Doctor insights on:
What Can I Try At Home To Treat Benign Positional Vertigo
I have had repeated episodes of benign positional vertigo, each one worse than the other. How is this treated/prevented?
Vestibular rehab.: Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disease causing vertigo. It is caused by loose otoconia (calcium carbonate stones) in the inner ear fluid. It can be easily treated with head positional exercises. Strongly recommend that you consult a physical therapist trained in vestibular rehabilitation. Relief can occur withing weeks. ...Read more
Loose otoconia: The pathology of BPPV is well known. It is the result of loose otoconia (calcium carbonate crystals) arising from the utricle of the inner ear. With specific head movements, these loose stones move and stimulate the semicircular canal cristae and the mechanical movement of the cristae of the semicircular canals, produces the spinning sensation. Head exercises or physical therapy helps quickly. ...Read more
The definition: Benign (nothing to worry about) positional (occurring only when changing head position) vertigo (the sensation of motion where there is no motion). Typically patients experience the sensation of vertigo lasting for a few seconds only when changing position. Between these episodes the patient is fine. It is helped by the epley maneuver. It is caused by loose calcium deposits in the inner ear. ...Read moreSee 1 more doctor answer
Loose otoconia: The most accepted hypothesis for benign positional vertigo is loose otoconia (calcium carbonate crystals) from the utricle ( a structure in the inner ear). When you move your head in a critical position, these crystals move and stimulate the inner ear balance mechanism and the room spins around (vertigo) for 10 to 30 seconds. It is usually self limited and can respond to head exercises. ...Read more
Discrete vertigo: Bppv typically presents with recurrent spells of vertigo that are severe but short-lived. There is a very clear spinning sensation associated with marked nausea, and bystanders may notice jerking of the eyes. The spells are often triggered by head movement (e.g. Rolling over in bed), and can be treated by a specific exercise program called the epley manuver. ...Read more
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