BPPV (Benign Paroxysmal Positional Vertigo)

BPPV is the most common cause of vertigo, accounting for approximately 90% of all vertigo cases. It occurs when calcium crystals become dislodged within the inner ear, causing brief but intense spinning sensations with specific head movements.

Understanding BPPV

Characteristic Features

• Positional Triggers: Vertigo triggered by specific head positions
• Brief Duration: Episodes typically last less than 60 seconds
• Predictable Pattern: Same movements consistently trigger symptoms
• Morning Onset: Often worse when first getting out of bed

Common Triggers

• Rolling over in bed
• Looking up or down
• Bending forward
• Quick head turns
• Getting in/out of bed

Types of BPPV

Posterior Canal BPPV (85% of cases)

• Most common form
• Triggered by lying down or sitting up
• Treated with Epley or Semont maneuvers

Horizontal Canal BPPV (10% of cases)

• Triggered by rolling in bed
• More intense but shorter symptoms
• Treated with barbecue roll or Gufoni maneuver

Anterior Canal BPPV (5% of cases)

• Rare form
• Triggered by looking up
• Requires specialized treatment approaches

Treatment Approach

Diagnostic Assessment

• Comprehensive vestibular testing
• Dix-Hallpike and Roll tests
• Video analysis using Vesticam technology
• Identification of affected canal(s)

Repositioning Maneuvers

Our specialists perform:

• Epley Maneuver: Gold standard for posterior canal BPPV
• Semont Maneuver: Alternative for posterior canal
• Barbecue Roll: For horizontal canal BPPV
• Modified Techniques: Adapted for individual needs

Follow-Up Care

• Home exercise instruction
• Recurrence prevention strategies
• Balance retraining if needed
• Education about condition management

Treatment Success

Immediate Results

• 80% success rate with first treatment
• 95% success within 3 treatments
• Immediate relief often experienced
• Rapid return to normal activities

Long-Term Outcomes

• Low recurrence rates with proper management
• Self-treatment techniques for future episodes
• Improved confidence in movement
• Reduced anxiety about symptoms

Why Choose Our Service

• Advanced diagnostic equipment for accurate assessment
• Experienced vestibular specialists
• Evidence-based treatment protocols
• Same-day appointments often available
• Comprehensive follow-up care