Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Canalith Repositioning (CR) Tips

Vertigo / Dizziness - What Are The Risk Factors?

Dr. Vivek Kumar Pathak 90% (242 ratings)
MS-ENT, MBBS
ENT Specialist, Noida
Vertigo / Dizziness - What Are The Risk Factors?

BPPV or Benign paroxysmal positional vertigo is a major cause of vertigo. This is a condition that gives a sensation of head spin all of a sudden. It also results in dizziness in brief episodes. The severity level can vary from intense to mild. BPPV is triggered with certain changes of the head position. Although BPPV is bothersome, it isn’t serious unless there is a chance of a person falling abruptly because of the head spin. There are ample treatment options available to address this problem.

Symptoms of BPPV
BPPV includes some of the following symptoms:
a. Loss of balance
b. Dizziness
c. Feeling of the surrounding spinning
d. Vomiting and nausea
e. Rhythmic movement of the eye

When to seek medical attention?
If dizziness is accompanied with one of the below-mentioned symptoms, it is time to urgently seek medical attention and get vertigo addressed for good:

  1. Hear loss
  2. Tingling or numbness
  3. Fever accompanies with severe headache
  4. Arm or leg weakness
  5. Problems with vision
  6. Difficulty in walking
  7. Becoming unconscious

Causes of BPPV:
If there is on known cause associated with BPPV, the condition is termed as idiopathic BPPV. In most of the cases, though, BPPV is associated with a severe to minor blow to the head. Other causes include an injury to the inner ear, prolonged sitting position in a fixed posture, even migraine pain is at times associated with BPPV.

What are the risk factors?
Benign paroxysmal positional vertigo is likely to occur in the age group of 50 and above, this being said it can happen at any age in case of any injuries. Statistically, it is found that the likelihood of BPPV is more in women than men. Head injury of any sort is by far the most likely reason of BPPV.

What are the tests and diagnosis involved?
A doctor is likely to perform a physical examination followed by a series of tests. Some typical signs that a doctor looks for include the following:
Ability to control eye movement- especially side to side movement

Symptoms of dizziness
In case it is difficult to spot the symptoms, a doctor might suggest video- nystagmography or electronystagmography. It helps to track irregular eye movement. An MRI can also be prescribed to study the cross-sectional images of the body and the head.

Treatments associated with BPPV:
BPPV mostly go away within months or weeks on its own. If however, it still persists, a doctor can suggest Canalith Repositioning- series of small movements that helps to counter BPPV. For extreme cases, a doctor might advise a surgery for blocking the portion of the inner ear that might be causing the problem. It guarantees close to a 100 percent fix to BPPV.

3574 people found this helpful

You're Feeling Dizzy - Should You Be Worried?

Dr. Priyanjana Acharyya Sharma 90% (64 ratings)
MBBS, MS - ENT ( Gold Medalist Honors )
ENT Specialist, Gurgaon
You're Feeling Dizzy - Should You Be Worried?

BPPV or Benign paroxysmal positional vertigo is a major cause of vertigo. This is a condition that gives a sensation of head spin all of a sudden. It also results in dizziness in brief episodes. The severity level can vary from intense to mild. BPPV is triggered with certain changes of the head position. Although BPPV is bothersome, it isn’t serious unless there is a chance of a person falling abruptly because of the head spin. There are ample treatment options available to address this problem.

Symptoms of BPPV
BPPV includes some of the following symptoms:

  • Loss of balance
  • Dizziness
  • Feeling of the surrounding spinning
  • Vomiting and nausea
  • Rhythmic movement of the eye

When to seek medical attention?
If dizziness is accompanied with one of the below-mentioned symptoms, it is time to urgently seek medical attention and get vertigo addressed for good:

  1. Hear loss
  2. Tingling or numbness
  3. Fever accompanies with severe headache
  4. Arm or leg weakness
  5. Problems with vision
  6. Difficulty in walking
  7. Becoming unconscious

Causes of BPPV:
If there is on known cause associated with BPPV, the condition is termed as idiopathic BPPV. In most of the cases, though, BPPV is associated with a severe to minor blow to the head. Other causes include an injury to the inner ear, prolonged sitting position in a fixed posture, even migraine pain is at times associated with BPPV.

What are the risk factors?
Benign paroxysmal positional vertigo is likely to occur in the age group of 50 and above, this being said it can happen at any age in case of any injuries. Statistically, it is found that the likelihood of BPPV is more in women than men. Head injury of any sort is by far the most likely reason of BPPV.

What are the tests and diagnosis involved?
A doctor is likely to perform a physical examination followed by a series of tests. Some typical signs that a doctor looks for include the following:
Ability to control eye movement- especially side to side movement

Symptoms of dizziness
In case it is difficult to spot the symptoms, a doctor might suggest video- nystagmography or electronystagmography. It helps to track irregular eye movement. An MRI can also be prescribed to study the cross-sectional images of the body and the head.

Treatments associated with BPPV:
BPPV mostly go away within months or weeks on its own. If however, it still persists, a doctor can suggest Canalith Repositioning- series of small movements that helps to counter BPPV. For extreme cases, a doctor might advise a surgery for blocking the portion of the inner ear that might be causing the problem. It guarantees close to a 100 percent fix to BPPV.

2842 people found this helpful

Vertigo / Dizziness - What Are The Risk Factors Involved?

Dr. Mukesh More 87% (10 ratings)
MBBS, MS - ENT, DNB - ENT
ENT Specialist, Nashik
Vertigo / Dizziness - What Are The Risk Factors Involved?

BPPV or Benign paroxysmal positional vertigo is a major cause of vertigo. This is a condition that gives a sensation of head spin all of a sudden. It also results in dizziness in brief episodes. The severity level can vary from intense to mild. BPPV is triggered with certain changes of the head position. Although BPPV is bothersome, it isn’t serious unless there is a chance of a person falling abruptly because of the head spin. There are ample treatment options available to address this problem.

Symptoms of BPPV
BPPV includes some of the following symptoms:
a. Loss of balance
b. Dizziness
c. Feeling of the surrounding spinning
d. Vomiting and nausea
e. Rhythmic movement of the eye

When to seek medical attention?
If dizziness is accompanied with one of the below-mentioned symptoms, it is time to urgently seek medical attention and get vertigo addressed for good:

  1. Hear loss
  2. Tingling or numbness
  3. Fever accompanies with severe headache
  4. Arm or leg weakness
  5. Problems with vision
  6. Difficulty in walking
  7. Becoming unconscious

Causes of BPPV:
If there is on known cause associated with BPPV, the condition is termed as idiopathic BPPV. In most of the cases, though, BPPV is associated with a severe to minor blow to the head. Other causes include an injury to the inner ear, prolonged sitting position in a fixed posture, even migraine pain is at times associated with BPPV.

What are the risk factors?
Benign paroxysmal positional vertigo is likely to occur in the age group of 50 and above, this being said it can happen at any age in case of any injuries. Statistically, it is found that the likelihood of BPPV is more in women than men. Head injury of any sort is by far the most likely reason of BPPV.

What are the tests and diagnosis involved?
A doctor is likely to perform a physical examination followed by a series of tests. Some typical signs that a doctor looks for include the following:
Ability to control eye movement- especially side to side movement

Symptoms of dizziness
In case it is difficult to spot the symptoms, a doctor might suggest video- nystagmography or electronystagmography. It helps to track irregular eye movement. An MRI can also be prescribed to study the cross-sectional images of the body and the head.

Treatments associated with BPPV:
BPPV mostly go away within months or weeks on its own. If however, it still persists, a doctor can suggest Canalith Repositioning- series of small movements that helps to counter BPPV. For extreme cases, a doctor might advise a surgery for blocking the portion of the inner ear that might be causing the problem. It guarantees close to a 100 percent fix to BPPV.

4003 people found this helpful

Vertigo / Dizziness - When To Seek Medical Attention?

Dr. Savyasachi Saxena 90% (49 ratings)
MBBS, MS - ENT
ENT Specialist, Ghaziabad
Vertigo / Dizziness - When To Seek Medical Attention?

BPPV or Benign paroxysmal positional vertigo is a major cause of vertigo. This is a condition that gives a sensation of head spin all of a sudden. It also results in dizziness in brief episodes. The severity level can vary from intense to mild. BPPV is triggered with certain changes of the head position. Although BPPV is bothersome, it isn’t serious unless there is a chance of a person falling abruptly because of the head spin. There are ample treatment options available to address this problem.

Symptoms of BPPV
BPPV includes some of the following symptoms:
a. Loss of balance
b. Dizziness
c. Feeling of the surrounding spinning
d. Vomiting and nausea
e. Rhythmic movement of the eye

When to seek medical attention?
If dizziness is accompanied with one of the below-mentioned symptoms, it is time to urgently seek medical attention and get vertigo addressed for good:

  1. Hear loss
  2. Tingling or numbness
  3. Fever accompanies with severe headache
  4. Arm or leg weakness
  5. Problems with vision
  6. Difficulty in walking
  7. Becoming unconscious

Causes of BPPV:
If there is on known cause associated with BPPV, the condition is termed as idiopathic BPPV. In most of the cases, though, BPPV is associated with a severe to minor blow to the head. Other causes include an injury to the inner ear, prolonged sitting position in a fixed posture, even migraine pain is at times associated with BPPV.

What are the risk factors?
Benign paroxysmal positional vertigo is likely to occur in the age group of 50 and above, this being said it can happen at any age in case of any injuries. Statistically, it is found that the likelihood of BPPV is more in women than men. Head injury of any sort is by far the most likely reason of BPPV.

What are the tests and diagnosis involved?
A doctor is likely to perform a physical examination followed by a series of tests. Some typical signs that a doctor looks for include the following:
Ability to control eye movement- especially side to side movement

Symptoms of dizziness
In case it is difficult to spot the symptoms, a doctor might suggest video- nystagmography or electronystagmography. It helps to track irregular eye movement. An MRI can also be prescribed to study the cross-sectional images of the body and the head.

Treatments associated with BPPV:
BPPV mostly go away within months or weeks on its own. If however, it still persists, a doctor can suggest Canalith Repositioning- series of small movements that helps to counter BPPV. For extreme cases, a doctor might advise a surgery for blocking the portion of the inner ear that might be causing the problem. It guarantees close to a 100 percent fix to BPPV. If you wish to discuss about any specific problem, you can consult an ENT specialist.

3812 people found this helpful

Reasons Behind Dizziness And Its Treatment!

Dr. Sudhanshu Pandey 91% (126 ratings)
MS- ENT
ENT Specialist, Jaipur
Reasons Behind Dizziness And Its Treatment!

Dizziness is usually described as variety of sensations, which comprise of a feeling of faintness, unsteady, weak, light headed, giddy or woozy. When dizziness causes a false feeling of spinning and the moving surroundings is known as vertigo.

Dizziness can be one of the most common reasons for a visit to the doctor. However, constant feeling of dizziness can affect a person's life drastically, but it is rarely life threatening. The treatment of dizzy sensation and dizziness mostly depends on the symptoms.

Causes of Dizziness
The common causes of dizziness are medication, motion sickness and ear problems, especially disturbances of the inner ear. An injury, infection or poor blood circulation can also lead to dizziness. The triggers of dizziness and the sensations it provides are used to evaluate the cause. Also, the duration of the dizziness and the symptoms lead to a clue towards the cause of the same.

Dizziness Caused by the Inner Ear Problems
The balance of the body depends on the combined effort of many parts of the sensory system. These are:

  1. Sensory Nerves: These send messages to the brain in regard to the body positions and its movements
  2. Inner Ear: The inner ear has the organ of corti which are responsible for detecting the motions and thereby help in the balance of the body.

In vertigo a person might feel that the things around them are moving, thus creating a swaying or a spinning motion. Vertigo is usually caused by the problems of the inner ear. 

The common causes are:

  1. Benign Paroxysmal Positional Vertigo (BPPV), this happens when the calcium particles accumulate in the inner ear canals. The inner ear is responsible for the body movements and balance.
  2. Meniere's disease, a problem of the inner ear mainly caused by the build up of the fluids, thereby leading to a change in pressure. This causes vertigo along with hearing loss and tinnitus.
  3. Vestibular neuritis is the problem of the inner ear and is largely due to infection. Infection leads to swelling of the nerves of the inner ear which affect the body movements.

Treatment of Vertigo Includes:

  1. Rehabilitation of the vestibular system by physical therapy in order to strengthen it.
  2. Canalith repositioning by suggesting some body and head movements basically for BPPV. These movements help to move the calcium deposits from the inner ear canals to one of the chambers, which are further absorbed by the body. When the canaliths (calcium deposits) move, it might give rise to vertigo.
  3. Medicines are given to relieve symptoms of motion sickness and nausea. Antibiotics can be taken in case of infection and swelling.
  4. Surgery in some cases. If you wish to discuss about any specific problem, you can consult an ENT specialist.
3649 people found this helpful

Dizziness and Ear Problems

Dr. Dhirendra Singh Kushwah 90% (76 ratings)
MBBS, MS - ENT
ENT Specialist, Delhi
Dizziness and Ear Problems

Dizziness is usually described as variety of sensations, which comprise of a feeling of faintness, unsteady, weak, light headed, giddy or woozy. When dizziness causes a false feeling of spinning and the moving surroundings is known as vertigo.

Dizziness can be one of the most common reasons for a visit to the doctor. However, constant feeling of dizziness can affect a person's life drastically, but it is rarely life threatening. The treatment of dizzy sensation and dizziness mostly depends on the symptoms.

Causes of Dizziness
The common causes of dizziness are medication, motion sickness and ear problems, especially disturbances of the inner ear. An injury, infection or poor blood circulation can also lead to dizziness. The triggers of dizziness and the sensations it provides are used to evaluate the cause. Also, the duration of the dizziness and the symptoms lead to a clue towards the cause of the same.

Dizziness Caused by the Inner Ear Problems
The balance of the body depends on the combined effort of many parts of the sensory system. These are:

  1. Sensory Nerves: These send messages to the brain in regard to the body positions and its movements
  2. Inner Ear: The inner ear has the organ of corti which are responsible for detecting the motions and thereby help in the balance of the body.

In vertigo a person might feel that the things around them are moving, thus creating a swaying or a spinning motion. Vertigo is usually caused by the problems of the inner ear. 

The common causes are:

  1. Benign Paroxysmal Positional Vertigo (BPPV), this happens when the calcium particles accumulate in the inner ear canals. The inner ear is responsible for the body movements and balance.
  2. Meniere's disease, a problem of the inner ear mainly caused by the build up of the fluids, thereby leading to a change in pressure. This causes vertigo along with hearing loss and tinnitus.
  3. Vestibular neuritis is the problem of the inner ear and is largely due to infection. Infection leads to swelling of the nerves of the inner ear which affect the body movements.

Treatment of Vertigo Includes:

  1. Rehabilitation of the vestibular system by physical therapy in order to strengthen it.
  2. Canalith repositioning by suggesting some body and head movements basically for BPPV. These movements help to move the calcium deposits from the inner ear canals to one of the chambers, which are further absorbed by the body. When the canaliths (calcium deposits) move, it might give rise to vertigo.
  3. Medicines are given to relieve symptoms of motion sickness and nausea. Antibiotics can be taken in case of infection and swelling.
  4. Surgery in some cases.
3363 people found this helpful

4 Ways To Treat Dizziness!

Dr. Rajeev Mishra 89% (108 ratings)
MBBS, MS - ENT
ENT Specialist, Varanasi
4 Ways To Treat Dizziness!

Dizziness is usually described as variety of sensations, which comprise of a feeling of faintness, unsteady, weak, light headed, giddy or woozy. When dizziness causes a false feeling of spinning and the moving surroundings is known as vertigo.

Dizziness can be one of the most common reasons for a visit to the doctor. However, constant feeling of dizziness can affect a person's life drastically, but it is rarely life threatening. The treatment of dizzy sensation and dizziness mostly depends on the symptoms.

Causes of Dizziness
The common causes of dizziness are medication, motion sickness and ear problems, especially disturbances of the inner ear. An injury, infection or poor blood circulation can also lead to dizziness. The triggers of dizziness and the sensations it provides are used to evaluate the cause. Also, the duration of the dizziness and the symptoms lead to a clue towards the cause of the same.

Dizziness Caused by the Inner Ear Problems
The balance of the body depends on the combined effort of many parts of the sensory system. These are:

  1. Sensory Nerves: These send messages to the brain in regard to the body positions and its movements
  2. Inner Ear: The inner ear has the organ of corti which are responsible for detecting the motions and thereby help in the balance of the body.

In vertigo a person might feel that the things around them are moving, thus creating a swaying or a spinning motion. Vertigo is usually caused by the problems of the inner ear. 

The common causes are:

  1. Benign Paroxysmal Positional Vertigo (BPPV), this happens when the calcium particles accumulate in the inner ear canals. The inner ear is responsible for the body movements and balance.
  2. Meniere's disease, a problem of the inner ear mainly caused by the build up of the fluids, thereby leading to a change in pressure. This causes vertigo along with hearing loss and tinnitus.
  3. Vestibular neuritis is the problem of the inner ear and is largely due to infection. Infection leads to swelling of the nerves of the inner ear which affect the body movements.

Treatment of Vertigo Includes:

  1. Rehabilitation of the vestibular system by physical therapy in order to strengthen it.
  2. Canalith repositioning by suggesting some body and head movements basically for BPPV. These movements help to move the calcium deposits from the inner ear canals to one of the chambers, which are further absorbed by the body. When the canaliths (calcium deposits) move, it might give rise to vertigo.
  3. Medicines are given to relieve symptoms of motion sickness and nausea. Antibiotics can be taken in case of infection and swelling.
  4. Surgery in some cases. If you wish to discuss about any specific problem, you can consult an Ent Specialist.
2516 people found this helpful

Causes And Treatment Of Dizziness!

Dr. Shashidhar 88% (59 ratings)
ECFMU, MS - ENT, MBBS, Certificate in Pediatric Otolaryngology - Head and Neck Surgery, Robotic Surgery Familiarization (France)
ENT Specialist, Gurgaon
Causes And Treatment Of Dizziness!

Dizziness is usually described as variety of sensations, which comprise of a feeling of faintness, unsteady, weak, light headed, giddy or woozy. When dizziness causes a false feeling of spinning and the moving surroundings is known as vertigo.

Dizziness can be one of the most common reasons for a visit to the doctor. However, constant feeling of dizziness can affect a person's life drastically, but it is rarely life threatening. The treatment of dizzy sensation and dizziness mostly depends on the symptoms.

Causes of Dizziness
The common causes of dizziness are medication, motion sickness and ear problems, especially disturbances of the inner ear. An injury, infection or poor blood circulation can also lead to dizziness. The triggers of dizziness and the sensations it provides are used to evaluate the cause. Also, the duration of the dizziness and the symptoms lead to a clue towards the cause of the same.

Dizziness Caused by the Inner Ear Problems
The balance of the body depends on the combined effort of many parts of the sensory system. These are:

  1. Sensory Nerves: These send messages to the brain in regard to the body positions and its movements
  2. Inner Ear: The inner ear has the organ of corti which are responsible for detecting the motions and thereby help in the balance of the body.

In vertigo a person might feel that the things around them are moving, thus creating a swaying or a spinning motion. Vertigo is usually caused by the problems of the inner ear. 

The common causes are:

  1. Benign Paroxysmal Positional Vertigo (BPPV), this happens when the calcium particles accumulate in the inner ear canals. The inner ear is responsible for the body movements and balance.
  2. Meniere's disease, a problem of the inner ear mainly caused by the build up of the fluids, thereby leading to a change in pressure. This causes vertigo along with hearing loss and tinnitus.
  3. Vestibular neuritis is the problem of the inner ear and is largely due to infection. Infection leads to swelling of the nerves of the inner ear which affect the body movements.

Treatment of Vertigo Includes:

  1. Rehabilitation of the vestibular system by physical therapy in order to strengthen it.
  2. Canalith repositioning by suggesting some body and head movements basically for BPPV. These movements help to move the calcium deposits from the inner ear canals to one of the chambers, which are further absorbed by the body. When the canaliths (calcium deposits) move, it might give rise to vertigo.
  3. Medicines are given to relieve symptoms of motion sickness and nausea. Antibiotics can be taken in case of infection and swelling.
  4. Surgery in some cases.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4211 people found this helpful

Benign Paroxysmal Positional Vertigo (BPPV)!

Dr. Radhika A (Md) 92% (13 ratings)
MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Benign Paroxysmal Positional Vertigo (BPPV)!

Benign Paroxysmal Positional Vertigo (BPPV)
Benign Paroxysmal Positional Vertigo (BPPV) is the disorder that causes vertigo, which is the false sensation of head’s spinning. The patient with BPPV may feel minor to severe faintness. BPPV may be caused by the incorrect position of the patient’s head. It is most felt when the patient moves head in either direction, lays down, or gets up from the bed especially in the morning.

BPPV is the disorder of the inner ears in which the crystals of calcium carbonate (known as ear rocks or otoconia) are accumulated and turned into the gel. This gel is then migrated into the semi-circular canals, which are normally filled with fluid. This fluid is generally unaffected by the gravity because of its lightweight.

With the migration, the accumulated gel tends to move down with the effect of gravity and bounces up again with any physical movement of the head and other factors. This results in its interference with the normal fluid movement within the canals that are used for the sensation of head motion.

Because of this interference and fluid movement, the nerves at the canal of the patient’s inner ear are excited and send false signals to the brain related to head rotation. In normal cases, this fluid is rested stationary within the canals. These false signals generate information in the brain that does not match with those sent by the second ear and eyes.

This mismatch of the generated information from multiple sources confuses the brain, which may make you feel spinning. This spinning is medically termed as vertigo, which may last up to a minute from its occurrence. Note that some patients would have a normal feel between every two vertigo invocations.

However, some of them may have a constant feeling of light head spinning sensation between two major spins of vertigo. Note that the dizziness caused by BPPV would not impact the hearing ability of the patient. It would also not make the patient difficult to speak. In case you have any of such additional symptoms, you must discuss with your physician immediately.

The occurrence of BPPV is seen mainly in the adults and is very rare in the children. However, it may impact individuals of any age group. The most cases of this disease are reported in the elderly people. Most of the patients with BPPV may feel the surroundings spinning while getting up from the bed in the morning.

However, the same symptom may also be associated with other disorders such as a migraine, trauma, ear infection, diabetes, intubation caused by lying in bed for a long period, osteoporosis, reduced blood flow, and more. It may also be associated with the incorrect posture of sleep. So, you must consult your doctor immediately when such symptoms arise in your body.

 

Symptoms of BPPV
The various symptoms of BPPV may include:

-  Dizziness

-  Vertigo in which the patient may feel the surrounding moving or spinning, especially while getting up in the morning

-  Disbalancing while getting up from sitting

-  Continual nausea and vomiting for over several weeks

-  Nystagmus in which the eye movements of the patient appear abnormal

 

Note that these symptoms may appear or disappear in between. It may happen that the patient is relieved from the symptoms for several months. But those may recur with lesser to severe intensity. Along with the symptoms listed above, some patients may observe the following symptoms in the extreme conditions:

-  Severe and intolerable headache

-  Fever

-  Double vision

-  Vision loss

-  Loss of hearing

-  Difficulty in speaking

-  Weakness in the legs or arms

-  Unconsciousness

-  Difficulty in walking

-  Tingling sensations in the brain, ear or other parts of the body

-  Numbness

 

Causes of BPPV
Age is a crucial factor that increases your chances of getting BPPV. It is often seen that the individuals of age over 50 years are most likely to get BPPV since the muscles of their inner ear may become weaker at that age. There may also be other causes of BPPV. Some of those are mentioned below:

-  Keeping head in a fixed posture for a long duration either on a dentist chair, salon and more

-  Performing the exercises that require high-speed movements of the head

-  Bike riding on a rough track

-  Various types of disorders of inner ear like Meniere’s disease

-  Resting on the bed for long duration for any reason, like hospitalization, prolonged rest over the weekend, working on a laptop for long while lying on the bed

-  Due to migraine

 

Prevention from BPPV-
Since BPPV may be caused by multiple reasons including the old age, it is very hard to prevent it completely. However, there are the multiple ways through which you may prevent it from happening to a good extent. Some of those are mentioned below:

-  Avoid doing exercises that may involve frequent and severe head movements.

-  Prevent yourself from any possibility of head injury. Wear a helmet while riding a bicycle, bike, and other sports.

-  Avoid lying on the bed for long hours.

-  Avoid prolonged steady head placement when awake.

-  Meditate on a regular basis.

-  Maintain hygiene in your surroundings to avoid the chances of infection in your ears.

-  Have a balanced sleep.

-  Exercise every day.

-  Don’t tip your head back for long hours to watch TV or to talk to your correspondents.

-  Take care of your immune system and adopt the habits that would keep it strong.

-  Avoid frequent head movements in case you are already a patient of BPPV. This may worsen your symptoms.

 

How BPPV is diagnosed?
If you observe even the mild symptoms of BPPV (mentioned above) for over a week, visit your doctor immediately. The physician would ask the patient several questions related to the symptoms. For instance:

-  When is the dizziness felt most during a day?

-  From how long the symptoms are observed?

-  Do you have a continual temptation of vomiting?

-  How are you normally relieved from the symptoms?

-  For how long at a stretch are the symptoms observed?

-  Do you have any other disease or disorders related to the ears or the brain?

-  Are you a patient of a migraine?

The doctor would also assess the complete medical history of the patient of the past several years. The eye movement of the patient would also be checked for the occurrence of nystagmus. The patient would also be asked to lay down on a table with the head tilted back. This test would help the physician in understanding if the patient has irregular control in eye movement.

It may also be observed if the symptoms occur most with the movement of eyes or head in a particular direction. Post collection of all this information, the physician may also prescribe the patient to undergo an infrared goggle test.

In case the doctor finds it difficult to identify the actual reason for those symptoms, the patient may be prescribed to get one of the following investigations done:

-  Video Nystagmography (VNG) or Electro Nystagmography (ENG) in which the abnormal movement of eyes is detected if any. In the ENG test, electrodes are used and in VNG, small cameras are used to assess if the dizziness is because of some inner ear disease. This is calculated by the measurement of irregular eye movement by placing the patient’s head in multiple positions.

-  Magnetic Resonance Imaging (MRI), in which magnetic fields and radio waves capture multiple images of the patient’s head or other parts of the body from different directions. Such images could be assessed to diagnose the condition of the dizziness and the possible reasons associated with it.

 

Treatment of BPPV
There are some chances that the symptoms of BPPV may disappear on their own in few weeks to months. However, to get rid of the symptoms sooner, the doctor would provide the treatment for the repositioning of the head movements. This therapy is called as canalith repositioning.

In canalith repositioning, the mispositioned canaliths due to the gel developed from the crystals of calcium carbonate that move from the fluid-filled semi-circular canals of the inner ear, are repositioned. This prevents the nerves of the canal of the patient’s inner ear by sending false signals to the brain related to head rotation. Along with this process, the doctor may also recommend the patient to avoid some particular head position for several weeks to months, which may trigger the symptoms again.

For the first few sessions of canalith repositioning, you are required to visit the therapy centre. Post then, the doctor may teach you the canalith repositioning procedure, which you could practice on your own at home if required. Post such a session, you may be required to take rest for at least 10-15 minutes so that the crystals of calcium carbonate are resettled in the canals of the inner ear.

In some rare situations where the symptoms are extreme and could not be relieved by the canalith repositioning procedure, the patient may be recommended a surgery with which the inner ear’s bone is plugged to prevent the movement of calcium carbonate crystals within the fluid-filled semi-circular canals. This effectively stops the symptoms of dizziness. Such type of surgery is effective with the success rate of around 90%. But in some rare cases, there is the risk of loss of hearing for the patient.

Other than these treatments, there are certain precautions that the patients of BPPV should take. Those are mentioned below:

-  Keep memorising your symptoms and be extra careful about balancing while getting up from your bed. The patients with BPPV are more prone to lose their balance, which may result in them to face injuries.

-  Try to be seated whenever you have a feeling of dizziness. In case you are standing and could not see some nearby seat, just take the support of some wall or any stable object.

-  Keep some lights turned on in your bedroom in the night, so that you would not face many difficulties in getting up in between if required.

-  Keep visiting your doctor periodically unless your symptoms are subsided.

-  Do not lay with the head tilted back, if you are already suffering from the symptoms of BPPV.

-  Avoid laying or sleeping towards the affected side of the head where symptoms are felt the most. Use two pillows while sleeping to ensure this.

-  Even when the symptoms are disappeared, those may recur. Prepare your mindset for that.

-  While waking up in the morning, lift the head very slowly and sit on the bed for a few minutes before standing up.

-  Avoid bending down for picking up something.

 

Complications
Although BPPV is not a fatal disease by its own, its symptoms may cause you to face complicated problems if not taken care of or treated on time. It often happens that the patients with BPPV collapse on the floor due to dizziness, which may cause them severe fatal injuries. It is very important for them to bring the practice to their habit of sitting down or holding some stationary object whenever they observe dizziness. Else than that, BPPV may cause the patient to have an uncomfortable feeling. If it lasts for long, the patient may suffer from depression.

Another related complication is associated with the surgery in which the inner ear’s bone is plugged to prevent the movement of calcium carbonate crystals within the fluid-filled semi-circular canals. This surgery is carried out with an attempt to eliminate the symptoms of dizziness caused by BPPV. However, in some rare cases, this surgery may cause loss of hearing.

 

Myths
Myth #1:
Children may not suffer from BPPV

It has been seen that elderly individuals are more likely to be affected by BPPV. However, individuals of any age (including children) may suffer from this disorder. Some children may not be able to express the problems that they would be facing. So, in case your kids collapse by their own on a frequent basis, it is must for you to take them to a paediatrician.

Myth #2: BPPV is caused only by a migraine

A migraine is one of the causes because of which BPPV may occur. However, there are multiple other factors associated with this disorder.

Myth #3: BPPV is always healed by its own

It is not necessary that BPPV is healed by its own every time. If the symptoms are severe, you must get a proper treatment before facing any injury due to the associated dizziness.

 

 

1 person found this helpful

Know About Vertigo

Dr. Faiyaz Khan Pt 92% (576 ratings)
MPT - Orthopedic Physiotherapy, Fellowship In Orthopaedic Rehabilitation (FOR) Advanced Diploma in Nutrition & Diet
Physiotherapist, Kolkata
Know About Vertigo

Vertigo is the sensation of spinning where a patient feels as if the whole surrounding is rotating and a fear of fall is experienced, getting off balanced or pulled to one particular side is experienced as well.

The feeling of vertigo is very scary and unpleasant leaving the patient terrified and perplexed what actually caused that spinning sensation (vertigo).

Well, vertigo can be caused due to various factors and reasons, although it's more prevalent after the age of 40

Vertigo that often lasts for few seconds is not severe and is often not associated with dizziness, nausea, tinnitus (ringing behind the ear), it can be treated effectively by simple movements taught by the physiotherapist or a doctor.

  • This type of vertigo is called bening paroxysmal positional vertigo (bppv) which is very common, and as the name suggests it's not dangerous, and it lasts only for few seconds (paroxysmal) and it's experienced only with specific head movement like turning to left or right or up down.
  • This is due to the inner ear rock crystals called canalith made up of calcium gets displaced from its position, which needs to be repositioned by certain vestibular rehabilitation.
  • Diagnosis for bppv is confirmed by thorough history taking, examination,
  • Otoscope to rule out wax, infections, dix-hallpike test is done by the clinician to confirm bppv.

Vertigo that lasts for few minutes to hour associated with pain, nausea, hearing loss and tinnitus and is not specific to head movement can be severe, it's called meniere's disease, it's a disease if the inner ear where there is accumulation of fluids and disturbed ear pressure.

Vertigo can also be due to inner ear infections or inflammation called as vestibular neuritis or labyrinthitis which may be associated with pain, hearing loss.

Uncommon cause of vertigo are:

  • Space occupying lesion like tumour
  • Stroke
  • Brain or head/neck injury
  • Severe migraine headache

Treatment of vertigo:

  • Vertigo due to meniere's disease will be treated by medications like diuretics, anti-inflammatory, antibiotics, etc.
  • Vertigo due to bppv can be treated by the following procedures:
  • Epley's manoeuvre or the canalith repositioning manoeuvre.
  • Half somersault exercise
  • Brant-daroff exercise
  • Semont manoeuvre
  • Eye gaze exercise

Bppv once treated rarely comes back, one or couple of sessions of epley's manoeuvre or half somersault may be needed to totally fix it, if it relapses same manoeuvre can be repeated once learnt by a qualified physiotherapist or a ent doctor.
Recurrence of vertigo is once or twice in a year.

Here we will learn how to safely do half somersault manoeuvre as it's one of the most effective and easy to do (do it yourself) technique to immediately stop vertigo due to bppv

Technique of half somersault manoeuvre:
Step by step instructions for right sided bppv --

A. Kneel on the floor or in the middle of a large bed. Tip your head straight upward quickly until you are looking straight up at the ceiling. This may cause dizziness briefly.

B. Next place your head on the floor upside down, as if you are about to do a somersault. Tuck the chin so that your head touches the floor near the back of the head rather than near the forehead. This position may cause a burst of vertigo. Without moving, wait until any vertigo ends. The vertigo means the particles are moving in the proper direction. Tapping firmly on the skull with your fingertips just behind the right ear can help move the particles along.


C. Slowly turn your head to face your right elbow. Try to center the right elbow in your field of view. You will keep your head turned to the right through the rest of the maneuver. Again, wait for any vertigo to end before moving to the next step.


D. Keeping your head turned to the right and viewing your right elbow, quickly raise your head to shoulder level. Your head should be positioned at about 45-degree angle to the floor throughout this move. Vertigo is normal during this part of the procedure. Wait for the vertigo to end or count to 15 before continuing.


E. Raise your head to the upright position quickly, keeping it about halfway turned toward the right shoulder. Some additional vertigo may occur. After the vertigo subsides, slowly sit upright.


Rest for 15 minutes. After the rest, quickly tip your head up and down. If no dizziness occurs do not repeat the maneuver. If you still feel some dizziness when making that movement, repeat the maneuver. You may also repeat the maneuver if you have another vertigo spell in the future.

Additional instructions:

  • Always wait at least 15 minutes between maneuver to allow particles to settle.
  • Sleep propped up on 2 or 3 pillows for two nights following maneuver.
  • Sleep only on your left side for a week after the maneuver (put a pillow behind you to keep you from rolling over in the night).
     
8 people found this helpful
Icon

Book appointment with top doctors for Canalith Repositioning (CR) treatment

View fees, clinic timings and reviews