Dizziness/BPPV assessments /treatments and physical therapy



I’m really dizzy- can my physical therapist help me?

July 31, 2016


Jon Keller Physical therapist

There are myriad possible causes of dizziness….

1. Vertigo – BPPV- benign positional paroxysmal vertigo.  It can be from a car wreck, sleeping the wrong way and some inner ear crystals called calcium carbonate crystals. They can be positioned in the wrong position in a canal in the ear.  You need to see an ear nose throat Dr or neurologist then a physical therapist that treats what is called BPPV. It can be an issue of canalithiasis, cupalisthiasis, it can be from a central nervous system impairment as well or a peripheral nervous system issue. They can do many types of assessments like the Hallpike Dix maneuver and the treatment of Epleys (The Epley maneuver takes about 15 minutes to complete. It has a cure rate of roughly an 80% cure rate, the first time it is applied ( Herdman et al, 1993; Helminski et al, 2010). Others don’t do as well however, and Hughes et al reported only a 47% cure rate the first time (Hughes et al, 2015). It took them 3 maneuvers to get to 84% curehttp://www.dizziness-and-balance.com/disorders/bppv/epley/epley.html.) or possibly Semonts treatments that are efficacious in assessment and treatment with multifarious articles validating the treatment.

Hallpike Dix maneuver from your PT or Dr. to be performed

Epleys maneuver by your PT or Dr to be performed by them

I have worked for years trying to help patients get better from inner ear dysfunction and finally found a physical therapy group that really really is exceptional at getting patients better from it in North Charleston SC. It is called Gentiva home health.  They exercises and treatments were astonishing how effective it was.

2. Low blood pressure due to standing up called orthostatic hypotension- your physical therapist can check this by having you lay supine test BP, sit up test BP, stand up test BP , then the physical therapist notes if you have the symptoms of light headedness, if your blood pressure drops more than 15 to 20 mmHg you likely have this condition. It could be from taking too many high blood pressure medications or too high of a dose- check with your physician about this.

 3.  Vision problems

4. Anemia- low iron

5. Low blood sugar

6. anti-seizure drugs, antidepressants, sedatives and tranquilizers- mayoclinic.com

7. Parkinsons, Multiple sclerosis

8. Meniere’s disease- excess build up of fluid in the ear

9. Heart circulation dysfunctions- heart attack, arrythmia

10. Vestibular infection


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