Chronic labyrinthitis and VRT
A small number of people experience symptoms of dizziness and vertigo that last for many months and, in some cases, years. This is sometimes known as chronic labyrinthitis.
The symptoms of chronic labyrinthitis are not usually as severe as they are when you first get the condition, although even mild dizziness can have a considerable impact on your quality of life, employment and other daily activities.
Vestibular rehabilitation therapy (VRT) is an effective treatment for people with chronic labyrinthitis.
VRT attempts to "retrain" your brain and nervous system to compensate for the abnormal signals that come from your vestibular system.
VRT is usually carried out under the supervision of a physiotherapist and involves a range of exercises designed to:
- co-ordinate your hand and eye movements
- stimulate sensations of dizziness so that your brain starts to get used to, and then ignores, disruptive signals sent by your vestibular system
- improve your balance and walking ability
- improve your strength and fitness
The Brain and Spine Foundation is a UK charity that has more information about vestibular rehabilitation on its website.
You can ask your GP to refer you to a physiotherapist, or you have the option of paying for private treatment. If you decide to see a private physiotherapist, make sure that they are fully qualified and that they are a member of a recognised body, such as the Chartered Society of Physiotherapy (CSP).
Physiotherapists who are members of the CSP will follow high standards of professional practice and will have a good level of knowledge and skills. Go to the Physio First website, which lists qualified members, to find a physio (private) in your area.
Not all physiotherapists have training in VRT, so you need to make it clear that you require this type of treatment before making an appointment.
Hearing loss
Permanent hearing loss can be a common complication of bacterial labyrinthitis, particularly in children who have developed bacterial labyrinthitis as a complication of the brain infection meningitis.
It's estimated that as many as 1 in 5 children will develop hearing loss after having meningitis. The hearing loss can either be partial or complete.
Due to the high risk of hearing loss occurring after bacterial labyrinthitis, it is recommended that a person is given a hearing test once they have recovered from the effects of the infection.
If your or your child’s hearing is severely affected, small devices called cochlear implants may be required. Cochlear implants are inserted into your ears to help improve your hearing.
