Is my vertigo "BPPV"? (Top 3 signs for BPPV)
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- เผยแพร่เมื่อ 6 ม.ค. 2021
- If you've been suffering from vertigo (the sensation of spinning or movement), you may have heard about BPPV, which is a very common cause of vertigo.
But how do you know if BPPV is the cause of your vertigo?
In this video, I'll explain the top 3 signs that indicate that BPPV is the underlying cause of your vertigo.
If you figure out that you have the most common type of vertigo, which is "posterior canal BPPV", here's a video where I explain how to use the "Epley Maneuver" to treat your vertigo: • The "Epley Maneuver" -...
Also, if you have horizontal BPPV instead, here are two video links that will help you diagnose and treat it:
- Video #1: How to Diagnose Horizontal Canal BPPV - • How to Diagnose Horizo...
- Video #2: How to Treat Horizontal Canal BPPV - • How to Treat Horizonta...
If you have any questions or comments please leave them below. Thanks for watching! Don't forget to subscribe to my channel!
- Luke Gordon, DPT
Doctor of Physical Therapy/Owner of Gordon Physical Therapy
www.gordonphysicaltherapy.com...
I had this for more than 10 years and doctors were pretty worthless and dismissive and even abusive. I moved to a different state and I had to go to the ER because of the severe vertigo and ER doctor diagnosed me with BPPV and arranged an appointment with an ENT. They did the up maneuver and it worked like a charm for me. I’m comfortable believe that one and 20 doctors are competent and compassionate.
Geez, that's a lot of people NOT helping over the course of 10 years... glad you finally figured it out!
Remember that 50% of everyone you meet is below average….including doctors. And what do they call the person who graduated medical school with the lowest GPA?
Doctor.
Doctors are more likely to believe a crummy doctor than an honest patient. After all, how can a patient POSSIBLY know anything about their own problem? So they throw a pill at you and shove you out the door, spending virtually no time actually analyzing whether the symptoms really fit the conclusion they jump to. Many of them truly think their patients are idiots.
Cookbook answers are quicker(and more profitable) than actual analysis.
Knew someone who spent months trying to get a doctor to listen. He had pain in a certain area. He would tell them no, you can’t be right because I hurt HERE not way over there. He had to travel all the way to Minnesota to find out he had torn his diaphragm and have it fixed.
Doctors that listen and care are gold. Good luck.
What's the up maneuver
What kind of manuever?
Similar experience with a doctor that seemed quite aggravated that I came in for this. Referred me to chiropractor and went to two different ones that wanted to just sell me memberships and additional appointments. Found a video online and fixed it myself and only have to revisit the maneuver from time to time.
I had an experience with this just two nights ago. I was lying flat on my back, turned to the left and bam, hit me like a hammer. My eyes were closed so once I turned over it felt like my body was falling off a cliff, I opened my eyes and the room was spinning. It only lasted about 20-30 seconds and afterwards I got this nauseating hot flash throughout my body. Two days later I feel much better but I still have this lingering, almost car sickness type of feeling that won’t quite go away. I definitely appreciate the information in this video!
I hope you're able to treat your vertigo if it's still bothering you!
I had my first attack of what I think is vertigo less than 24 hours ago. You've just described what it felt like, almost to the letter. I thought I was going to die, literally. I was absolutely terrified.
Same! The Epley Maneuver fixed mine!
I had same last night man trying to figure out what going on. You doing better?
That is exactly what happened to me about a year ago. It's been happening once or twice every 2 weeks since then
Thank you so much for this .
Thank you very much for this explainer!!! Really helped me to diagnose the problem!
You're welcome!
Hi Gordon,
I am a doctor and impressed that how nicely you have explained,
Thank you very much! I appreciate your kind words :-)
Thank you SO much! I had a suspicion this is my problem and your clear and informative video has helped me to confirm that it most probably is BPPV.
You're very welcome!
I sometimes get vertigo after eating when I'm constipated - just mentioning because it drove me nuts for years before I figured it out. When my digestion improved, so did my vertigo
Very helpful video. Thank you!! ❤👌🏽
You're so welcome!
1. Sudden and intense symptoms of dizziness for 10-30 seconds.
2. Positional: what leads to the dizziness? Typically movement of head.
Tipping head back/bending forward causes it.
As well as going in and out of bed.
Could be horizontal as well with rolling in bed, but less likely.
3. Can be related to head/fall trauma. (Even just falling on your hip, not always related to your head being hit)
Excellent summary, thank you!
Can inner ear infection be a cause?
It can be 10-60 seconds or longer. You CAN feel off balance all day after an episode I know cuz i get it. I turned my head to the right while sleeping and wake up SUPER dizzy. It bothers me all day afterward. I think anxiety kicks in. Its horrible. Nobody ever mentions how Out of balance hormones can bring on BPPV, it does and can.
@@Shushan1111 Tell me about it. I'm having it now and yesterday was the absolute worst I've experienced. Had nausea for multiple hours, extreme dizziness too after my attacks (I was turning and turning in my bed at night without realizing what was going on). Fortunately I feel better today so fingers crossed this will be over soon
@Suzee1111 what a horrible feeling. I equate it to being thrown out of a plane when it happens when I'm in bed. Feels like your dieing.
thank you! very helpful. I've known I have this for a while, but its always nice to validate. Boy does this thing suck!
You're welcome! Good luck! It does suck!
This is absolutely THE BEST video explanation I have seen, and I've watched many. Over 50 videos I'm sure. I'm seeing an ENT next week to figure it all out in addition to eustachian tube dysfunction. THANK YOU SO MUCH!!!!
Wow, thank you! You're quite welcome :-)
WOW. Amazing explanation. My sister-in-law suffers from Vertigo. I will be sharing your video with her right away. Thank you Gordon so much for this video. 👍
Thank you! Glad it was helpful!
Great video. Thanks!
You're welcome!
Tipping of my head and turning to the right activates my vertigo. been suffering this since the new year after a mobility excercise where i had to do certain positions
I would definitely test for BPPV and see if that's causing the vertigo. It's very likely.
Hello,
thank you very much for such an informative video. BPPV really came out of nowhere for me, and I ended up with a huge cut on my forehead that needed stitches. As a former military medic, I was trying to conjure up every medical knowledge I have in order to find out what was going on. I happened to come across this video, and asked my doctor about it, and the symptoms in fact are believed to be those of BPPV.
It was shocking just how suddenly it just came right out of blue with a strong left hook. I guess I now have a BPPV trophy to carry around on my forehead now.
Sorry to hear about the fall and the stitches! Have you been able to get rid of the BPPV yet?
@@GordonPhysicalTherapy Unfortunately, not yet. The first onset hit me on Monday or so, and I'm still trying to navigate through everyday task with nauseating vertigo. I'm doing the "sitting up sideways" exercise, and hopefully the symptoms will start to improve soon.
@@GordonPhysicalTherapy Additionally, I just found out through my doc that one of the more severe adverse effects of my new insomnia medication is a sudden massive hypotension. I think pairing that with BPPV was the recipe for forehead stitches.
What a great video! Thanks so much for sharing your knowledge. This morning when I woke up I was overcome with these dizziness symptoms. It took several minutes but it stabilized. So now I'm researching this event and found your video. My symptoms closely align with your description of BPPV. Naturally I want to know what caused this, seemingly out of the blue. Research indicates it isn't caused by hearing aids, however, just last night I was trying to get an ill-fitting, cheapo hearing aid into my ear. The "small" earbud felt to large (mom always said I had small ears :) so I was trying to force it in far enough so it stopped popping out. To my question: Could this have possibly caused the sudden BPPV? I tried the Epley Maneuver but I may have to keep at it. The motion of picking something up off the floor seems to bring it on the strongest. Would one of the other maneuvers be more recommended? Thanks again 👍🦻
You're welcome! No, it's doubtful your hearing aid had anything to do with the BPPV. For a lot of people, it just comes on randomly, with no specific cause. You didn't do anything wrong... it just happens. Self-treatment can be very difficult, so my advice is always to find an experienced vestibular therapist in your area and have them help. Let me know how things go!
Very helpful
Glad to hear that!
I fell backwards off a curb and slammed the back of my head on the pavement. CAT scan negative. Look forward to following your videos.
I hope the videos help!
I passed out and hit the back of my head off the toilet and floor 2 years ago and it was my c1 atlas and c2 axis that got messed up.plus I had post concussion syndrome. It's been HELL. Still seeing an upper cervical chiropractor.
