Tag Archives: ENT specialists

Disabling Vertigo, severe ear pain, Migraines resolved through Physiologic Neuromuscular Fixed Orthotic

Angela and her family live in Kenai peninsula, Alaska and have traveled to Kansas City to seek help from Dr Raman. She has been suffering with severe vertigo for about 8 months and more recently extreme ear pain and Migraine.

Initially Angela went to her dentist to have a filling done and left the office that day in extreme pain. It was then determined that this tooth could not be saved and would need to be removed. Angela decided to have both of her lower wisdom teeth removed at the same time along with the lower right molar.

Angela was put under with IV sedation and had all three teeth removed. She was unable to bring her teeth together for about 8 days due to the amount of swelling. Three days later she had a migraine and the severe vertigo started. Angela went to the hospital and was told that she had an anxiety attack. She then decided to see an ENT who ruled out BPPV (Benign Paroxysmal Positional Vertigo). They also did an MRI, CT scan and hearing tests. All of these tests came out negative. The ENT specialist told her that her symptoms had NOTHING to do with TMJ or her teeth loss.

At this point a family friend who is also a dentist was the first one to mention that it could have something to do with her TMJ and recommended that she see a massage therapist. She also had lower back adjustments done by a chiropractor and her symptoms just got worse. Angela then made the decision to see a TMJ doctor in Anchorage who made her a lower acrylic guard to be worn at all times except when eating. The vertigo was so bad that she could barely walk out of his office.

At this point Angela felt stuck. She was unable to eat and could not even get in a car for 3 weeks. She has 2 young children ages 6 and 3 and couldn’t even drive her son to school because of the vertigo. Her anxiety level has been very high trying to deal with all of this and she did not want to spend her life this way. Her husband Jeremy then found Dr Raman on the internet. Once Angela realized that the more she moved her jaw around the worse the vertigo got, Dr Raman’s Physiologic Neuromuscular dentistry approach made a lot of sense.

Once Dr Raman determined that there is a jaw alignment issue, Angela went through a series of diagnostic testing. A detailed consultation was done with Angela and Jeremy and they made the decision to proceed with the phase I treatment option. She was then fitted with a fixed neuromuscular orthotic. Just five days after the orthotic was delivered Angela was doing really good. She said that she had one of the best days that she had in the past 8 months.

Angela said that her vertigo did not spike and she was able to drive. She was enjoying spending time with her family and is excited to keep moving forward.

Vertigo resolved through Physiologic Neuromuscular Dentistry

Isn’t Vertigo, a medical condition? How can a dentist possibly help vertigo? One of the symptoms of a poor jaw alignment is vertigo. In such cases, PNMD can definitely help.

Unrelenting Vertigo resolved through Physiologic Neuromuscular Fixed Orthotic when medications did not help. AO chiropractic adjustments helped for short periods. Previous Neuromuscular removable or fixed orthotics worsened the vertigo.

Veronica lives in Dubai, United Arab Emirates and traveled to Kansas City to seek treatment from Dr Raman. She has been suffering with severe vertigo as well as neck pain, headaches and shoulder pain for the past 5 yrs. She would always feel off balance. Even raising her arm and picking up light weights would bring on vertigo. Her symptoms first began after having 20 Lumineers done in Lebanon for cosmetic purposes. She had her first “violent vertigo attack” immediately following that.

Veronica sought help from several different doctors including 3 neurologists who were very thorough, had MRI, MRA and CT scans done of her brain and spine. No cause of her vertigo was diagnosed. She then consulted with 5 ENT specialists who ruled out Meniere’s and Benign Positional Vertigo. When medications did not help, she was told by all of these doctors that she would just have to learn to live with it. She then decided to see a Physical therapist, a Chiropractor and an Osteopath. Those treatments actually worsened her symptoms. Her symptoms slightly improved with the Atlas Orthogonist Chiropractor at least for short periods. He is the only one who mentioned that her symptoms may be related to her jaw alignment. Poor jaw alignment affects the AO alignment. So his AO cervical adjustments would not ‘hold’. Much credit should go to this AO chiropractor since he alone pointed Veronica in the right direction when all the medical specialists were telling her that is due to “stress” and “just have to learn to live with vertigo”. So she saw a neuromuscular dentist near her and was treated for 8 months .

Veronica was first given a removable orthotic that she wore at night time only. She was then fitted with a bonded orthotic. The bonded orthotic made her “violently ill” for the 10 days that she had it in her mouth. They decided to discontinue treatment and had the orthotic removed. Several people that Veronica knew kept telling her to go to America for treatment. She did a lot of research on the internet and found Dr. Raman as well as a doctor in California and one in Nevada. After much checking she decided that her best chances for getting better is to be treated by Dr. Raman in Kansas City, Missouri. She saw more examples of difficult cases that he had treated than the other doctors. The only thing he could promise was that he would do his very best to help her.

Veronica was seen on a Wednesday for examination and diagnostic tests. Two days later, her Physiologic Neuromuscular Fixed orthotic was delivered on Friday afternoon. No adjustments were made. Her jaw and rest of the body needed to adjust to the alignment correction of the orthotic.

At her First follow up visit on Monday morning, 2 days post orthotic delivery, Veronica said that she had absolutely no vertigo, no neck/shoulder tightness and has been able to eat just fine. She said that she feels quite relaxed. She was vertigo and shoulder pain free after suffering for 5 years.

It is hard to measure the life impact of this treatment in this woman’s life compared to how it would have been in her family life, social life and general happiness if the unrelenting vertigo had continued. After all neurologists told her to “accept it” and live with. No wonder Veronica believes that it was worth the cost & travel time it took for her PNMD treatment.