Jadean Hoff, PT, DPT, NCS, CCCM
BPPV, or benign paroxysmal positional vertigo, is one of the most common causes of dizziness. It happens when tiny calcium crystals in the inner ear, called otoconia, move out of place.
These crystals normally sit in the vestibular labyrinth, which helps your brain sense motion and maintain balance. But when they shift into the wrong canal, your brain receives mixed signals that can cause brief episodes of spinning or imbalance.
BPPV can also be simply known as vertigo.
Symptoms of BPPV can include a sense of spinning, dizziness, or imbalance that happens every time you change positions such as:
If the spinning lasts less than a minute, it could be BPPV.
BPPV is more common in:
BBPV can also develop:
Younger patients often describe BPPV as a spinning sensation, while older adults may simply feel unsteady or off-balance, which is why dizziness or falls should never be dismissed as a normal part of aging.
Physical therapists at Gaylord Specialty Healthcare use specialized vestibular assessment goggles to observe eye movements during head position changes. These movements help identify which ear and which canal is affected, guiding targeted treatment. [picture]
Treatment is quick, safe, and highly effective. Using gentle repositioning maneuvers, a physical therapist can guide the crystals back to their proper place. Most people feel better within one or two treatments, although more sessions may be needed if multiple canals are involved.
Early treatment not only relieves dizziness but also can reduce fall risk, helping patients regain confidence and mobility.
Dizziness, imbalance, and falls are not normal parts of aging and they can often be treated successfully. If you or a loved one experiences brief spinning with position changes, schedule a vestibular evaluation with a Gaylord physical therapist today. With the right care, you can restore balance, stability, and stop the world from spinning.
This content is for educational purposes only and is meant to provide general information. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider with any questions or concerns about your health. In case of a medical emergency, contact your doctor or call 911 right away.