Is my vertigo "BPPV"? (Top 3 signs for BPPV)

[@MJax53]

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!

[@GordonPhysicalTherapy]

I hope you're able to treat your vertigo if it's still bothering you!

[@GirGir183]

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.

[@melaniehirschler5651]

Same! The Epley Maneuver fixed mine!

[@boostercontrol100]

I had same last night man trying to figure out what going on. You doing better?

[@WTFisgoingon8]

That is exactly what happened to me about a year ago. It's been happening once or twice every 2 weeks since then

[@carriej4576]

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!!!!

[@GordonPhysicalTherapy]

Wow, thank you! You're quite welcome :-)

[@ajayisflyingmonkey]

Hi Gordon, I am a doctor and impressed that how nicely you have explained,

[@GordonPhysicalTherapy]

Thank you very much! I appreciate your kind words :-)

[@simsim7935]

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. 👍

[@GordonPhysicalTherapy]

Thank you! Glad it was helpful!

[@missmerrily4830]

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.

[@GordonPhysicalTherapy]

You're very welcome!

[@peghello]

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.

[@GordonPhysicalTherapy]

That's excellent information! Thank you for sharing! And make sure to get some Vitamin D the old-fashioned way too :-)

[@watermelonsugar4478]

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)

[@GordonPhysicalTherapy]

Excellent summary, thank you!

[@bamafan1411]

Can inner ear infection be a cause?

[@ShushanLily]

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.

[@OurWorldAhead]

​@@ShushanLily 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

[@rjbernard72]

​@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.

[@kikaes1647]

Even though this is an old video you explain my symptoms so well. I going to make an appointment with my dr. to see an ent. Thank you for you video and help.

[@GordonPhysicalTherapy]

Happy to help! Good luck!

[@Tay_Rene_Media_Medicine]

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!

[@GordonPhysicalTherapy]

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!

[@Slickpaving]

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

[@mourendazaid4933]

​@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!

[@deetony211]

@@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 🙏🏾

[@lafeaangierosas4251]

What are doing or taking for these 😕

[@williamwaters4506]

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.

[@GordonPhysicalTherapy]

That's awesome that it worked for you so well and still does!

[@v.m.p.8204]

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.

[@GordonPhysicalTherapy]

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...

[@ElevatedVehicles]

How are you feeling today?

[@bradsipit7683]

Epley Maneuver cured my vertigo just 2 wks ago. Do it with someone to assist you. Even if it's not a PT.

[@caivols]

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.

[@robertasilvian2097]

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

[@havlin33]

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.

[@GordonPhysicalTherapy]

People often have vertigo several times over the course of years.

[@webwhisper2701]

if you do not do the epley maneuver to address this … it can last several weeks, or months. do not be discouraged if the epley maneuver doesn’t work after 1 session (it’s possible that you just didn’t do it correctly) sometimes, you may need to do it a 2nd or 3rd time. wait 12-24 hrs between treatments.

[@Mommaoftwokiddos]

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.

[@GordonPhysicalTherapy]

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.

[@0839westy]

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.

[@jmattos]

thank you! very helpful. I've known I have this for a while, but its always nice to validate. Boy does this thing suck!

[@GordonPhysicalTherapy]

You're welcome! Good luck! It does suck!

[@mariaicarey6762]

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.

[@GordonPhysicalTherapy]

Thanks for the tip!

[@tina-g8p]

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.

[@Wendy-yg8yu]

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.

[@GordonPhysicalTherapy]

Excellent input! Thank you, Wendy!

[@lateblossom]

I had this one time and I praise God for helping me diagnose it and do these maneuvers at home by myself after looking them up. I was able to trace what it was by realizing when it started which was because I had tripped and lunged at a chair, and just caught the chair to save myself, but the force of it dislodged the crystals in my ear. I am so thankful I was able to do that. The vertigo would LITERALLY hit me out of nowhere such as when I was driving or even just sitting still. It was actually one of the scariest things that ever happened to me, even moreso than my gallbladder pain because it would happen randomly, and as he said here, intensely. I would want o vomit from the vertigo. What he describes here is EXACTLY what I experienced.

