Balance Disorders: Vertigo, Motion Sickness, Labyrinthitis, and More
Relevance of duration of untreated psychosis. Hi Veronica, I too have been suffering for years with this disease. Beware of Diabetes Foot Dangers. There are also lymphedema therapists who specialize in the manual drainage of the lymphatic system. Karen Herbst who also diagnosed me and she has been an expert for at least 8 years so she is renowned in US.
I know that you cant answer on specific cases but any general information would be most welcome: Dear Samm — I was unable to locate anything regarding steroids and lipedema in the literature. Personally, I think it is unrelated. My 10 yr old daughter is showing signs of lipedema. We have been to dieticians. The majority of her weight hasis in her legs.
Her skin has stretched so much that there is cracks between her pigmentation. She is always complaining of aches to her legs. Do you know of any specialists in Iowa or US. Zuther, I was diagnosed with Lipedema three years ago. I have small nodules below my knees. I am a small girl. My legs have never really matched my body. I Have been working out for 15 years, eat healthy.
I was curious if everyone with Lipedema goes to the late stages. Can you prevent that from happening? What can I do to control it? My husband and I are wanting to have a baby. Will it get worse? Should I get the massages? To date there is no effective treatment available for lipedema. The symptoms of lipedema may progress, or they may be constant without progression. Should you experience the onset of additional swelling in your lower extremities you should start wearing support stockings from preventing the swelling to increase.
There are a number of lipedema support groups online as well. Today was the first time I ever hear about lipedema. I always simply assumed that I had a pear shaped body and cankles, but the pictures of stage 1 of lipedema that i found on numerous websites are spot on nothing as severe as the pictures here though. Here is a link to an article that may be of interest to you: Is fibromyalgia associated with lipedema.
Thank you for such an informative article. That is frustrating too, the diagnosis can be made by visual exam and yet patients still go undiagnosed and suffer with the condition and blamed for poor habits being the cause of their obesity. In a previous blog you mentioned Dr. Huhlevich, associated with Scarborough General Hospital, Toronto, Ontario, Canada as treating patients with lymphedema.
He has not taken new patients for a number of years as he feels he has no appropriate places to refer them to. I now go to Dr. Roche-Nagel at Toronto General Hospital.
He is a vascular surgeon as is Dr. Huhlevich but does have some knowledge of Lymphedema. He has a nurse working for him named Cindy who is very knowledgeable. Can also find other resources in Ontario from the Ontario Lymphedema Society. I am also linked in with two separate closed Facebookk groups where I have received a lot of information internationally.
Anna Towers is very knowlegeable and has spoken at many of the International Conferences. Can someone please explain the difference between: Lympf is the body system that disposes the excess liquid. Another factor I am aware of, is that when you press lymphatic tissue it makes an indentation, whereas if you press lipidemic tissue, this does not happen. What I would like to know: Are the causes the same? Does a special diet affect both conditions? Are there blood tests that verify the difference?
If I must drink lots of liquid, is there no danger of even more swelling? Are bruises ödeme common to both? I have many more questions, but this is enough for now. I would be very happy to have an answer, Thank you so much. Carina — here is a link to an article that answers your questions: Or a pediatric endocrinologist with this experience? No, I am sorry. Hello Dr Zuther, I am I have not been diagnosed but I think I may have Lipedema.
I did have mitral valve repair last January and thought maybe any swelling would go down post op. I am a nurse and I stand constantly. I thought it was just a foot issue. I think it is Lipedema. I look like the early stage photos I see. I have really sensitive legs. I wear compression stockings but have pain in my feet anyway. I read that it is common with hormone imbalance which I am on HRT and also common after receiving anesthesia.
I am going to see Cardiology to rule out anything heart related but I need to know who can diagnose me or not in the Virginia Beach area. No one I talk to knows what Lipedema is. Should I have cortisol checked? I need a starting point. Dear Michelle — not knowing you personally I am unable to give you a definite answer. However, if the swelling is bilateral and symmetrical, it is most certainly not lymphedema.
