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Benign Paroxysmal Positional Vertigo (BPPV)

About Benign Paroxysmal Positional Vertigo (BPPV)

What Is Benign Paroxysmal Positional Vertigo (BPPV)?

Benign Paroxysmal Positional Vertigo (BPPV) is a common disorder of the inner ear that leads to recurring episodes of dizziness or vertigo. It occurs when small calcium crystals called otoconia become dislodged from their usual position within the inner ear and migrate into the fluid-filled canals responsible for sensing head movement. This displacement can interfere with the normal movement of fluid in the inner ear, causing a false sense of spinning or rotational movement.

Benign Paroxysmal Positional Vertigo Diagnosis

How Do We Diagnose BPPV ?

Diagnosing BPPV typically involves a comprehensive evaluation of a person’s medical history and a physical examination by a healthcare professional, often vestibular physiotherapist/headache practitioner. The healthcare provider may conduct specific tests, such as the Dix-Hallpike manoeuvre or the Roll Test, to provoke and observe the characteristic vertigo and nystagmus (involuntary eye movements) associated with BPPV. Additional tests like audiometry or imaging studies may be performed to rule out other possible causes of the symptoms.

BPPV Symptoms


Recurrent episodes of Vertigo

Triggered by changes in head position, such as rolling over in bed, looking up or down, or bending over




Typically brief episodes but intense, lasting for a few seconds to a few minutes.




NOTE: Symptoms can vary in frequency and intensity from person to person, and they may come and go over time.

Treating Benign Paroxysmal Positional Vertigo

BPPV Treatment

The treatment of BPPV aims to reposition the displaced calcium crystals within the inner ear to their normal location and alleviate the associated symptoms. This can often be achieved through a series of specific head movements known as canalith repositioning procedures or particle repositioning maneuvers. The most widely known and effective maneuver is the Epley maneuver, which involves a sequence of head and body movements designed to guide the dislodged crystals out of the affected canal and into an area where they will no longer cause symptoms. Healthcare professionals may also teach patients self-treatment techniques to perform at home.

In cases where canalith repositioning procedures do not provide sufficient relief, or if BPPV recurs frequently, medication may be prescribed to help alleviate the symptoms. Medications such as vestibular suppressants, antihistamines, or anti-nausea drugs may be used to manage vertigo and associated symptoms on a temporary basis.

It’s important to note that BPPV is generally a benign condition, and while it can be bothersome and disruptive, it does not typically lead to serious complications or permanent damage to the inner ear. Seeking medical evaluation and appropriate treatment can help individuals effectively manage and reduce the impact of BPPV on their daily lives.


For further reading about BPPV, read our blog here

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