Vertigo & Vestibular Rehabilitation
What is BPPV and relating symptoms?
Benign Paroxysmal Positional Vertigo (BPPV) is the most common inner ear condition that causes brief episodes of dizziness or vertigo, triggered by changes in the head position. It occurs when the tiny calcium particles, known as otoconia, become dislodged from their normal position in the inner ear and move into the semicircular canals, disrupting balance signals to the brain. Typical symptoms are of a spinning sensation, such as whilst turning in bed, looking up or down or bending over. These last about 20-30 seconds. Diagnosis is made using the Dix-hallpike manoeuvre.
What does treatment involve?
This treatment is provided by Arti Shah, a highly experienced physiotherapist who specialises in treating BPPV. Particles are re-positioned using techniques such as the Epley manoeuvre or Brandt-daroff exercises. Therapists carrying out Epley must be fully trained as inappropriate positioning can cause a worsening of the symptoms. The re-positioning techniques allow the otoconia to leave the semi-circular canals and enter the utricles again, leading to a reduction of symptoms.
What outcomes should I expect from treatment?
If you suffer from true BPPV, then these techniques have shown to be successful in treating this condition in 8/10 people within one treatment session.