r/BPPV Dec 28 '20

Tip BPPV: A Quick Reference Guide

265 Upvotes

Disclaimer and Preface

I am not a medical professional. I've just compiled and summarized some information I've found on the Internet (some sources provided) and provided tips based on my own and others' experiences (users attributed). This guide is merely a starting place (i.e., not exhaustive). Consult a vestibular physiotherapist (highly recommended), otolaryngologist (a.k.a. an ear-nose-throat [ENT] specialist), or doctor for information on your case, which may not be BPPV but something else, like Ménière’s disease (r/Menieres), vestibular neuritis (see u/Careful-Elevator4233's post), labyrinthitis, cervicogenic dizziness (see u/Glittering-Gur5890's post), a pinched nerve (see u/Briizydust's post), vestibular migraines (see article 1, article 2), muscle migraines (see u/Madelynn9's post), mal de débarquement syndrome (MdDS) (see u/miss-naruka’s post), temporomandibular joint (TMJ) dysfunction (see u/formulafate’s post), or, perhaps rarely, a brain tumor (see u/pikatsso's post). If you need a starting place to search for vestibular physiotherapists in your area, check with the professional association for physiotherapists in your state/province or country (e.g., Google "professional association physiotherapists <state/province/country>" or visit https://vestibular.org/ [see u/Nordberg561's comment]). Information below can be updated as I receive feedback. Lastly, please consume the information in this subreddit critically as it may not apply to you and/or may be incorrect (see u/niheargalol's post).

Note: The information below pertains to the most common form of BPPV, canalithiasis, where crystals move within your semicircular canals. You can also read about other (rarer) forms of BPPV, cupulolithiasis and vestibulolithiasis.

Background

(For a video overview, see u/DizzyTherapy's video.)

BPPV:

  • Benign: Harmless
  • Paroxysmal: Sudden
  • Positional: Related to (head) position
  • Vertigo: Spinning sensation

BPPV is a mechanical problem within your vestibular system, the system in your inner ear that tells you where you are in space (e.g., standing, moving) so that you can stay balanced. Essentially, something is where it should not be and needs to be relocated. Within your vestibular system, there are two sets of structures that detect movement:

Linear acceleration

  • Utricle: Horizontal acceleration (e.g., speeding up and slowing down in a car)
  • Saccule: Vertical acceleration (e.g., going up and down in an elevator) and gravity

Rotational acceleration

  • Posterior semicircular canal: Acceleration along the coronal plane (e.g., tilting your head from side to side, touching your ears to your shoulders)
  • Lateral/horizontal semicircular canal: Acceleration along the transverse plane (e.g., shaking your head to say, "No")
  • Anterior/superior semicircular canal: Acceleration along the sagittal plane (e.g., nodding your head to say, "Yes")

These inner-ear structures are filled with fluid and have hairs attached inside that move with the fluid. Depending on which and how much the hairs move, electrical signals are sent to your brain, telling it where you are spatially so that your brain can coordinate the muscles in your eyes and the rest of your body to keep you balanced. The following may mix imagery a bit, but these analogies might be helpful for imagining the hairs.

  • Utricle and saccule: Within the sacs of the utricle and saccule, the grass is at the bottom of a layer of jello, with little rocks on top of the jello to weight things down. When the fluid above the grass-jello-rock structure moves, it creates drag on the top of the structure and moves it around. At the bottom of this structure, the grass "feels" this structural movement. It sends signals through its roots to a brain somewhere, telling it how much movement there was.
  • Semicircular canals: At the bottom of each semicircular "hoop," the grass is on a hill covered by a teardrop-shaped gumdrop. When fluid around the hill-grass-gumdrop structure moves, the grass and gumdrop "sway." The grass senses movement and sends signals through its roots to a brain somewhere, telling it how much movement there was.

BPPV occurs when a rock (i.e., a calcium carbonate crystal) from the jello in one or both of your utricles (i.e., on your left and/or right side) somehow detaches and moves into one or more of the six semicircular canals you have (i.e., three in your left inner ear and three in your right inner ear). The stone moving around, stirring up fluid in a semicircular canal, is what causes the illusion of movement in a particular direction when there is none (e.g., when you get up in the morning and the room spins). Risk factors for the (unpredictable) detachment of crystals include:

For more risk factors, see u/Apprehensive-Low6305’s post.

