{"id":520,"date":"2015-01-25T10:10:18","date_gmt":"2015-01-25T10:10:18","guid":{"rendered":"http:\/\/wwspt.com\/wp\/?page_id=520"},"modified":"2017-11-08T19:58:37","modified_gmt":"2017-11-08T19:58:37","slug":"benign-paroxysmal-positional-vertigo","status":"publish","type":"page","link":"https:\/\/wwspt.com\/pt-treatments\/vestibular-rehabilitation\/benign-paroxysmal-positional-vertigo\/","title":{"rendered":"Benign Paroxysmal Positional Vertigo"},"content":{"rendered":"<div class=\"wwspt-content-box\">\n<div class=\"wwspt-treat-box\">\n<h2>Physical Therapy for Benign Paroxysmal Positional Vertigo<\/h2>\n<\/div>\n<\/div>\n<div class=\"wwspt-content-box\" style=\"text-align: justify;\"><div class=\"su-row\">\n<div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\nMany symptoms can be attributed to the vestibular system, such as: Vertigo or spinning, motion triggered dizziness, feeling off-balance, lightheadedness. Vestibular rehab is an exercise approach provided by a Certified Vestibular Physical Therapist for Inner Ear disorders and Balance disorders that affect people in their daily lives. Watch the video below to see the use of Epley Maneuver to treat BPPV Vertigo.<br \/>\n<\/div><\/div>\n<div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\n<center><iframe loading=\"lazy\" src=\"http:\/\/www.youtube.com\/embed\/9SLm76jQg3g\" width=\"auto\" height=\"280\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/center><br \/>\n<\/div><\/div>\n<\/div><\/div>\n<div class=\"wwspt-content-box\">\n<p><span style=\"text-decoration: underline;\"><strong>Vestibular Rehabilitation:<\/strong><\/span><img loading=\"lazy\" decoding=\"async\" class=\"staff-img wp-image-213\" title=\"Ear Medium\" src=\"http:\/\/wwspt.com\/wp\/wp-content\/uploads\/2015\/01\/ear_medium-300x226.jpg\" alt=\"Ear Medium\" width=\"300\" height=\"226\" srcset=\"https:\/\/wwspt.com\/wp\/wp-content\/uploads\/2015\/01\/ear_medium-300x226.jpg 300w, https:\/\/wwspt.com\/wp\/wp-content\/uploads\/2015\/01\/ear_medium-750x568.jpg 750w, https:\/\/wwspt.com\/wp\/wp-content\/uploads\/2015\/01\/ear_medium.jpg 753w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Benign Paroxysmal Positional Vertigo or BPPV is a peripheral vestibular disorder involving the inner ear that causes spells of vertigo typically lasting less than one minute, when the head is in certain head positions. Vertigo is defined as an illusion of movement or sense of spinning. In BPPV, vertigo is brief, lasting only a few seconds. The vertigo goes away in a few sec-onds to a minute if you don\u2019t move your head. Vertigo occurs most commonly in the morning when you sit up or turn over in bed. BPPV can lead to chronic imbalance if not treated, but balance improves following a successful treatment using positioning maneuvers.<\/p>\n<p>BPPV can be attributed to a number of causes however in approximately 58% of cases, the exact cause in unknown. Head trauma accounts for 6-18% with infection, inflammation or ischemia accounting for 3-9%. The likelihood that you will have BPPV increases as you get older.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"staff-img-right size-full wp-image-936\" title=\"BPPV - Benign Paroxysmal Positional Vertigo\" src=\"http:\/\/wwspt.com\/wp\/wp-content\/uploads\/2015\/05\/BPPV.jpg\" alt=\"BPPV\" width=\"300\" height=\"250\" srcset=\"https:\/\/wwspt.com\/wp\/wp-content\/uploads\/2015\/05\/BPPV.jpg 300w, https:\/\/wwspt.com\/wp\/wp-content\/uploads\/2015\/05\/BPPV-250x208.jpg 250w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> In the healthy inner ear, three structures, the semicircular canals, detect angular head movements e.g. as looking up and down. Two other structures, the utricle and the saccule, detect movement of the head in straight lines and detect the pull of gravity. It is the presence of calcium carbonate crystals in the utricle and saccule that enable them to do this. BPPV occurs when the calcium particles break loose from the utricle and travel to one of the three semicircular canals located in the inner ear. The posterior semicircular canal is the most common of the three canals to be affected.<\/p>\n<\/div>\n<div class=\"wwspt-content-box\">\n<div class=\"wwspt-treat-box\">\n<h2>There are two types of BPPV:<\/h2>\n<h2>I) Cupulolithiasis and II) Canalithiasis<\/h2>\n<\/div>\n<p><strong>Cupulolithiasis:<\/strong> This theory suggests that the fragments of calcium carbonate crystals that break loose attach to the surface of a piece of the inner ear (cupula) located in the affected semicircular canal. With certain head positions the weighted cupula is deflected by gravity leading to vertigo and nystagmus.