10 COMMON BPPV QUESTIONS ANSWERED

Benign Paroxysmal Positional Vertigo (BPPV) is a condition that affects the inner ear, causing dizziness and vertigo triggered by specific head movements and positions. If you’ve suffered from BPPV, you will likely have numerous questions about its causes, symptoms and treatments. In this blog, we’ll address 10 of the most common questions related to BPPV, providing you with the information you need to better understand and manage this condition.

BPPV stands for Benign Paroxysmal Positional Vertigo. It’s a common disorder of the vestibular system (inner ear) characterised by brief episodes of intense dizziness and often nausea triggered by specific changes in head position. These episodes of vertigo can be debilitating but are not life-threatening.

BPPV occurs when tiny calcium crystals called otoconia become dislodged from their usual position within the inner ear and migrate into the semicircular canals where they are not meant to be. When you move your head, these displaced crystals disrupt the normal fluid movement in the inner ear, leading to false messages being sent to the brain about your body’s position. These mixed up messages result in vertigo.

The primary symptom of BPPV is brief episodes of vertigo that occur with changes in head position, such as rolling over in bed, tilting your head back, or looking up. Other symptoms may include nausea, vomiting, lightheadedness, blurred vision due to nystagmus (involuntary eye movement) and feeling off balance.

BPPV is typically diagnosed by your Physio based on your medical history and a physical examination. The examination will included a series of tests including head movement, eye movements, balance tests and positional tests such as the Dix-Hallpike. In most cases your Physio will be able to determine if your vertigo is related to BPPV very easily.

Yes, BPPV is usually treatable. The most common treatment for BPPV involves a series of crystal repositioning manoeuvres consisting of simple head movements, the most commonly used technique is the Epley manoeuvre. These manoeuvres help move the displaced crystals back into their original position, relieving the symptoms of vertigo.

Crystal repositioning manoeuvres are highly effective for treating BPPV, with success rates as high as 80-90%. Many people experience immediate relief from their symptoms after just one treatment session, although some may require multiple sessions for complete resolution. Your Physio will also teach you how to do the repositioning manoeuvres yourself at home, they might also recommend some specific balance exercises to help you feel more steady on your feet.

Yes, BPPV can recur, especially in older adults. Recurrence rates vary, but some studies suggest that up to 50% of people may experience a recurrence within five years of their initial episode. However, repeat treatments are usually effective in relieving symptoms once again.

Several factors may increase your risk of developing BPPV, including advanced age, a history of head injury or inner ear infection. Additionally, prolonged bed rest or immobilisation can also predispose you to BPPV.

In some cases, BPPV may resolve spontaneously without treatment, particularly if the dislodged crystals reposition themselves within the inner ear over time. However, seeking Physio treatment can help alleviate symptoms faster and prepare you in the event that the vertigo symptoms return.

While BPPV itself is not typically dangerous, the sudden onset of vertigo can increase your risk of falls and injuries, especially in older adults. Additionally, persistent vertigo and associated symptoms can have a significant impact on your daily activities and quality of life if left untreated.

Living with BPPV can be challenging, but understanding the condition and its management options can help you better cope with its symptoms and improve your overall quality of life. If you’re experiencing symptoms of BPPV, don’t hesitate to consult with one of our Physios for an accurate diagnosis and treatment. With the right approach, you can effectively manage BPPV and minimise its impact on your daily activities.

To make an appointment, book online or call 9889 3903.