[@gfriedman99]

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.

[@GordonPhysicalTherapy]

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.

[@ScotteeBates49]

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. 🙏🏼

[@MotoMatt418]

I wonder why your vertigo would last so long after your prior ear infection?

[@gfriedman99]

@@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.

[@gfriedman99]

@@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.

[@nancyvaleski267]

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.

[@GordonPhysicalTherapy]

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.

[@jennysmith9926]

More like the Covid vaccine

[@nancyvaleski267]

@@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.

[@tinpea]

​@@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?

[@rhythmandblues_alibi]

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.

[@faizeljasat3012]

Hi thanks for the great insightful vidoe. I think i have medicine induced vertigo . Pls advise symptoms for this too

[@GordonPhysicalTherapy]

What are your symptoms like?

[@gatesp8187]

I love to understand the why. This was super helpful. Thanks.

[@muzeai]

Thank you very much for this explainer!!! Really helped me to diagnose the problem!

[@GordonPhysicalTherapy]

You're welcome!

[@billgrewe8340]

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.

[@GordonPhysicalTherapy]

Thank you for sharing your story! I'm wondering if your PT was doing "craniosacral" treatments with you... does that sounds familiar?

[@billgrewe8340]

@@GordonPhysicalTherapy I will find out next week and let you know.

[@newyorkayanna]

​@billgrewe8340 ...aaaaaaaaand? some folks with TBIs would ask you to plz still share!

[@louisecoulter5882]

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.

[@Eli-yu1tv]

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?

[@GordonPhysicalTherapy]

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 [e-mail] if you'd prefer. Good luck!

[@Kleis1]

Please see a neurologist, there are so many things this could be and none of them are good.

[@rachelbee7921]

Very helpful video. Thank you!! ❤👌🏽

[@GordonPhysicalTherapy]

You're so welcome!

[@gmkbass]

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.

[@GordonPhysicalTherapy]

Sorry to hear about the fall and the stitches! Have you been able to get rid of the BPPV yet?

[@gmkbass]

@@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.

[@gmkbass]

@@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.

[@Nite85]

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...

[@GordonPhysicalTherapy]

I agree! I still need to make that video... thanks for the reminder!

[@skeeterinnewjersey5256]

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.

[@GordonPhysicalTherapy]

I hope the videos help!

[@allsmiles2938]

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.

[@videonaj]

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.

[@GordonPhysicalTherapy]

That's great to hear!

[@user-uv5tf1ic5e]

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..

[@ncyankee101]

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.

[@GordonPhysicalTherapy]

I would definitely test for BPPV and treat as able. Good luck!

[@chelonazabala1937]

Thank you so much for this .

[@walljoy]

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. 🤍

[@GordonPhysicalTherapy]

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!

[@walljoy]

@@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

[@theycallmextasy]

Okay so that's what's going on with me, when you mentioned the head injury/trauma thing it made sense I had a horrible car crash about two years ago and none of the doctors said anything about this 😅

[@GordonPhysicalTherapy]

There you go!

[@Coffeeismyhappyplace]

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.

[@artgal7]

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 👍🦻

[@GordonPhysicalTherapy]

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!

[@Olivia-lw4ej]

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

[@GordonPhysicalTherapy]

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 :-)

[@ruutjormun2262]

​@@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).

[@asiddiqi123]

​@@GordonPhysicalTherapy I am having neck pain due to bad posture while using my laptop, could it be the reason od of spinning

[@susannechickenmom5621]

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.

[@GordonPhysicalTherapy]

I'm wondering if you have horizontal canal BPPV instead of posterior canal... Has anyone checked you for that?

[@susannechickenmom5621]

@@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.

[@tuizzi]

Thanks! I have the first one but not the second and third 🤔 so I have to research further

[@GordonPhysicalTherapy]

Good luck!

[@wdgbirmingham2]

Where is the link to the treatment you mentioned in the video? I definitely have all 3 of the signs, I want to know how to treat it

[@GordonPhysicalTherapy]

Here you go! kzbin.info/www/bejne/aoPJoKusrrumqac

[@paulinedewitte3117]

​@@GordonPhysicalTherapyno

[@catcastle4377]

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).

