BPPV Vertigo Treatment in Manchester
- Nov 18, 2020
- 3 min read
Updated: Mar 14
What is BPPV?
Benign Paroxysmal Positional Vertigo (BPPV) is a common inner ear (vestibular) disorder that causes brief episodes of dizziness or the sensation that the room is spinning, even when a person is not actually moving.
BPPV occurs when tiny calcium carbonate crystals, known as otoconia, become dislodged from the utricle, one of the otolith organs in the inner ear responsible for detecting head position and gravity. These crystals can migrate into one of the semicircular canals, most commonly the posterior semicircular canal.
When these loose crystals move inside the canal during certain head movements, they stimulate the hair cells, which are specialised sensory receptors responsible for detecting motion and balance.
As a result, the inner ear sends incorrect signals to the brain, making it appear as though the head is moving when it is actually still. This mismatch in sensory information leads to the characteristic spinning sensation (vertigo) experienced in BPPV.
Symptoms of BPPV
The most common symptoms of Benign Paroxysmal Positional Vertigo (BPPV) include episodes of dizziness and a spinning sensation, known as vertigo, where it feels as though the surrounding environment is moving even though it is not. These episodes may also be accompanied by nausea and, in some cases, vomiting.
Symptoms are typically triggered by certain head movements, such as turning the head, especially toward the affected side, looking up, or looking down. These positional changes can cause the displaced crystals in the inner ear to move, which in turn provokes the sensation of vertigo.
How we diagnose BPPV?
Benign Paroxysmal Positional Vertigo (BPPV) is commonly diagnosed using a clinical test known as the Dix–Hallpike test. This assessment helps identify the presence of BPPV by provoking the characteristic vertigo and eye movements (nystagmus) associated with the condition. The Dix–Hallpike test is considered highly reliable, with high specificity and approximately 88% sensitivity for detecting posterior canal BPPV.
At Physio Pattern Manchester, we use specialised assessment techniques and appropriate clinical equipment to ensure an accurate diagnosis, allowing us to provide the most effective treatment.
In addition, the Supine Roll Test may be performed to evaluate the horizontal semicircular canals, helping to determine whether the symptoms are caused by horizontal canal BPPV.
Did you know?
20% of all dizziness is due to BPPV
More common in older people
Most common cause under 50 is head injury - direct or indirect, e.g. whiplash
Strong association with migraine
50% of BPPV is idiopathic (unknown cause)
How do we treat BPPV in Physio Pattern?
One of the most effective treatments for Benign Paroxysmal Positional Vertigo (BPPV) is the Epley manoeuvre. This technique is specifically used to treat posterior canal BPPV, which is the most common form of the condition.
The Epley manoeuvre consists of a series of carefully guided head and body movements designed to reposition the displaced calcium crystals (otoconia) within the inner ear. The goal is to move these crystals back into the otolith organs, where they no longer interfere with the balance system or trigger vertigo symptoms.
During the manoeuvre, some patients may experience temporary dizziness or discomfort, which is normal and usually lasts only a few seconds. Despite this temporary sensation, the treatment is highly effective. Research and clinical experience show that approximately 80–90% of patients experience significant symptom relief after one or two treatment sessions.
Benefits of Vestibular Physiotherapy for BPPV
One of the main benefits of vestibular physiotherapy for BPPV at Physio Pattern Manchester is the effective resolution of vertigo symptoms. Through specialised treatment techniques, such as repositioning manoeuvres, many patients experience significant improvement or complete relief from dizziness.
In addition to treating Benign Paroxysmal Positional Vertigo (BPPV), we carry out a comprehensive assessment of the vestibular system, eye movements (vestibulo-ocular reflex), and cerebellar function, which plays an important role in coordinating voluntary movements and maintaining balance.
This thorough examination helps us identify other potential causes of dizziness, vertigo, or balance problems, allowing us to develop a personalised treatment plan that addresses both the symptoms and the underlying causes.
if you would like more information of how Physio Pattern can help with this condition, or to book an assessment please call
Leading Physiotherapy Provider in Manchester, BPPV treatment in Manchester,
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