Lipedema appears bilaterally and symmetrically. Hi iv just been diagnosed with lipedema and still awaiting to see a specialist about it. Do you know if there is Lipo suction available for patients in Australia? My legs are quite big now an for years iv tried to loose weight and I would always be so skinny on the too half of my body but my thighs and knees jto the top of my ankles have been really big. Size in a top and size 22 in pants.. I want to have a chance of being happy and feel normal, an not have people staring at me for having such fat legs an small waist.
I was wondering if anyone has recently had a monarch surgery or pelvic sling surgery done. I have no help at all and it is getting worse. I continue to gain more and more weight.
My doctor has me on Metformin, metanx, invokana, talwin, Diamox. I also have fibromyalgia which I take savella, and I have mixed connective tissue disease in which I take another medication for sorry cant remember the name I have been taking the Lipedema meds for 2 months now and still gaining weight.
Also I have custom hose that I wear. I cant get the manual drainage done due to me working everyday. My questions to you are 1. I feel like a walking pharmacy. Can the 3 conditions be related? I also am seeing the lipedema developing in my upper arms. I am unable to comment on your medication. Hi I was wondering if u could recommend a doctor in NJ who treats lipedema? I have not found anyone with any k owledge about it. I was recently diagnose with Lipedema. I am trying to fine a dr in Maryland around Baltimore area prefer but I will go else if I have to.
This disease explains why I have been overweight. I do eat healthy and exercise a lot. It is a life time struggle. Please help me so I can get this under control. I cannot find a doctor that knows anything about Lipedema. I have been dx with Lymphedema and have been getting wraps.
Can you help me with finding a dr in South Georgia? Karen Herbst she has a whole page devoted to lipedema, and research papers done by German doctors who have been researching lip for years, and I educated my doctor who now is in complete support of my diagnosis. I went to University of Arizona to see Dr. Karen Herbst who also diagnosed me and she has been an expert for at least 8 years so she is renowned in US.
Germany is light years ahead of us so US has to learn form them, they have been providing treatment for 50 years. One wrong move by an trained doctor means lymphedema and worse. So I would be very careful if you hear some doctor out of nowhere say he knows how to do surgery.
There is too much to lose make sure doctor has been trained by German expert. There is a file on doctors across the country that are aware of lipedema and can care for you. This is a event that will make a big difference in the USA it will bring a lot of awareness, which is about time!!!
I am at an early stage now and really want to get help so this does not progress any further. That was it really. I was looking for my daughter she lives in Spain where there is nothing. I think I found it by typing Lymphatic problems into google. Im in the same boat as everyone else here.
No one is able to reffer me to the right place or the right specialist. If anyone has any knowledge of where I can find more accurate answers for this, I would greatly appreciate it.
I moved from Europe moths ago and have Lipodema. Did you find some? I have recently started treating my patients with a series of novel and effective non-surgical treatments. If you are interested I would be able to see you and go over the options after evaluating you conditions. If you are interested please feel free to email me at AlphaMG cox. Erika, I saw Dr Herbst and she told me to go to Dr.
Amron in Beverly Hills. She gave me a list of liposuction doctors, but said that Amron was an artist. She said he was better than the German doctors. The lucky thing for me, before I was diagnosed, I was getting MLD because my hairdresser told me it was a great way to lose weight and then I married a weight loss doctor. But, even he was baffled by my swelling. I waited a year to see her and she told me the only thing I needed to do more was see Dr.
I just finished my procedures with him. So far, I am still swollen, but I can already see some differences. When it comes to treatment, it is worth the investment to go to a good surgeon. The training facility I worked at educated all 25, at least once every year. This was a predominately female workforce in a wide range of jobs including: I know of NONE! Of the millions of people who would allegedly live within 10 miles of my home, with lipoedema, why have I never seen ONE?
Are you saying that you are a nurse and these women come through your facility to do a physical a least once a year, so you would know if they had the signs of lipeodema? You would talked to them all and they would have mentioned how they always had a bigger bottom than top, and had to shop for two sizes? Are you a massage therapist where you treat pain in the legs?
