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DRHow to Do the Epley Maneuver for BPPV Vertigo #epley #vertigo #bppv Have you ever had vertigo?
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KIBPPV occurs when tiny crystals in your inner ear drift out of place, sending false “spinning” signals to your brain.
Classic Symptoms:
• Sudden vertigo (spinning sensation) triggered by moving your head.
• Short bursts of dizziness lasting less than a minute.
• Triggers like rolling over in bed or looking upward.
• Nausea or a temporary loss of balance.
The treatment is special physical therapy so if this sounds familiar talk to your doctor!
@kiefer_md
661.8K
PHEver seen a positive Hallpike–Dix test?
(Shared with full patient permission.)
This was right-sided nystagmus, matching her symptoms—dizziness when turning her head to the right, like rolling over in bed. She’s a jiu-jitsu athlete, so repeated moderate head trauma can be a contributing factor.
What’s BPPV?
Benign Paroxysmal Positional Vertigo happens when tiny calcium crystals in the inner ear get displaced, sending false signals to your brain. Common signs include brief spinning, dizziness with position changes, and nausea.
I treated her with an Epley maneuver, which repositions those crystals back where they belong—often giving fast relief.
Vestibular stuff is fascinating. Tell me—have you ever seen a positive Dix-Hallpike?
@physwellrehab
10.7K
THBPPV Part 14: Can I prevent BPPV?
#BPPV #earcrystals #benignparoxysmalpositionalvertigo #vertigo #dizziness #vestibular #vestibularrehab #vertigoprevention
@thedizzypt_amy
443.1K
DRIt’s benign paroxysmal positional vertigo (BPPV) - the most common cause of inner ear-related dizziness!
BPPV occurs when crystals get loose in your inner ear and move around, telling your brain there is movement when there isn’t. Usually this presents as room-spinning vertigo, though some people describe their experiences different.
The good news? It’s treatable in minutes with the correct repositioning maneuver. The best bet is getting to a vestibular physical therapist ASAP to assess and treat. 🚨The ER will probably not know how to correctly test and treat you for this. If you do the wrong maneuver, it can make things worse.🚨
Share with someone who has spells of vertigo! Important to note that not all vertigo is BPPV.
***
P.S. I’m Dr. Emily Kostelnik, Ph.D., both a Vestibular Warrior and a Vestibular Psychologist. If you want educational, expert insights or easy-to-digest discussions about the vestibular system, dizziness, migraine, and anything that comes with vestibular disorders, follow along @dremilykostelnik !
Disclaimer: This is not therapy and does not replace therapy. Interacting through this medium does not constitute entering into a therapeutic relationship. This is for educational purposes only and is not intended as medical advice nor to diagnose or treat any medical condition.
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@dremilykostelnik
71.1K
DRIf you feel dizzy, lightheaded, or like you are on a boat.. you probably blamed your ear.
But if your head stays still and you still get dizzy… your ear is innocent.
This is NOT BPPV. NOT a virus.
This is cervicogenic vertigo.
Your neck is lying to your brain.
Stop popping pills. Stop random head maneuvers.
Fix the source.
@drakshaygosavi
280.5K
DIAcute care PTs and OTs — this one’s for you!
When your patient can’t get into the traditional Dix Hallpike, there are plenty of modifications you can do to improve comfort and safety while maintaining efficacy.
During positional testing and treatment, what actually matters is how the semicircular canals are oriented relative to gravity. This means that the HEAD position matters more than the BODY position
So when your patient has:
Neck pain
CHF
Severe kyphosis
Lines and tubes
Limited mobility
You don’t need to skip testing, you modify the mechanics to get the ear where it needs to be.
🛏 Use Trendelenburg instead of cervical extension
↔️ Roll head and body en bloc
👥 Grab a second assist
🛌 Use pillows for support
🔄 Use side-lying instead of Dix-Hallpike
If the canal is positioned correctly relative to gravity, you can still assess and treat effectively.
Acute care vestibular management requires flexibility and clinical reasoning.
Acute care therapists — what are some other tips for modifying positional testing in the hospital?
#physicaltherapy #occupationaltherapy #dizziness #bppv #acutecare
@dizzydiagnostics
26.6K
NE✅BPPV-qulaq kristallarının yerdəyişməsi. Əsas şikayətlər başı hərəkət edərkən yaranan başgicəllənmədir.
Bu problemin tək müalicəsi-qulaq kristallarının yerinə qoyulmasıdır. Dərman müalicəsi aparılmır. Xüsusi manevrlə buna son qoyulur.
