Benign Paroxysmal Positional Vertigo (BPPV)

Benign- doesn’t cause further illness

Paroxysmal- temporary and sudden onset

Positional- related to changes in body position

Vertigo- the false sensation of spinning

Benign Paroxysmal Positional Vertigo occurs when ‘crystals’ in the inner ear dislodge into the semicircular canal. Every time the head moves the ‘crystals’ move in the canal leading to vertigo (sensation of spinning). Symptoms usually last 10-60 seconds, this is the time it takes for the crystals to settle into one position. The cause is often insidious (unknown), but can occur post trauma or post infection.

A special manoeuvre can be performed by a physiotherapist to resolve the symptoms. The aim of the manoeuvre is settle the ‘crystals’ back into the utricle where they belong.

Post treatment protocol:

Try to keep the head still for 24-48 hours:

• Do not look up/down

• Do not tilt or turn the head (turning the head slowly is okay if you need to)

• Do not bend over to pick things up or sit down (keep the back straight and the head upright)

Sleeping:

• Do not lie flat on your back in bed, sleep semi reclined for 2 nights

• Do not sleep on the affected side for 4 days

It is normal to feel light-headed or nauseous for up to 24 hours post treatment