I am 52 years old! I would strongly suggest you seeking the advice of a trained lymphedema therapist. This is independent of the Lipedema. The Lipedema can then be treated differently which I am starting to discover. So google a doctor who treats venous Reflux in your area so that you can at least get rid of the leg pain.
I went to my doc countless times over the years and was told I was either overweight or it was just where I carried extra weight — no mention of lipodema. I only found out about lipodema following a programme on television — took pics to the doc and he agreed it looks like lipodema — he was to investigate but has yet to come back to me.
As such I sent away to Lipodema UK support group and they have sent me information to give to him. My daughter is the same as me or as I was at her age so she has it too and I spoke to a friend recently and told her about it and she reckons her cousin may have it. So that is 3 potential people with Lipodema that doctors have not diagnosed. I feel like a freak and so paranoid at folk seeing my legs. But at least now I know what it is I can really focus on getting some sort of healthy eating and sticking to it and doing exercise — especially aqua aerobics which seems to be popular.
Hello, Does anybody know of a surgeon in the uk who performs liposuction for lipodema? First of all, Thank you for creating this article. Thank you so much for this article. I will now be able to advocate much better for my mother who is 65, black, diagnosed with only lymphedema, but in fact has lip-lymphedema. I know this from the symmetry, the rolls around the inner knees, and ankles — despite some swelling in the feet, the overlap is well defined.
When she first was experiencing the swelling, she had no pitting, and the swelling in the feet would be less at the end if the day due to compression if shoes and circulation from walking throughout the day. I am sue she has stage She is 60 cm and kg, needs a knee replacement bi-laterally and has metabolic syndrome with diabetes, hypertension and kidney impairment.
Bariatric surgery is not being considered, but I would love it if she could receive the WAL liposuction treatment, since the weight is causing so much bowing of her legs in addition to the terrible strain on the knees. I will be putting together packets for the local doctors in my city, including the plastic surgeons. I may even be appealing to some media outlets to get more information out there so treatment outcomes will be improved.
If you know of any surgeons who would like to learn how to treat lipedema, please contact me, and I can send you some information: Thanks for your outreach! Are there any doctors our here that specialize in WAL? Anyone you can refer? I am sorry, I am not familiar with specialists in Ontario. You may want to contact the Vodder School in Canada, they may be able to assist you.
The second photo does not look like lipedema to me. I am half cuban and my body sort of looks like that. They do go down with weight loss, although they stay larger than the upper body. I have lipedema and was treated with liposuction several years ago in Latin America. However, I moved to Australia 10 years ago, and do not know of any doctors who treat this condition.
Even general practitioners who are the first point of call here are not familiar with it, and see it as mere weight gain. I would suggest contacting Dr. Neil Piller — http: I am worried about this. When I read your article, maybe its lipedema? I have small upper extremities but regarding my lower extremities its large. How can I know if this is really lipedema? A typical symptom for lipedema are symmetrically enlarged lower extremities.
I would suggest you read the articles posted on this page explaining lipedema in more detail. To do that please refer to the index list on the left side panel and choose the article links related to lipedema. I am from India and my partner has Lipedema. She is 25 years old. Can you suggest me any professionals that treat lipedema in India? This says lipeodema is not due to a disorder in the lymphatic system but further down it says the underlying cause is unknown.
My symptoms started shortly after birth due to a tramatc birth. Most systems that women start showing during puberty or later I have documentation showing mine started before I began to walk. Now I am in late lipedema,stages and also have lymphadema, even though I was not properly diagnosed till my 40s. In modern English, "to vent one's spleen" means to vent one's anger , e. Similarly, the English term " splenetic " is used to describe a person in a foul mood.
The spleen also plays an important role in Traditional Chinese Medicine and is the Yin part of the Earth element paired with its Yang counterpart the Stomach. In cartilaginous and ray-finned fish , it consists primarily of red pulp and is normally somewhat elongated, as it lies inside the serosal lining of the intestine. In many amphibians , especially frogs , it has the more rounded form and there is often a greater quantity of white pulp. In reptiles , birds, and mammals , white pulp is always relatively plentiful, and in birds and mammals the spleen is typically rounded, but it adjusts its shape somewhat to the arrangement of the surrounding organs.