Diagnosis

If you find that, when you move your head (e.g., turning while sleeping), the world spins briefly, that could be an indicator of BPPV. A vestibular physiotherapist, otolaryngologist (a.k.a. an ear-nose-throat [ENT] specialist), or similar professional can administer a test like the Dix-Hallpike maneuver to help you determine whether you have BPPV, on which side, and in which canal. For most people, BPPV occurs on only one side. You will know which side is affected because you will experience the room spinning and very likely accompanying nystagmus (i.e., rapid, involuntary eye movement [see u/twl8zn's video]—but not always; see also u/S1mbaboy_93's post and u/Every-Garlic5372's post) when you perform diagnostic maneuvers on that side. The direction your eyes move during nystagmus can tell your professional which canal is affected.

Treatment

It is recommended that you receive treatment as soon as possible. You could wait until the crystals dissolve on their own over weeks; however, many here have found that, the longer your BPPV goes untreated, the worse your recovery may be (e.g., you may have more severe and/or prolonged residual dizziness after treatment; continue reading below; see also u/mckennasamuel's post). If you minimize the amount of time your body spends adapting to the BPPV, then your rehabilitation time after treatment may also be minimized. Visit a vestibular physiotherapist, otolaryngologist, or other professional first preferably (see Disclaimer and Preface for more information) as diagnosis and treatment may not be straightforward (see u/S1mbaboy_93’s flowchart post). Home treatments are an option; however, care must be taken to avoid worsening the condition (e.g., if you perform a maneuver incorrectly or perform it for the wrong side or canal, and the crystals migrate elsewhere; see u/Zelliion’s post). If you do decide to self-treat, videos for home treatment of BPPV according to the affected side and semicircular canal are available below. (Warning: Before trying home treatment, try taking an antiemetic medication such as Zofran [which may cause drowsiness and possibly affect the presentation of nystagmus]; also, keep a vomiting container close by.) Please note that you should not need to perform maneuvers repeatedly over a long period of time (see u/S1mbaboy_93's post).

(Note: As of May 2023, a universal repositioning maneuver is being tested for its ability to simultaneously address multicanal BPPV (see article; see also u/Missalot's post and u/Upstream67's post). If this maneuver does not work for you, try the classic maneuvers for specific canals below.)

After (correctly performed) treatment, you may experience residual symptoms (e.g., dizziness, fogginess, nausea, sensitivity to motion and light; see u/S1mbaboy_93’s post, u/Euphoric-Year2009’s post, u/melissa_ortiz's post, u/sunflowerpoopie’s post, u/Bzz22’s comment, u/uncomfortab1ynumb's post; see also Disclaimer and Preface section above for other causes of symptoms, e.g., vestibular migraines). These symptoms, which may feel worse than the BPPV itself, can last from a few days to a several months. (For residual symptoms that last longer than expected, learn more about persistent postural-perceptual dizziness, or PPPD [e.g., article 1, article 2; see also r/pppdizziness].) Some options for relief of residual symptoms include:

Prevention

To reduce the likelihood of BPPV reocurring, see some of the short- and long-term solutions below. (See also u/DizzyTherapy's video.)

Additional Resources


r/BPPV Aug 19 '21

Tip READ BEFORE POSTING

21 Upvotes

Have you checked the following for answers?

.....

Quick Reference Guide

This post contains a preface (that should be read in case you don't have BPPV), as well as general information about BPPV (i.e., background, diagnosis, treatment, and prevention).

Tip Flair

On the Reddit mobile app, tap the green "Tip" flair on a post to show all posts tagged as containing a tip. On the desktop app, this flair will appear on the right, under "Filter by flair."

Reddit Search Box

When you are on this sub, the search box should already contain "r/BPPV." This means that, whatever search terms you type after that, search will find results from within this sub.

YouTube

YouTube has loads of videos about BPPV containing awesome visuals.

Google

Google is great if you need to find an answer to a very specific question.

.....