Thanks 😁👍🙏
You're welcome 😊
During the middle of my first pregnancy I would experience gnarly vertigo. I always figured it was pressure on nerves that'd never endured pressure before. However, almost 4 years later, i'm experiencing a very different kind of vertigo. I became concerned when it wasn't just a 'here and there' experience. It's often, random, and causes me fatigue and stress.
So I talked with a lady at the grocery store who told me about crystals in my ears that might be out of wack.
I'm glad i didn't brush it off and forget it.
I sincerely had to idea of this.
I'm so grateful that I've found such an abundance of knowledge on this subject.
I feel like i can treat it myself and move along with my life.
Thank you for your time!
Thank you for sharing your story! You have a great message: if you have vertigo, don't brush it off. It's very likely you can get help!
I've had vertigo episodes since last February and been diagnosed with bppv . Please tell me how you control it because its stopping me from going g in to shops because I feel off balance at times I feel so down and suicidal Please if someone van help me I'd be grateful I'm 33 should this be happening at this age its the most scary experience I've ever had . I pray to God I and everyone that's suffers from this be healed I wouldn't wish this on my worse enemy
@Slickpaving I'm in my 30s as well and have been dealing with vertigo for years. The vertigo therapies can help get the crystals back in order and help you to feel better. Don't give up!
@@Slickpavingpraying for you 🙏🏾. Sorry you are going through this but please stay strong and keep seeking help and self educate yourself as much as you can, while also finding the right doctor to help you. They are out there and I’m praying for you 🙏🏾
What are doing or taking for these 😕
HI, Gordon. Excellent video. I experienced the first 2 of the 3 symptoms of BPPV. I had a SUDDEN onset of the room whirling as I laid down in bed. At that point, for the next 3 weeks (because trying to get appointments post-COVID is close to IMPOSSIBLE!), each time that I tried to turn over in bed, I would have symptoms again. I adjusted by moving SLOWLY, 45 degrees at a time, to get turned. I also experienced vertigo in the shower when trying to rinse shampoo out of my hair in the shower and when I was sitting in a chair and someone came up and stood next to me, so I had to look up to interact with them. My first PT session was HORRIBLE (lie on right side, looking upward, once settled, sit up and lie on my left side looking down). I had to hold onto the table bc I felt like i was being flung off the table. At that point, I was unable to continue. Next time, it took 3 times to clear. After checking out info, I found that, in one reference, 1 of 5 people with COVID experience BPPV. I had JUST gotten over a bout with COVID. Since then, I have heard of several others who have had the same symptoms after having COVID. It has ben a wild ride. I basically lost the entire month of March with COVID and BPPV.
Sounds like quite the experience, Nancy! Overall, are you back to normal now? I haven't heard of a link between COVID and BPPV, but it's very possible a link exists.
More like the Covid vaccine
@@GordonPhysicalTherapy Yes! I went through the entire series of maneuvers on day 1. I was exhausted and disoriented enough that I couldn't continue. I vowed the next visit to stick it out no matter what! I asked what was the highest number of times that this set of maneuvers had been done with a patient before they cleared. She said Five. I set my sights on Six and we just went for it. The first and second time on day 2 were brutal, but symptoms dramatically decreased on the third time. The next time through was a breeze. It took a couple of days before I trusted that it wouldn't return. I'm having my Vitamin D checked with my next PCP appt and will be taking a Vitamin D3 supplement just to be pro-active.
@@nancyvaleski267 Hi Nancy, it brings hope to hear that people have successfully rid themselves of this health issue as it is debilitating! Quick question, does a lack of vitamin d add to this problem?
I have vertigo now after a bad bout of flu. I think anything that affects your sinus passages (like colds, flu, sinusitis or yes, covid) can muck up your balance due to inability to adjust pressure in the Eustachian tube (pop your ears). Ear, nose and throat are all connected, after all.
I've had this a number of times and it is a horrible feeling. Each time I used the Epley maneuver and it worked. Not only worked, but worked quickly.
That's awesome that it worked for you so well and still does!
Thanks! I have the first one but not the second and third 🤔 so I have to research further
Good luck!
Has anyone had this for a long period of time. Thanks so much for your video. This is my 4th time having it and the worst. It’s been almost two months.The epley maneuver makes it worse and so does stress/anxiety.
People often have vertigo several times over the course of years.
I got it and it affected my heart rate , gave me palpitations from the shock of it .
That's awful!
I have gotten vertigo 3 times within the past 3 months. In between each attack, I have been feeling dizzy, been getting migraines, and head pressure. Not all the time but a good amount of the time. I hit my head a little over a year ago pretty hard opening my car door but i didn’t know if it would just be affecting me now since it was over a year ago. I have been checked for almost everything else and just want to feel better
I'm sorry to hear that, Olivia! I'm wondering if the residual dizziness, as well as the migraines are related to your neck... do you have much pain and/or stiffness in your neck? If so, I'd recommend pursuing treatment with either a PT or chiropractor (or massage therapist if you'd prefer). One more thing to consider: if your symptoms are coming from your neck, there are "upper cervical" chiropractors that can be really helpful. I hope this helps :-)
@@GordonPhysicalTherapy this is interesting - my mother had complained of back pain concurrent with vertigo.
shame you gotta embark on a journey of discovery where reliable healthcare is not available (i.e. Greater London).
@@GordonPhysicalTherapy
I am having neck pain due to bad posture while using my laptop, could it be the reason od of spinning
I have been told by my audiologist that a vitamin D deficiency can trigger BPPV. My labs did indicate that I was deficient. Whenever I have a sense that it is occurring or about to I cut I double up on my D3 and it seems to truly help.
That's excellent information! Thank you for sharing! And make sure to get some Vitamin D the old-fashioned way too :-)
Definitely have all three, last Friday I thought the floor was going to hit my face. Luckily, I was standing next to a cabinet and could grab on for dear life.
Sorry to hear that! I hope you're able to get help with treatment!
Thank you for describing the symptoms. Mine are all exactly the same as you describe, especially the sudden, initial one which threw me totally out of balance and I really got scared. It happened when I turned from one side of the bed to the other i.e. lying on my side and turning to the other side. This has been going on now for the past two+ years. I did try the Epley manoeuvre on my own and I had visions of the whole universe spinning and fell off my treatment table. Never again! Then I took up Dr Brandt-Daroff's manoeuvre for several weeks and it did calm it down..... but it never went away completely. I was finally referred to ENT dept. My ears were checked, my nose and throat, sound tests were done and everything was fine. The doctor then did the wretched Epley manoeuvre again and looked at my eyes and said I did not have BPPV.....but the whole test threw me off balance. I felt dizzy for the next few days, sometimes nauseous until it settled down. I will never do the Epley manoeuvre again. My vertigo has not gone away. I am too scared to look up, down, and sometimes sideways movements trigger it too. I know I have BPPV, but the so-called ENT specialist thought I was fine. I am not fine. It is still there, not at the same intensity all the time, but if triggered with the movement of the head, it is there. I dont get ringing noise in my ears or anything of the sort. I have had vertigo in the past, but they have gone away within a few days. This one is still with me, but does not stop me from leading a 'normal' life.
I'm curious, if you don't have BPPV, won't did the ENT tell you was causing your vertigo? Something isn't adding up...
How are you feeling today?
Epley Maneuver cured my vertigo just 2 wks ago. Do it with someone to assist you. Even if it's not a PT.
I went to a physical therapist several years ago because in my research that's who I found treats it. He said during the maneuver I also didn't have the rapid eye movement, but I have all other symptoms. It always starts when I'm lying in bed and turn over to the right. I can't stand the symptoms or the treatment. There has to be something that can be done to treat it without making you dizzy and nauseous. I've been dealing with it for decades and now I just try to move carefully until it finally goes away.
I understand what ur going through. Just to let u know I started taking Serc, it’s a medication especially designed for vertigo. Labirithitis or Meniere disease. ITs actually helping me
Thanks so much for this video! I first experienced this vertigo when looking up at the full moon and stars last year at my backyard campfire. I thought it might have had something to do with the full moon (gravity). After that evening I got dizzy every night rolling over to my right side in bed. It also happended when lying down on my bench press to lift weights... it's a real drag feeling dizzy doing something you love! In short, after watching your video I now think this was BPPV from tiliting my head back far in the chair to gaze at the sky. I was able to fix it by getting on all fours while tilitng my head to the floor, and to the side, then lifting my head upward quickly. It went away, but came back this week after it being fine for one year. I tried the Epley Maneuver instead today and it felt more comfortable doing that. So far, so good!
Glad this helped! I hope the Epley works for you. Sometimes you'll have to repeat it multiple times before your symptoms completely resolve.
@@GordonPhysicalTherapy it worked! First time! Thanks so much!
