Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you're spinning or that the inside of your head is spinning. BPPV causes brief episodes of mild to intense dizziness. It is usually triggered by specific changes in your head's position.
Often there is no cause of BPPV, but you can be more at risk following a head injury, being over 50 or female or having experienced it before.
Symptoms are caused by the dislodging of Otolith (calcium carbonate structures) within the inner ear system. This leads to them settling in the canals of the ear and leading to dizziness when the head is moved into certain position.
Unfortunately, patients often have to wait a long time to be correctly diagnosed and treated for BPPV, with the average time being 70 months!!
On average, patients visited hospitals more than eight times before the final diagnosis due to initial visits to inappropriate departments (Wang et al 2014).
BPPV is diagnosed by health professionals through a combination of identifying the symptoms and then performing a manoeuvre depending which of the inner-ear canals is affected.
It can then be successfully treated through specific techniques designed to filter the Otolith out of the canal to be reabsorbed and stop symptoms of dizziness.
In 91% of cases, the Epley’s manoeuvre can successfully eradicate symptoms of posterior canal BPPV in just 1 to 2 sessions if performed correctly (Power, Murray and Szmulewicz 2020).
BPPV can affect different canals of the inner ear though, so it is important that you have an accurate diagnosis before performing the procedure.
These techniques are performed by highly trained professionals so seek specialist support before trying to perform these yourself as if performed incorrectly it can lead to a worsening of your symptoms.
Here at Hallamshire Physiotherapy Clinic we have multiple staff trained in diagnosing and successfully treating conditions such as BPPV.
Call us on 0114 267 1233 to book an appointment with one of our specialist clinicians.
Specific treatments available
BPPV- Posterior canal - Epley manoeuvre
BPPV- Lateral canal - 360° BBQ roll
BPPV- Anterior canal - Deep Head Hanging Manoeuvre