The kid saw a physical therapist yesterday, to start vestibular rehab. His neurologist thinks it’s helpful for MAV, even though it’s not the inner ear that’s causing the problem. I did some poking around online, and followed links from this forum, and it looks like that’s another one of those “helps some people, not others” sorts of things.
The PT did some testing (some of which induced dizziness and vertigo), said he’s lost trust in his right side, and set him up with some exercises to do twice a day. Then he came home and slept three hours!
We’ve been seeing that when he does pretty much anything – he gets completely worn out from doing pretty much anything. Is that typical if you’re in the midst of a MAV attack?
We’re trying to salvage the school year for him – he’s going to switch three of his classes to online, and only attempt to do his foreign language and his English class at school. He doesn’t think those two classes would work well online, and I have to say I agree with him. But after one class at school (which he’s done a time or two since this started), he’s exhausted. Now that we’re adding PT twice a week and exercises twice a day at home, I’m not sure how he’s going to do any schoolwork at all!
We saw his psychiatrist earlier this week, and she’s really happy with the med (propranolol) that the neurologist prescribed. We’re signing releases for the two docs to talk to each other – if the propranolol doesn’t work for him, medicating the migraine away might become really, really tricky. The psychiatrist doesn’t think topamax would be a good drug for him, and SSRIs, tricyclics, and benzodiazepines are all right out. What other meds are there for this?