I have it in both canals. Oh no. How do you avoid moving. Lol. I get spells about e ery 3 months. Sometimes the are absolutely horrible
I've been dealing with this for 7 months. I am unsure as I can see several possible theories. This happened to me 3x now. The first time was about 7 months ago and this one was different than the other 2. I woke up ( they all begin in bed with waking) but this one i sat up in bed and I noticed the wall was slowly slanting downwards like a weird fun house.. not fun. I thought my eyes were just tired or not focused yet so I kept rubbing them and it didn't stop.I got anxious and went to look over to my side to grab water and BOOM I started to feel like I was spinning and it was worse. I realized I couldn't look or move in any direction. If i stayed still I didn't feel I was moving but the walls still moved downward. this lasted 3-4 hours!!!!
the 2cd time was a few months later and I woke up okay but began to sit up recline and looked at my phone and BOOM I felt so dizzy I had to close my eyes and I literally felt I was falling backwards and down so hard and fast i even felt my legs go up and down hitting the bed and I sat up and opened my eyes and it stopped but I felt off a while.
Last time was last week. Again woke in bed and I was on my back and opend my eyes and felt like I was spinning in space in no identifiable direction .. that also lasted only a min tops but leaves you real off for hours.
My thing is.. with the 1st time I did feel a full feeling in my ear slightly the night before but it went away and thought nothing of it. After that 1st bout I was so anxious and stuff from sitting for so long I popped my jaw in a stretch and I have TMJ and it popped LOUD and Ive noticed I have ringing in that left side and it hasn't gone away and gets worse and better depending.
I know TMJ is a possiblity, but i've had it for decades.
I also know this all happens suddenly and with movement so is seems like BPPV
I had severe dizziness when pregnant years ago and now im 50 and wonder if its hormonal .
AND, because my ear has ringing and in the morning when I walk to the bathroom I hear a swish sound at times in it if this is menieres.
It seems like many things and sometimes if i'm too tired just even closing my eyes sitting up and laying down to sleep can make me feel spinning until I open my eyes... YES, a ton of possibilities.. any of it still seem to be BPPV?
You're absolutely right: there are several possibilities for your symptoms, and BPPV is definitely one of them. I'd recommend seeing an ENT right away or seeing an experienced vestibular PT. They should be able to help you narrow things down so you can figure out your treatment options :-)
I am on bed rest for two weeks now. I am thinking I have sinus and migraine problems. I had strange health problems since 2008. I was diagnosed with high blood pressure when I graduated in 2008. I had so many symptoms and I went to many doctors, and still have symptoms. Right now is a new symptom. I am dizzy and lightheaded since February 9 now. I had blood tests done and the doctor said on Friday I am a little dehydrated, which does not make sense to begin with because I drink lots of water. I went back on Monday yesterday, I told him it feels like I am rocking back and forth on a boat, and he said it sounds like vertigo. I quit my amlodipine and switched to propranolol this past weekend. So far, the propranolol is doing better maintaining my blood pressure. I am still lightheaded. I suspect it is sinuses because when I went to the dentist, they kept saying I have serious sinuses in my head. I had no clue sinuses could be this bad. I wonder if these are the root of all my health problems since 2008. I don't have any pain though. I have a cardiologist appointment on February 27 next week, and my ENT otolaryngologist appointment is this coming February 24 on Friday. I do have tonsils that have been swollen since 2018 or 2017, but the reception girl said they only do one case at a time, so I am going in for this vertigo and sinus problem first. I can't get work done and this is my first major job that has gone over a year on contract. My boss said I could go on disability, but I told her I will try to work next week.
I don't know of anyone else is having these symptoms. It came out of nowhere. The vertigo and dizziness. I also searched something called cervical instability as a possibility. It can come from poor posture and being on computers, phones, and laptops too much. I am leaned over on my bed on my laptop now. I have been more ever since my desktop went down in 2021. It can't be from lack of exercise because I exercise everyday.
Update: I went to the ENT and she suspects it is my inner ear. I failed the drunk balance test and the Fukuda (I think it is called) test. I opened my eyes and I turned 90 degrees to the right. I definitely have a balance problem. I have been dizzy for three weeks now. The doctors are saying it is vertigo. I have multiple appointments next week for MRI, inner ear, and sinus scans. I have my cardiologist appointment tomorrow.
I hope vertigo treatment helps you with your balance and dizziness. Please comment back with an update after you've had some treatment.
Hope you are OK. I have had this for 3 weeks it's so scary doctors appointment tomorrow x
About two or three years ago my anxiety got really bad but I could manage it. The weird thing is that my nose and ears would clog when it was reaslly bad. The more I fought it and or controlled it the more my ears and nose or sinus would clog like as I had a cold. Anyway fast forward to about 6 months ago I started to get vertigo pretty bad and yes the first symptom Gordon explained actually gave me comfort because I was starting to think I may have a tumor. Still going to get an mri or scan but I am pretty sure it is bppv sigh.
Hi, Don! With any luck, it is BPPV, and you can find someone to treat it quickly! I have a family member who also gets similar symptoms when he's stressed and feeling anxious. It just goes to show how much stress and anxiety can throw off your entire system. He ended up also having mold poisoning, and the detox treatments he's been doing have been life changing! (He's doing IV glutathione, among other natural remedies). Good luck!
How are you now? What was the diagnosis?
I’ve had classic head back bppv for 35 years now. I avoid it by never putting my head back to a horizontal position. It started after a severe ear infection with pus that had to be drained from my middle ear. You said the bppv lasts only a few minutes. But there is nausea that lasts 24 hours even after the vertigo stops.
If you're vertigo is caused by a previous ear infection, it won't follow the same patterns as BPPV. Even with classic BPPV, the nausea can definitely last 24 hours.
Ughh..I couldn't imagine. So sorry to hear you've been dealing with that for that length of time. Praying that you find something that fixes it someday. 🙏🏼
I wonder why your vertigo would last so long after your prior ear infection?
@@MotoMatt418 Because the ear infection is what dislodged the crystals. So even after the infection was healed the crystals are still in the canal. It's classic BPPV. It won't go away until the crystals are dissolved or moved out of the canal.
@@ScotteeBates49 Hey I appreciate the kind words. Fortunately though it is seldom a problem because I know how to avoid the position that triggers it. Really the only activity I cannot do any more is to work under the dashboard of my car. I am a mechanic and was able to modify my creeper with extra padding so it keeps my head elevated under the car. The only other time it happens is in the dentist chair if they lean me too far back.
I believe I have bppv horizontal in right ear. Unfortunately I think I also have cervical dizziness from poor posture. Upper back & both shoulders pain. Been to chiro for c1 c 2. Now going to doctor for right ear.
Yes mine is the horizontal canal…I’ve had this happen before and it was an electrolyte issue. I just rolled over to my other side while sleeping when I felt dizzy which woke me up… I’ve been up now for a while because my stomach started to hurt, I got cold and started not not feel good…I had a concussion three years ago then a couple years later (last year) I barely hit my head inside my vehicle while cleaning the back out and got a super migraine from that little bump … I just took an electrolyte because I’ve been detoxing off sugar and I noticed that sometimes when I’m toxic I have to go potty and once those toxins are out I feel better (dizziness goes away). My mom was diagnosed with Ménière’s disease several years ago and sometimes it will keep her down for days…I can’t even imagine feeling like this for days on end…recently my older brother had an episode of dizziness and the eye twitching and saw a doctor who fixed his issue then it happened again to him…and he had to go back to the doctor who fixed it again. I don’t want to follow in my family’s foot steps so I’m working on getting healthy now. Thanks for the video.
Thank you for your comments! I didn't know this until recently, but there are PTs who specialize in concussion treatments, including "Post Concussive Syndrome". If you're still having those migraines with very minor things, you might try to find one of these PTs. Keep up the good work with improving your health!
@@GordonPhysicalTherapy thank you I may look into this. Currently I start hyperbaric chamber treatments and it’s been interesting.
I had my first attack in the middle of the night in 2012. Thought it was blood pressure, called the paramedics. Did some research and discovered it was bbpv. Did the epley manoeuvre at home and sorted it. Came back a month later, sorted. It's now 2023 and I've got another bought. The best advice I can offer you is do the epley when your ready for bed. Then sleep on your good side without turning over. Keep your head vertical the next day. And you might need to repeat it, but only once in 24 hours!!
One more piece of advice: make sure you've done the Dix-Halpike and Supine Roll Tests to make sure you're treating the correct side with the correct maneuver (Epley for posterior canal, which is most common, and Gufoni for horizontal canal). Thanks for sharing your advice!
