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How Physical Therapy can help with Benign Paroxysmal Positional Vertigo (BPPV)?



Every year millions of individuals experience vertigo, a sensation that you or the room are spinning. This sensation can be very disruptive and can increase your risk for falls. Benign paroxysmal positional vertigo (BPPV) is the most common reason for dizziness. The great news is that BPPV (crystals in your ear) is treatable! Your physical therapist will use unique tests to confirm vertigo, and use special exercises and maneuvers to help.


For the majority of individuals, BPPV is able to be treated using simple but very specific head and neck positions, performed by a physical therapist. Depending on which canal the crystal is in (there are three on each side), a different test and repositioning movement will be used. These repositioning movements are focused on moving the crystals from the semicircular canal back into the inner ear Your physical therapist will perform an evaluation and determine which maneuver is right for you. This is why it is so important to see a physical therapist who specializes in dizziness so the correct canal is being treated.


No medication has been found to be effective to treat BPPV and, in some cases, medication can delay recovery.


Can you prevent BPPV from happening?

There is no way to prevent BPPV from happening. Three years following the first episode of BPPV, 50% of people report return of BPPV. Although BPPV may return, you are now better able to recognize the symptoms and know who to contact for help!


What kind of physical therapist can help me?

Just like there are many different types of doctors, there are also specialities in physical therapy. You will want to find a PT who has experience working with individuals with dizziness and imbalance. You may look for:

  • A physical therapist who is experienced in treating people with neurological problems.

  • A physical therapist with specialized training and experience in vestibular rehabilitation.

  • A physical therapist who is a board-certified neurological clinical specialist, who completed a residency or fellowship in neurologic physical therapy, or who has advanced knowledge, experience, and skills that may apply to your condition.


The physical therapists at Engage have completed specialized training in vestibular rehabilitation. Don't let dizziness stop you for one more day from doing things toy enjoy! Call today to set up an evaluation 315-810-2423.


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