Benign Paroxysmal Positional Vertigo (BPPV) and general vertigo are related but distinct conditions involving dizziness and balance issues. In BPPV Physiotherapy is the best treatment. Book your physiotherapy session with Dr Paras Dhhaka at his Physiotherapyclinic Gurgaon, our dedicated physios and experienced physiotherapists help the patient in gaining strength and stability by doing exercises and stretches which improve the overall strength of the patient. Here’s a detailed overview of each:

Benign Paroxysmal Positional Vertigo (BPPV):

Cause:

• Inner Ear Issue: BPPV is caused by the displacement of tiny calcium crystals (otoconia) within the inner ear, specifically in the semicircular canals. These crystals can interfere with normal fluid movement in the inner ear, disrupting the body's sense of balance.

Symptoms:

• Brief Episodes of Vertigo: Typically triggered by specific changes in head position, such as rolling over in bed, looking up, or bending over.
• Dizziness: A spinning sensation that lasts for seconds to minutes.
• Nausea and Imbalance: Can accompany the vertigo.
• No Hearing Loss: Unlike some other forms of vertigo, BPPV does not usually involve hearing loss.

Diagnosis:

• Medical History and Physical Examination: Includes specific tests like the Dix-Hallpike maneuver or the Roll test to provoke and diagnose the condition.
• Imaging Tests: Sometimes used to rule out other conditions but are not typically necessary for diagnosing BPPV.

Treatment:

• Canalith Repositioning Maneuvers: Techniques like the Epley maneuver or the Semont maneuver are used to move the displaced crystals back to their proper location in the inner ear.
• Vestibular Rehabilitation: Exercises to help the brain adjust to changes in balance.
• Home Exercises: Simple exercises like the Brandt-Daroff exercises can be performed at home to alleviate symptoms.

Management and Prevention:

• Avoid Triggers: For BPPV, learning to avoid head positions that trigger symptoms can help manage the condition.
• Regular Exercises: Engaging in balance and vestibular exercises can help improve stability and reduce the frequency of vertigo episodes.
• Consult a Healthcare Professional: Accurate diagnosis and appropriate treatment are crucial, especially if vertigo is persistent, severe, or associated with other symptoms like sudden hearing loss or severe headache.

If you suspect you have BPPV or another form of vertigo, it's important to consult with a healthcare professional who can perform the necessary evaluations and recommend an appropriate treatment plan.

Physiotherapy is a key treatment for Benign Paroxysmal Positional Vertigo (BPPV), a condition caused by displaced calcium crystals in the inner ear. The primary goal of physiotherapy for BPPV is to relieve vertigo symptoms by repositioning these crystals and improving the patient's balance and functional stability. Physiotherapy in Vertigo is the best option to improve your condition for. For appointment, please dial 9999959921\8510013420 and take best physiotherapy treatment. Here’s a detailed overview of physiotherapy techniques used in the management of BPPV:

1. Canalith Repositioning Manoeuvres

These manoeuvres aim to move the displaced calcium crystals (otoconia) from the semicircular canals of the inner ear to a location where they no longer cause vertigo.

• Epley Manoeuvre:
• Procedure:
1. Starting Position: Sit upright on a bed with your legs extended.
2. Head Turn: Turn your head 45 degrees toward the affected side.
3. Reclining: Quickly lie back with your head still turned, so that your head hangs slightly off the edge of the bed.
4. Hold: Remain in this position for about 30 seconds or until vertigo subsides.
5. Head Turn and Roll: Turn your head 90 degrees to the opposite side without lifting it. Hold for 30 seconds.
6. Turn and Sit: Roll your body onto your side, and then sit up while keeping your head in the same position.
• Objective: Move the crystals through the semicircular canals to the utricle, where they can be reabsorbed.
• Semont Manoeuvre:
• Procedure:
1. Starting Position: Sit on a bed with your legs extended and head turned 45 degrees toward the affected side.
2. Lie Down Quickly: Quickly lie down on the side opposite the affected ear.
3. Hold and Return: Remain in this position for 30 seconds, then quickly move to the opposite side (facing down) and hold for 30 seconds.
4. Sit Up: Return to a sitting position.
• Objective: Reposition the crystals in the opposite direction to relieve symptoms.
• Barbecue Roll Manoeuvre:
• Procedure:
1. Starting Position: Sit upright with your legs extended.
2. Roll: Roll onto your side (toward the affected ear) and hold for 30 seconds.
3. Roll to the Other Side: Roll onto the opposite side (still with your head turned), and hold for 30 seconds.
4. Return to Sitting: Sit up slowly.
• Objective: Treat horizontal BPPV by moving crystals in the horizontal canal.