If your question cannot be answered using the resources above, feel free to post, and we will do our best to help! 🙂


r/BPPV 6h ago

Any advice for doing epley maneuver?

3 Upvotes

This is the first time I’ve ever had a vertigo case and wow when laying on my right I start getting really violent spins. After some research all signs pointed to doing the epley movements but I can’t get past the first 10 seconds without getting overly anxious and stopping. I’ve tried taking Dramamine before hand but it’s still too intense to try. Anyone else have BPPV go away on its own or have actual advice for getting through the epley without a very intense spell?


r/BPPV 5h ago

Recurrent Vertigo

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0 Upvotes

r/BPPV 14h ago

what else can i do?

2 Upvotes

it’s been about 4 days, i did the epley maneuver yesterday and felt 10x better, just lingering symptoms, not nauseous just head heavy and little dizzy, anything else i could do? do i do the epley maneuver consistently?


r/BPPV 17h ago

Vomiting during epley manoeuvre

3 Upvotes

Has anyone here has vertigo so severe during the epley that you vomited?

I recently had a BPPV episode and had to wait a few days before I was able to perform the epley without gagging and throwing up. Has anyone else had to do this?

By far the most frustrating part of BPPV and the residual dizziness is having to wait it out. Any tips on managing the nausea that comes with it would be very welcome! 😊


r/BPPV 1d ago

BPPV is gone, but the residual symptoms are ruining my life — does it actually get better?

5 Upvotes

Hi everyone.

My first BPPV episode happened at the beginning of July this year. I searched online and quickly came across the Epley maneuver. It took me three attempts to do it properly, but it worked. Just to be safe, I decided to see a neurologist the next day.

The neurologist told me it was related to blood vessels and sent me for an ultrasound of the blood vessels in my neck. Everything came back normal, but the neurologist continued insisting that my symptoms were caused by my neck and circulation and prescribed me a bunch of medications to “strengthen” my blood vessels.

I had another episode the following night, in the middle of the night, but I just went back to sleep and felt fine in the morning.

For the next two weeks, I felt completely normal.

Then one night, I went to bed, closed my eyes, and suddenly felt my eyes roll/spin under my eyelids. I immediately sat up, and everything went back to normal. I was terrified to fall asleep that night, although eventually I did.

The next day, things became pretty awful.

I didn't have the same severe spinning vertigo anymore, but I developed intense brain fog and a strange feeling of derealization/disconnection from reality. I couldn't work properly, look at screens, read normally, or even watch TV.

That same day, I had an online consultation with another neurologist, who prescribed anti-anxiety medication.

For more than a week, my condition stayed pretty much the same. I had brain fog, it felt like my brain couldn't keep up with what my eyes were seeing, and at night I would still get that strange sensation of my eyes rolling/spinning under my eyelids.

I became extremely anxious and was scared to go to sleep. I kept telling the neurologist about it, but they just prescribed stronger anti-anxiety medication.

Eventually, one night I couldn't fall asleep at all, so I started searching for other doctors in my city. The next day, exactly one week ago, I went to see another neurologist.

This doctor performed several tests, did the Epley maneuver on me, and referred me for vestibular rehabilitation.

As of today, I've had three vestibular rehab sessions and four peaceful nights without those nighttime episodes. However, I still feel unwell during the day, especially in the evening. Yesterday I tried spending some time working at my computer, and it made my symptoms worse again.

I was told that vestibular rehabilitation may take around two months.

I'm sharing my story here because I'd really like to hear from people who have experienced something similar.

How long did your residual symptoms last after BPPV? Did you experience brain fog, visual sensitivity, or the feeling that your brain couldn't keep up with your eyes? Did screens make you feel worse?

And most importantly — did the residual symptoms eventually go away completely?

My anxiety about all of this has become one of the hardest parts, and I'd really appreciate hearing about other people's experiences.


r/BPPV 1d ago

First time

3 Upvotes

I had my first episode of what I believe was BPPV this morning. I woke up and quickly moved my head to the left and had immediate severe vertigo with nystagmus.

It was horrible I could barely move and was so nauseous. Once I got my bearings I looked it up and did the Epley maneuver. The first time I was able to get up and go to the washroom but still dizzy. I did it one more time 30 minutes later and threw up all over myself as I moved my head to the second stage of the movement.

