BPPV Doc - Vestibular Physical Therapy

Patients is a 69 y/o male, reports to physical therapy with complaints of recent onset of vertigo and dizziness. Symptoms mainly occur during during positional changes (rolling side to side in bed, moving from supine to sit). During examination patients presents with very clear left posterior canal BPPV.

Patient presents to physical therapy with recent onset of vertigo - room spinning sensation. Patient reports that her symptoms started first thing in the morning when she rolled over in bed. Patient states that experienced a immediate onset of room spinning with extreme nausea. Upon examination patient presents with very clear RIGHT Posterior Canal BPPV.

The most effective treatments for BPPV are the Epley, Log Roll and Semont maneuvers. These are physical maneuvers which reposition the debris to an insensitive location, the vestibule of the inner ear. I perform the maneuvers on patients who have positional nystagmus that I can demonstrate on my examination. These maneuvers are very effective and, after a visit or two, 97% of patients are cured.