At WWS Physical Therapy and Vestibular Rehabilitation, #WWSPT we specialize in the treatment of #BPPV and other related #vestibular disorders. Clinically we see more women than men with these diagnoses, and the researchers are finding that hormone changes associated with menopause can be a factor.
Many investigations have found common occurrences of benign paroxysmal positional vertigo (BPPV) in women, and clinical experience has shown that BPPV can develop due to increased hormonal fluctuations, especially during menopause. Therefore, knowledge about neurochemicals and their involvement with BPPV is imperative for the management of neurological issues in women.
This is a review from Seong-Hae Jeong*, Department of Neurology, Daejeon, South Korea discusses appropriate gender-based considerations of BPPV based on experimental and clinical evidence. The studies describe 2 lines of evidence regarding the association of perimenopause in women and the development of BPPV:
(1) experimental evidence: the existence of estrogen receptors in the inner ear, otoconial malformations in osteopenic/osteoporotic rats, changes in
otoconia 90 caused by hormone replacement therapy, and impaired calcium absorption following estrogen deprivation corrected by estrogen replacement therapy and
otoconia 90 caused by hormone replacement therapy, and impaired calcium absorption following estrogen deprivation corrected by estrogen replacement therapy and
(2) clinical evidence: epidemiological aspects, osteoporosis, and estrogen deficiency. Future studies are necessary to validate the effects of hormonal replacement therapy and phytoestrogen in women with recurrent BPPV.
INTRODUCTION
Known as the most common cause of recurrent vertigo
Known as the most common cause of recurrent vertigo
(1), benign paroxysmal positional vertigo (BPPV) is an important health problem affecting more than 420 million adults worldwide, based on an international consensus that BPPV has a lifetime prevalence of 10%
(2). BPPV increases with age, especially during menopause, in a ratio of 2-3.2:1 for women and men aged 40–60 years (3–8). In particular, hormonal changes, external estrogens, and pregnancy exposure are only experienced by women. Further understanding of possible contributors to the predominance of BPPV in women could make a significant contribution to our understanding of the causes of BPPV and may provide new methods for prevention.
Therefore, the present study will review the current state of knowledge on BPPV risk factors specific to women. To read the full PDF document review from Seong-Hae Jeong, see below:
Common occurrences of Benign Paroxysmal Positional Vertigo (BPPV) in Women:
Benign Paroxysmal Positional Vertigo (BPPV):
A Review (by Seong-Hae Jeong) of common occurrences of benign paroxysmal positional vertigo (BPPV) in women and clinical experience has shown that BPPV can develop due to increased hormonal fluctuations, especially during menopause. Therefore, knowledge about neurochemicals and their involvement with BPPV is imperative for the management of neurological issues in women.
Download BPPV Review :
For BPPV Vertigo Treatment contact:
Wendy Webb Schoenewald, PT, OCS
WWS Physical Therapy and Vestibular Rehabilitation
1456 Ferry Road, Suite 601
Doylestown, PA 18901
P-215-489-3234
F-215-489-0131
www.WWSPT.com
I can attest that my condition with BPPV started in 2010, about a year after I had my last child, and it was after that when I suddenly woke up with severe dizziness out of nowhere. I was diagnosed with BPPV and luckily I was sent to a physical therapist who helped me learn to manage my condition with the Epley maneuver. I struggled with repetitive episodes for years, almost monthly. It wasn’t until I began hormonal therapy treatment (pellet) about 3-4 years ago, did I realize all my symptoms disappeared. At first I thought it was coincidental, and I mentioned this my obgyn at the time, but he dismissed my suggestion that it was related to my hormones. But now after being consistent with the pellet, I have had the greatest relief not having BPPV and no symptoms. My new gynecologist agreed and she said she’s seen patients with BPPV and how it affects them without hormonal therapy. Females and hormones play a significant part in so many, almost debilitating changes in their bodies that can be improved if some doctors would be less dismissive and more open to trouble shooting symptoms and causes if a woman understands her body more than a doctor.