Benign Paroxysmal Positional Vertigo:

Benign paroxysmal positional vertigo (BPPV) is a common disorder of the inner ear.  People with BPPV typically experience brief episodes of vertigo, a sensation of spinning, associated with changes in head position.  Typically, these episodes only last for seconds and subside when no longer moving.  BPPV is caused by dislodged crystals in the inner ear and can be relieved by physical maneuvers.    

Treatment:

• Wait for symptoms to resolve.

  Typically, BPPV will resolve on its own within six months, but you may continue to experience symptoms that may impact your day-to-day life.  It is not uncommon for symptoms to recur years after the initial episode.  

• Physical therapy maneuvers:

  Your doctor may prescribe physical therapy to perform maneuvers (ex. the Epley maneuver) which will reposition the dislodged crystals in your inner ear and relieve your BPPV.

• Vestibular testing:

  In cases which are unclear, your doctor may recommend vestibular testing, also known as a VNG or balance testing.  Performed in the office, vestibular testing is a series of tests which assess whether or not your inner ear is contributing to your dizziness.  

• Avoid medications like meclizine (Antivert, Dramamine and Bonine).

  These medications, while effective for initial attacks, can make it more difficult for your inner ears to regain their balance.  Do not take them on a continuous basis.  

• Maneuvers to perform at home:

  If you do not have neck or back problems, are not elderly or at risk for falls, you can consider performing these maneuvers at home.  Please watch the video below which demonstrate these maneuvers on the right side. For the left, please reverse the instructions provided in the video