Do you ever feel like the world is spinning around you? You may be experiencing something called benign paroxysmal positional vertigo, or BPPV.
This condition causes dizziness and disorientation, which can be quite unpleasant.
BPPV is a type of vertigo that causes brief periods of dizziness or disorientation when you move your head in certain ways. It’s caused by small calcium particles, known as canaliths, which become displaced and float around inside the inner ear canals, disrupting normal balance signals.
Photo Credit: Prostock-studio
This condition is called benign paroxysmal positional vertigo (BPPV). Treatment for BPPV usually involves canalith repositioning maneuvers such as the Epley maneuver. This procedure helps to move the floating particles out of the inner ear canals so they don’t cause further disruption in balance signals.
In most cases, one session of this maneuver will relieve symptoms immediately and permanently.
Common symptoms of BPPV include dizziness, lightheadedness, imbalance, and nausea. The condition is caused by a disturbance in the otoliths that comprise the inner ear’s balance system.
In some cases, these otoliths become dislodged and travel to one of the semicircular canals – this is known as canalithiasis.
To diagnose benign paroxysmal positional vertigo, a doctor typically performs a Dix-Hallpike test which involves changing the patient’s head position while observing their eyes for nystagmus – an involuntary eye movement.
Treatment often includes Brandt-Daroff exercises or other forms of physical therapy designed to move the dislodged otoliths out of the affected semicircular canal.
The most common cause of BPPV is head trauma or injury that disrupts the inner ear’s balance system. This can be caused by a blow to the head, whiplash, or other related injuries.
Photo Credit: monkeybusiness, Envato
It can also happen due to aging and changes in the vestibular system. In some cases, cupulolithiasis is another possible cause of BPPV, which occurs when calcium crystals become lodged in the inner ear and interfere with movement.
Positional vertigo is also sometimes associated with recurrent BPPV and benign paroxysmal positional vertigo (BPPV).
While BPPV itself is not dangerous, it can lead to severe dizziness and nausea that can impact daily life. Treatment options vary depending on each individual case but are typically successful at relieving symptoms once they have been properly identified.
Diagnosing benign paroxysmal positional vertigo can be difficult, as it requires a detailed medical history and physical examination to determine the cause of the vertigo. Here’s a quick overview of what you should expect:
These tests can help your doctor diagnose BPPV correctly and create a best treatment plan for you.
Treating benign paroxysmal positional vertigo often involves a combination of physical therapy exercises and lifestyle changes. Otolith debris, which is the cause of BPPV, can be removed with vestibular rehabilitation. This type of vertigo treatment includes head and body maneuvers to reposition displaced inner ear particles. Positional nystagmus is also used to help determine if canalith is present.
Photo Credit: microgen, Envato
These exercises reduce symptoms such as dizziness by improving balance and reducing neck strain. In addition to physical therapy, lifestyle changes such as avoiding sudden movements, getting enough sleep, and eating a balanced diet can also help manage BPPV symptoms.
Preventing BPPV can help reduce the risk of developing this type of dizziness. Visiting an otolaryngologist for a full examination and diagnosis is the best way to identify if you are at risk for developing benign paroxysmal positional vertigo. The otolaryngologist may recommend clearing out any otolithic debris, using vestibular suppressants, or engaging in balance exercises as a form of recurrence prevention.
Here are three ways to help prevent BPPV:
If you’re living with a type of dizziness, it’s important to understand how to manage it.
BPPV (benign paroxysmal positional vertigo) is a common inner ear disorder that causes episodes of intense vertigo when triggered by certain head movements.
To help minimise these triggers, you can learn the Semont maneuver, a series of body positions designed to move the displaced ear crystals back into place.
Photo Credit: maksymiv, Envato
Additionally, keeping a log of any vertigo episodes and their potential triggers can help identify patterns and avoid situations likely to cause further issues.
Lastly, vestibular therapy may be recommended as part of your treatment plan; this type of physical therapy helps improve balance and reduce dizziness associated with BPPV.
With the right approach and management techniques, living with benign paroxysmal positional vertigo doesn’t have to be overwhelming or debilitating.
Finding the right resources for managing your dizziness can be key to living with benign paroxysmal positional vertigo. There are a number of options available including: