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Positional Vertigo

Introducing Benign paroxysmal positional vertigo:

Benign paroxysmal positional vertigo, also known as BPPV, is a common condition that affects the vestibular system in the inner ear. It is characterized by brief episodes of dizziness or vertigo triggered by certain head movements, such as rolling over in bed, tilting the head, or looking up.BPPV is one of the most common causes of vertigo.

Some common signs and symptoms:

· Vertigo

- head spinning

- usually brought about by head movements such as rolling over in bed

· Loss of balance

· Nausea

· Vomiting

Symptoms may come and go over time and may be more severe in some people than others.

How does it happen?

Within the inner ear are calcium crystals. These crystals move around when the head moves and signal to the brain the position of our head.

In BPPV, these crystals are dislodged. The mismatch of signals being sent to the brain from the healthy inner ear and the affected inner ear results in the sensation of vertigo.

In BPPV, vertigo is normally triggered by head movement.

What are the treatment options?

Fortunately, there is a quick and simple fix to BPPV!

The Epley's Maneuver moves the crystals back to their original position within the inner ear. Symptoms of BPPV will, in most cases, significantly improve after one Epley's Maneuver. However, you may need to do Epley's Maneuver a few times before completely resolving your BPPV. It involves a few simple steps, usually performed by a health professional, but can also be done on your own.

In addition to repositioning maneuvers, certain exercises and lifestyle modifications may be recommended to help manage symptoms of BPPV. These may include balance training exercises, avoidance of certain head movements, and modifications to daily activities to reduce the risk of falls.


Overall, BPPV is a common and treatable condition that can cause significant discomfort and disruption to daily life. With proper diagnosis and treatment, most people with BPPV are able to manage their symptoms and maintain their quality of life. If you are experiencing symptoms of BPPV, it is important to seek evaluation and treatment from a healthcare professional, such as a physiotherapist, who specializes in the management of vestibular disorders.

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