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Vertigo (BPPV)

Overview

Many conditions are associated with vertigo type symptoms, but the most common diagnosis is referred to as benign paroxysmal positional vertigo or BPPV. BPPV is caused by dislodging of crystal-like structures into the canals of the ear. The reason for this is not always known, however, it can be linked to head trauma. Intensity of vertigo symptoms range from mild to severe sensation of dizziness often described as “the world is spinning”.

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Common Symptoms of Vertigo (BPPV)

Some common symptoms you will experience with vertigo (BPPV may include the following:

  • Mild to severe dizziness with changes in position such as rolling over in bed, sitting to standing, and turning the head.

  • Neck pain

  • Impaired balance

  • Nausea

  • Blurred vision

  • Lightheadedness

How can physical therapy help?

A physical therapist will perform a series of tests to determine the effected side between the right ear and the left ear. Sometimes, patients may even be symptomatic on both sides, however, one side is usually worse. Once a proper diagnosis is determined, a physical therapist can educate and assist patients through a positional treatment designed to return those crystal-like structures where they belong known as the Epley Maneuver. Failure to perform this positional treatment in the correct order could make symptoms worse. Therefore, proper diagnosis is key for treating BPPV.

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