BPPV, benign paroxysmal positional vertigo, vertigo treatment, dizziness relief, inner ear disorder, balance problems, vestibular rehabilitation, canalith repositioning, Dix-Hallpike maneuver, Epley maneuver, posterior canal BPPV

 

 

 Understanding BPPV: A Guide for Patients What is BPPV?

Benign paroxysmal positional vertigo, or BPPV, causes sudden episodes of dizziness and nausea that are triggered by specific head movements. If you've experienced a spinning sensation when turning over in bed, looking up, or tilting your head quickly, you may have BPPV. Many patients don't immediately connect their dizziness to these movements, but once we identify the pattern, treatment becomes straightforward.

Assessment

When you visit, I'll start by asking detailed questions about your symptoms—when they started, what movements trigger them, and how they affect your daily life. I'll then perform some simple clinical tests, watching how your eyes respond when I move your head in specific directions. These tests help me confirm that BPPV is the cause and pinpoint exactly which canal in your inner ear needs treatment.

Treatment

Once we've identified BPPV, I'll guide your head through a series of specific movements designed to move the problematic particles back to their correct position in your inner ear. This procedure, called canal repositioning treatment, typically takes just a few minutes. You may feel dizzy during the procedure, but this is completely normal and means the treatment is working. Most patients experience significant relief within just a few days.

Home Care and Recovery

After your treatment, I'll give you specific exercises to do at home to support your recovery. These vestibular rehabilitation exercises help retrain your balance system and prevent the particles from moving back out of place. It's important to follow these instructions carefully and avoid sudden head movements for the first few days. I'll also provide advice on activities to modify during your recovery period.

Recovery Timeline

Most patients feel significantly better within a few days of treatment, and the majority only need one or two sessions to resolve BPPV completely. In some cases, a small number of patients may benefit from medication to support their recovery as symptoms improve. If you're not improving as expected or have concerns, we'll adjust your treatment plan accordingly. Your recovery is our priority, and we'll work together to get you back to normal.

 

We have a page dedicated to more information if you are interested in learning about this in more detail. Cick on the link below

BPPV: Clinical Assessment and Management for Healthcare Professionals

 

Harpreet Puri

Harpreet Puri

Physiotherapist

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