BPPV

Understanding Benign Paroxysmal Positional Vertigo (BPPV)

Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause of vertigo, which is a spinning sensation that makes you feel like the room is tilting or you're off balance. It can be a frustrating and even debilitating condition, but the good news is that it's often easily treated.

What Causes BPPV?

Inside your inner ear are tiny crystals called otoconia. Think of them like little grains of sand. In BPPV, these crystals become dislodged and migrate into one of the semicircular canals, the fluid-filled structures that help your brain sense head movement. When you move your head in certain ways, these crystals move within the canal, sending confusing signals to your brain and triggering vertigo.

Common Triggers for BPPV:

  • Changes in head position: Like rolling over in bed, bending over, or looking up.

  • Head injury: Though BPPV often occurs without any known cause.

  • Age: BPPV is more common in people over 60.

How Physical Therapists Can Help

Physical therapists (PTs) are experts in movement and balance disorders. They can help diagnose BPPV and provide effective treatment through specific maneuvers, most commonly the Epley maneuver. This technique involves a series of head movements designed to guide the crystals out of the affected canal and back to where they belong. PTs can also teach you exercise to help prevent future episodes and manage residual dizziness.

Beyond the Epley Maneuver:

While the Epley maneuver is a standard treatment for BPPV, it's not the only one. There are now close to 60 different maneuvers for treating BPPV of the various canals within the inner ear. BPPV can be more complex than it initially seems, and it's crucial to identify which canal is affected to provide the most effective treatment.

That's where a physical therapist's expertise becomes essential. A skilled PT can accurately diagnose which canal is involved and select the most appropriate maneuver for your specific condition. They can also address any other underlying balance issues contributing to your dizziness.

This highlights the importance of seeking help from a qualified healthcare professional if you're experiencing symptoms of BPPV.

Living with BPPV

While BPPV can be disruptive, you can regain control and minimize its impact on your life with the right treatment and management strategies. If you're experiencing dizziness or vertigo, don't hesitate to seek help from a qualified healthcare professional.

BPPV Foundations Course

This foundational course comprehensively explains benign paroxysmal positional vertigo (BPPV), a common condition that causes dizziness and vertigo. We'll delve into the intricacies of the inner ear, exploring the roles of the otolith organs and semicircular canals in maintaining balance. Discover how displaced calcium crystals within these canals trigger BPPV symptoms and learn effective management and treatment strategies. This course is designed to equip physical therapists, assistants, and other healthcare professionals with the knowledge and skills to address BPPV in their practice confidently.

As a physical therapist and specialist in managing dizziness and balance disorders, Brian Werner invites you to explore a series of short courses on benign positional vertigo (BPPV) complexities. Designed for fellow physical therapist educators and vestibular professionals, these courses offer unique insights into BPPV, going beyond the basics to provide a more nuanced understanding of this common disorder. Each course delivers a concise overview of a specific topic, enhancing your knowledge and equipping you with practical tools to manage your patient population better. Dive deeper into the world of BPPV and elevate your expertise with these focused learning opportunities.

Short Courses

BPPV Specific Courses