BPPV – What is it?
Benign Paroxysmal Positional Vertigo
Benign Paroxysmal Positional Vertigo (or BPPV) is the most common cause of vertigo, which is a false sensation of motion, often reported as a spinning sensation. It occurs when calcium carbonate crystals (otoconia) that are normally embedded in gel in the inner ear become dislodged and migrate into one or more of the three fluid-filled semicircular canals, where they are not supposed to be. It causes episodes of vertigo, triggered by movement and changes in position. BPPV can be effectively treated with the appropriate mechanical manoeuvres performed by a qualified healthcare professional.
Please see video below for further information;
Who Is Affected?
The vast majority of cases occur for no apparent reason, with many people describing that they simply went to get out of bed one morning and the room started to spin. However, elevated risk factor associations have been made with concussion or other head trauma, migraine, inner ear infection or disease causing inflammation, vitamin D deficiency, diabetes, and osteoporosis.
Will It Come Back?
Unfortunately, BPPV is a condition that can recur periodically with long-term recurrence rates as high as 50% within 5 years, especially in those whose BPPV is related to trauma. If it seems to always reoccur in the same canal and if deemed safe, your therapist may teach you to perform a specific treatment manoeuvre on yourself. However, it can be challenging to perform the manoeuvre on oneself, so many people prefer to return to their vestibular therapist to confirm that they are experiencing the same problem, and if so, determine which manoeuvre is indicated and provide the appropriate treatment. There are other conditions that can mimic BPPV, and because there are so many different variants of BPPV, the manoeuvre that worked one time is not necessarily going to be the treatment that is indicated the next time.
Book Your Vestibular Rehab Initial Assessment
Here at Shepherds Health, we can assess and treat your BPPV (and dizziness) with the Epley Manoeuvre or other techniques depending on how you present. As well as giving you advice and exercises if need be. We suggest you have someone drive you to your appointment and give yourself time to settle afterwards.
