Benign Paroxysmal Positional Vertigo (BPPV)

Benign Paroxysmal Positional Vertigo (BPPV) is a common vestibular disorder that affects the inner ear, leading to sudden episodes of dizziness and vertigo. It occurs when tiny calcium crystals, known as otoconia, dislodge from their usual position within the inner ear and move into the semicircular canals, disrupting the balance signals sent to the brain. The result is an overwhelming sensation of spinning or whirling, which can significantly impact a person's quality of life. Fortunately, physical therapy has proven to be a highly effective and non-invasive treatment for BPPV, offering relief and restoring balance.

Understanding BPPV

BPPV is typically characterized by brief but intense episodes of vertigo triggered by specific head movements. These can include rolling over in bed, bending down, or looking up. The condition is more prevalent in older adults, but it can affect people of all ages. BPPV is often misdiagnosed or mistaken for other conditions, but its distinct nature allows skilled physical therapists to identify and treat it effectively.

Physical Therapy: The Key to Restoration

Physical therapy plays a crucial role in the management of BPPV, aiming to reposition the displaced otoconia and restore equilibrium. The two main techniques employed by physical therapists are the Canalith Repositioning Maneuver (CRM) and Vestibular Rehabilitation Therapy (VRT).

At Advanced Physical Therapy & Wellness our team is proficient at treating BPPV with CRM and has had success with many patients.

Patient's Testimony

What is Canalith Repositioning Maneuver (CRM)

The Canalith Repositioning Maneuver, also known as the Epley maneuver, is a series of head and body movements designed to guide the displaced otoconia out of the semicircular canals and back to their original position within the inner ear. A trained physical therapist will lead the patient through these precise movements, ensuring that the particles are safely relocated. Many patients experience immediate relief from their vertigo symptoms after just one session.

Vestibular Rehabilitation Therapy (VRT)

VRT is a specialized exercise-based program that targets the vestibular system to improve balance and reduce dizziness. After the CRM is completed and the otoconia are repositioned, VRT helps patients adapt to the new sensory input and regain balance control. The therapist tailors exercises based on the patient's specific needs and progress, gradually challenging their balance system and promoting compensation for any remaining deficits.

Benefits of Physical Therapy for BPPV

Non-Invasive and Safe: Physical therapy for BPPV is non-invasive, eliminating the need for medication or surgery. It is a safe and gentle approach that does not require any special equipment.

Fast and Effective: In most cases, patients experience significant improvement after just one or two physical therapy sessions. Quick relief allows individuals to resume their normal activities and regain confidence in their ability to move without fear of sudden dizziness.

Prevents Recurrence: Physical therapy not only treats the current episode of BPPV but also helps prevent future recurrences by addressing the root cause of the condition.

Restores Independence: BPPV can severely impact a person's independence and overall quality of life. Physical therapy empowers patients to regain control over their movements and reduce their reliance on others for assistance.

Benign Paroxysmal Positional Vertigo can be a disorienting and distressing condition that disrupts the lives of those affected. However, physical therapy offers a beacon of hope for those seeking relief and restoration of their balance. The Canalith Repositioning Maneuver and Vestibular Rehabilitation Therapy have proven to be highly effective in treating BPPV, providing patients with fast relief. If you are someone you know is struggling with BPPV in San Diego we would love to help. Fill out this short form below and someone from the office will get back to you within 48 business hours.