This is a label used to describe patients who have multiple identified medical conditions which together cause dizziness (as opposed to chronic subjective dizziness in which no obvious medical conditions are apparent). The medical conditions which in combination may cause problems include:
- Diabetes (especially if there is visual loss and/or foot / ankle numbness)
- Joint replacement in hip knee or ankle
- Visual problems
- Parkinson’s Disease
- Multiple medication
- Previous strokes
Treatment may be difficult as some of these conditions cannot be reversed. Medication causing side effects of dizziness or very low blood pressure could be reviewed by the GP and/or if appropriate changed. Physiotherapy and occupational therapy may allow patients to make the best use of their existing ability and/or adapt their home/work environment to better functional performance.