Ménière’s Disease and Appropriate Treatment
While there is no cure for Ménière’s Disease, there are still treatments to help manage and reduce symptoms. Generally, your insurance company will require proof of ongoing treatment for your condition. This can come in many forms. Your doctors can help you find the right treatments to fit your needs. Often, this includes seeing specialists, like an otolaryngologist (Ear, Nose, & Throat doctor). Be sure to follow up on appointments and follow treatment guidelines. Otherwise, the insurance company can deny your claim or end your benefits over non-compliance.
Medications for Ménière’s Disease may include vertigo treatments. Usually, these consist of anti-nausea or motion sickness medications. Injected medications into the ear by your doctor can also be an option. They may recommend antibiotics or steroid injections into the ear.
Therapies and Devices
Vestibular rehabilitation can be a process that helps restore some of your ear’s balance function. This can also you cope with symptoms of vertigo and dizziness. Cognitive behavioral therapy (CBT) can b helpful in addressing the cognitive and emotional symptoms of your condition.
There are a number of devices that can help with your hearing and vertigo symptoms. These include hearing aids, cochlear implants, and Meniett devices. A Meniett device delivers micro-pressure pulses to influence the inner ear fluids. This helps reduce vertigo and ear pressure.
Surgical options for treating vertigo and other symptoms of Ménière’s Disease are an option if your symptoms are severe enough. There are 3 different procedures that your doctor may recommend. They each have different risks and recovery times associated with them, so be sure to discuss your options with your doctor.
Firstly, there is the vestibular nerve section. During this procedure, the surgeon cuts your vestibular nerve. This surgery attempts to preserve hearing while eliminating or reducing vertigo. Next is the endolymphatic sac procedure. This is a process where the surgeon attempts to restore endolymph homeostasis in the inner ear and maintain hydrostatic pressure. Overall, this procedure can help reverse ear damage, and restore hearing levels.
Last is a labyrinthectomy. This procedure is often a last-ditch effort to treat vertigo. It is generally only recommended for patients with limited hearing in that ear, as it destroys the vestibular end organs to eliminate vestibular function. While it relieves vertigo symptoms, it is usually only recommended after other treatment options have been exhausted.
Ménière’s Disease and the Inability to Work
Ménière’s Disease can be incredibly debilitating, However, your insurance company probably won’t understand the scope of how your condition affects your ability to work. As such, you will likely have to provide evidence of how your symptoms limit your ability to work. For example, your vertigo may make it difficult to commute to and from work. Your balance issues can make it hard for you to navigate the office safely. Severe headaches can make it hard to concentrate at work. Tinnitus and hearing loss can make communicating with coworkers or clients difficult. Cognitive issues can also play a role in your inability to perform at work.
Building your case requires a lot of communication with your doctor and disability attorney. Be sure to discuss all of your symptoms, and how they affect your ability to work with your doctor. Your disability attorney will be able to help you navigate the application process to create a stronger disability claim. By working closely with your doctor(s) and lawyer, you can have a stronger case that provides more evidence in your favor. Because the symptoms of Ménière’s Disease can be episodic, be sure to highlight the frequency and severity of your condition.