[@GordonPhysicalTherapy]

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).

[@sethcashman1011]

This was very helpful. How do tell the difference between BPPV and something like Meniere's?

[@GordonPhysicalTherapy]

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!

[@sethcashman1011]

@@GordonPhysicalTherapy thanks, yes it does!

[@daleksummers3155]

Thanks for the video and explanation. How long should you do the epley maneuver before you can expect it to work?

[@GordonPhysicalTherapy]

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: kzbin.info/www/bejne/hZDSqqF4eMZ-eKs. I hope that helps!

[@rishikumarab836]

Hi Gordon, I have been diagnosed with BPPV and neck xray shows flat neck (loss of cervical lordosis). After taking medication - Cinnarizine and Dimenhydrinate I started sensing mild ear pain. Please suggest which specialist should I consult?

[@GordonPhysicalTherapy]

I would consult with an ENT for the ear pain. For your neck, you can work with a PT and/or a chiropractor (I prefer upper cervical specialists if possible).

[@BlindWithaVision1]

@@GordonPhysicalTherapy❤

[@ScotteeBates49]

Hello, my name is Scottee. 32 year old male from WA. Currently dealing with severe vertigo/light headedness. Had a tooth infection that led to root canal and crown procedure, 9 days ago. Was then put on an antibiotic for the infection that had made its way into my sinuses. Since the procedure and start of antibiotics, I have had severe vertigo thats often accompanied by a light headache and sonetimes nausea. Got so bad a few nights ago I ended up in the ER, recieved an MRI and blood work. Everything came back normal. I have finished my one week course of antibiotics and the infection is gone, still having these symptoms though..im at a loss..😢

[@FireMrshlBill]

Hey, how did it go? Were you able to get rid of it? If so, just gradually went away or had to get meds or seen by a specialist? Experiencing more light-headedness and being off balance 24/7 rather than room spinning or it being particularly positional, so maybe not BPPV. Been dealing with bronchitis for over a month. Was put on prednisone last week, 12 hrs after first does I got tingling in arms and legs and high blood pressure type symptoms for a few hours. About 23 hours after 2nd dose (1hr before taking my 3rd), I was leaning back in my chair and when I sat up I was light headed and off balance. Got so bad the next day I went to the ER and spent 8 hrs waiting around for them to shrug it off, spend more time on my heart/lungs for the bronchitis aspect I wasn't concerned about (was doing better from the prednisone) and given meclizine and told to see neurologist if it doesn't go away in a week. Its been 2 days and is slightly better, but it makes work hard to concentrate on (big deadline at end of week I have to meet) and makes me afraid we may have to cancel the Disney trip for my kids next month if it doesn't get better, which is a major part of their Christmas presents. What a pain.

[@GordonPhysicalTherapy]

Hey, Scottee! How are you doing now? Did you end of having BPPV, or were your symptoms caused by the infection and antibiotics?

[@ScotteeBates49]

@@GordonPhysicalTherapy Going on 3 months now. Vertigo has calmed down a bit. Found out it was most likely an allergic reaction to the Clindamycin they put me on for the infection. However, also ended up having to get the tooth pulled that I had a root canal and crown on, beings it wasn't taking properly and causing me pain and other issues unfortunately. Since the start of the tooth infection I have been in ER 6 times, had an MRI, CAT Scan, Lumbar Puncture, tons of meds. Still have another CAT Scan next week for sinuses, and another MRI in the beginning of March. Have not been able to truly pinpoint what's causing everything though unfortunately.

[@ScotteeBates49]

@@FireMrshlBill Hows everything shaping up for you. My update is here in the feed.

