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Treatment for Dizziness – Vestibular Rehabilitation at The Rehab Center

What is Benign Paroxysmal Positional Vertigo (BPPV)?

Vertigo is the feeling that you are spinning or the world is spinning around you. Benign paroxysmal positional vertigo is caused by a problem in the inner ear. It usually causes brief vertigo spells that come and go.

For some people, BPPV goes away by itself in a few weeks. But it can come back again. BPPV is not a sign of a serious health problem.

What causes BPPV?

Normally, there are little calcium “stones” attached in the inner ear canals. BPPV can be caused by head trauma, infection or inflammation that causes the “stones” to break loose in the ear canals. This sends a false message to the brain that affects your balance.

What are the symptoms?

The main symptom is a feeling that you are spinning or tilting when you are not. This can happen when you move your head in a certain way, like rolling over in bed, turning your head quickly, bending over, or tipping your head back.

BPPV usually lasts a minute or two. It can be mild, or it can be bad enough to make you feel sick to your stomach. You may even find it hard to stand or walk without losing your balance.

How is BPPV diagnosed?

You and your doctor will talk about your symptoms. Your doctor will do a full physical exam and will test your nervous system to see if there’s a problem with how your nerves send messages to your brain. Your doctor may be able to tell that you have BPPV by watching how your eyes move as you turn your head and lie back. This is called the Dix-Hallpike test.

There are other things that can cause vertigo, so you may have other tests too.

How is it treated?

BPPV usually goes away by itself within a few weeks, but if it persists, physical therapy can help alleviate:

  • Vertigo (spinning)
  • Nausea
  • Nystagmus (quick eye movements from side to side or up and down)

Your physical therapist will use a combination of treatments such as:

  • Balance retraining
  • Habituation exercises
  • Special head positioning maneuvers
  • Home education programs

You will need a referral from your physician, so ask your doctor if physical therapy is right for you.

Contact Us

Good Samaritan North Health Center 
9000 North Main Street
Dayton, OH 45415
(937) 734-5720

Good Samaritan Health Center—Huber Heights 
6251 Good Samaritan Way
Huber Heights, OH 45424
(937) 734-6801