Your Vertigo Might Not Be Ménière's

Spinning attacks, a full ear, a roar you can’t shut off: that’s the classic Ménière’s picture. But a migraine that never causes a headache can mimic it almost exactly. Dr. Chris Motley explains the one test that tells them apart (the audiogram), why every Ménière’s treatment seems to work (in the biggest drug trial, the placebo group got better too), what Chinese medicine wrote about the spinning room 1,800 years ago, and four steps to take before anyone treats your ear. Sources are in the show notes. Educational only, not medical advice.

0:00 The spinning room: is it really Ménière's?

1:03 Welcome to the Ancient Health Podcast

1:16 What a definite Ménière's diagnosis requires

3:00 Vestibular migraine: the condition that mimics it

4:05 The one test that tells them apart: the audiogram

4:32 Why the right label matters before treating the ear

6:53 Why every treatment seems to work

7:56 The betahistine trial: the placebo group got better too

10:00 A crack in the fluid-pressure theory

11:20 What happens when Ménière's comes into my office

12:24 A patient story: vertigo, tinnitus, and afternoon fatigue