Would never do epley on myself. You don’t want those crystals going in wrong canal.
My first experience with vertigo happened in bed while I was sleeping, I turned in my sleep and got the worse dizziness I have ever had, I feel from my bed down to the floor and when I tried to see, everything was just spinning and also feeling like I wanted to throw up. I did the eply thing, that helped for a while, but now I get it laying flat and also moving my head back/forward. One thing that I have notice is that when I get anxiety attacks, that trigger the vertigo. At this point I don't know what to do about it, doctor's just confirm, yes you have vertigo and tell me to do the eply thing, but that doesn't work with the back/forward thing. I have had this problem now for over ten years. Sorry for the rambling.
I'm wondering if you have horizontal canal BPPV instead of posterior canal... Has anyone checked you for that?
@@GordonPhysicalTherapy Sorry for late response. No, the "only" thing they did was some small test to see if I had something wrong with my brain, Babinski reflex and other reflexes. Every thing was fine regarding that. I don't live in the US, but when I try to find something that might help me I turned to search US. I live in Sweden by the way.
I have had vertigo issue that is something like Ménière's disease but not quite. Hearing loss in the left ear, with tinnitus, in both for as long as I can remember and a history of ear infections as a kid. Had both positional tests and I reacted opposite of what I should have (eye movement) but we never found a cause. Went with a low salt diet and working with a dietician and it has worked well but I still have bouts.
Mine come on usually when my left ear goes numb and I know something is up. Recently, I found I can take Meclazine/Promethazine quickly, then it will pass by the next morning and I won't have a full blown attack (big time motion sickness/vomiting, can't walk in a straight line etc...).
I NEVER got motion sickness before - not once, not ever - loved stuff at amusement parks that made me dizzy - never got sick. This hit me after I turned 54 or so and it was sudden. First attack I could not even watch TV as the movement on the screen caused me more problems. Could not close my eyes, put my head down or back, and basically the only way I could see where I was going was to move my eyes - only my eyes. If I turned my head - bad, bad, bad.
Thank you for sharing your story, as well as your tips with the low salt diet and using the anti-nausea meds to prevent full-blown episodes. I hope your story helps others!
Yep! That’s me!
I hope you're able to get some help treating it!
mine was from covid and a subluxation as well, so I'm getting nucca adjustments along with vestibular therapy
Glad to hear you're getting the therapy you need! Upper cervical chiropractic care (like Nucca) can be very helpful!
I just started having issues with vertigo about 3 days ago. From the symptoms you describe it almost certainly seems like BPPV. The only outlier is that the very first day it happened it started with getting out of bed and seemed limited to horizontal to vertical orientation changes. However the most severe reaction I had was when lying on the ground that evening while changing oil on my car and I rolled over from stomach to my back. OMG the world started spinning and I felt like I was going to fall off!!
Since then the symptoms seem to have shifted to becoming more prevalent and less severe. I am feeling slightly dizzy when doing things like bending over and even when driving and coming to a stop at a red light. I have not had a severe dizzy spell in the last 2 days. I have not tried any of the exercises yet, since it is late right now and I am winding down for bed.
I would definitely test for BPPV and treat as able. Good luck!
Thank you for this video. I’ve been having symptoms of this off and on for 5 years. In between severe episodes I occasionally get a random bout that’s not as debilitating. After my first really bad episode I went to physical therapy where they did the Epley maneuver to fix it and it helped right away pretty dramatically although it took awhile for me to feel completely steady on my feet. A week ago I got my second severe attack and proceeded with the Epley maneuver at home. It seemed to help some but not completely. If I tilt my head back or tip to the right I get that sudden feeling like I’m going to fall, lose my balance, and get dizzy. I went back to physical therapy and she did the Epley on me and I’m still doing it at home but I’m still getting symptoms if I I tilt back or tip my head to the right. I also can’t lay back in bed and have to sleep on my left side.
It sounds like you're doing the treatment correctly but might need to keep going. And make sure that your posterior canal BPPV hasn't switched to horizontal canal.
I've had MS 53 year's, vertigo 24/7 last 25. My vestibular nerve is being destroyed.. Ask your doctor for scopolamine dermal patches, they at least help with dizziness and nausea.
I had vertigo this past week "Benign positional vertigo (BPV)". dizziness when lying down of getting up. I was worried about all the things it could be but I booked an appointment with a Chiropractor expecting it to be back or neck related. Turns out it was an inner ear issue. He moved me into various positions twice and this corrected the position of the inner ear crystals. The dizziness has now gone away.
That's great to hear!
can i ask, did it also feel like u were in a boat? like u went left to right? i have that and im kinda worried it might be something serious..
Thanks for the video and explanation. How long should you do the epley maneuver before you can expect it to work?
For some people, it works on the first round, and for others it takes longer. I have a video explaining how to navigate your question: th-cam.com/video/O_oynBCaKBI/w-d-xo.html. I hope that helps!
Hi Gordon, I have a question. I have easily gotten motion sickness since I was a child when riding in cars (I’m 24 now), but now I seem to be having that same motion sickness almost constantly throughout the day. It gets much worse with certain movements such as looking up or just moving around the house a lot. Does this still sound like BPPV even though it’s now becoming constant? This more severe vertigo also started after I got my 2nd vaccine, but not sure if it has anything to do with that as my vertigo seemed to be getting progressively worse anyway. Thanks!
WOW gotta thank Internet. I been having motion sickness throughout the day too now after my booster shot though. I see you commented on this 9 months ago. What did you do to get better?
Same same same
Me too, been going on for months, so debilitating - also kicked in after 2nd vac but I did have ear infection and my eardrum perforated, which made it so much worse
FYI . . . I ended up with BPPV after a rough 2 week bout of fighting COVID. Saw in references that 1 in 5 with COVID can have symptoms of vertigo. Had not known that before I experienced it!
Excellent question! Vertigo and dizziness are very common reports after COVID and the COVID shots. I actually made a video about it recently. You still have to figure out if you have BPPV or some type of inflammatory reaction to the shot... Did you have any luck with treatment, Jerry?
Yeah, it seems I have this especially when I roll out the bed or tilt my head up (which is difficult because I have eye drop medication I need to take every 2 hours).
Definitely sounds like BPPV! Make sure you test before you treat it so you know which side is involved (as well as posterior vs. horizontal canal).
I had vertigo and thought this was the problem. I would have severe dizziness and vomiting. Little did I know low sodium in bloodwork can have the same symptoms. After having surgery, not for this, I was seen by an Infectious Disease doctor. I had what I thought was a vertigo attack. He treated me for low sodium and I have not had a problem since. Make sure to get checked out by a doctor if you think you have vertigo.
Excellent input! Thank you, Wendy!
Look up, half summersault exercise, look at the video a few times before trying. When i did it, all was spinning, stayed in the position till it stopped then continued, took me a few tries for a few days, it made it more manageable, one thing, never sleep on my side, only on my back, if i do it triggers.
Thanks for the tip!
It might have triggered mine. I usually sleep on my back, but lately started sleeping on my good side, I rolled over in bed this morning, and bam, vertigo.
I’ve experienced similar symptoms while driving but I’ve been experiencing them more frequently when laying down on my back at night with my head tilted as if I’m looking at my phone while laying down. Seems like it’s been getting worse. Use to happen every now and then now it’s about every night🤦🏽♀️
Sounds like you might have BPPV! Have you done any of the home tests yet or had any treatment?
Gordon, I hesitate to write this as i might jinx myself. I was haunted by vertigo. It would put me on the floor with no thought of place or time. Terrible. My GP referred me to a TP. He was moving my head and neck about. I asked why and he said that there was a school of thought that blood flow to the brain could be a factor. I accepted that as true and that day began running. Not to far but i always finished with a kick so my head would turn red from the effort. I had one vertigo episode thereafter but it has now been about 5 yrs of no vertigo....but i continue to run modest, but with effort, distances. I'm knocking wood, and maybe, just maybe, someone else will benefit from my experiment. Thanks for recognizing how debilitating vertigo is.
Thank you for sharing your story! I'm wondering if your PT was doing "craniosacral" treatments with you... does that sounds familiar?
@@GordonPhysicalTherapy I will find out next week and let you know.
@billgrewe8340 ...aaaaaaaaand? some folks with TBIs would ask you to plz still share!
l have had this for one month now, Doctor perscribed tranquilizers, no good, Serc, no good and today he perscribed Stugeron 75mg. Starting it tonight. It is to make the blood flow easier to the head! keeping my fingers crossed.