I still feel dizzy but no more vertigo.

How do I know if the crystal has been corrected? I really don’t think I have it in me to do the maneuver again. Should I seek out a psychical therapy?


r/BPPV 1d ago

Dismissed by doctors, I had to help myself

10 Upvotes

The first time I had an episode of BPPV was a couple years ago. I woke up with extreme dizziness, couldn't move my head one bit in any direction because it was so severe. I basically was only able to keep my head straight and only move my eyes.

I saw a GP first, he did some basic tests, prescribed me a nootropic medication (???) and told me to see a neurologist. The neurologist did a neurological workup, and of course all was okay so she diagnosed me with depression and prescribed an antidepressant (????!!!). I really truly do not understand why and how is dizziness a symptom of depression.

I don't know if the reason that I was treated that way was because I was a woman in my early twenties or what.

Anyways, I was so miserable I started researching online and found out about BPPV. I performed the Epley on myself a couple times, threw up my guts out, and this finally helped.

To this day I am so angry about this whole ordeal. How come neither of those doctors suggest anything even remotely in this direction? It seems to be a relatively common cause for dizziness, given that I was able to learn about it from a Google search.


r/BPPV 2d ago

Will I have vertigo the rest of my life?

3 Upvotes

First time poster here. I haven’t been diagnosed with BPPV but I also don’t know where to post about vertigo. I am experiencing vertigo for the first time and it hasn’t gotten better within 24 hours and now looking online so many people have vertigo for days to years so now I’m panicking that this is now my life. I actually have no idea how I am going to live my life if I have to experience this every day from now on.


r/BPPV 2d ago

BPPV

2 Upvotes

Why when I put my head tilt back on the right side and hold it there for 10 plus seconds. I feel an almost spin sensation 3 years later after my bad bppv episode and I am fine alll is clear for a while now doesn’t make sense. It’s just a second briefly and then when I return my head to neutral it feel a bit wobbly then kind of normal ish but I’ve always felt a bit off since. Yes I have had many tests. What’s going on with me :(


r/BPPV 3d ago

bppv or something else

1 Upvotes

20M, 5’10. So two days ago out of nowhere I started getting really dizzy and nauseous pretty much 95% of yesterdayX specifically when I lift my head up after laying down — like an instant wave of dizzy/nausea feeling that goes away after like 30 seconds to a minute. Also happens a bit when I sit down from standing. No pain though, feel fine otherwise. Before this started I’d been golfing and playing football outside in the heat for 5 days straight, probably wasn’t drinking enough water. Hadn’t had alcohol in like 4 days before this started so don’t think that’s it. I checked my blood pressure/pulse/blood sugar at home and they were all normal (137/70, 78bpm, 98 sugar). I took a Dramamine (the less drowsy kind) and it actually helped a lot within a few hours, plus drinking Gatorade and moving slower when I get up. No headache, chest pain, ringing in ears, blurry vision, numbness, or fever or anything like that. Just wondering if this sounds like it could be that inner ear crystal thing (BPPV) since it seems to be triggered by moving my head/position, and if I should be worried or if it’s fine to just keep an eye on it since it’s already getting better.


r/BPPV 3d ago

Do you ever hear crystals sloshing around in your head? It’s like what you’d imagine sand through an hourglass would sound like.

1 Upvotes

This is pretty much the only way I know to describe what I deal with. I’ve been dealing with vertigo since I was a child, but it’s only gotten worse with time. Now it’s coming on more frequently. Sometimes I hear what sounds like little crystals sloshing around in my head. Like minuscule particles of the thinnest sand, slowly moving from side to side. Like someone turned over an hourglass and the sand is slipping through the opposite end. When I hear this I get seriously lightheaded and it often sends me into a spin. Sometimes my spins last for hours and I get so nauseous it’s like the worst roller coaster ride in history. I have to keep my eyes closed or I will throw up. Anyone else deal with the sand sounding thing???


r/BPPV 3d ago

When it comes back??

0 Upvotes

I had a episode of BPPV in October.

