Vertigo and BPPV Treatment in Warminster, PA
Vertigo is disorienting, exhausting, and often frightening. The good news is that the most common type of vertigo, called BPPV, can frequently be resolved in a single visit with the right diagnosis and a targeted repositioning maneuver. As a Certified Vestibular Therapist through Emory University with over 25 years of clinical experience, I have treated hundreds of vertigo cases at our Warminster clinic.
What Is Vertigo?
Vertigo is the sensation that you or the room around you is spinning, tilting, or swaying even though you are perfectly still. It is different from general lightheadedness or feeling faint. True vertigo involves a false sense of rotational movement, and it originates from a problem in the vestibular system, the sensory organs inside your inner ears that detect head position and movement.
The most common type is BPPV (Benign Paroxysmal Positional Vertigo), which accounts for roughly 17 to 42 percent of all vertigo cases according to research published in Otolaryngology, Head and Neck Surgery. BPPV happens when tiny calcium carbonate crystals called otoconia break loose from one part of the inner ear and migrate into the semicircular canals, where they do not belong. Once there, they disrupt the normal fluid dynamics of the canal and send conflicting motion signals to the brain every time you move your head.
Common Symptoms
- Brief, intense spinning when rolling over in bed, looking up, or bending forward
- Nausea or vomiting during episodes
- A feeling of imbalance or unsteadiness between episodes
- Difficulty concentrating or a sense of brain fog
- Anxiety about triggering another episode
How We Treat Vertigo
Treatment begins with a thorough vestibular evaluation. I use the Dix-Hallpike test and other positional maneuvers to identify exactly which canal is affected and which type of BPPV is present. From there, I perform the appropriate repositioning maneuver (the Epley maneuver for posterior canal BPPV, the BBQ roll for horizontal canal BPPV) to guide the displaced crystals back where they belong.
A Cochrane Review found that the Epley maneuver resolves posterior canal BPPV in approximately 80 percent of patients after a single session. Most of my patients notice significant improvement before they leave the clinic.
For patients with non-BPPV vertigo (vestibular neuritis, Meniere's disease, vestibular migraine, or other causes), I design individualized vestibular rehabilitation programs that include gaze stabilization exercises, habituation exercises, and progressive balance training to help the brain compensate for the vestibular deficit.
Why patients trust Vital Flow for vertigo treatment
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