Help, I keep feeling dizzy! What is BBPV and how to fix it?

What is BBPV and how to fix it

Updated – 18th May 2021

Do you get dizzy and feel the room is spinning at times when you roll over in bed or turn your head quickly? Do you get dizzy when you look to the side while driving or walking? There are many causes of vertigo and dizziness, however the cause could be from your inner ear such as BPPV.

BBPV stands for Benign Paroxysmal Positional Vertigo and is a common condition which presents in the adult population, particularly in people over the age of 40 although it can also affect younger people. BBPV is the most common cause of vertigo, which can be defined as a false sense that the room is spinning.

As its name suggests key features of BBPV are as follows:

  • Benign – it’s not life threatening and is fixable
  • Paroxysmal – it occurs in short, sudden spurts and doesn’t occur without movement
  • Positional – it is experienced with certain movements, depending on the position a person’s head moves into
  • Vertigo – it results in a false sense of movement, commonly causing a person to feel like the room is spinning

What are the causes of BBPV?

The inner ear is made up on 3 semi-circular canals and special fluid moves along these canals. The canals have special receptors which detect the fluid movement and send signals to the brain to let a person know where they are in space and give a sense of their positioning.

In BBPV, dislodged crystals (otoconia) get stuck in the semi-circular canals and disrupt the normal fluid movement through the canals which sends false signals to the brain to tell a person they are off-balanced and causes vertigo.

inner ear

The following are common everyday causes of vertigo from BBPV:

  • Rolling in bed
  • Getting out of or into bed
  • Head turns
  • Looking up
  • Head check while driving the car

What are the key symptoms of BBPV?

  • Dizziness/Vertigo – this starts after the head moves to a certain position and usually settles shortly after once still again
  • Nausea – some patients may find they feel sick and like they are going to vomit
  • Feeling light-headed
  • Balance issues – feeling unsteady on one’s feet

Can BBPV be fixed?

The vertigo experienced from BBPV can be very debilitating and severe or can simply be an annoying moment or two of vertigo when rolling in bed. Either way, the good news is that BBPV is fixable!

Initially, your physiotherapist will perform a series of tests to determine the cause of dizziness by looking at your movements and your eyes.

If it is determined that you have BPPV, treatment will aim to re-position the crystals through a series of specific therapist guided movements. You should experience a significant reduction in the level of vertigo experienced within the first session. If your vertigo is severe, consultation with your GP can be useful and prescription of a specific motion sickness medication to reduce the dizziness and/or nausea can be beneficial.

Your physiotherapist will then teach you how to work through special exercises based on which canal is affected eg Brandt-Daroff exercises. These are a series of movements to continue help correcting the problem from home.

Usually, 2-3 treatment sessions help to fix the issue. Some patients may have had vertigo from BBPV for years and years and simply through completing the right treatment, have complete resolution of their symptoms within a few sessions, helping to greatly improve their quality of life.

What next?

Don’t keep putting up with having vertigo and feeling dizzy! See your physiotherapist, who can help accurately diagnosis and treat the cause of the problem. You’ll sleep and feel better and be better able to enjoy life to the full.

PS. If you don’t have vertigo but know someone who complains about feeling dizzy at times, be a good friend and refer them to a physiotherapist for assessment. I guarantee, they’ll thank you afterwards!

Our Physios are on hand for advice and assessment – appointments are available by calling 5535 5218.

 

Gold Coast Physiotherapy and Allied Health at Burleigh Heads and Broadbeach 

References:

Benign Paroxysmal Positional Vertigo, VEDA, Accessed on 29/5/19, https://vestibular.org/understanding-vestibular-disorders/types-vestibular-disorders/benign-paroxysmal-positional-vertigo

Vertigo (BBPV), Victoria Department of Health Emergency Department Facet Sheet, Accessed on 29/5/19, http://www.health.vic.gov.au/edfactsheets/downloads/vertigo-bppv.pdf

 

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Our Response to Covid-19

This page is up to date to our best knowledge, however, this is a rapidly evolving situation so we apologise for any potential delay in updating this information.

We want to reassure all our patients that we are following stringent infection control procedures in our clinic, and screen all people coming into the clinic, to exclude any patients that have any signs or symptoms consistent with Covid-19, as well as screening any patients that should be in isolation ie recently returned from overseas, or have been advised to isolate due to recent exposure with a known Covid-19 patient.

All our staff have now completed the Department of Health Covid-19 Infection Control Training.

What are we doing to minimise risk?

  • Screening patients for risk factors over the phone or through text messages before they attend appointments. Those with risk factors or symptoms are advised not to attend & to seek medical advice.
  • Hand sanitiser station at the front of the building must be used before you enter.
  • Following stringent infection control measures within the clinic. This includes
    • Disinfecting all beds, door handles, EFTPOS machine before and after each patient use.
    • Linen changed between each patient and commonly touched surfaces through the practice are cleaned regularly throughout the day.
    • Minimising the distances between clients in the waiting room- some chairs are outside undercover.
  • We have advised our team members not to come to work if they have cold or flu-like symptoms.
  • We are following all Department of Health recommendations for our type of business.

On the 30th March 2020 – the Australian government issued a statement that “People aged over 70, aged over 60 with pre-existing conditions, or Indigenous people aged over 50 should stay home wherever possible for their own protection.”

The decision to come in for physiotherapy treatment really is an individual one – if you feel that your treatment is medically necessary, and are comfortable with the risks of leaving your home and coming to physiotherapy, then rest assured that when you attend our physiotherapy clinic, we are following our strict infection control processes and doing everything we can to minimise your risk whilst in our care. However, we completely understand if you are not comfortable with coming in for treatment.

TELEHealth Consultations

We are offering telehealth consults and home visits (where suitable) for patients who cannot attend our clinic.

Read more about TELEhealth Consultations here.

Staying Healthy

  • Wash your hands often (and for 20 seconds) with soap and water
  • Cough into your elbow or use a tissue to cover your mouth when you cough or sneeze
  • Social distancing practices – Avoiding close contact with others, such as touching, including shaking hands
  • Limit contact with people who are sick, and stay home if you are sick and encourage employees to stay home when sick
  • Get 7-8 hours’ sleep a night to help your immune system stay strong
Please stay safe and take care of each other!

We are monitoring the situation very closely and will make adjustments to our business as we are further informed. Our priority is the health & well being of our patients and our staff. Thanks for your understanding.

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