Benign paroxysmal positional vertigo (BPPV) is a problem in the inner ear. It is the most common cause of vertigo, which is a false sensation of spinning or movement. BPPV occurs when calcium crystals come loose from their normal location in the inner ear.
BPPV is most common in people over the age of 60. People with BPPV can experience a spinning sensation any time they change the position of the head. People can lose balance easily, fall, and experience nausea and vomiting as well.
In many people, there is no specific event that causes BPPV; however, some things could bring on an attack:
- Head trauma
- Keeping the head in the same position for a very long time (hair salon, dentist, etc.)
- Bike riding on rough terrain
Most patients with BPPV can be treated with physical therapy. The Epley maneuver involves sequentially turning the head in order to reposition the crystals, and several repositioning maneuvers can be performed in one session. Exercise programs, bedside physical therapy maneuvers, and the Epley maneuver can help effectively treat BPPV. After these exercises, the patient can begin walking with caution. Sleeping on the side of the affected ear should be avoided for a few days.
Countryside Neurology now offers in-office physical therapy. If you are dealing with BPPV, please give us a call at 727-712-1567 for a consultation.
Sources:
“Benign Paroxysmal Positional Vertigo (BPPV).” Benign Paroxysmal Positional Vertigo (BPPV) | Johns Hopkins Medicine, https://www.hopkinsmedicine.org/health/conditions-and-diseases/benign-paroxysmal-positional-vertigo-bppv.