I have had severe vertigo symptoms for about four years. Doctors haven’t been able to find what’s wrong, which is frustrating. Because I’ve had other health issues for two years I haven’t been Back to see the doctor about it.
Thank you so much for this comprehensive explanation🙏 Now I know that my vertigo is not BPPV. I can't anticipate and it doesn't cause me nausea. It is also not positional; my vertigo can occur while I'm still. Do you have any idea about what type my vertigo is? When I was a toddler I used to have severe earaches that I couldn't sleep at night crying my eyes out. After that age I seldom suffered from earache until present.
If you've had ear infections in the past, that might be the cause of your vertigo. Have you seen an ENT yet for detailed testing?
@@GordonPhysicalTherapy Yes, I had. They assumed that my allergy to humidity and pollution is the cause behind my ear infection since I can't breath correctly from my nose. I haven't visited a doctor for my vertigo yet, I thought I had to see a neurologist. Fortunately that I watched your video, I'll see an ENT first. Thank you so much for your advice, doctor🙏
I think so accidentally gave myself BPPV when I tried to do a stretch to release tension in my back. I saw it in a video and it was this thing of putting a pillow on the bed and hanging over it. Tried it and ever since I keep getting bouts of vertigo. It’s only been a few days, but it’s so tiring.
Sounds like BPPV! Have you been able to get rid of it?
This sounds like what I have. I recently hit my head a few times snowboarding over Christmas vacation. Just yesterday I went to the emergency room because I was so nauseous and dizzy. But it lasted for a few hours.
Hi, Holly. I hope you're doing better now. You also want to be careful that you're not dealing with a concussion. Are you doing better now?
This was very helpful. How do tell the difference between BPPV and something like Meniere's?
Great question, Seth! There are a few differences in symptoms: with Meniere's, you often have ringing in the ears, while there's no auditory component with BPPV. Also, BPPV is much more positional, meaning that you get a sudden wave of vertigo with certain head movements, whereas Meniere's can cause vertigo even when just sitting still. I hope that helps!
@@GordonPhysicalTherapy thanks, yes it does!
I heard, that if you sneeze, violently, it can cause BPPV. Reason being, I sometime sneeze violently and then for the next month, have BPPV (usually getting out bed) exactly as described in the video (just for 5 seconds) until I stand up.
Violent sneezing could certainly dislodge the little crystals in your inner ear. If it ever worsens, get help quickly!
Hi Gordon thanks for the video, I had a vertigo attack recently and have a few questions: 1. I was going to physical therapy for posture correction and was told to do exercises by bending my head backwards a lot….many sets. Then, I went to the dentist and spent maybe 2.5 hours in a chair with lots of drilling. Few days after I woke up with really bad spinning. could bending backward exercises coupled with dentistry have dislocated my ear crystals ?
2. I did some BPPV exercises and it went away, but several days later I developed nausea and it has been a second week where I still have nausea but my head is not spinning anymore. Also I feel like it affects my right eye, like it becomes blurry and weird feeling. Is it still BPPV or should I be concerned that it can be something else? Thanks so much 🙏
Avoid to bend your head backwards....it can lead your crystal dislocated.
I had a super bad vertigo attack during the night after having had about 3.5 hours of dental work done that day. I was tilted back in the chair for much of it, with my head turned to either side. I read up on it and apparently vertigo after dental work (either due to the position or due to novacaine) is pretty common. You can let your dentist know you have an issue and they can sometimes work around it. Not sure if that's your situation, just sharing what I learned. Hope you feel better!
Yes, it's very possible that your neck extension exercises and your visit to the dentist caused BPPV. Have you had any luck treating it yet?
Good advice!
Absolutely! Thank you for sharing!
If its Meniere disease which i was diagnosed with, besides vertigo you will be feeling dizziness, ringing in the ear and tinnitus all time. Feeling you are on a boat and always careful how you move your head.
That's correct! Thank you for sharing!
Hi Mr. Gordon,
I have had intermittent reoccurring bouts of extreme vertigo for about ten years. They began when I was 12 and have continued to the present (I am now 23). The nature of the episodes has flummoxed every doctor I have seen and so far I have found no explanation or prognosis. I will wake up in the middle of the night with immediate intense vertigo (e.i. it feels like the world is upside down then right-side up and will continue to spin). This will last for 15 to 30 seconds at which time the world appears to steady itself. After this, I will experience dizziness, that severely worsens with any movement, and extreme nausea. These symptoms usually last for six to ten hours and I will sometimes vomit up to six times. Either symptoms will steady after this period of time (i.e. only slightly dizzy and no imminent threat of vomiting) or I will fall asleep after 3 to 4 hours and after I wake up I feel better. I will feel ill for the rest of the day and slight dizziness may persist for a couple days. My neck also tends to feel rather tight but this may be a result of lying or sitting in awkward positions after the initial acute vertigo to try and avoid making dizziness worse or to prevent vomiting. I have seen an ENT who performed the epley but these episodes persisted. I have also seen doctor who specializes in dizziness and vertigo who performed multiple tests to determine wether the symptoms were caused by BPPV. All the tests were negative (indicated no BPPV). There are a few more factors. Not every episode is the same. Some are much worse while others produce less severe vertigo and no vomiting after which I will fall asleep with in a few hours. Also, these have only occurred while sleeping. When episodes first began they would happen once every other month. At its worst it would happen once a month. When I was 19 I had a severe episode but after that I had only a handful of very minor episodes for nearly 3 years. However, a couple of nights ago I had one of my worst ever. I also have a number of other debilitating neurological symptoms (which occur with no dizziness at all) which so far have been unexplained and resistant to any treatment. Because of the unusual nature of my symptoms I have been treated by many integrative medicine and traditional medicine doctors for Lyme disease. I noticed that often after starting a new antibiotic or a new treatment an episode would occur 48 hours or 2 nights after starting the treatment (maybe coincidence but was a pretty regular phenomenon). Also, the day before the last episode I took one beet root powder capsule, which I have taken regularly in the past without any adverse effects. This has made me think that perhaps the episodes are caused by severe sleep related hypotension (I am aware bp normally drops during sleep). Do you think this may be BPPV or is there another potential cause?
I'm sorry to hear how badly this has affected your life. Based on what you said, I'm guessing you don't have BPPV, as your symptoms are much less predictable and don't follow the typical BPPV pattern. I'm not really sure why things are so bad at night, but I have some ideas for you. First idea: have you working with an "upper cervical specialist" chiropractor yet? If not, I would definitely try to find one in your area and see if they can help. Second idea: have you ever tried an anti-inflammatory diet or an "elimination diet"? If not, I think that's worth a try too, just in cause there are a couple foods in your system that your body doesn't agree with. I'm sorry I can't give you a more definitive diagnosis, but those are the two things I would try if I were in your situation. Please keep me posted on how things go. You can also email me at Luke@GordonPhysicalTherapy.com if you'd prefer. Good luck!
Please see a neurologist, there are so many things this could be and none of them are good.
I’ve had vertigo for decades. The very worst bout was a couple of months ago. It was so bad and constant, I literally only got out of bed when I really really had to pee. Couldn’t even make it into the kitchen. It lasted full strength the entire day, was still lingering, but at a diminished strength the next two days.
What did you do to get rid of it?
@@GordonPhysicalTherapy nothing. Just slept as much as I could. Most of the time, sleeping for a couple of hours helps. Not that day…
I’m short (just under 5’ tall). Looking up at the tallest shelf at the grocery store triggers bouts. Fun stuff…
Yeah, not so fun!
I recently started dealing with this. I believe it’s because of my CPAP machine. I have tried many exercises and it improves a little, but it always comes back
Have you checked for what type of vertigo you have with the Dix Halpike test and/or the Supine Roll Test?
My vertigo was from tense muscles in back of my shoulder, was bedridden 3 days sever dizziness and head spun when I rolled on my other side. My mate came and slapped it with big stick for half an hour came good then!
Tension in the neck and upper back/shoulder muscles can definitely cause vertigo. Glad you were able to get some relief!
I can't sleep on my side, if I do I wake up with vertigo.
You most likely have BPPV then.
its been about 8 months since ive been feeling like this ( my parents wont take me to get checked ), but ive been having vertigo like symptoms since feburary. the big thing ive noticed of those symptoms is that my head spins and i get lightheaded when i face forward or even look down slightly? its sometimes accompanied with ringing in my left ear ( plus other ringingesc sounding noises in my ear all the time ) if im looking down for even a few minutes, its been affecting my focus in class because i feel so terrible and just want to lay down. ive also felt as if im always rocking or wobbling if im sitting up, all these things happening gives me a headache about every other dayish. are these related or possibly bppv?