[@FireMrshlBill]

@@ScotteeBates49 Hard to tell where I am at, it was getting better last week and Fri/Sat I thought I was soon to be in the clear as my tinnitus was barely noticeable, pressure in the ear and head mostly gone and dizziness was to a minimum. Then on Christmas eve I was playing on the floor with my kids and looked over my shoulder and it hit me again. The next day on Christmas I was miserable: dizziness, nausea, tired feeling, etc. I did take some zofran for the nausea, first time taking it, and I know it can cause some drowsiness so maybe that led to some of the bad feeling, who knows. Anyway, next day I was feeling a little better but tinnitus started coming back, not as bad as last week but today the tinnitus got worse in my right ear but at least the dizziness is down more. No idea what it is, went to my GP and they didn't have answers other than giving more anti-vert meds and saying to see an ENT. Called around, and the earliest ENT I can get into is a month away. Frustrating. I'm supposed to start practicing with a band to play a show in 1.5 weeks, so not being able to drive is hurting that and worried how my ears will do, I don't want to put more strain on them. Also supposed to take the kids to Disney the week after my ENT appointment. Hope this is better enough by then for me to fly (not sure what the pressure would do on my ears) and go on rides. Will be a disappointment for the kids if we have to reschedule the trip for later in the year.

[@donpasulka]

Great video. Thanks!

[@GordonPhysicalTherapy]

You're welcome!

[@williamtw22]

Hi Gordon Since I was 17 I’ve had strong onsets of dizzyness yearly which have lasted for around 2 weeks at a time. It’s like you said, sudden violent onset of the world spinning around me. Sometimes caused by small head movements, sometimes by nothing. Took about 2 weeks before I could function properly again. Went to the doctors and an ENT and said nothing was wrong. Problem is, the last few years it’s happened more often and it never fully “goes away” anymore. It’s a huge pain and has been causing stress and difficulty for the last 5 years. It often comes in times of stress too, so it’s a mean circle. I tried going to the doctors again and even got an MRI scan. I’ve been looking into it being caused by tight upper back and neck muscles with a physio and now I’m reconsidering it being BPPV. (Especially after reading about other’s bad experiences with ENT’s) I’ve tried all the classics of head movement exercises. Sometimes they help, but they can also make it worse. Never hit my head badly, I suffer from migraines (with aura) sometimes and I might be a bit low on B12. Do you have any suggestion as to what might be causing the vertigo and motion sickness? I’m tired of not knowing what it is.

[@GordonPhysicalTherapy]

It doesn't sound like BPPV to me. Did you have someone help you with the tightness in your neck and upper back? That might be the culprit.

[@williamtw22]

@@GordonPhysicalTherapy I’ve also been quite confused about it. I’ve been working with a physiotherapist, and doing the exercises has loosened the tightness a bit. But with that it’s also made me a bit more dizzy, so you could be on to something. I’ve been doing some head and eye restabilisation exercises on the side to treat the dizziness and I’ve found that to help.

[@thedeepermind7601]

It might be digestive issues causing it. Maybe look into seeing a gastroenterologist if you have any digestive issues or food sensitivities.

[@janpoorbaugh942]

Maybe vestibular migraine?

[@armyengene-sp8cu]

Hello, your situation seems similar to mine. I can't remember when is the last time I felt 'normal'. I did do blood tests and had an MRI scan but nothing was unusual. Recently, the doctor diagnosed me with anxiety, which I agree it does make it worse but I don't think its the true cause of the vertigo. When I get violent attacks, doing the manoeuvres does help slow it down but I can't seem to make it go completely... I used to have no problems with riding cars and buses but it seems to get worser with vertigo and anxiety. How are you feeling right now? I really need to talk to someone about this as it driving me nuts. Vertigo is such an invisible condition. Nobody understands how I feel because I look fine, its to the point that people think I'm lying

[@calllialea]

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

[@GordonPhysicalTherapy]

I would definitely test for BPPV and see if that's causing the vertigo. It's very likely.

[@lmwlmw4468]

Great video.

[@LeighRushOlson]

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!

[@GordonPhysicalTherapy]

Glad this helped! I hope the Epley works for you. Sometimes you'll have to repeat it multiple times before your symptoms completely resolve.

[@LeighRushOlson]

@@GordonPhysicalTherapy it worked! First time! Thanks so much!

[@shelbyeike8083]

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

[@victoriac.attorneyatlaw]

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.

