Vestibular Migraine FAQs: Answers to the Most Common Questions
Vestibular migraines are a complex and often misunderstood condition, affecting balance and sensory perception in addition to causing head pain. Unlike typical migraines, vestibular migraines prominently feature symptoms like vertigo and dizziness, which can be distressing and disruptive to daily life. Below, we answer some of the most frequently asked questions about vestibular migraines to help you better understand this condition.
1. What Is a Vestibular Migraine?
A vestibular migraine is a type of migraine that primarily affects the vestibular system—the part of the inner ear and brain that controls balance and eye movements. People with vestibular migraines may or may not experience a headache, but they commonly suffer from episodes of vertigo, dizziness, and spatial disorientation.
2. What Are the Main Symptoms?
Symptoms of vestibular migraines can vary between individuals but often include:
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Vertigo or a spinning sensation
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Imbalance or unsteadiness
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Nausea or vomiting
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Sensitivity to light, sound, or motion
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Visual disturbances such as flashing lights or blurred vision
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Ear pressure or fullness
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Headache (in some cases)
These symptoms can last anywhere from a few minutes to several hours and may occur with or without head pain.
3. What Causes Vestibular Migraines?
The exact cause of vestibular migraines is not fully understood, but they are believed to involve abnormal brain activity affecting both migraine pathways and the vestibular system. Triggers can include:
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Stress
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Lack of sleep
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Hormonal changes
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Certain foods (like aged cheeses, chocolate, and red wine)
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Weather changes
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Sensory overload (e.g., bright lights or loud noises)
Genetics also play a role—many people with vestibular migraines have a family history of migraine conditions.
4. How Is It Diagnosed?
There is no single test to diagnose vestibular migraine. Diagnosis is typically based on:
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A detailed medical history
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Description of symptoms
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Exclusion of other causes of vertigo or dizziness (like Ménière’s disease or inner ear disorders)
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Meeting clinical criteria set by the International Headache Society
A healthcare provider—often a neurologist or ear, nose and throat (ENT) specialist—may also order imaging or balance tests to rule out other conditions.
5. What Treatment Options Are Available?
Treatment usually combines lifestyle changes with medication. Common approaches include:
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Preventive medications such as beta-blockers, calcium channel blockers, or certain antidepressants
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Acute treatments like triptans or anti-nausea drugs for managing attacks
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Vestibular rehabilitation therapy (VRT) to help improve balance
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Lifestyle adjustments including regular sleep, stress management, and trigger avoidance
Working closely with a healthcare professional is key to finding an effective treatment plan tailored to your symptoms.
6. Can Osteopaths Help With Vestibular Migraines?
Yes, osteopaths may play a supportive role in managing vestibular migraines, particularly when musculoskeletal issues such as neck tension or postural strain contribute to symptoms. Osteopathic treatment can include gentle manual therapy, movement advice, and exercises to help improve posture, reduce stress, and support nervous system function. However, it should complement—not replace—medical management.
7. Are Vestibular Migraines Permanent?
Vestibular migraines are considered a chronic neurological condition, but that doesn’t mean symptoms are constant or untreatable. Many people find significant relief through a combination of treatments and trigger management. With the right care and support, episodes can become less frequent and less intense over time.
8. When Should You Seek Help?
If you’re experiencing recurring dizziness, vertigo, or migraine-like symptoms—especially if they’re interfering with your daily life—it’s important to seek medical advice. Keeping a symptom diary can be helpful for diagnosis and treatment planning.
Final Thoughts
Living with vestibular migraines can be challenging, but with proper understanding and support, many people can manage their symptoms effectively. Whether it’s through medication, lifestyle changes, or complementary therapies like osteopathy, there are multiple ways to regain control and improve your quality of life.
If you’re unsure about your symptoms, consult a healthcare provider experienced in migraine and balance disorders to get the right diagnosis and care. For more details or expert care, visit https://melbourneheadacheconcussion.com.au/ — a clinic dedicated to diagnosing and managing complex headache and vestibular disorders.
