We recently read with interest a case report in 2020 by Dr. Odderson in the Journal of Clinical Neuroscience describing the resolution of Cervicogenic Vertigo using botulinum toxin (botox). Albeit a short literary piece, Dr. Odderson provides sufficient information with cause/effect relationship of success using botox for Cervicogenic Vertigo after failed physical therapy, course of prednisone and two cervical epidural steroid injections. Now before you go off and recommend botox for your dizzy and neck pain patients, let’s highlight 6 clinical characteristics about the patient as described in the study (in bold) and OUR impression (not bolded):
Lots of questions remain for me for but overall a great case study here! I really enjoy reading these as it helps professional allies come together to work mutually to help these patients. I want my physical therapy colleagues to know about the positive effects of botox for certain patients and for my medical colleagues to realize these impressions (numbered 1-6 above) of how a physical therapist thinks! You can learn more about the screening and treatment process of Cervicogenic Dizzinesss through Integrative Clinical Concepts, where the authors (husband–a manual therapist a wife—a vestibular specialist), teach a very unique course combining both the theory and practice of vestibular and manual principles in their 2-day course. Pertinent to this blog post, the 2nd day includes the “Physio Blend”, a multi-faceted physiotherapist approach to the management of Cervicogenic Dizziness, which includes treatments of the articular and non-articular system of manual therapy and the most updated sensorimotor exercise regimen. If you would like to host a course for your staff (either a vestibular, neuro, sports or ortho clinic), please do not hesitate to contact me at [email protected] for more information. AUTHORSHarrison N. Vaughan, PT, DPT, OCS, Dip. Osteopracic, FAAOMPT Instructor: Cervicogenic Dizziness for Integrative Clinical Concepts Danielle N. Vaughan, PT, DPT, Vestibular Specialist Instructor: Cervicogenic Dizziness for Integrative Clinical Concepts
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This article was originally posted on Modern Manual Therapy Blog
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