In most vertebrates, the spleen continues to produce red blood cells throughout life; only in mammals this function is lost in middle-aged adults. Many mammals have tiny spleen-like structures known as haemal nodes throughout the body that are presumed to have the same function as the spleen.
In cetaceans and manatees they tend to be quite small, but in deep diving pinnipeds , they can be quite massive, due to their function of storing red blood cells. The only vertebrates lacking a spleen are the lampreys and hagfishes the Cyclostomata. Even in these animals, there is a diffuse layer of haematopoeitic tissue within the gut wall, which has a similar structure to red pulp and is presumed to be homologous with the spleen of higher vertebrates.
In mice the spleen stores half the body's monocytes so that upon injury, they can migrate to the injured tissue and transform into dendritic cells and macrophages and so assist wound healing. Transverse section of the spleen, showing the trabecular tissue and the splenic vein and its tributaries.
Side of thorax, showing surface markings for bones, lungs purple , pleura blue , and spleen green. From Wikipedia, the free encyclopedia. For other uses, see Spleen disambiguation. This article uses anatomical terminology; for an overview, see Anatomical terminology.
It has been suggested that Red pulp be merged into this article. Discuss Proposed since March The human spleen is located in the upper left abdomen , behind the stomach. Back of lumbar region, showing surface markings for kidneys, ureters, and spleen. Dispensable but not irrelevant". Illustrated by Allison Burke. Journal of the American Medical Association. Harrison's principles of internal medicine. Kliewer 1 January American Journal of Roentgenology.
American Roentgen Ray Society. Cell and Tissue Research. What makes a Derby winner - Spleen acts as a 'natural blood doper,' scientist says". Information, Surgery and Functions". Childrens Hospital of Pittsburgh - Chp. Archived from the original on Aviation, Space, and Environmental Medicine.
Journal of Sports Sciences. The Journal of Experimental Medicine. On top of the gel are tiny grains made of calcium carbonate called otoconia.
When you tilt your head, gravity pulls on the grains, which then move the stereocilia. As with the semicircular canals, this movement creates a signal that tells the brain the head's position. Our visual system works with our vestibular system to keep objects from blurring when our head moves and to keep us aware of our position when we walk or when we ride in a vehicle.
Sensory receptors in our joints and muscles also help us maintain our balance when we stand still or walk. The brain receives, interprets, and processes the information from these systems to control our balance.
Diagram of outer, middle, and inner ear. The outer ear is labeled in the figure and includes the ear canal. The middle ear includes the eardrum tympanic membrane and three tiny bones for hearing. The bones are called the hammer malleus , anvil incus , and stirrup stapes to reflect their shapes. The middle ear connects to the back of the throat by the Eustachian tube. The inner ear labyrinth contains the semicircular canals and vestibule for balance, and the cochlea for hearing. The vestibular structures of the inner ear are the vestibule which is made up of the utricle and saccule and the three semicircular canals.
These structures work somewhat like a carpenter's level a tool used to show how "level" a horizontal or vertical surface is. That is, they work by way of the vestibulocochlear nerve with the vestibular center in the brain to deal with body balance and position. The rest of the inner ear, that is, the cochlea, is concerned with hearing.
Thus, the vestibular system includes the vestibule, the semicircular canals, the vestibular branch of the vestibulocochlear nerve, and the vestibular center in the brain. The vestibular system measures linear and rotational movement.
A number of disorders can cause this system to stop working or provide inappropriate information. These disorders include Ménière syndrome, labyrinthitis , benign paroxysmal positional vertigo , ear infections, tumors, or trauma.
Each of these conditions is discussed below. The anatomy of the ear can be a little confusing, especially since the ear is responsible not only for hearing, but also for balance. There are three components to the ear: All three are involved in hearing but only the inner ear is responsible for balance. The outer ear is composed of the pinna, or ear lobe, and the external auditory canal. Both structures funnel sound waves towards the ear drum or tympanic membrane allowing it to vibrate.
