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  • Dr. de Castro

Dizziness...could it be BPPV?

There can be many a cause of dizziness, but one of the types we can address in the chiropractic office is BPPV.


Benign Paroxysmal Positional Vertigo is an issue arising when there is a problem in the inner ear. Symptoms include brief, repeating vertigo. It can happen with movements like turning over in bed. The vertigo episodes are usually short, with a spinning sensation and often nausea.



Typically, we do not know why it happens, though head trauma can sometimes trigger it. It is a balance disorder similar to labyrinthitis and Meniere’s disease. In people with BPPV, it appears that the crystals in the inner ear (otoliths) are dislodged from normal positions, causing them to migrate around the inner ear. When the head moves, this displaced otolith causes fluid displacement that is abnormal, thereby causing the vertigo sensation.


Diagnosis usually occurs with a history and completion of the Dix-Hallpike test. This test is performed laying down, with the practitioner repositioning the head and looking for a report of vertigo and nystagmus (rapid abnormal eye movements). Ruling out other causes of vertigo is also important, looking for things like motion sickness, migraines and others.



Treatment includes repositioning manuvers, like the Epley manoeuvre, the purpose being to move the otolith. This can be done by most health care pracitioners. Supporting overall health with sleep, diet and water consumption may also help, with practitioners like acupuncturists helping with nausea symptoms. Vestibular rehabilitation can also help. Medications can also be considered in acute, severe cases, but typically are not given.


Is dizznies and vertigo an ongoing concern? Get assessed today!

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