# Therapeutic Response of Meniere’s Disease Utilizing Sorbus domestica

## TL;DR

This study explores the use of Sorbus domestica, a gemmotherapy treatment, for Meniere’s disease, showing symptom improvement and safety.

## Contribution

The study introduces Sorbus domestica as a novel, safe, and effective treatment for Meniere’s disease with no reported side effects.

## Key findings

- All six patients experienced resolution or significant improvement in symptoms and hearing loss.
- Treatment with Sorbus domestica shortened the rehabilitative course and had no adverse reactions.
- Sorbus domestica proved effective even in treatment-resistant cases of Meniere’s disease.

## Abstract

Introduction

Meniere’s disease (MD) is a chronic condition characterized by episodic attacks of vertigo, fluctuating hearing loss, and tinnitus. MD can impart a significant socioeconomic impact with associated progressive hearing loss. First-line therapies consist of diuretics and antihistamines, with second-line therapies including intratympanic steroids and pulse therapy. Third-line treatments include endolymphatic sac surgery (ELSS) followed by intratympanic gentamicin injection and/or vestibular neurectomy.

The gemmotherapy Sorbus domestica's inherent properties to regulate venous circulation and lymphatic drainage have been utilized in the European literature for the treatment of MD and the patients in this study.

Methods

Patients presenting for rehabilitation at Pulaski Health and Rehabilitation Facility with a history of vertigo were examined and, through history and specific exam, to define MD. This resulted in six patients whose symptoms and exam were consistent with MD and interfered with their therapeutic progression. These patients were offered and accepted treatment with Sorbus domestica for their MD.

Results

All patients responded with either resolution or significant improvement in their symptoms and hearing loss. Treatment also resulted in an improved and probably shortened rehabilitative course. All patients had no adverse reactions and were supplied with resources for continual treatment upon discharge.

Conclusion

Sorbus domestica is a safe and viable treatment option for MD. It has been useful, especially in treatment-resistant diseases, without side effects and can be utilized in initial cases with improvement or resolution of hearing loss.