anecdotal cases detailing previous patients' experiences with each disorder or treatment, which allow for some comparison in individual readers' cases.
Balance System Anatomy
The first section is dedicated to the anatomy of the "balance system," or the inner ear, visual, and proprioceptive systems involved in balance information retrieval for the brain. It reviews the function of the basic components in the balance system and how they relate to every day activities, and it discusses the differences between terminologies when describing loss of balance symptoms. This section on the anatomy and physiology of the vestibular system is where I wish there was more detail, because the diagrams included in his explanations were typical of a general anatomy textbook. The author uses every-day examples to illustrate the function of the balance system. For example, his explanation of our sense of gravity comes from an example of a little girl on a slide: "when her brain gets the information from the inner ear, it sends messages to the muscles, which rebalance her body and make it lean forward, thus restoring her balance."
While the function of the "balance system" was discussed, not much of the neuroscience was discussed. I had hoped for a more in-depth discussion on the pathways of sensory information from the balance system to the brain and how the brain influences proprioception. However, because it is just a guide, the generality of the author's statements are effective enough for a person trying to sort out the basics of how the system works. Included in this section is a "dizziness questionnaire" based on Dr. Wazen's experience as a doctor, which is intended for prospective patients to fill out before visiting a doctor about a disorder to make office visits and diagnoses more efficient.
Types of Balance Disorders
The second section focuses on types of balance disorders. It is divided into chapters detailing common inner ear disorders, other inner ear disorders, cardiovascular and central nervous system disorders, systemic disorders, visual and sensory disorders, and psychological disorders. It also contains a chapter about chemical toxins and drugs causing loss of balance, which makes up a portion of balance specialists' diagnoses. The structure here is a bit bothersome, as he goes into the details of each disorder and includes a treatment options section. He discusses anecdotes about previous patients' experience with each disorder, but he lists tests not previously explained that were conducted on the patients. Although they are referenced in later chapters, it is tedious to keep flipping through the book to find out what the author is talking about. The inner ear disorders were the most interesting to me, as they apply directly to the vestibular system, and the most common include benign paroxysmal positional vertigo (BPPV) and Meniere's disease. It was also beneficial that more uncommon inner ear disorders were listed, including labyrinithitis and perilymphatic fistula. Other causes of balance disorders, including epilepsy, migraine, stroke, and multiple sclerosis were listed under cardiovascular disorders. I was pleased to see that the authors included infections of the central nervous system that can cause dizziness, including Lyme disease and meningitis. Although loss of balance is not necessarily the first or primary symptom of these diseases, their side effects can give information about the necessary functions for balance in humans. In the chapter about systemic disorders, or disorders of the body, the authors indicate causes such as allergies, anemia, and diabetes.
Interestingly, they included the fact that thyroid problems have a direct correlation to balance disorders, as a hormone produced by the thyroid is "critical for the normal development and function of the vestibular and auditory system." The chapter on visual and sensory disorders, including macular degeneration, distance vertigo, and aging, are important as our vestibular reflexes involve a heavy portion of visual input for them to work normally. In the chapter about drugs and environmental causes of balance disorders, the authors included a list of drugs that can cause loss of balance in general drug categories for easy reference.
Treatment Options
The final section on treatment options is divided into physical therapy, dietary changes, and "complementary treatment methods," which includes homeopathic remedies and relaxation techniques. Just before the third section, the authors explain what some tests for balance loss may entail when a visit to a specialist is made. It describes in general terms what the test will determine and how it will affect the patient. The physical therapy section of the book describes procedures that may be done at home or in an office to allow a patient to begin recovery from a balance disorder. It includes step-by-step instruction for exercises such as gait control, head movement, eye dizziness, and posture control. There is also a list of precautionary steps to take to avoid dizziness and injury while going through therapy. The authors describe the role of various types of specialists and which would be most appropriate for certain types of balance disorders, including whether therapy, surgery, or alternative treatment is the best option. In the surgery portion of the book, the authors explain briefly what some major procedures entail, such as labyrinthectomy, and why some procedures are preferred over another. There is also a dietary habits chapter that details some foods that may contribute to dizziness, such as sodium and caffeine. The authors include tables on what foods are high in sodium and how to avoid it in an every-day diet. The section concludes with a comment on "complementary" therapy, which the authors note as not having a personal preference for, but it is included to make the treatment section as comprehensive as possible. These techniques include tai chi, acupuncture, yoga, and homeopathic remedies for loss of balance.
This book was definitely a useful guide to the steps toward recovery from a balance disorder, but I would not recommend it as a source of great detail. It serves its intended purpose, which seems to be a "pocket guide" for someone looking for answers to a specific problem; one would easily be able to search within the book for a few common symptoms and find which words to say to the doctor for a proper diagnoses, and at the same time feel more assured about what treatment options might entail beforehand. It was helpful to me in some aspects, as learning about a few balance disorders in particular gives some information about the vestibular system. My chief complaint about this book would be the structure, as it was less than user-friendly at some points with regards to its side-note references to later chapters, but it is effective in serving as a medical guide to someone not aware of the many causes of balance disorders.
If you are looking to scratch the surface on a persistent loss of balance, this book will do the trick.
5 of 5 people found the following review helpful.
The whoe story
By Edwin B. Law
This book was recommended to me by an aging golf friend who had also experienced the curse of imbalance and resultant diminished ability.
It is as comprehensive a treatment of the condition as can be imagined and it certainly is an asset in the attempt to understand.
No substitute for an M.D. but helpful in communicating.
Recommend.
9 of 12 people found the following review helpful.
I could've rented this from a public library
By M. P.
I was in a car accident in 2004 and suffered a major whiplash injury. This whiplash injury left me with several symptoms including Cervical Vertigo. I've had this stupid debilitating condition for close to six years now and have been trying to find ways of getting this fixed. I've had numerous tests done and was a guinea pig for medications that either knocked me out or made me more uncoordinated than I already was. Besides searching on the internet for answers I needed other resources and came across this book. My guess is this doctor only dealt with the basics of people who battle bouts of dizziness. I do have to admit that I did find a test that I haven't taken yet. A Fistula test. I came across Perilymph Fistula and it described EVERY symptom that's been going on with me. I nearly cried. After going through this and trying to explain everything that's going on with me Perilymph Fistula describes everything. If I hadn't come across this book I wouldn't have known about these two terms. Hopefully I will be able to get this test done to prove it's what I have and get it fixed. Then I will be able to get my life back!!!
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