[@GordonPhysicalTherapy]

Sorry to hear that! I hope you're able to get help with treatment!

[@bikotheanimator6169]

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.

[@GordonPhysicalTherapy]

I hope vertigo treatment helps you with your balance and dizziness. Please comment back with an update after you've had some treatment.

[@sofia1828]

Hope you are OK. I have had this for 3 weeks it's so scary doctors appointment tomorrow x

[@CarlosAquino-j4c]

What about Virdigo that feels like and elevator or like if the ground went up and down do you think that has something to do with my ear ?

[@GordonPhysicalTherapy]

that could be inner ear... it doesn't hurt to check for BPPV

[@CarlosAquino-j4c]

@@GordonPhysicalTherapy I have but the doctor said its stress but he didn’t even bother to look in my ear This started in June 6

[@lizrivas6705]

Any tips for getting through the excercises without feeling nauseous and dizzy

[@GordonPhysicalTherapy]

Sometimes people will take anti-nausea medications or supplements like ginger

[@FatimaZahra-tn6zk]

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.

[@GordonPhysicalTherapy]

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?

[@FatimaZahra-tn6zk]

@@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🙏

[@laurenwasinger9436]

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.

[@GordonPhysicalTherapy]

Sounds like BPPV! Have you been able to get rid of it?

[@hajiraaga6586]

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

[@GordonPhysicalTherapy]

What you're describing doesn't sound like BPPV... are you able to see an ENT or a PT that specializes in vertigo?

[@hajiraaga6586]

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

[@hajiraaga6586]

Since my left year seems like it is blocked.. and i do have mild phlem, could this be labyrinthitis

[@rogerpowers6082]

Very helpful

[@GordonPhysicalTherapy]

Glad to hear that!

[@BROOKECOULTER-c1h]

Is it possible to have posterior and horizontal at the same time? Because I have dizziness with all the movements you've mentioned.

[@GordonPhysicalTherapy]

Yes it is possible but not very likely. I would try to key into the direction of your eye movements with positional testing. Can you give me any information on that?

[@saraahmed421]

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.

[@GordonPhysicalTherapy]

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?

[@BlueLineGroovy]

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 !!

[@majamarheine5695]

Hi Gordon! This video helped me more than the visit by my Doctor. 😢 I don't remember to had my head knocked some where, or any kind of trauma. But if i lay my head to the side, it goes insane. up & down, absolutely no prob, but side? Woah! Tried these manouver and almost kicked myself out of this universe. Cold sweat all over my body! Almost throw up. Oh my gosh! I would like to never do it again! 😢 Do i have to do it kind of fast, or can i also do it slower, just real slow? Thnak you very much for your work and effort!

[@jumana9999]

Is it possible for this to occur infrequently and without any specific triggers?

[@GordonPhysicalTherapy]

Yes, it is. That's very common actually.

[@srikanthvavilala94]

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 🙏

[@GordonPhysicalTherapy]

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)?

[@srikanthvavilala94]

@@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

[@srikanthvavilala94]

@@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?

[@hwfranjr]

Where would you FO for professional assistence,ear doctors????

[@GordonPhysicalTherapy]

I would go to an ENT or experienced vestibular PT (or both).

[@HeronCoyote1234]

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.

[@GordonPhysicalTherapy]

What did you do to get rid of it?

[@HeronCoyote1234]

@@GordonPhysicalTherapy nothing. Just slept as much as I could. Most of the time, sleeping for a couple of hours helps. Not that day…

[@ritabarbaro4381]

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.

[@GordonPhysicalTherapy]

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.

[@roweebtzr9346]

I have both dizziness the vertical and horizontal position with headache. Ringing of ears. Is this vertigo? What treatment should i do?

[@GordonPhysicalTherapy]

You might have BPPV, although it doesn't usually cause tinnitus (ringing in the ears). I would check for BPPV first and proceed from there. If you continue having ringing in your ears, I would consult with an ENT doctor.

[@mohammadjaved6628]

Thank you for giving us these valuable informations. Can bppv go it's own?

[@GordonPhysicalTherapy]

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?

