Understanding BPPV - Benign Paroxysmal Positional Vertigo

BPPV is a common vestibular disorder that causes brief episodes of dizziness and vertigo when the head is moved in certain positions. At Palms Physiotherapy & Allied Health, we offer assessment and treatment options to help manage this condition effectively.

What is BPPV?

Benign Paroxysmal Positional Vertigo (BPPV) occurs when tiny calcium crystals in the inner ear become dislodged, leading to dizziness and spinning sensations. These symptoms can be triggered by specific head movements, such as turning over in bed or looking up.

Symptoms of BPPV

Common symptoms of BPPV include:

• Dizziness or a spinning sensation (vertigo)

• Loss of balance or unsteadiness

• Nausea or vomiting

• Symptoms triggered by changes in head position

Understanding these symptoms is crucial for identifying BPPV and seeking appropriate treatment.

Diagnosis of BPPV

Diagnosing BPPV typically involves a thorough clinical evaluation and specific tests to assess balance and vestibular function. Our skilled physiotherapists utilize various techniques, including the Dix-Hallpike test, to confirm a diagnosis and determine the best course of treatment.

Treatment Options for BPPV

Effective treatment for BPPV may involve:

• Canalith Repositioning Maneuvers: Techniques like the Epley maneuver help to move dislodged crystals back into place.

• Vestibular Rehabilitation Therapy (VRT): Customized exercises to improve balance and reduce dizziness.

• Education: Guidance on managing symptoms and avoiding triggers.

At Palms Physiotherapy & Allied Health, our team develops personalized treatment plans tailored to each individual's needs.

Preventing Recurrences of BPPV

While BPPV can often be successfully treated, some individuals may experience recurrent episodes. Preventative strategies include:

• Avoiding rapid head movements

• Performing balance exercises regularly

• Seeking prompt treatment for dizziness

Resources for BPPV Patients

Managing BPPV can be challenging, and access to reliable resources is essential. We provide educational materials and support to help patients understand their condition better and navigate their treatment journey.

Does Palms Physiotherapy Treat Vertigo?

​Yes! The most common conditions we see are BPPV (Benign Paroxysmal Positional Vertigo), Meniere’s and Unilateral vestibular disorders. This vertigo occurs in your inner ear and happens when the small crystals inside the ear dislodge and start moving when you are not.  It is commonly made worse by movements of your head and lasts for up to a minute.

​People usually complain of vertigo when they move their head, get in or out of bed, turn around, move their eyes, they get the feeling they are going to fall when they are not physically moving. People report feeling better when they are completely still.

Do I need a referral to see a Physiotherapist?

​No, but it is good to see your GP to ensure that your vertigo isn’t something else medically related. But you do not need a referral to see us straight away.

Seeing your doctor can be beneficial as well as they are able to prescribe some medication to relieve the nausea or dizzy symptoms which can be helpful.  If you have been prescribed any medications please let the Physio know ASAP as it can affect your treatment.

​Make an appointment asap with our experienced Physiotherapist'sfor your initial assessment and action plan to get your dizziness fixed.

Please visit these other websites for further information:

Vestibular Disorders Association (VeDA) – Information on vestibular disorders, including BPPV.

• https://vestibular.org

Balance Disorders Australia – Support and resources for individuals experiencing balance issues.

• https://balancedisordersaustralia.com.au

Australian Hearing – Information on hearing and balance, including related conditions.

• https://www.hearing.com.au

Healthdirect Australia – General health information, including details on dizziness and vertigo.

• https://www.healthdirect.gov.au

The Australian Physiotherapy Association – Resources and information on physiotherapy practices for balance and vestibular disorders.

• https://australian.physio

Neurological Alliance Australia – Advocacy and resources for individuals with neurological conditions, including vestibular disorders.

• https://www.neuroalliance.org.au

Australian Institute of Health and Welfare (AIHW) – Health data and reports related to balance and dizziness.

• https://www.aihw.gov.au

The Vestibular Rehabilitation Special Interest Group – Professional resources for physiotherapists specializing in vestibular disorders.

• https://physiotherapy.asn.au

Royal Australian College of General Practitioners (RACGP) – Guidelines and resources for general practitioners on managing dizziness.

• https://www.racgp.org.au

Dizziness and Balance Disorders Clinic – A clinic focused on diagnosing and treating balance disorders.

• https://www.dizzinessandbalance.com.au