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Benign positional vertigo - aftercare

Vertigo - positional - aftercare; Benign paroxysmal positional vertigo - aftercare; BPPV - aftercare; Dizziness - positional vertigo

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Description

You may have seen your health care provider because you have had benign positional vertigo. It is also called benign paroxysmal positional vertigo, or BPPV. BPPV is the most common cause of vertigo and the easiest to treat.

What to Expect

Your provider may have treated your vertigo with the Epley maneuver. These are head movements that correct the inner ear problem that causes BPPV. After you go home:

Most of the time, treatment will cure BPPV. Sometimes, vertigo may return after a few weeks. About half the time, BPPV will come back later on. If this happens, you will need to be treated again. Your provider may prescribe medicines that can help relieve spinning sensations. But, these medicines often do not work well for treating the actual vertigo.

Self-care

If vertigo returns, remember that you can easily lose your balance, fall, and hurt yourself. To help keep symptoms from getting worse and to help keep you safe:

To keep your symptoms from getting worse, avoid the positions that trigger it. Your provider may show you how to treat yourself at home for BPPV. A physical therapist may be able to teach you other exercises to reduce your symptoms.

Having BPPV can be stressful. Make healthy lifestyle choices to help you cope:

When to Call the Doctor

You should call your provider if:

References

Bhattacharyya N, Gubbels SP, Schwartz SR, et al. Clinical practice guideline: benign paroxysmal positional vertigo (update). Otolaryngol Head Neck Surg. 2017;156(3_suppl):S1-S47. PMID: 28248609 www.ncbi.nlm.nih.gov/pubmed/28248609.

Crane BT, Minor LB. Peripheral vestibular disorders. In: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 165.

Millar JL, Schubert MC, Shepard NT. Vestibular and balance rehabilitation: program essentials. In: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 168.

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Review Date: 4/15/2018  

Reviewed By: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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