There are few things as uncomfortable as vertigo or – the feeling that you are spinning or that the world is spinning around you. It happens when the vestibular system, or balance organs, in the ear are out of balance with each other or the rest of the brain. It gives you a feeling of dizziness and not knowing where you are or how you’re moving, and almost always goes together with nausea or vomiting.
While there are countless possible causes of vertigo, Benign Paroxysmal Position Vertigo, or BPPV, is one of the most common. Around 1 in 50 people will suffer from BPPV in their lifetime.
BPPV gives a repetitive spinning sensation, which lasts from 2 seconds to a minute, usually triggered by lying down. It can be very intense, and will happen every time that you repeat the movement.
It is caused by small calcium crystals in the ear which get loose, often after a shaking or bumping movement. The crystals, called otoliths, move around the balance system and stimulate the system extra strongly. This makes the brain think that you are moving far more than you really are, which causes the confusion and the spinning solution.
Fortunately BPPV is extremely easily diagnosed with the Dix-Hallpike manoeuvre. A trained therapist can recognise BPPV immediately based on beating-movements of the eyes, called nystagmus.
The most commonly used treatment options are exercises called Brandt-Daroff, or the Modified Epley Manoeuvrer, sometimes known as the repositioning manoeuvrer.
Brandt-Daroff exercises are simple to perform at home. They are used to allow the brain to get used to the extra stimulation caused by the loose crystals. They do not, however, solve the cause of the problem.
The Modified Epley Manoeuvrer is designed to return the calcium crystals to the correct part of the ear. It is easily performed with help from a therapist. It resolves the complaints in one attempt 90% of the time, with virtually 100% resolution with up to 3 repeats.
Robert Correll at Quiropráctico Promover is trained to perform the Dix-Hallpike and Epley Manoeuvres. To make an appointment, call on 865510203, send a WhatsApp message to 625766814 or use our contact form.