Balance problems, Dizziness, Vertigo:

You might have BPPV (Benign Paroxysmal Positional Vertigo), but

You can treat BPPV !    

Benign paroxysmal positioning vertigo (BPPV) is a disorder caused by inner ear problems. The most common symptoms are repeated episodes of positional vertigo, or of a spinning sensation caused by changes in the position of the head.

Two vertigo treatments have been found effective for relieving symptoms of BPPV and overcoming dizziness: the Epley manoeuvre and the Semont manoeuvre. The Epley manoeuvre employs gravity to help a patient that needs vertigo treatment and involves moving the calcium particles that cause the condition. This form of vertigo treatment can be performed by trained health professionals or tought to patients to practice at home. In the Semont manoeuvre, patients themselves are able to achieve repositioning.
Although know as a vertigo treatment, the Epley manoeuvre does not destroy the actual presence of the particles (otoconia), instead it changes their position moving the particles from areas in the inner ear which cause vertigo, into areas where they do not cause these problems (their natural position) thus overcoming dizziness.
The DizzyFIX vertigo treatment device enables patients and health professionals to perform the Epley manouvre correctly.


© 2011 - BPPV, Vertigo Treatment, Overcomming Dizziness, Vertigo Cure, BPPV Help - FixEar Ltd
Listed in the YFS business directory in the Vertigo Treatment category


BPPV Symptoms - Do I have BPPV ?


DISCLAIMER: While the information offered here is intended to be of help to the user, this information in no way establishes a doctor-patient relationship between the user and FixEar Ltd. or any FixEar Ltd. Employee/Representative.

Always consult a physician before pursuing any treatment.
Please see disclaimer here.


What is BPPV?

BPPV is the most common cause of vertigo related to the ear. About 1 in 5 people who have dizziness will have BPPV. This number increases in the elderly or in at risk populations. About every 1 in 40 people will have BPPV at some point in their life.

While BPPV is common, it is not the cause of all types of dizziness. It is usually possible to differentiate BPPV from other causes. If the following statements describe your dizziness, it is likely that you suffer from BPPV:

  1. My dizziness lasts only seconds (less than one minute, never hours or days).
  2. The symptoms occur with certain head positions
    (e.g. looking up, bending down, turned sideways whilst lying down)
  3. It feels like either the room or my body is spinning.
  4. My dizziness is not associated with a change in my hearing or a noise in my ears.
The "B" in BPPV stands for benign, because in most cases it resolves on its own within a couple of weeks, however without treatment it persist in about a third or more.

Information to help diagnose BPPV

(modified from M von Brevern, A Radtke, F Lezius, M Feldmann, T Ziese, T Lempert: Epidemiology of benign paroxysmal positional vertigo. A population-based study  in Journal of Neurology, Neurosurgery, and Psychiatry 2007;78:710-715)

  1. "Vestibular Vertigo" is dizziness related to the ear (you must have at least one of following 3 symptoms):
    1. Spontaneous rotational vertigo (sudden spinning of self or the surrounding)
    2. Positional vertigo (Spinning when changing the head position)
    3. Recurrent dizziness with nausea (sick to the stomach) and
      either nystagmus (involuntary eyemovements making it difficult to read) or imbalance.
  2. Benign paroxysmal positional vertigo (ALL 4 of the following must be true):
    1. Recurrent "Vestibular Vertigo" (as above)
    2. The duration of the attack must always be < 1 minute
    3. Symptoms invariably provoked by the following changes of head position:
      1. Lying down or
      2. Turning over in the supine (lying on your back) position
        or at least 2 of the following manoeuvres:
        1. Reclining the head
        2. Rising up from supine (lying on your back) position
        3. Bending forward
    4. Not attributable to another disorder

The gold standard to diagnose are the history and the typical nystagmus (eyemovement) seen during the Hallpike manouvre. A video of the Hallpike manouvre can be seen here.

If the above tests show that you have BPPV, then the DizzyFIX may be right for you!

BPPV Nystagmus

People with BPPV experience rapid involuntary eye motion called Nystagmus when changing head position in relation to space. The Nystagmus associated with BPPV is rotatory (13 MB movie link). The top of the eye moves towards the ground. This is called Geotropic. The Nystagmus disappears after several seconds and the associated vertigo passes.

DizzyFix to treat BPPV


A diagnostic worksheet for BPPV produced by Dr Umapathy:
Just click here: BAAP document for BPPV

Be aware:

If a violent sudden vertigo/dizziness is associated with double vision, other problems seeing or swallowing or moving limbs poor circulation of the brain can be the reason. This can be a warning sign or part of a stroke and immediate medical care is required. This is NOT BPPV.

A stroke requires urgent hospital care! 
If in doubt always act on the side of caution and see medical help straight away
.