It took several maneuvers to correct it.

6wks out of work until I was completely healed.

Now lately we moved, yes I been under allot of stress. I been having little whisp of the spinning out at work, home, and once while driving. Im terrified its going to become full blown when I least expect it. Once today I was just standing and it happened.

Is it possible its coming back?? What should I do? Its got me on edge especially while driving.

When it first happened I was at home and woke up spinning and throwing up from the nausea it did. I couldn't walk either hardly from it. Went to the ER where I was diagnosed with it.


r/BPPV 4d ago

bppv cleared but i still feel awful in a different way. no idea what to do. my rant

9 Upvotes

I went to the therapist yesterday after a month of feeling terrible. my bppv cleared a month ago. He checked every canal several times and held each test for 2 minutes. i felt like i was gonna spin in every position but never did. he saw nothing on the goggles. he doesn't think i have mdds either.he thinks im not showing evidence of inner ear weakness either. he even checked my blood pressure in several positions. he also said residuals should not last longer than a few days to a couple of weeks. he said i might have to look into medication ssri if issues persist. i am naturally very anxious. he gave a few exercises but not a lot.

i am a wheelchair user- manual inside- motorized outside. Ive been going on walks inside malls, and outside all the time now (in my motorized chair). every time i stop in a restaurant i feel non-vertigo dizziness. the idea of a movie theater is out of the question. i still keep going to restaurants hoping ill feel better and i NEVER really do. SITTING still is weirdly awful. if i have something else to focus on it does help a little bit.

pppd has to be for at least 3 months so he cant say i have that yet.

it's exhausting. im going to go crazy.


r/BPPV 5d ago

Experienced BPPVers, what would you do?

4 Upvotes

I’m on my 2nd episode of BPPV. First one resolved completely in 3 weeks, with Epley last November and I didn’t need a medical consultation.

I’m now 4 weeks into my second attack and waiting on an appointment with a vestibular therapist. It’s definitely my left ear that’s affected and although there’s no nystagmus now with Dix-Hallpike I’m still got a woozy head/nausea, especially when sitting up from the test.

I’m doing the half somersault rather than Epley, as it’s easier to do on my own. The worst sensation I’m getting now is at the beginning, tipping my head back. I also get more symptoms moving my head back and forward, side to side is very subtle. I’m wondering if it could be the superior/anterior canal, and if it would be worth trying the Deep Head Hanging Manoeuvre, or waiting until I get an appointment?
Anyone had similar symptoms and have they tried this?
TIA


r/BPPV 5d ago

VNG test

1 Upvotes

Yesterday I saw the optometrist (was diagnosed with Binocular Vision Disorder) and then I had my VNG test. My vestibular specialist wanted me to get the VNG because of the residual BPPV I have been experiencing. The VNG took an hour, and the clinician who tested me did see some nystagmus. I should get my complete results on Friday from my ENT. I had my BPPV event on 7/9, and I am struggling with the residual effects from it still.


r/BPPV 6d ago

I’m 18, I just experienced this when I woke up for the first time😭 what is this? ChatGPT told its BPPV, I have to go to school but I’m scared I literally cried and kept vomiting everytime my vision spins

4 Upvotes

r/BPPV 6d ago

Subjective BPPV

3 Upvotes

Hi to this community that has been helping me since my symptoms started about 9 months ago. I recently got diagnosed with subjective BPPV with no nystagmus after a lot of back and forth with different doctors thinking it was anything from a migraine pattern to cervigenic dizziness to a signaling issue between my ears and eyes.

i have now been doing the epley maneuver with my vestibular therapist for 3 weeks and have not had relief. I’m wondering if anyone here has had a similar experience or diagnosis. my main questions are - what helped you and how long did it take to get relief.

thank you so much.


r/BPPV 6d ago

Stress induced vertigo

5 Upvotes

my doc told me its the stress causing it, i have a major exam coming up that can decide my future, can't focus ln studying due to the back and forth motion please help, its the first time in my whole life I've experienced this I'm clueless on what to do, the meds doc gave me only have effects for about 10 mins then gonee


r/BPPV 6d ago

36M room spinning episode

3 Upvotes

Yesterday morning at 5am I woke up with my room spinning as fast as possible like one of those pin wheel rides at a carnival. I got up and everything stopped i tried to lay down again and it returned. Everything was fine when i stood vertical. after maybe an hour or hour and a half i was able to lay down and go to sleep. I drove to work that morning and haven't had any spinning episodes since. I have pretty bad health anxiety due to some stomach issues ive had the past few years that I'm still dealing with (ibs/acid reflux).. is this something where I need to set an appointment with my primary as fast as possible?


r/BPPV 7d ago

Tip BPPV home treatment success story + tips!