<\/p>\n<p><strong>Canalithiasis:<\/strong> The second theory is \u201ccanalithiasis\u201d, suggests that the loose fragments do not adhere to the cupula, but rather are free floating in the fluid inside the semicircular canal. When the head is moved into certain positions, the fragments care pulled by gravity into the most dependent portion of the canal. This causes the fluid in the inner ear to move resulting in inappro-priate stimulation of the nerve located inside the semi-circular canal. Because only one side of the vestibular system is excited, you experience vertigo.<\/p>\n<\/div>\n<div class=\"wwspt-content-box\">\n<p><span style=\"text-decoration: underline;\"><strong>Exam:<\/strong><\/span>Diagnosing BPPV is confirmed by the <strong>Dix-Hallpike test<\/strong> where you turn your head 45 degrees to one side, and you quickly laid down with your head hanging over the edge of a table. While this test is being performed, you wear infrared goggles to observe eye movements. If BPPV is truly present, a rapid eye movement termed nystagmus will be observed, and you will experience dizziness.<\/p>\n<p>The staff members at WWSPT are the region&#8217;s experts on the care the Vestibular Dysfunction. No matter the diagnosis they provide the newest in evidence-based medical care for our patients. We are involved with leading research in the treatment of some of the most common forms of Vertigo and teach other physical therapists how to appropriately treat Vestibular patients.<br \/>\n<BR><\/p>\n<p>For Self-Treatment of BPPV \u2013 Right <strong>DOWNLOAD<\/strong> WWSPT&#8217;s BPPV Canalith Repositioning Maneuvers \u2013 Right below:<br \/>\n<a href=\" http:\/\/wwspt.com\/wp\/wp-content\/uploads\/2017\/11\/Self-Treatment-of-BPPV-Right.pdf\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-844 size-full\" style=\"border: 1px solid #ececec;\" title=\" Self-Treatment of BPPV - Right\" src=\" http:\/\/wwspt.com\/wp\/wp-content\/uploads\/2017\/11\/Self-Treatment-of-BPPV-Right.jpg\" alt=\" WWSPT's BPPV Canalith Repositioning Maneuvers \u2013 Right \" width=\"228\" height=\"300\" \/><\/a><\/p>\n<p>For Self-Treatment of BPPV \u2013 Left <strong>DOWNLOAD<\/strong> WWSPT&#8217;s BPPV Canalith Repositioning Maneuvers \u2013 Left below:<br \/>\n<a href=\" http:\/\/wwspt.com\/wp\/wp-content\/uploads\/2017\/11\/Self-Treatment-of-BPPV-Left.pdf\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-844 size-full\" style=\"border: 1px solid #ececec;\" title=\" Self-Treatment of BPPV - Left\" src=\" http:\/\/wwspt.com\/wp\/wp-content\/uploads\/2017\/11\/Self-Treatment-of-BPPV-Left.jpg\" alt=\" WWSPT's BPPV Canalith Repositioning Maneuvers \u2013 Left \" width=\"228\" height=\"300\" \/><\/a><br \/>\n<BR>\n<\/div>\n<div class=\"wwspt-content-box\">\n<div class=\"wwspt-treat-box\">\n<h2>An Easy Fix for Vertigo &#8211; The New York Times:<\/h2>\n<\/div>\n<p>You can also <strong>DOWNLOAD<\/strong> the PDF (recently published at The New York Times) posted below to learn more about vertigo:<\/p>\n<div id=\"attachment_844\" style=\"width: 230px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/wwspt.com\/wp\/wp-content\/uploads\/2016\/04\/An-Easy-Fix-for-Vertigo-The-New-York-Times.pdf\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-844\" class=\"wp-image-844 size-full\" style=\"border: 1px solid #ececec;\" title=\"An Easy Fix for Vertigo, by Paula Span (NYTIMES)\" src=\"http:\/\/wwspt.com\/wp\/wp-content\/uploads\/2015\/06\/download-hover.png\" alt=\"An Easy Fix for Vertigo, by Paula Span (NYTIMES)\" width=\"220\" height=\"300\" \/><\/a><p id=\"caption-attachment-844\" class=\"wp-caption-text\">An Easy Fix for Vertigo<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Physical Therapy for Benign Paroxysmal Positional Vertigo Vestibular Rehabilitation:Benign Paroxysmal Positional Vertigo or BPPV is a peripheral vestibular disorder involving the inner ear that causes spells of vertigo typically lasting less than one minute, when the head is in certain head positions. Vertigo is defined as an illusion of movement or sense of spinning. In [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":454,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","jetpack_post_was_ever_published":false,"footnotes":""},"class_list":{"0":"post-520","1":"page","2":"type-page","3":"status-publish","5":"entry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Benign Paroxysmal Positional Vertigo - WWSPT.Com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/wwspt.com\/pt-treatments\/vestibular-rehabilitation\/benign-paroxysmal-positional-vertigo\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Benign Paroxysmal Positional Vertigo - WWSPT.Com\" \/>\n<meta property=\"og:description\" content=\"Physical Therapy for Benign Paroxysmal Positional Vertigo Vestibular Rehabilitation:Benign Paroxysmal Positional Vertigo or BPPV is a peripheral vestibular disorder involving the inner ear that causes spells of vertigo typically lasting less than one minute, when the head is in certain head positions. 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