Benign Paroxysmal Positional Vertigo

BPPV, or Benign Paroxysmal Positional Vertigo, is a common condition that affects the inner ear and causes dizziness or a spinning sensation – primarily felt more on one side than the other. The inner ear is responsible for transmitting information to the brain about the position and movement of the head. When small calcium crystals (otoconia) that are normally found in the inner ear become dislodged, they can float in the semi-circular canals of the inner ear and interfere with normal function. This results in the brain receiving conflicting signals from the inner ear and the eye, causing vertigo, or a spinning sensation.

How BPPV begins is not well understood, but it is thought to be related to aging, head injury, or inner ear disorders such as Meniere’s disease or vestibular neuritis. BPPV can also occur as a result of viral infections or other illnesses that affect the inner ear, as well as recent whiplash and plane travel.

The symptoms of BPPV include vertigo, dizziness, unsteadiness, and in some cases, nausea and vomiting. The vertigo is usually triggered by changes in head position, such as turning over in bed, looking up or down, or tilting the head. The dizziness and vertigo can last for a few seconds to several minutes and can be quite debilitating.

Acute and Chronic BPPV Dizziness Treatment

The most effective acute treatment for BPPV is a specific movement called the Epley Manoeuvre. This procedure involves specific head and body movements that help to reposition the displaced calcium crystals back to their proper location in the inner ear. The Epley manoeuvre can usually be performed in our clinic and does not require any special equipment – this manoeuvre should not be attempted at home by yourself as it requires specific training to ensure a safe application. In some cases, BPPV may resolve on its own without treatment, but this can take several weeks or months.

Following resolution of the dizziness caused by BPPV, our practitioners will undergo a comprehensive assessment with you and create a program to help improve your balance and reduce the likelihood of further dizziness episodes.