[@mohammadjaved6628]

@@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 ?

[@GordonPhysicalTherapy]

@@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": kzbin.info/www/bejne/rIW7YYmDhJdrp9U 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?

[@mohammadjaved6628]

@@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

[@GordonPhysicalTherapy]

@@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: kzbin.info/www/bejne/ZqrFqaOmi9anmK8 Let me know if you have any questions!

[@pounce9895]

dude, thank you! I recently fell and hit my head doing some field work and noticed some vertigo when sitting up/down quickly on the floor or in bed. this has relieved a lot of anxiety! Does this type of vertigo ever go away on its own? Or is repositioning the only known treatment?

[@GordonPhysicalTherapy]

You're welcome! Once in a while it goes away on its own, but not usually. Best to get treated if you can!

[@I77471]

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 !

[@GordonPhysicalTherapy]

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.

[@aprilinalabama9074]

Thanks 😁👍🙏

[@GordonPhysicalTherapy]

You're welcome 😊

[@coles7811]

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!

[@GordonPhysicalTherapy]

I'm sorry to hear this has been so hard on you! I hope you can get some help soon!

[@Ellier215]

Would radio waves be able to dissolve or break up the crystals or would that cause more issues? I know radio waves can be used to break up kidney stones.

[@GordonPhysicalTherapy]

That's an interesting question... I've never come across radio waves being used for BPPV, likely because it's so close to your brain.

[@Mucka-be8nv]

Hello Doctor. I had a motorcycle 🏍️ accident a month ago. It caused me a minimal head trauma = subdural hematoma. Other than that I didn’t break any bone in my body. Also I didn’t injured my spine. When I lay down and I roll in my left side I feel like world is spinning 😵‍💫 for 10 sec.Is this curable 100 % or do I have to deal with this for the rest of my life ? Thank you.

[@GordonPhysicalTherapy]

This definitely sounds like BPPV! I recommend you get checked out by a vestibular PT as soon as you can. With any luck, they can help you quickly! Let me know how it goes :-)

[@atifkhan3252]

I have dizziness from past 20 days and it stay for 24*7 but very mild and i also have stomach problems with it.what coul be the reason?

[@GordonPhysicalTherapy]

It's probably not BPPV... have you seen an ENT yet?

[@atifkhan3252]

No what it could be

[@rachelmanus9736]

I have these symptoms at approximately the same time almost every day (2pm). It does occur occasionally in the AM but not on a regular basis. I can “milk” the Eustachian tube and it provides relief after a few minutes but not after having vertigo and hearing loss for 15-20 minutes. If this is, in fact, due to a crystal, what causes the crystal and how can you remove it?

[@GordonPhysicalTherapy]

This doesn't sound like BPPV, no. I would see an ENT for a better diagnosis.

[@marilynpenrod6432]

Do you think flying that causes barotrauma can trigger this? It happened to me on my last trip about 4 days after my flight. My ears were stopped up prior to flying (from a prior flight 2 months before) and my ears had popped and had cleared prior to my attack. Thanks.

[@GordonPhysicalTherapy]

Yes, I think flying can negatively affect the inner ears. It won't quite cause BPPV, but it can still cause other types of vertigo.

[@tamicooper9031]

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

[@GordonPhysicalTherapy]

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?

[@loveyourlifewithlianne]

mine was from covid and a subluxation as well, so I'm getting nucca adjustments along with vestibular therapy

[@GordonPhysicalTherapy]

Glad to hear you're getting the therapy you need! Upper cervical chiropractic care (like Nucca) can be very helpful!

[@davesturdy]

I’ve had BPPV a lot but currently have a different less violent dizziness. Are they linked? I’ve started taking vitamin K3 as well as vitamin D3 to get rid of the crystals. I’m thinking the crystals may have gotten smaller so have a different effect?

[@GordonPhysicalTherapy]

They could be linked, yes. You could have a more mild version of BPPV, or you could just have some vestibular hypofunction. Have you tested for BPPV lately? It might be worth starting there...

