Vertigo is a sensation of spinning dizziness, its accompanying symptoms may include:
– balance problems
– a sense of motion sickness
– nausea and vomiting
– tinnitus
– a feeling of fullness in the ear
– headache

Many conditions can cause vertigo. Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo.

BPPV is usually triggered by specific changes in the position of your head. This might occur when you tip your head up or down, when you lie down, or when you turn over or sit up in bed.

The ear plays an important role in BPPV.

Inside your ear is a tiny organ called the vestibular labyrinth. It includes three loop-shaped structures (semicircular canals) that contain fluid and fine, hair-like sensors that monitor the rotation of your head.

Other structures (otolith organs) in your ear monitor movements of your head — up and down, right and left, back and forth — and your head’s position related to gravity. These otolith organs contain crystals that make you sensitive to gravity.

For a variety of reasons, these crystals can become dislodged. When they become dislodged, they can move into one of the semicircular canals — especially while you’re lying down. This causes the semicircular canal to become sensitive to head position changes it would normally not respond to, which is what makes you feel dizzy.

source : mayo clinic.

BPPV is rarely serious but can make you unsteady, which may put you at greater risk of falling. People suffering from BPPV are not recommended to drive or do high risk jobs.

The best way to treat BPPV is by performing maneuvers. There are a few types of maneuver for treating BPPV. After a maneuver is well performed, the patient should feel instant relief of the vertigo, sometimes the BPPV may reoccur, and another maneuver should be repeated.

Recently we have a patient suffering from BPPV and was only prescribed prochlorperazine which helped nausea, but caused drowsiness and did not relieve vertigo. After one session with us, this patient’s vertigo was 90% gone, without any side effects.

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