400 Collins Rd NE, MS 154-100 Cedar Rapids, IA 52498
Benign Paroxysmal Positional Vertigo (BPPV), or “loose crystals,” is a very common cause of vertigo and is due to a mechanical change in the inner ear. When crystals become dislodged and travel into one of the semicircular canals, it disrupts the fluid creating a false sense of movement. Vertigo/BPPV is the feeling like you or the room is moving or spinning when you’re not. This is why alterations in head position such as looking up or down, lying in bed, or rolling over will cause vertigo sensation.
You may experience one or multiple symptoms at varying intensities. Some common signs and symptoms of positional vertigo include:
Not all forms of vertigo come from BPPV, but it is very easy to diagnose and treat. A physical therapist can determine if you have BPPV by performing an evaluation and series of tests. These noninvasive tests will assess if your vertigo is coming from crystals in the inner ear through simple head movements and evaluating the eyes for involuntary movements called nystagmus. The direction of eye movements will indicate where crystals are loose in a specific canal so the therapist can perform the appropriate treatment.
Vertigo can usually be resolved through a series of visits. Pictured above is a look into your ear and includes three loop-shaped structures (semicircular canals) along with other structures that monitor your head's position and your sensitivity to gravity.
The free-floating particles/crystals are relocated from the affected semicircular canal back to the utricle through specific body movements facilitated by the physical therapist. This resolves vertigo approximately 90-95 percent of the time. Once BPPV is resolved through physical therapy intervention, patients often don’t need to come back for further treatment, but many will follow up with balance training tailored for inner-ear problems, such as eye tracking, balancing on various surfaces, and walking with head turns. Limited cervical motion and other restrictions may be addressed if we feel this is contributing to the issue.
We highly discourage attempting self treatment. This is a medical condition that needs appropriate evaluation and treatment by a trained professional as vertigo may have various origins that are not BPPV.
If you have any questions on how BPPV physical therapy may be beneficial to you, what to expect in a visit, or any other concerns, please reach out to us! Contact us at 319-295-8899 or at https://www.reccenterphysicaltherapy.com/