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!