My son who is 14 has had Labyrinthitis for two weeks and slowly recovering. His dizzy spells are reducing but he still haves some vertigo. Is it possible that Acupuncture could help?

Q: My son who is 14 has had Labyrinthitis for two weeks and slowly recovering. His dizzy spells are reducing but he still haves some vertigo.
Is it possible that Acupuncture could help?.
He is one of the countrys top bmx racers in his age group and due to race in the World championships
in the USE at the end of July. At the moment we are very worried he may not be able to compete.
Your early reply would be most appreciated.

A: We are sorry to hear of your son's predicament. We have a factsheet on our website

https://www.acupuncture.org.uk/a-to-z-of-conditions/a-to-z-of-conditions/2599-vertigo.html

which gives a fair bit of evidence for trials which are very encouraging about the use of acupuncture for a variety of balance problems. We quoted this some time ago in an answer about the generic problems of the inner ear, in which we said:

There are a number of conditions like Meniere's disease, vertigo, labyrinthitis and so on, where changes in the structure or infections in the inner ear area can cause significant balance problems as well as generating other symptoms like nausea and headaches. Because there is no precise overlap between the classifications of conventional medicine and Chinese medicine, there may be many different ways of treating the same named condition depending on what else a practitioner finds to be out of kilter in a system. This means that it can be quite easy on occasion to identify a group of signs and symptoms which are likely to be amenable to treatment and which enable one to treat with confidence. On other occasions it can be very unclear, and when this happens we have to rely on the very basic premise of Chinese medicine, that if the energy ('qi') of the body is balanced and free-flowing, then symptoms will resolve through the body's capacity to heal itself.
 
There is a fair measure of evidence for a number of balance related problems, as our factsheet shows but we would have to admit that many of the trials which do report success are not conducted by using Chinese medicine as it is practised, and while we would contend that the personalisation of treatment to the unique individual is a far stronger treatment than a treatment repeated formulaically several times, this latter is the basis on which most research is conducted to meet the current 'gold standard.' One trial of this kind, for example,

http://www.ncbi.nlm.nih.gov/pubmed/19606509
 
generated some very interesting results, but the formula applied would not be appropriate for everyone.
 
For a generic problem such as this which might present against a vast range of contexts there is no substitute for visiting a BAcC member local to you to ask for a brief face to face assessment of the potential benefits of treatment. This will enable them to give you a far better informed view than we can do at a distance

We think this is about the best that we can say. When patients come to us the first thing we establish is what exactly is wrong with the inner ear. There are a number of physiological changes to the ear which can mean that conditions like this have to be regarded as permanent, so a practitioner will first want to assess whether this is something which is even amenable to treatment - there's no point in wasting time and money on something which isn't going to work.

As far as how long the treatment lasts is concerned, this is the proverbial piece of string. We always aim to treat the overall picture, not simply the symptom as it presents itself, because we believe that doing only symptomatic treatment is like turning off an alarm bell because you don't like the noise. If we treat the whole system, and the treatment is successful, there is no reason why someone who looks after themselves shouldn't remain relatively symptom free. In reality this tends to be a little less likely than a case where someone will experience some positive change which they have to 'top up' from time to time.

What we always aim to do, though, is to review progress after four or five sessions, and if there is no obvious sign of improvement to draw a sharp line in the sand before committing someone to what may turn out to be a long, fruitless and expensive process.

We believe that this still covers most of the ground pretty well. We have undertaken a survey of more recent research and there are a couple of papers

https://www.ncbi.nlm.nih.gov/pubmed/26055400

https://www.ncbi.nlm.nih.gov/pubmed/26055400

which give a guarded but generally positive view of the value of acupuncture treatment for these types of cases.

There is plenty of time between now and your son's championship for acupuncture to take effect, if it is going to work. Even if it didn't do as much as we expect it could, there are other options which you might want to explore. Amongst the more promising is cranial osteopathy, which can often offer help for problems where a small but significant shift in the subtle structure of the skull could have an impact on balance. We would assume that as a serious BMXer your son is used to the odd tumble, and it may well be that a succession of these have contributed to the problem.

Whatever option you choose to pursue we are confident that the network of practitioners in your area will be able to point you towards whatever help will best suit your son.

And if he/you do choose acupuncture and he wins, we'd love a namecheck!

 

 

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