Yes, it's possible you have BPPV. With the ringing in your ears, you might also be dealing with Meniere's Disease. Have you tried the Dix-Halpike to check for BPPV?
Yes
I'm more worried why your parents won't take you to be checked
@@imlab223 heya! i did infact get a visit to the doctor back in december. they didn’t diagnose anything because my dad talked for me and i didn’t get to mention the rest of my symptoms, but they clear out wax out of my left ear and it had a lot, still needing to go back and get it cleaned more but waiting on my dad to book another appointment. even after clearing out some of my ear, i’m still experiencing the same symptoms. i am unsure if it’s because there’s still wax or if it’s something else
Maybe check in with the school nurse or counselor. Im dealing with vertigo for the past 2.5 weeks. There is NO way I could be going to school feeling like this.
I started getting vertigo a few days before coming down with covid. Got over covid okay, but vertigo is back.
Yeah... lots of people reporting the same thing... I made a video about the topic of COVID causing vertigo: th-cam.com/video/-fbDnzC1MzE/w-d-xo.html
My vision rotates clockwise and jumps back immediately and the attacks last a good 30 seconds to a minute. It almost looks like I'm putting my ear to my shoulder then snapping my head back in a split second. It happened while I was looking my kitten in the eyes, I was on my bed he was on the floor so I had to look down quite a bit. This happened a lot back in summer of 2020 but it lasted upwards of 5 minutes and at some point it just stopped until not too long ago. Only time I can think of my head being hit really hard is when I took a mean ass beating bro punched me at least 50 times in those 30 seconds and I was still standing after somehow. That was one year before this started happening also
If I could put vids in comments like it's Facebook I'd show what it looks like
Sorry for my late reply! Are you still having vertigo? Or were you able to get treatment and resolve it?
Thank you for giving us these valuable informations. Can bppv go it's own?
You're welcome, Mohammad! BPPV can go away on it's own, but it's rare. For most people, it sticks around until they've had it treated (typically with the Epley Maneuver). How long have you been dealing with it? And have you tried any types of treatment yet?
@@GordonPhysicalTherapy my bppv age is10 days. I tried
Ur method and I am feeling some improvement .I have one question if this eply not work then what will happen. Will bppv remain with me all of my life ?
@@mohammadjaved6628 thank you for those details. In order to make sure the Epley Maneuver is the right treatment option, you need to make sure you have "posterior canal BPPV", which is the most common type of BPPV. Here's a link to the video I made to test for this type of BPPV using the "Dix-Halpike Test": th-cam.com/video/vTX0VMO28qs/w-d-xo.html
If you do have posterior canal BPPV, the Epley should work for you. However, it often times will take several attempts of the Epley to really improve the vertigo.
How many repetitions of the Epley have you done so far?
@@GordonPhysicalTherapy Iam very thankful to u my bppv disappear and I am100percent OK God bless u i did it 3,4 time.please will you like to tell me what should i do to not happen bppv again in my life
@@mohammadjaved6628 That's great that your BPPV is now gone! With any luck, it won't be an issue again in the future, especially if you're relatively young...
Here are some tips for keeping it from coming back: th-cam.com/video/0ybxppVqtbM/w-d-xo.html
Let me know if you have any questions!
I get it when I bend my head back if it gets too bad I start shaking
That's not good... have you been checked for BPPV yet?
Omg this is the wooorst. I had a really bad cold/head congestion that was messing with my ears and once that resolved I rolled over in bed and everything started spinning, like my eyes are having a seizure too. Threw up nonstop and felt sick all day. Tried the different methods for solving this, like the Epley method, and it’s too disorienting. I don’t understanding how one is supposed to hold a pose for 30 seconds that makes you spin and vomit. Once I begin the procedure I end it as soon as I spin and take a motion sickness pill. I hate this!
I'm sorry to hear this has been so hard on you! I hope you can get some help soon!
Hi dr. I have MS and chronic vertigo snce covid last year. Had bppv prior but no one diagnosed it. My dizziness made me end up in a wheelchair. I cant sit up straight or even take a few steps im dizzy 24 7. Everytine i thnk its an attack of ms i would take steroids and that would worsen the case so i kept catching infections and took loads of antibiotics to the point i got extreme fatigue and cant walk. K recently got a severe inner ear infection whch triggered bppv and its been 3 weeks 2 rounds of antibiotic and it wont go away. I cant do any maneuevers because i get severe panic attacks and vomit with seizures. Im wearing a cervical pillow till the infection subsides and hoping bppv will go once the infection is over. Can j llz gve ur thoughts on how to manage it without epley im not allowed to do any repositioning as per my neuro. I relapsed last time and the attack caused tremors in my hands and my legs weakened. Theres noway i want to do any maneuver. There must be away to cobtrol it. The dizziness is on all sides is it because of the high infection? Shouldnt it subside after the infection goes?
This seems to describe my symptoms except im unsure if the symptoms are supposed to be persistent. I have been getting this experience where its sometimes feels like im spinning violently. Or maybe like im in free fall like the sensation you get going down a rollercoaster. Or like im losing consciousness like the feeling you get when you're nodding off to sleep and your head falls and you wake up suddenly. All these things could sort of describe my experience except they only last for a fraction of a second and then pass. Though within an hour I could have these transient symptoms many times. When I think of vertigo I think of persistent feelings of spinning but mine are very brief. I will feel good for weeks and then I will have consecutive days where this occurs at different times throughout the day.
Those are interesting symptoms, Josiah, and not typically what I hear from people with BPPV... you might want to see your doctor and possibly request a referral to an ENT or neurologist for some additional testing.
Doc what if I am about to sit to my pc going left, i got dizzy suddenly, went to lie down closed my eyes, dizzy stop a little bit then few moments then started again, then stop. Maybe that is under a minute or a little more. Then 3 days after that, and by the way those 3 days i feel off balance, so after 3 days i am at work then i went to do half spin to my left side to get something then i started this extreme sensation dizzines or spinning extreme than the 3 days ago i went to staff room and sit,the vision of my eyes is like kicking going right i cant center it, so i closed my eyes and then it stop. This is mostly likely 30 seconds much shorter than the first, do you think that is bppv? Thanks. After that 17 days ago i am still off balance no more dizzy left or right. Just off balance. If i sit or lie down no like dizzy feeling, but started walking looking left amd right going bend down, its not dizzy but its off? I am getting depressed now. My doctor appointment is this coming wed. Ps. I have ringing in my ears since i was like 15 years old i am 33 now. I have the experience of spinning when i was 12 yrs old i think. And just now it came back. I hope you can answer me. Thanks.
With the ringing in the ears, I'm wondering if you have Meniere's Disease, which can cause vertigo and feeling unsteady. Have you done any of the positional tests yet and had someone watch your eyes for nystagmus (Dix-Halpike Test and Supine Roll Test)?
@@GordonPhysicalTherapy no test has been done. I just talked to a doctor through phone. He just gave me a banderoff manuever, i did that and somtimes it get worse, so i went to epley manuever with my left ear because i think thats the problem. Epley give some relief, but the unsteadiness is still here its been 3 weeks already from the vertigo attack. By i am saying some relief in epley, after epley it gives me some sense of more clarity and focus. Its just this wobly feeling still there, i dont know if this is vertigo residual or something else. Thanks for reply.
I get vertigo after getting CoVid 19 4 months ago.
They are sudden but not as intense as at the onset.
I made a video about that too, as many people report getting vertigo after COVID...
Very informative video. Just one question. Can this be related to aerobics or HIIT exercises? I started having these exact symptoms few months after incorporating intense cardio and strength training in my routine. Gets better for a few months and comes back out of nowhere.
Intense exercise can cause BPPV at times, especially if you're moving your head around quite a bit. Have you tried the Dix-Halpike or Supine Roll Tests yet?
That’s a thread I’m considering. Lately I’ve been incorporating work-out bands .. and trying to strengthen my neck. That may be the cause of my BPPV. Thanks !!
My bppv comes on only in bed, thank goodness never in public or driving etc. It first hit me in 2017 after a short plane trip, no fall etc. Whenever i wake up with it, it's always my right ear/side that is affected. I do the Epley manoeuvre straight away which i hate but know its going to fix it. My big tip is close your eyes when that crazy spinning happens in those first 30 seconds or so, helps not to feel so yuck
Glad you're able to treat it with the Epley! Thank you for your tip :-)
Mine was sudden-onset last week. Severe dizziness with some vomiting. Just spent 3 days in the hospital, with several CAT scans ruling out stroke. Still have the equilibrium problem but it's down to a 2 or 3 on the scale of 0 to 10. They proscribed left epley maneuver. Hope this isn't permanent; can't drive and need a Walker for safe mobility. 😓
I'm really sorry to hear that! Did the Epley Maneuver help? Are you doing better now?
