There are, even so, a couple of useful principles of thumb. 1st, obviously, medication ought to alleviate the signs and symptoms for which they are prescribed. When, for illustration, the aches and pains of an arthritic knee persist despite taking anti-inflammatories, it is only sensible to take into account taking some thing more powerful.
The disturbing emotions of “alarm and unease” when climbing a ladder or in a crowded store, as recently described by a reader considering that recovering from a significant assault of vertigo throughout the Plymouth-to-Santander ferry crossing, has prompted a most persuasive explanation from Dr Peter West, professional in audiovestibular medicine at Queen Alexandra Hospital, Portsmouth.
The phenomenon of balance, he mentioned, depends on the subtle interaction of 3 variables: visual cues, the stability mechanism in the ear and “proprioception” – the appreciation, moment by second, of the position and degree of flexion and extension of the limbs.
An acute attack of vertigo following, for instance, a stormy ferry crossing can cause the brain to become overdependent on the visual cues. These can, however, be misleading in excessively “busy” visual environments such as crowded outlets, setting off a vertiginous situation that, exacerbated by a phobic or panic reaction, can turn out to be overwhelming.
This pattern of signs is apparently not uncommon, warranting a thorough evaluation by a professional experienced in this area who will be able to advise an appropriately adapted series of exercise routines. “It is always exceptional,” he writes, “how much patients increase when they have a correct knowing of the nature of this difficulty.”
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This week’s healthcare query comes courtesy of Mrs E S from Hertfordshire, who keeps match with a brisk half hour stroll each and every day. She reports that when setting out she has variously a “jelly sensation” or “woolly feeling” in both legs which steadily disappears soon after she has been going for ten minutes. She wonders no matter whether anyone else has had a comparable expertise or what the explanation may be. All ideas, as ever, gratefully obtained.
E mail health care inquiries confidentially to drjames@telegraph.co.united kingdom. Dr James LeFanu will host his ultimate on the internet health clinic of the 12 months this Friday, Dec twenty, at telegraph.co.uk/well being. The clinic will then return on Friday, January 10, 2014
The Pope understands the value of the right dosage
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