[@davesturdy]

Yes I think it must be BPPV again as it’s only when I turn onto my left side

[@HeronCoyote1234]

I’m short (just under 5’ tall). Looking up at the tallest shelf at the grocery store triggers bouts. Fun stuff…

[@GordonPhysicalTherapy]

Yeah, not so fun!

[@MaryOKC]

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.

[@GordonPhysicalTherapy]

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!

[@MaryOKC]

@@GordonPhysicalTherapy thank you I may look into this. Currently I start hyperbaric chamber treatments and it’s been interesting.

[@josephineananda]

How can we get the crystals to dissolve? Wouldn't that be great?

[@GordonPhysicalTherapy]

Yes, that would be great! The crystals can dissolve at times, but there's not a way they we know of to encourage it.

[@raymondwilliams5661]

​@@GordonPhysicalTherapyvit d3 .

[@RupertBear73]

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

[@GordonPhysicalTherapy]

Glad you're able to treat it with the Epley! Thank you for your tip :-)

[@russianvictory1]

Hi Gordon, Around 10 days ago on 2nd Dec I recently had my first vertigo experience as I woke up whilst lying down and opened my eyes. Everything was spinning and I felt really nauseous and did throw up a little. I just rested and 4 days went by and it seemed to be fine I was feeling better but still felt ‘not normal and a little off”. Then on 7th Dec I woke up and again it vertigo hit me but wasn’t as bad as the first time. So that day I spoke to my local GP on the phone in London UK. They advised it sounds like BPPV. So that evening I did the Epley Manoeuvre twice, rested for a while and went to sleep around an hour later. I woke up and since then I have not had anymore vertigo it’s been 5 days, but I still have this feeling of swaying and motion when I’m walking around house trying to get back to living normally again. I’m pacing myself slower but I still feel it. It’s like the vertigo has stopped by the feeling of having this residual drowsiness/swaying feels weird. Since then I’ve done the Epley Manoeuvre and Foster twice each a couple days ago even though I had no vertigo. It was more to see maybe some crystals in ear still around in wrong tube. It hard to explain by my mind feels cloudy and you just feel to lay down and rest all day. Today My GP has now advised it could be Viral labyrinthitis that caused issue. What would you recommend and think could be the issue from your experience?

[@GordonPhysicalTherapy]

This is a great question! First, even when you successfully treat BPPV with the Epley Maneuver, you can still have residual symptoms. The best exercise to help with residual symptoms is called "VOR X1 Viewing". Here's a video on how to do it: kzbin.info/www/bejne/j3uVmaOsiL1nf8U Second, I'm curious: how did you know which side to treat with the Epley? Did you test with the Dix-Halpike first? And if you did, was someone able to see the direction of your eye movements? This would help you figure out if you have BPPV or something else like labrynthitis. I hope this helps!

[@russianvictory1]

Here in London its hard to get face to face appointments with a GP these days, its usually done via phone calls or SMS@@GordonPhysicalTherapy. But i spoke to the GP and explained initially the symptoms the first time, they said it was BPPV and sent me a breakdown from John Hopkins website of how to do Epley and also sent a video from KZbin where a lady does it on the bed and it has like 2 million something views. Well when i woke up i was on my right side and that's when it started, when i rolled onto my left it did not spin. So without doing the Dix halpike i could tell which side it was. Anyway as the days went on and it happened again that's when i did the Dix halpike to see what side and it confirmed right side. It's just those residual effects which have stayed for now is really frustrating and it makes me believe i will never get better and be clear headed as before. Anyway i will continue with those VOR exercises in that video and hope to see improvement soon. How long in your experience does this residual effect last most of the time on average?

[@russianvictory1]

P.S: I was finally after 10 days of this able to get a face to face appointment in the next few days. I will update once GP has seen me over and what they advised. I will likely be asking to be referred to a specialist ENT to begin with@@GordonPhysicalTherapy

[@raymondroberts8709]

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. 😓

[@GordonPhysicalTherapy]

I'm really sorry to hear that! Did the Epley Maneuver help? Are you doing better now?

[@narellesmith7932]

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

[@carolinaprepper6603]

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.