Just watch with colds or sinusitis. It may return. Take anti nausea meds & antihistamine - works for me. . 5 years now. Comes and goes. I was in hospital 5 days with nystagmus vomiting couldn’t move my head side to side etc. Hope you learn to manage it
it is horrible. yrs. ago could not work or drive. walker by bed at night. finally had ent dr do manuver. good for yrs. taught my hubby how to do and he fixes if necessary.
@@narellesmith7932you are right after a cold infection my dizinesss and imbalance spiked a lot. Taking homeo some what ok allopathy says it bppv and homeo says its menieres have constant tinittus and imbalance and diziness since nov 2021
Hi, I know this post is 9monthe old now, but I've just had exactly this, 7 days spent in the stroke unit with severe dizziness, vomiting for 24 hours plus paralysis to my legs & head & torso ,loss of speech too, cat scans & MRI ruled out a brain bleed/ strike thou all symptoms & treatment exactly the same , slowly trying to walk again whilst speech has improved,
Have you made a good recovery ? If so how long, as I'm trying to gauge when I'll be up and back to normality etc
It's been 4 weeks now since the initial attack whilst asleep
Any info would be greatly appreciated
Thank you for this informative video! I just experienced this awful condition this past Tuesday evening and it was horrific. Went to the Emergency Department on Thanksgiving night because it just won’t go away. Tried the Epley maneuver at home but too frightening to do alone. The ED doc avoided it because he said it never works. Will see ENT next week. I am also dehydrated. Just increased my Vitamin D supplementation and added ginko biloba to my nutritional plan. Btw, Meclizine puts me in a coma. Can handle upright positions okay but turning the head especially when lying down is deadly. Wicked aggressive nystagmus and spinning sensation. Ty for sharing your knowledge. I pray to be healed from this. 🤍
I hope you can get treatment soon! That's weird that the ER doc says the Epley doesn't work... I wonder where that comment came from. When it comes to treatment, make sure you use the Epley for posterior canal BPPV and the Gufoni for horizontal canal BPPV. Find a good PT who can help!
@@GordonPhysicalTherapy thank you very much! The ED doc did not distinguish between posterior or horizontal canals or the types of maneuvers or even that I had BPPV. He kept it generalized and diagnosed me with dizziness. I reached out to the ENT referral he gave me and that was a dead end. Maybe I will seek out PT Services instead, as you suggested. Tyvm
I have a question, once the crystal comes loose and you have your first vertigo episode, will it ever go back on its own? Or do you have to do the epley maneuver to get it back into place?
I had my first episode 13 years ago, like you said out of the blue doing a yoga class. Since then tilting head back or forward gave me the 30 seconds off balance thing or laying on my right side or with no pillow. About a month ago I had another episode laying in bed, I think I turned to my right.
Both episodes lasted a few hours with vomiting, but the next day, I was able to work.
I am so reluctant to do it and vomit, that world spinning feeling is the worst!
Thank you in advance.
Appreciate your content.
Sometimes BPPV will resolve on its own, but it's not very common. Most of the time, your best route is to diagnose and treat it as soon as you can.
It started for me this morning as i was laying in bed with my head tilted to the side. And suddenly everything felt like it was spinning like crazy. Its been phasing its way back in now at night but its a lot more drawn out and not as intense.
I hope you're able to treat it!
hello Gordon, thank you for explaining BPPV in detail. I am having this dizziness and left ear block but my dizziness just doesn't stop it is just continuous and started a week ago. everytime I walk I stand I sit I get dizzy.. did consult my doctor he did say it was BPPV though. Please help
What you're describing doesn't sound like BPPV... are you able to see an ENT or a PT that specializes in vertigo?
Thank you for replying back.. since i am in London not sure if they have any but il check with the A and E today
Since my left year seems like it is blocked.. and i do have mild phlem, could this be labyrinthitis
Great video !, could it also be that drop attacks(otolithic crisis of tumarkin) are a symptom of bppv ?, i had a drop attack yesterday when i was eating on a glass table and and i fell from the chair and shattered the table, thankfully the table was good quality and didnt leave huge and sharp pieces of glass, otherwise i would have been sleeping in a pool of blood, i’m bilateral menieres, and it seems to intesify whenever the weather gets cold or i get flu or cold, sorry the for long paragraph but what do you suggest me do as I’m honestly tired of the doctors continuously prescribing me betahistine which is useless (atleast in my experience), i have menieres in my left ear since i was 11 and then my right ear 20 or 19, and im 24 years old now, Thank you !
I'm sorry to hear about that! Drop attacks aren't usually associated with BPPV, but it's possible that you have both things going on. It never hurts to test for BPPV, even just to rule it out.
I have this from a chiropractic adjustment
That can happen...
I think I have the first one. My attacks comes out out of no where. Everything to me moves up and down and my balance is off. However, I know it lasts for hours. I do have tinnitus with moderate hearing lost
That might not be BPPV then, especially if your vertigo comes on randomly and lasts for hours.
@GordonPhysicalTherapy Thanks, I know now that it's time to find a new neurologist. I have been telling her could it be my medication , especially Trileptal. She doesn't answer my question.
Hello, my initial symptoms 3 years ago was that i felt dizzy if I kept looking down in the kitchen for long time cutting vegetables or while looking down while having a meal. Last year I had kept my head back for few hours during a prolonged meeting and my head started spinning, the surroundings did not spin but I felt that I was moving and my symptoms have not fully gone yet..Still have residual light headedness and I also have a feeling always that my ears are filled with liquid. Rarely tinnitus symptoms but I get it few times in one ear and I get pain behind that ear if I work with my laptop for more time. Should I go to my ENT or Vestibular PT for this?
I would probably go to the ENT first and see if they can help with the diagnosis. It doesn't sound like BPPV to me.
About a year ago I was moving and I was setting up my bed and I had the bed frame fall on my head.. I didn’t really pay much attention to it.. fast forward to February I started feeling dizzy and off balance I would walk and I felt as if I was leaning towards my right side and now whenever I do move my head to the right I have this weird and scary sensation on my right side feel sad if it’s in my head but who knows I was told it’s BPPV and I start physical therapy in May so I live day by day in fear I don’t like going out bcus I am scared to fall or pass out.. what is your opinion and do you think it’s BPPV?
I'm not sure if you have BPPV... you might have some concussion issues or Post-Concussive Syndrome. When you start PT, you might ask your therapist if they know how to help with concussion symptoms as well. Please let me know how it goes and if you do indeed have BPPV. Good luck!
my name is Natali and on April 9, 2022, I had my first vertigo attack and have not been the same since. I have seen multiple doctors (neurologist, ENT, optometrist, ophthalmologist, otologist, and cardiologist) and no one could give me answers for my chronic dizziness. I was originally told that it was BPPV because I had nystagmus however that resolved and the dizziness still remained. Could it be possible that I still have BPPV? I also got a VNG test that showed I had bilateral ear weakness and moderate hearing loss in my right ear. I was sent home and was told to do vestibular rehabilitation exercises at home but they have made my dizziness worse and it has been 6 long months of doing them with zero improvements.
I am really desperate for any advice that you think could help me. I constantly feel like I'm on a boat and always feel lightheaded. As a result of all of this, it has caused me a lot of anxiety and I no longer go out. Grocery stores and malls really trigger me and I'm starting to lose all hope.
Watch a video on the Carol Foster method. It's done wonders for tons of ppl including me
Have you heard of Vestibular Migraine and PPPD?
@@phyllisdavis3403 I have, I got diagnosed with VM last month
I'm sorry for my late response, Natali! Have you had any luck with treatment lately? Also, what's your plan for addressing the VM?
I have been having vertigo for over 13 years now.but it was short ones lasting between 2 to 5 minutes. And it used to be normal. But suddenly yesterday night i started getting thos weird sensation like m bout to fall or whenever i moved my head everything moved.got nausea and vomited which i seldome do thrice.it's been 15 hours since then whenever i get up ot happens,whenever i move my head it happens.went to see ent doc.she told me it was bppv and will go away itself. Gave me pills because i vomited.feeling like dying right now.everything moves.cant go out can't do anything. Afraid to eat because i throw everything up..this is literally nightmare..
That sounds horrible! BPPV rarely goes away on its own, so if you're still having vertigo, try to get some help from a trained PT in your area! Good luck!