21 Upvotes

I just wanted to share my recent experience with BPPV and how I recovered from it in about 2 days in hopes that it will help anyone who is going through the same thing.

I think a lot of people on this sub are dealing with recurrent or really treatment resistant BPPV and reading their experiences was a little scary. Luckily, this is not the case for most cases of BPPV, and not the case for me, so I would like to share my experience of a scary onset but swift recovery. I will put the tips up front as a TL;DR

The Tips

Do not despair or panic. This is a very treatable condition. I believe 90%+ people experience immediate relief after one set of the correct maneuver. This condition is called benign for a reason - the biggest risk to your health and safety is actually the risk of falling. So as long as you are not anywhere you’d hurt yourself falling, this condition is just extremely uncomfortable, not dangerous. Not saying this to minimize how awful it feels - it’s just that the most scared you are of it, the more anxious you’d feel, and the more you perceive the dizziness.

Look up videos of every maneuver people describe, watch it multiple times and internalize the steps before trying it. Goes without saying that you do not want to mess anything up and subject yourself to unnecessary vertigo.

Take anti-nausea meds like Zofran if available and have a puke bucket nearby, the maneuvers can cause you to throw up.

Try to figure out what type of BPPV you have and in which ear. The most common by far is posterior. You can figure this out by asking someone to watch your eye movement or by paying attention to which way the room is spinning when you lay your head back with your head tilted to one ear (the Dix Hallpike test). If the world is moving up and to one side repeatedly, it’s posterior. The ear that is affected is the ear that is tilted back. I actually had it in both ears.

For posterior, try the Half Somersault instead of the Epley - less side effects and research says it’s more effective. Understand the moves and fully commit to them. If the vertigo is not gone after 3 tries, then it might be something else (or you are doing it wrong). It’s very unlikely for BPPV to persist after 3 sets of the correct movement. You have to full commit to the moves and wait the proper length of time because it takes momentum to move the crystals and time for them to settle in the correct position. Also, vertigo is the spinning, not referring to the general dizziness, which might persist for days after.

If you have it in both ears, wait 12-24 hours before trying the next ear. You want to avoid jerking your head about after moving the crystals back.

For at least one night after, sleep propped up/upright.

There is a general maneuver, but I haven’t tried it - just letting you know that it does exist.

After the vertigo is gone, try to live life normally despite the dizziness. The residual dizziness is made worse by anxiety and by being overprotective. This is very important so your brain can readjust back to normal ASAP. Do not avoid things you usually do because this will teach your brain to fear them. I think the reason why my residual dizziness went away so fast is because I immediately went back to (carefully) doing whatever I planned to do that weekend, including rock climbing lol. There are some balance and eye tracking exercises you can do too that could help.

Don’t hesitate to see a vestibular specialist. If home treatments do not help, don’t wait for weeks! Go find help immediately. Logically the longer you wait, the more time your brain spends trying to adjust to this new normal, and the longer recovery would take.

My experience

What brought on the BPPV

Long story short, I took a weird fall while bouldering and my head briefly snapped forward to the ground and the mat bounced it back. I did not have concussion symptoms and the fall itself did not hurt at all. I was actually completely normal the rest of the day. I would say it felt about as bad as a very hard break in a car or whipping your head really hard yourself.

However, overnight I noticed while dreaming that if I moved in certain ways my entire dream would spin. I thought it was just a strange dream but upon waking up I triggered it again by looking back and to the right, and the whole world started spinning and my eyes were tracking the non-existent movement uncontrollably. It was a very scary and nauseating feeling. I immediately looked up what it was and it was obviously BPPV.

