The Epley maneuver worked – why do I still feel dizzy?

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A person with BPPV who was treated in Greece asked: “After the treatment maneuver I felt much better. However, I now feel,…off balance? Why? How long with this last? Should I keep trying the Epley treatment?” This is a common question and has an interesting, if theoretical, answer. It seems that some people cantell when they have BPPV just by the way they feel, even if they don’t experience vertigo at that moment. They just feel off, like something isn’t right. It is almost as if they … Read More

So what does it feel like to have BPPV?

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  If you have had BPPV you will never forget what it feels like. But it is hard to explain to someone else. Many people report spinning: “Like falling off a building”, like “a roller coaster ride but worse”, like “my head was spinning”. To be honest, as someone who has had BPPV myself, it was really scary for the first few minutes. The irony that I had BPPV was not lost on me. However, until I confirmed for myself … Read More

Can medications actually cause vertigo?

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Someone recently asked, “Do any medications cause vertigo?” The answer depends on what you mean exactly. Many medications can cause dizziness. This can be the light headedness associated with blood pressure medications to the woozy feeling from narcotics to the sleepy feeling of sedatives. However, vertigo (spinning dizziness) is not often caused by medication unless damage is being done to the organ of balance in the inner ear. In some cases damage can be temporary or it can be permanent. … Read More

Can I do the maneuver more than once a day?

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Can I do the maneuver more than once a day? The short answer is “Yes” you can. However, usually in active BPPV you get dizzy during the maneuver. Many people find this repeated vertigo too much to do again and again. Usually BPPV causes nausea but not vomiting, unless of course you induce the vertigo over and over by repeating the maneuver. This is the reason I suggest you only do it once or twice a day. Further, it is … Read More

Can I prevent BPPV?

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We often are asked if there is anything a person can do to prevent BPPV from coming back. To date there is no evidence that doing a maneuver will prevent all recurrences. A recent study in 2008 (Daily exercise does not prevent recurrence of benign paroxysmal positional vertigo. Otology and Neurotology) demonstrated this fact but lacked, in my opinion, sufficient numbers of patients to end the debate. It certainly would intuitively seem to make sense that a prophylactic maneuver would prevent, at … Read More

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