Pelican Parts Forums - Anyone here suffered from and found a cure for BPPV??

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Anyone here suffered from and found a cure for BPPV??

That's "Benign Paroxysmal Positional Vertigo" a very unpleasant constant dizziness.

Cure?? Anyone?

Quote:

Originally Posted by yellowperil (Post 9480908)

That's "Benign Paroxysmal Positional Vertigo" a very unpleasant constant dizziness.

Cure?? Anyone?

You might want to see a doctor about that.;)

I haven't heard of a permanent cure, but I assume you are familiar with the Epley maneuver which should stop an "attack" right?

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OK, here.

https://www.hopkinsmedicine.org/neurology_neurosurgery/centers_clinics/vestibular/conditions/benign_paroxysmal_positional_vertigo.html

Quote:

Hopkins Treatment

The treatment of BPPV is based upon our specific knowledge of the disease. Bedside physical therapy maneuvers and programs of exercise have been designed with the goal of removing the stones from the semicircular canals. Once out of the semicircular canals, the stones are probably absorbed naturally over the course of days to weeks. There is always the risk of the stones falling back into the semicircular canal and getting stuck again. Once out, however, the otoconia usually don’t cause further problems. If the stones do fall back into the semicircular canal, the physical therapy can be repeated.

The physical therapy maneuver we usually use is called the Epley maneuver. First, while sitting up, the patients head is turned about 45 degrees to the side that normally provokes the vertigo. Then the patient is quickly laid down backwards with their head just over the edge of the examining table. This position usually provokes strong vertigo. The head is kept in this position for about 30 seconds and then turned 90 degrees to the opposite side. After another 30 seconds, the head and the body are turned together in the same direction so that the body is pointing towards the side, and the head is pointing down toward the ground at a 45 degree angle. After 30 seconds in this position, the patient is brought upright again. This is repeated as many as five or six times until neither vertigo nor nystagmus are elicited when the head is brought into the bad ear down position.

In some cases, a hand held vibrator is applied to the bone behind the bad ear to help dislodge the stones that may have become stuck on the walls of the semicircular canal.
Follow-Up Instructions

After the maneuver, the patient is asked to sit still with their head upright for ten-to-twenty minutes.
Begin walking with caution
Avoid putting head back, or bending far forward (for example, to tie shoes) for the remainder of the day
Avoid sleeping on the side of the affected ear for several days

Usually no medications are required for BPPV unless the patient has severe nausea or vomiting. If extreme nausea does exist, anti-nausea medications can be prescribed before and/or after the treatment.

In about 70-80 percent of patients, a cure is immediate. In 20-30 percent, the symptoms recur within the first week and the patient should be treated again. Over the long term, BPPV recurs about half of the time. Usually the symptoms are less severe, and re-treatment is simple and effective. In patients with frequent recurrence, exercise programs can be prescribed so the patient can treat themselves.

In rare cases, a surgical procedure can be performed in which the posterior semicircular canal is plugged, preventing the otoconia from moving within the canal. While the surgical plugging procedure cures the problem, it carries some risk – including loss of hearing.

In some cases, one of the canals other than the posterior one is involved. If it is the lateral semicircular canal, slightly different maneuvers are used but still based upon the same principal of moving the stones out of the offending semicircular canal. Sometimes, simply lying with the bad ear up for 12 hours, while not a particularly exciting proposition, allows the stones to fall out of the canal and cures the condition.

BPPV of the anterior canal is exceedingly rare, as debris in this canal (located at the top of the inner ear) easily falls out on its own.

In many ways, the discovery of the mechanism of this simple treatment for BPPV is one of the most gratifying advances in the evaluation of the dizzy patient. BPPV can be diagnosed and treated successfully with no tests, no pills, no surgery and no special equipment.

Not sure if you saw this...a recent thread about vertigo.. http://forums.pelicanparts.com/off-topic-discussions/941631-had-episide-vertigo-today-behind-wheel.html
Some interesting answers.

Quote:

Originally Posted by masraum (Post 9480921)

This^^.

Don't know the cause or cure, but the Epley maneuver certainly worked for me. My first bout hit me about 15 years ago. I had to be taken to the emergency room as I had no idea what was happening. Dr. gave me the printed instructions. I've had two more episodes since, and each time I do the exercises the symptoms recede within 5-10 minutes. Cannot predict when they strike, but it always happens, to me, when I'm rising from a deep sleep.

Quote:

Originally Posted by yellowperil (Post 9480908)

That's "Benign Paroxysmal Positional Vertigo" a very unpleasant constant dizziness.

Cure?? Anyone?

Just a question. Is this recent? Are you taking large doses of anti-inflammatories, such as Celebrex?

My father was on serious doses of Celebrex for knee osteoarthritis. He said it made him dizzy. I thought he was crazy, since that isn't usually a side affect.

About a year later, I was taking massive doses of Celebrex for neck, shoulder and knee issue due to long distance cycling. I started getting issues where if I moved my head too fast, I'd get a big hit of vertigo.

I stopped taking the Celebrex, moving to a special form of Ibuprofen coated with stomach protecting coating. I haven't had an issue since. My father was moved to Naproxen and he hasn't had any issues either.

Quote:

Originally Posted by red-beard (Post 9480973)

This is a very good point^^.

I just reread the op's post and the part where he says, " a very unpleasant constant dizziness" now seems out of place for BPPV--at least in my experiences. The dizziness is not constant once the symptoms have been addressed and recede. I agree, the op needs to see a doctor as he may not be dealing with BPPV at all.

Definitely unpleasant, but the Epley maneuver does work. Haven't heard of a cure, just treating the episode as it occurs. There's another maneuver out there that involves getting into a somersault position and manipulating your head similar to the Epley. There are meds available too, but if you can beat it with the Epley, who needs them.

The Epley maneuver worked great for me.

I do it on an needed basis.

SIL has a shunt being installed in her neck to increase blood flow....took awhile to diagnose, the mechanic has an opening next week.

Thanks to all who have responded,

and those who have yet to respond. Thanks Sincerely, YP