Benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder that causes brief episodes of dizziness or vertigo with specific head movements. It is caused by the displacement of small calcium carbonate crystals in the inner ear, leading to the stimulation of the balance nerve fibers. Although BPPV is not life-threatening, it can greatly impact one’s quality of life. Fortunately, physical therapy can help manage BPPV symptoms through a variety of techniques, maneuvers, and exercises.

At our physical therapy clinic, we specialize in treating patients with vestibular disorders, including BPPV. Here’s a comprehensive guide to the various techniques we use to help patients with BPPV:

  • Brandt-Daroff Exercise: This exercise is often prescribed to patients to perform at home to improve their symptoms. Patients are instructed to sit upright on the edge of the bed, then move into a lying position on one side with their head at a 45-degree angle. After staying in this position for 30 seconds, they move back to an upright position and then repeat the same procedure on the other side.
  • Carnality Repositioning Maneuver: This maneuver is effective for treating posterior canal BPPV. Patients are taken through a series of head movements to reposition the displaced crystals to the correct location within the inner ear.
  • Vestibular Rehabilitation Exercises: These exercises are designed to improve balance and reduce dizziness by retraining the brain to better process vestibular signals. The exercises typically involve head and eye movements and balance training.
  • Epley Maneuver: The Epley maneuver is used to treat posterior canal BPPV. It involves a series of head movements to reposition the displaced crystals. Patients are placed in various positions with their head tilted at specific angles.
  • Semont Maneuver: The Semont maneuver is similar to the Epley maneuver but involves a more rapid change in position. It can be effective for treating horizontal canal BPPV.
  • Gufoni Maneuver: The Gufoni maneuver is used to treat horizontal canal BPPV. The patient is quickly moved from a seated position to a lying position on one side, and then rapidly brought back to a seated position. This maneuver can be repeated several times.

At our physical therapy clinic, we conduct a thorough evaluation of each patient’s symptoms to determine which technique is most appropriate for their individual case. Treatment may involve a combination of these maneuvers and exercises to effectively manage their BPPV symptoms.

Physical therapy can be a highly effective treatment for BPPV. Through a combination of maneuvers, exercises, and other techniques, our physical therapists can help patients manage their symptoms and improve their quality of life. If you are experiencing symptoms of BPPV, contact us today to schedule a consultation.