The bottom line is that it is unusual (although not impossible) for people to get substantial relief from medication, devices, diet, or surgery. In fact, "obsessing" about tinnitus, generally tends to make it more persistent and worse. Thus paradoxically enough, doctors tend to discourage reading of web pages like this one, or joining of support groups. Most people "get used" to tinnitus, and learn to "tune it out". When this doesn't happen, the treatments that work the best for tinnitus are those that alter ones emotional state – antidepressants and antianxiety drugs, and ones that allow you to get a full night's sleep.

There are numerous devices and medications for tinnitus that are probably placebos. See this page for more discussion. If a placebo works for you – that's wonderful !

It is with some trepidation that we offer a few tentative observations concerning the association between sexual activity and vertigo. To our knowledge, the world literature has remained rather silent on this subject. For students – a good topic for research ? Nevertheless, as a result, the content of this page is based on a combination of consideration of mechanisms and clinical material from the author's dizziness practice in Chicago Illinois.

First, it is highly unusual for patients to come in stating that their dizziness began or was triggered during a sexual encounter. We think that this is mainly due to shyness, as a little bit of thought about dizziness would suggest that it should occur rather commonly.

Migraine is a "committee" diagnosis – meaning that a group of people got together somewhere and decided what they were going to call a "migraine". Modern genetics has established that there are a large number of genes that contribute slightly to the probability that someone will be diagnosed with "migraine". In other words, we are not dealing with a "disease" – we have a group of symptoms that are subcategorized by a committee that was set up prior to the advent of modern genetics.

There are several other "committee" diagnoses relevant to vertigo – including Meniere's disease. For "committee" diagnoses, "ruling out everything else" is usually required by the diagnostic process. Some disorders that we deal with commonly in dizzy persons, such as "cervical vertigo", don't have a committee, and being undefined, are less studied than disorders fortunate enough to have their own committee. On the other hand, if one needs a committee to define something, it means that the "somethings" very existence is subject to negotiation.

Hope springs eternal in the hearts of man as the saying goes. There are an immense number of medications or regimens for migraine, some of which are probably placebos. By placebo, we mean a substance or procedure that has no net positive effect, aside from providing hope and the "placebo effect". We do not think that there is no value for this. Still, we think it might be preferable to pick a medication or procedure that has been proven to help to a greater extent than placebo, when this is available.