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Vertigo or BPPV (Benign Paroxysmal Positional Vertigo)

Josh Krueger • Aug 27, 2020

Benign Paroxysmal Positional Vertigo (BPPV), or “loose crystals,” is a very common cause of vertigo and is due to a mechanical change in the inner ear. When crystals become dislodged and travel into one of the semicircular canals, it disrupts the fluid creating a false sense of movement. Vertigo/BPPV is the feeling like you or the room is moving or spinning when you’re not. This is why alterations in head position such as looking up or down, lying in bed, or rolling over will cause vertigo sensation.



You may experience one or multiple symptoms at varying intensities. Some common signs and symptoms of positional vertigo include:



  • Dizziness
  • Feeling like you’re moving or spinning
  • Problems focusing the eyes
  • Hearing loss in one ear
  • Balance problems
  • Ringing in the ears
  • Sweating
  • Nausea



Not all forms of vertigo come from BPPV, but it is very easy to diagnose and treat. A physical therapist can determine if you have BPPV by performing an evaluation and series of tests. These noninvasive tests will assess if your vertigo is coming from crystals in the inner ear through simple head movements and evaluating the eyes for involuntary movements called nystagmus. The direction of eye movements will indicate where crystals are loose in a specific canal so the therapist can perform the appropriate treatment.

Physical Therapy is the No. 1 treatment for BPPV



Vertigo can usually be resolved through a series of visits. Pictured above is a look into your ear and includes three loop-shaped structures (semicircular canals) along with other structures that monitor your head's position and your sensitivity to gravity.



The free-floating particles/crystals are relocated from the affected semicircular canal back to the utricle through specific body movements facilitated by the physical therapist. This resolves vertigo approximately 90-95 percent of the time. Once BPPV is resolved through physical therapy intervention, patients often don’t need to come back for further treatment, but many will follow up with balance training tailored for inner-ear problems, such as eye tracking, balancing on various surfaces, and walking with head turns. Limited cervical motion and other restrictions may be addressed if we feel this is contributing to the issue.



We highly discourage attempting self treatment. This is a medical condition that needs appropriate evaluation and treatment by a trained professional as vertigo may have various origins that are not BPPV.

                                     

If you have any questions on how BPPV physical therapy may be beneficial to you, what to expect in a visit, or any other concerns, please reach out to us! Contact us at 319-295-8899 or at https://www.reccenterphysicaltherapy.com/

08 Dec, 2022
Keeping up with physical therapy during the holidays is tough. There are so many other things to do - cooking, parties, shopping, travel, and visiting with family and friends. But if you're in physical therapy over the holidays, there's a reason. You're having pain, or not moving as well as you want to. These issues place limitations on your life, which are going to affect your ability to do things - like cooking, partying, shopping, traveling, or enjoying time with friends and family. So even though keeping up with your PT this time of year is tough, it's important. That's why we're going to give you our best tips to help you through the holidays. Plan Some of what makes the holidays challenging is the crazy schedule. To survive this, you're going to have to plan ahead. We're not just talking about appointments on your calendar, either (although those are important). Here are some things to think about planning ahead: Your PT appointments Your schedule is busy during the holidays. So is your PT's. Plan and schedule your appointments in advance. You'll get the times and days that work best for you, and you'll already have your PT appointments in your calendar to plan other things around. Your exercise Hopefully you have a regular time to exercise. With the holiday mania about to shake up your routine, that time may no longer work. Think about when you're going to exercise ahead of time and you'll stay consistent. Your diet Healthy eating often gets derailed during the holidays. Putting low quality fuel into your body won't help you feel better. Think about planning what you're going to eat ahead of time. We're not saying to skip every holiday treat offered to you, but maybe think about which ones you really need to have, and which ones you can skip in advance. It makes saying "no thanks" to that third slice of fruitcake easier. Modify We're realistic. We understand that life isn't the same during the holidays as it is during the rest of the year. That's part of what makes this time of year special! With that in mind, our next set of tips focuses on making modifications to help you get through the holidays successfully. Your PT Plan When you planned your PT appointments out well in advance, you might have run into some challenges. Talk to your therapist about how you might be able to modify your plan of care through the holidays to make it all work. Maybe you're going to PT three times a week and you can only come twice a week for a week or two. Plan this sort of thing in advance with your PT and you can work together to come up with the best plan. Your exercise Exercise is so important, it made our list twice. Now that you know when you'll exercise, you might have to modify your routine to make it fit. Again, we recommend talking with your PT to see what you can do. Maybe your home exercise program can be modified so you can do everything in the kitchen during downtime when you're cooking up your holiday feast. Maybe you can reduce the number of exercises to focus on maintaining the gains you've made until things settle down. Your schedule In your planning in advance (see how important it is?) you might have found that your normal routine wasn't going to work. If your PT appointments or exercise time is usually right after work and you've now got commitments during that time, maybe you can move them to the morning before work. If you've been exercising outside, the shortened days may move you into the gym. Be flexible and consider temporarily modifying your schedule and your routine to make it work better during the holiday season. You can always go back to your previous routine after. The holidays are a special time of year. Keeping up with your health and your physical therapy can be challenging during this time. But you don't have to fall behind. With some planning and flexibility, you can stay healthy, survive the holidays and head into next year with good momentum!
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