[@rags1691]

@@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

[@Lovemy911]

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

[@terrorsquadlith]

I guess I have something else then.. Lasts a lot longer, even a full day, also in certain position I am ok (when lying on my back and looking at a 45 degree angle to the right, but if I turn my head to the left it starts spinning like absolute crazy. What could it be ?

[@GordonPhysicalTherapy]

Doesn't sound like BPPV... check out this video about tinnitus and Meniere's Disease to see if that's what you have: kzbin.info/www/bejne/naWsaZqGj5WIntk

[@eastforkartstudio7641]

How about running/marathon training? Would that jar a particle loose?

[@GordonPhysicalTherapy]

It could, yes. Other times, it's something more obvious like falling and hitting your head. And yet other times, nothing really happened, the crystals just got loose over time.

[@eastforkartstudio7641]

@@GordonPhysicalTherapy thank you for your reply :)

[@ginni333]

Can you have BPPV but symptoms are milder than what you described? Had a lot of dental work last few months.

[@GordonPhysicalTherapy]

Yes, symptoms can be milder for some people.

[@SD-fj2mu]

What condition would be more aligned with constant/unyielding vertigo? Like it constantly feels like I'm moving, even when completely still, standing up or laying down, etc. with no relief or response to medication

[@GordonPhysicalTherapy]

Several possible causes: inner ear damage, an infection, Meniere's or MdDS.

[@SD-fj2mu]

@@GordonPhysicalTherapy Thank you very much for your response. I'll look into these.

[@johnjacobjingle7177]

I have it and have done the test. My family dr doesnt know what im talking about...Where should I go?

[@GordonPhysicalTherapy]

Can you find a local PT who treats vertigo?

[@zyabvit]

Thank you for your videos! My wife is having vertigos when changing head position. It looks like BPPV, vertigos come and go in about 30 seconds. But with Dix Hallpike test (and even if she lies on her back) I don't see nystagmus, it more looks like her eyes are rolling up and closing. Any advise, please?

[@GordonPhysicalTherapy]

Try to have her keep her eyes open during the test, and do so in a low-light environment. Or, if she has symptoms of vertigo with the Dix-Halpike, even without nystagmus, treat the involved sign and see if it clears her symptoms.

[@Genuine709]

sir, 1. Having dizziness/ vertigo mainly while walking…it stays for few hours while walking only. 2. Also have other symptoms you have mentioned, sudden dead movements, looking upward… dizziness stays for 30sec and goes away. Are these BPPV symptoms? Pls share your opinion. Thank you

[@GordonPhysicalTherapy]

It's possible you have BPPV. I would perform the Dix-Halpike and Supine Roll Tests to see if those provoke your symptoms.

[@Continental123-i2n]

What causes the crystal to form in the first place?

[@GordonPhysicalTherapy]

The crystals are a completely normal structure in an adjacent inner ear organ (called your "utricle"). They're supposed to stay put in the utricle, but sometimes they get dislodged and float into the semicircular canals, which causes BPPV.

[@harjindermatharu5318]

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.

[@xzclaire]

I've struggled with this for 8 years and only recently got diagnosed, the thing is my dizziness is completely random I don't notice a specific head movement affecting it, could it still be BPPV? Also is it safe to do the Epley manoevure at home?

[@GordonPhysicalTherapy]

If it's completely random, it probably isn't BPPV. However, you can still do the Dix-Halpike and Supine Roll Tests to check for BPPV.

[@donsal.t.1765]

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.

[@GordonPhysicalTherapy]

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!

[@abhijitbanerjee1316]

How are you now? What was the diagnosis?

[@ruthcarter8895]

Yep! That’s me!

[@GordonPhysicalTherapy]

I hope you're able to get some help treating it!

[@sripriyashankar5570]

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?

[@GordonPhysicalTherapy]

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.

[@michelleb9269]

Hello, if the sudden dizziness only lasts a few seconds, is that still considered bppv? I get sudden dizziness since having my son and i notice it when leaning over when playing with him or reading to him

[@markwarner6828]

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

[@GordonPhysicalTherapy]

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!

[@markwarner6828]

@@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 👍