I just had vertigo for the first time, freaky shit when you have no clue whats going on. Everything pointed to BBPV but the doctor doing the epley maneuvre had no affect. Did CTE scan and right now thats the diagnosis. Position changes, yes. This movement while laying down causes room to spin.
no mention of cervicogenic vertigo anywhere in the vid or comments. it would be good to explain the differences in symptoms as I'm not convinced I have BPPV...
I agree! I still need to make that video... thanks for the reminder!
I’ve seen a physical therapist who said my history sounds like BPPV but the Dix-Hallpike was negative. I had an episode in the appointment but didn’t have nystagmus but the therapist said my history is consistent with BPPV and didn’t know what else to suggest. I’ve tried Brandt-Daroff for a week and Epley once a night for 3 nights. Also tried half somersault and had an episode after each try. What do I do?
How are you now?
My friend you need to go to a vestibular specialist they can tell where the dislodge crystals are and preform the proper maneuvers to fix it
Emily, the absence of visual nystagmus does not mean the Dix-Halpike test is negative. It sounds like you have BPPV. A good vestibular therapist should be able to help you get rid of it. How are you doing now? I'm sorry my reply is so late!
Absolutely! Work with a skilled vestibular therapist!
Was watching your video and u mentioned something about horizontal if this type of vertigo happens when turning over in bed. Can you please explain what you were referring to as this was not detailed in video. Ty
I explain horizontal canal BPPV in this video if you want to check it out: th-cam.com/video/gXhD1F9ZGdI/w-d-xo.html
Good morning. In the last 6 weeks, I’ve had several falls (left side), nausea, fullness in my left ear (no pain), headaches(not normal)and tingling (left arm). My vision is slightly blurry at a distance (not normal). I stayed in emergency last week, getting an MRI. It showed no stroke damage. Would the MRI show if any crystals have been dislodged? None of the physicians mentioned BPPV. Should I ask my primary care giver to check the MRI and refer me to both an ENT and PT? Thank you. Tami
Hi, Tami. Sorry to hear about all this! With all of your symptoms, I doubt that BPPV is the underlying cause, although you still could have BPPV, so it doesn't hurt to have it checked by an ENT or PT. Did you get referred to a neurologist by any chance?
Hi I first got vertigo when I was lying in my bed and it was very intense like you explained in the video. After about 1 week the constant vertigo feeling went away. A month later I got the symptoms again. This time it went away for a week but unfortunately came back and I’ve had constant vertigo symptoms for about 2 months now. Sometimes when I am lying down on my phone I get a really intense wave of it for about 10 seconds. But I constantly am having vertigo symptoms (which oddly seem to get worse around meal times). Does this sound like it could be BPPV? Any advice would be really appreciated whilst I am waiting to see an ENT specialist
No, this doesn't really sound like BPPV, but you can always do the positional tests to make sure (Dix-Halpike and Supine Roll Tests).
Mine gets worse after eating weirdly
My experience is feeling like I'm standing on a boat rocking on water. I feel off balance when I move my head up and down, side to side not so much. Is that still bppv and would the epely manuver help?
You might have some underlying BPPV, but what you're describing is more along the lines of "unsteadiness" or "vestibular hypofunction". I would try some vestibular exercises, such as gaze stabilization (or VOR X1 viewing). I made a video about these exercises not too long ago... let me know if you need me to post the link :-)
I should mention that I've been dealing with recurring dizziness for 5 months. Came on strong and constant in the beginning then settled down. Sometimes it goes away then comes back hits me randomly for a hour or a day then settles down. I did complete vestibular therapy but have reoccurring moments. Would I by chance not have BPPV but vestibular neuritis instead?
I’m pretty sure I have bppv and it’s been a year 😵💫 mine I think started after doing a somersault. I didn’t hit my head or anything but did come down hard on my shoulders. Bedtime is a nightmare and I get it bad both sides when I turn and of course sitting up is a nightmare. I was lucky and got some medicine that takes away the worst part of vertigo and leaves me just slightly dizzy (but no nystagmus or violent world spinning) it’s not fun and would love to have my life back
Definitely sounds like you have BPPV! If you haven't been able to treat it on your own, I recommend finding a PT in your area who specializes in treating vertigo so they can help you. Good luck!
@@GordonPhysicalTherapy thank you 😊 I will see if I can find one since it’s still very much here. I appreciate you getting back to me 👍
Yes mine is definitely sudden and comes with no appointment lol but is it possible to get it while you are walking and doing minimum head movement though I checked it does happen when my head moves but does this can happen while walking with minimum head movement? plus I have mild dizziness when I move my head but it's intense when I move my head too much too fast idk if it's this but feeling like it's this.going to ENT specialist soon.but this could have happened because of neck or sleeping posture idk I'm just curious😭
If you're having the vertigo while you're walking around with minimal head movement, it's unlikely that BPPV is causing your vertigo. With any luck, your ENT can help you narrow down the diagnosis. And if you have neck issues, I'd recommend treating your neck as well. Good luck!
@@GordonPhysicalTherapythnk you for replying❤️ actually my case is really confusing because I don't have a neck problem or neck pain but due to my online classes I have to sit at screen for long time so my neck has minimum movement during those hours though I don't have a pain(mentioning bcz i thought it could be cervicogenic vertigo but I don't think so that was it is based on my experience of vertigo) and yes I don't get dizziness everytime you know sometimes I get sometimes I don't may be because I'm exercising but soemtimes only I get and that too mild mostly sometimes moderate and in 99.99 % of the time it's when I move my head too fast too much but only one day I have experienced dizziness with minimum head movement when I was out with my mom walking and having minimum head movement though I thought it was minimum but I was watching everything on both the sides maybe that have triggered my head idk) it's really confusing because sometimes I don't get dizzy and sometimes I do and yes I understood your point i may have to rule down other possible diagnosis but I feel like I'm healthy because I don't get yucky or anything just the mild dizziness anyways you can suggest further and I'm going to clinic soon for diagnosis🤞(it's been almost 10 days though) forgot mention only one or two days at night while rolling in bed I got dizziness but later I got fine with bed rolling and on starting days I used to feel dizzy when I move my head downwards and then I exercised, it goes away and it again has started now)
Few days ago, I have witnessed the light headed dizziness, vomitings, i have been on bed for almost a day ,next day i consulted nearest physician and he prescribed Vertin 16mg tablets daily 3 doses for upto 5 days as my physician suggested to consume 3 doses per day. I am not sure how it will be in same in next months but i want to be free from Vertigo without any medicine 🙏
I'm not familiar with Vertin, but I'm guessing it's an anti-nausea medication. Either way, here's what I'd want to know if I were you: what's causing the lightheadedness and vomiting? Did your physician address that (the underlying cause)?
@@GordonPhysicalTherapy No, i am assuming it's vertigo problem but not sure what's the exact problem for this dizziness, i informed my physician regarding this and he prescribed Vertin 16mg. It's been almost 3 days am using now and its working fine , dizziness reduced but am not sure how longer should I take this medicine going forward
@@GordonPhysicalTherapy Also, i have infected for Jaundice 2 months ago, now am completely free from Jaundice,. During Jaundice,i got dizziness problem for around 3-4 days, i used same Vertin 16mg tabs and then after 2 months again I have witnessed dizziness, any suggestions please?
Some of the symptoms I recognise but I wonder whether my condition might be something other than BPPV. My symptoms came on suddenly. It felt like the ground shifted and I was immediately off balance. I dropped to the floor before I fell over and leaned against the range. For a minute or so everything was spinning and I kept wanting to fall to the right. After a little while the sensation eased and I was able to haul myself back up slowly. It was very worrying. I have to be careful not to get up from a chair too quickly, or the dizziness comes back.
I'm wondering if you have something besides BPPV as well... just getting up/down from a chair shouldn't cause vertigo if it's BPPV. Can you have your doctor or ENT check you out?
@@GordonPhysicalTherapy Hi Gordon, I'm due for a medication review shortly. I'll mention it then. Many thanks.
I had something similar happen to me over a year ago. I was in my kitchen and got up from a chair. Suddenly for just a short moment I felt a strange spinning sensation. I couldn't see or talk. Actually I wasn't aware of anything after I felt the spinning sensation. The next thing I was on the bathroom floor and had passed out and hit my cheek on the toilet. It was a hard fall and the left side of my face was bruised for about 6 weeks. I have no memory of leaving the kitchen and walking into the bathroom. Nothing like that had ever happened to me before. At the time I thought I might have had covid because I had been exposed to it. I had dizziness after that for several months that went away. It's came back twice since then and the last time I also had nausea along with the dizziness. I didn't go to the doctor because I no longer have any faith in them.