🏥Neyron tibb mərkəzi
📍Neftçilər metronun yanı.Kamil Balakişiyev küç 55 .
☎️+994(12)4211721
📲+994(50)4139191
📲 +994(55)4139191
#nevroloq
#norolog
#nevropatoloq
#nevrolojixestelikler
#epilepsiya
#epilepsi
#basagrisi
#westsindrom
#vestsindrom
#westsyndrome
#basgicellenme
#paroxysmaltonicupgaze
#shuddering
#kekeleme
#nitqlengimesi
#serebraliflic
#reabilitasiya
#bppv
@nevroloq_zeynalovaaynur
36.1K
CA✅ Purpose
Used for BPPV (positional vertigo) to reduce dizziness by habituation.
🛏 Starting Position
Patient sits upright on the edge of the bed
Legs hanging down
Head straight
Eyes open
🔄 How To Do It (Step-by-Step)
1️⃣ Move to Side-Lying
Quickly lie down on one side
Turn head 45° upward (looking slightly toward ceiling)
Stay in this position for 30 seconds OR until dizziness stops
2️⃣ Come Back to Sitting
Return to sitting position
Stay for 30 seconds
3️⃣ Repeat on Other Side
Quickly lie down on the opposite side
Head again turned 45° upward
Stay for 30 seconds
🔁 Repetitions
5 repetitions on each side = 1 set
Do 2–3 sets per day (as advised)
⚠️ Important Points
✔ Movements should be quick but safe
✔ Dizziness during exercise is normal
✔ Stop if severe nausea or vomiting
@catalyst_physiotherapy_
702.3K
DREar Balance👂മൂലമുള്ള തലകറക്കം/Vertigo‼️നിങ്ങൾ അറിഞ്ഞിരിക്കേണ്ടത്…!
Benign Paroxysmal Positional Vertigo (BPPV) #vertigo #vestibular #ear #balance #bppv #dizzy
@dr.hernold_paul_e
24.0K
TRGreat post by @neurodoc_njsw on BPPV: "We got another spinner 😵💫.
.
I love to give the patients on feedback on what we are seeing with the nystagmus and when we see it slowing down to ensure it is true BPPV! .
.
Keeping the head in extension is vital to position the posterior canal ! @njspinewellness"
.
To get a complete explanation what is going on with BPPV and what to do about this type of dizziness, watch the course by Alan Sealy at @trustme_ed. Highly recommended. (Link in bio)
@trustme_ed
546.1K
DRIf you’re in midlife and suddenly experiencing dizziness, spinning, or feeling like the room is tilting — it might not be “just anxiety.” It could be vertigo related to menopause.
We now know that declining estrogen impacts the vestibular system; the part of the inner ear and brain responsible for balance and spatial orientation. Estrogen receptors are present in the inner ear, and shifts in calcium metabolism may disrupt otoconial function (those tiny crystals in your ear that help detect motion).
📖 Castillo-Bustamante et al., 2024; Jeong, 2020; Qian et al., 2022
One of the most common diagnoses in menopausal women with vertigo is BPPV (Benign Paroxysmal Positional Vertigo) — a sudden spinning sensation triggered by head movement. Its onset and recurrence are more common in peri- and postmenopausal women.
📖 Ogun et al., 2014; Owada et al., 2012
Other contributing factors:
🌀 Meniere’s Disease is more frequently diagnosed in menopausal women.
🧠 Central vertigo (brain-based) is more common than peripheral causes.
😣 Anxiety often coexists, compounding symptoms.
📖 Terauchi et al., 2018
Women with vestibular migraine also report more frequent and severe attacks during and after the menopause transition.
📖 Çelebisoy et al., 2025
What helps?
✅ The Epley maneuver (a repositioning technique) is highly effective for postmenopausal BPPV.
📖 Abdelatief & Yehia, 2018
✅ Validated tools like the Vertigo Symptom Scale can help track and assess symptoms.
📖 Gehlot & Thakrar, 2024
The bottom line?
Vertigo during menopause is real, often hormone-related, and treatable. We need to stop brushing it off as just nerves and start connecting the dots between hormones and balance.
🧬 More science, support, and symptom guides at thepauselife.com (link in bio)
#MenopauseEducation #VertigoAndMenopause #PerimenopauseSupport #HormoneHealth #BPPV #WomensHealthMatters #EstrogenDecline #ThePauseLife
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