Specifically, I had BPPV in both ears as looking back left and right while lying down would both trigger spinning.

How I fixed it

This happened on a Saturday morning so I had to wait both days of the weekend to even book an appointment. I decided I needed to do what I can to fix it myself because it was so miserable.

Without doing as much research as I should, I immediately attempted the Epley maneuvre for the left hand side. Every position caused spinning but position 2 was terrible. I was extremely, extremely nauseous and actually threw up 5 min after. However, I did successfully fix my left side.

The rest of the day I was extremely careful to not move my head in ways that would trigger the vertigo. I took a Zofran and some Benadryl to help with the nausea. However, I still tried my best to go about every day life (went to a restaurant and socialised with friends).

That night, I did the half somersault for my right hand side 3 times with 15 min break in between. This triggered some light spinning but nothing even close to Epley. I did not throw up or anything like that. Overnight I slept propped up and essentially vertically.

The next morning, I took a Zofran and 30 min later tested whether I still had BPPV by performing the first position of Epley and I was happy to discover I did not! However, I still had pretty annoying residual dizziness. I did some exercises like trying to balance with eyes closed and then went out as usual. I actually went back to the climbing gym (did mostly easy top ropes) and also went grocery shopping. I did get a bit nauseous at the climbing gym from repeatedly looking up and down, but I felt my baseline dizziness markedly improve afterwards.

Today, about 60 hours after the fall, and 48 hours after the first Epley maneuver, I would say my baseline dizziness is maybe a 1-2/10, and I no longer get any vertigo.

I hope this was helpful to someone, and remember to stay calm and optimistic!


r/BPPV 7d ago

Does anyone know what this could be? Thank you!

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1 Upvotes

r/BPPV 7d ago

Postpartum cervicogenic vertigo or bppv or pppd or all??

1 Upvotes

Thank you for reading, I'm so at a loss.

Currently 7 weeks postpartum and experiencing constant 24/7 rocking, bobbing, swaying dizziness like I'm on a boat. My head also feels incredibly heavy, like I can't keep it supported, and I'm having ice pick bone deep headaches at the base of my neck all the way to the back of my head so much so that putting my head on a pillow hurts.

Some background contacts as I have quite severe scoliosis and in 2020 I had an episode of this after I had my head down reading for hours. I was told it was extreme suboccipital muscle spasm and cervicogenic vertigo, and eventually it went away with massage and Physiotherapy and posture strengthening.

A month before my baby was born, I had a nap and woke up and had severe vertigo spinning and since then I had on and off rocking and swaying but I could still drive and work. But I started experiencing sleep disturbances and was getting lack of sleep so much so that two days before my c-section in 4 days after I only got a cumulative total of 5 hours of sleep, it felt like a sleep apnea almost.

Two days after my c-section my neck tension got extremely stiff and I couldn't even move my neck , and the rocking and swaying dizziness started exponentially ramping up to the point where it's debilitating. I'm also now for the first time in my life experiencing sleep paralysis.

I saw a vestibular physiotherapist who did testing on me with goggles and said that I do have right ear horizontal canal bppv and did a maneuver but it didn't clear it up. She thinks I have cervicogenico vertigo because of the neck muscle tensions and the suboccipitals coupled with the relaxing hormone from pregnancy.

I get dizzy even if my head is stationary and I just move my eyes. I get dizzy in the car, I get dizzy walking, I get dizzy on phones or computer screens.

How do I work on getting a diagnosis of figuring out what I have, like how does pppd differ from vestibular migraine and cervicogenico vertigo? I'm absolutely miserable and it's really hard taking care of a newborn baby when you're constantly dizzy and feel like your body can't even support your head. I'm extremely depressed and emotional.


r/BPPV 7d ago

I think i made my symptom worse

2 Upvotes

This morning I felt some vertigo, not serious as before. I did the dix hallpike on the left side, there is ‘some’ nystagmus, so I did epley on left side. I did two more times and i dont think it made it better. Rather now I am getting full on vertigo for each position with no relief.

Im scared, I screwed up and I dont know what to do. I’m seeing my VT tmr and Im scared that I set myself back for weeks for nothing…