2. Vestibular Rehabilitation Therapy (VRT)

VRT is used to help patients adapt to changes in their vestibular system and improve balance and coordination.

• Gaze Stabilization Exercises:
• Procedure: Focus on a stationary object while moving your head side to side or up and down. This helps improve the Vestibulo-ocular reflex (VOR), which stabilizes vision during head movements.
• Example Exercise: Hold a card or a fixed point and move your head rapidly back and forth while maintaining focus.
• Balance and Coordination Training:
• Procedure: Perform exercises to improve balance and coordination, such as standing on one leg, walking heel-to-toe, or using a balance board.
• Example Exercise: Practice tandem walking (walking in a straight line with one foot directly in front of the other) to improve stability.
• Habituation Exercises:
• Procedure: Repeatedly perform specific movements or positions that trigger vertigo in a controlled manner to help the brain adapt and reduce sensitivity.
• Example Exercise: Slowly perform head turns or positional changes that previously caused dizziness, starting with minimal movement and gradually increasing as tolerated.

3. Postural Education and Fall Prevention

IN OUR PHYSIOTHERAPY CLINIC WE PROVIDE THE BEST TREATMENT FOR BENIGN PAROXYSMAL POSITIONAL VERTIGO (BPPV) INCLUDING STRETCHING AND STRENGTHNING EXERCISES AS WE ARE THE BEST PHYSIOTHERAPY CLINC IN GURGAON WITH OVER 18 YEARS OF EXPERIENCE.

Educating patients on safe movements and fall prevention strategies can reduce the risk of accidents and help manage vertigo symptoms.

• Posture Correction:
• Procedure: Teach proper posture to reduce strain on the vestibular system and improve balance.
• Example: Adjust sitting and standing postures to maintain proper alignment and avoid sudden head movements.
• Home Modifications:
• Procedure: Advise on making the home environment safer to prevent falls, such as removing tripping hazards and installing grab bars in bathrooms.

4. Self-Management Techniques

Provide patients with techniques and exercises to manage their symptoms at home.

• Home Exercises:
• Procedure: Provide a tailored exercise program that includes canalith repositioning maneuvers, gaze stabilization, and balance exercises to be performed regularly.
• Example: Daily practice of Epley maneuver or Brandt-Daroff exercises as prescribed.
• Symptom Management:
• Procedure: Teach techniques to manage vertigo symptoms when they occur, such as lying down and remaining still until symptoms subside.

Considerations for Physiotherapy in BPPV:

• Individualized Treatment: Treatment should be tailored to the specific type of BPPV and the patient’s symptoms.
• Professional Guidance: Initially performed by a trained physiotherapist to ensure proper technique and safety.
• Follow-Up: Regular follow-up to assess progress and make adjustments to the treatment plan as needed.

If you experience symptoms of BPPV or vertigo, consulting with a physiotherapist specializing in vestibular disorders can help provide a comprehensive treatment plan and effective management strategies. If you’re new to physiotherapy for Vertigo or need adjustments to your current program, consulting with Dr Paras Dhhaka the renowned physiotherapist in Gurgaon with 18 years of experience in managing inflammatory arthritis can be highly beneficial.