Georgia Chiropractic Neurology Center

Brain Based Treatment for the 21st Century!

 

Definition

If you are experiencing a constant sensation of dizziness or unsteadiness, especially while standing, walking or moving your head, you might be experiencing a condition known as PPPD. This common yet often misunderstood condition can cause a range of symptoms that can interfere with your daily life.

PPPD is characterized by:

  • A continuous feeling of dizziness or lightheadedness that does not go away.
  • Symptoms that often worsen with movement or in busy environments.
  • A sensation of imbalance that can make simple activities challenging.

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Difference between Vertigo and PPPD

Unlike vertigo, which often involves the false sensation of spinning, 3PD is marked by a persistent feeling of lightheadedness and imbalance that typically worsens when standing, moving or in busy environments.

3PD can affect anyone but is often triggered after a vestibular event (such as a viral infection, inner ear issues, or even prolonged anxiety). Many patients may feel that their dizziness began after an event that shook their balance, and it can persist long after the initial cause has stopped.

Understanding the Neurophysiology of Persistent Postural-Perceptual Dizziness (3PD)

The causes of Persistent Postural-Perceptual Dizziness (3PD) arise from a complex interaction between multiple systems in the brain. Key players in this interaction include:

  • the vestibular system, which helps maintain balance
  • the visual system, which provides spatial orientation
  • the autonomic system, which regulates bodily functions.
  • Additionally, the limbic system, often referred to as the emotional brain, can influence how we perceive and respond to dizziness.

Given this intricate interplay, it is essential to work with a doctor who understands how these systems function together. Each individual’s experience with 3PD can vary significantly based on their unique brain structure and emotional responses. Therefore, personalized evaluation and treatment are crucial, allowing for an approach that addresses your specific symptoms and needs.

Symptoms

  • constant dizziness
  • unsteadiness
  • worsening of symptoms with movement
  • sensitivity to visual stimuli
  • fear of falling
  • tiredness or fatigue
  • nausea and digestive problems
  • difficulty concentrating
  • anxiety

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Connection between visual, vestibular and limbic systems

When you experience dizziness, your brain receives conflicting signals from several sources. The vestibular system (responsible for balance) may signal that you are unsteady, while your visual system may struggle to provide clear information about your surroundings. This disconnection can create a persistent feeling of being off-balance, leading to an overall sense of instability.

As you navigate these distressing sensations, your brain sends signals to the limbic system, which is the emotional center of your brain. Key structures within this system, such as the cingulate cortex, amygdala, and insula, play a crucial role in processing feelings and emotions. When they detect signals of danger—like the discomfort and fear associated with dizziness—they activate an emotional response.

This activation can lead to feelings of anxiety as your brain interprets the confusion and instability as threats to your safety. Essentially, the underlying dizziness triggers a protective, yet sometimes overwhelming response, manifesting as anxiety about your balance and overall well-being.

How Can We Help?

If you recognize these symptoms, you are not alone — and you do not have to live with this discomfort. Our office specializes in diagnosing and treating 3PD. We provide:

  • Comprehensive Assessments: Our team will conduct a thorough evaluation to understand your symptoms and rule out other potential causes.
  • Personalized Treatment Plans: We offer tailored therapeutic options, including vestibular rehabilitation exercises and cognitive strategies to help you regain your balance and confidence so that you can live life to the fullest.
  • Supportive Care: Our approach not only focuses on the physical aspects of dizziness but also addresses any underlying anxiety or stress you may be experiencing.

Imagine stepping back into life with renewed stability and freedom our dedicated team is here to support you every step of the way on your journey to reclaiming the activities and joy that dizziness may have taken from you.

Do not let persistent dizziness control your life any longer. Contact us today to schedule an appointment, and take the first step towards feeling better. Your path to recovery begins here!

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