The pinna is also responsible for protecting the ear drum from damage. Modified sweat glands in the ear canal form ear wax. The middle ear is an air filled space located in the temporal bone of the skull. Air pressure is equalized in this space via the Eustachian tube which drains into the nasopharynx or the back of the throat and nose. There are three small bones, or ossicles, that are located adjacent to the tympanic membrane.
The malleus, incus, and stapes are attached like a chain to the tympanic membrane and convert sound waves that vibrate the membrane into mechanical vibrations of the three bones. The stapes fills the oval window which is the connection to the inner ear. What are the symptoms of a balance disorder? If your balance is impaired, you may feel as if the room is spinning. You may stagger when you try to walk or teeter or fall when you try to stand up.
Some of the symptoms you might experience are:. Other symptoms are nausea and vomiting , diarrhea , changes in heart rate and blood pressure , and fear, anxiety , or panic. Some people also feel tired, depressed , or unable to concentrate. Symptoms may come and go over short time periods or last for longer periods of time.
What causes a balance disorder? A balance disorder may be caused by viral or bacterial infections in the ear, a head injury , or blood circulation disorders that affect the inner ear or brain.
Many people experience problems with their sense of balance as they get older. Balance problems and dizziness also can result from taking certain medications. In addition, problems in the visual and skeletal systems and the nervous and circulatory systems can be the source of some posture and balance problems. A circulatory system disorder, such as low blood pressure , can lead to a feeling of dizziness when we suddenly stand up. Problems in the skeletal or visual systems, such as arthritis or eye muscle imbalance, also may cause balance problems.
However, many balance disorders can begin all of a sudden and with no obvious cause. What are some types of balance disorders? Benign paroxysmal positional vertigo BPPV or positional vertigo is a brief, intense episode of vertigo that occurs because of a specific change in the position of the head. If you have BPPV, you might feel as if you're spinning when you look for an object on a high or low shelf or turn your head to look over your shoulder such as when you back up your car.
You also may experience BPPV when you roll over in bed. BPPV is caused when otoconia tumble from the utricle into one of the semicircular canals and weigh on the cupula. The cupula can't tilt properly and sends conflicting messages to the brain about the position of the head, causing vertigo. BPPV sometimes may result from a head injury or just from getting older. Labyrinthitis is an infection or inflammation of the inner ear that causes dizziness and loss of balance.
It frequently is associated with an upper respiratory infection such as the flu. Ménière's disease is associated with a change in fluid volume within parts of the labyrinth.
Ménière's disease causes episodes of vertigo, irregular hearing loss , tinnitus a ringing or buzzing in the ear , and a feeling of fullness in the ear. The cause of this disease is unknown.
Vestibular neuronitis is an inflammation of the vestibular nerve and may be caused by a virus. Its primary symptom is vertigo. Perilymph fistula is a leakage of inner ear fluid into the middle ear. It can occur after a head injury, drastic changes in atmospheric pressure such as when scuba diving , physical exertion, ear surgery, or chronic ear infections.
Its most notable symptom, besides dizziness and nausea , is unsteadiness when walking or standing that increases with activity and decreases with rest. Some babies may be born with perilymph fistula, usually in association with hearing loss that is present at birth. Mal de debarquement syndrome MdDS is a balance disorder in which you feel as if you're continuously rocking or bobbing.
It generally happens after an ocean cruise or other sea travel. Usually, the symptoms will go away in a matter of hours or days after you reach land.
However, severe cases can last months or even years. How is a balance disorder diagnosed? Diagnosis of a balance disorder is difficult. There are many potential causes - including medical conditions and medications.
To help evaluate a balance problem, your doctor may suggest you see an otolaryngologist. An otolaryngologist is a physician and surgeon who specializes in the ear, nose, and throat. An otolaryngologist may request tests to assess the cause and extent of the balance problem depending on your symptoms and health status. The otolaryngologist may request a hearing examination, blood tests, an electronystagmogram which measures eye movements and the muscles that control them , or imaging studies of your head and brain.
Another possible test is called posturography. For this test, you stand on a special movable platform in front of a patterned screen.
The doctor measures how your body moves in response to movement of the platform, the patterned screen, or both.