You may have seen your doctor because you've 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.
Vertigo - positional - aftercare; Benign paroxysmal positional vertigo - aftercare; BPPV - aftercare
Your doctor may have treated your vertigo with the Epley maneuver. These are head movements that correct the inner ear problem that causes BPPV. It usually works quickly.
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'll need to be treated again. Your doctor may prescribe medicines that can help relieve spinning sensations. However, these medicines often do not work well for treating vertigo.
If vertigo returns, remember that you can easily lose your balance, fall down, and hurt yourself. To help keep symptoms from getting worse and keep you safe:
To keep your symptoms from getting worse, avoid the positions that trigger it. Your doctor 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.
Symptoms of positional vertigo can cause stress. Make healthy lifestyle choices to help you cope:
You should call your doctor if:
Bhattacharyya N, Baugh RF, Orvidas L, Barrs D, Bronston LJ, Cass S, et al. Clinical practice guideline: Benign paroxysmal positional vertigo. Otolaryngology - Head and Neck Surgery. 2008; 139 (5 Suppl 4): S47-S81.
Crane BT, Schessel DA, Nedzelski J, Minor LB. Peripheral vestibular disorders. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, PA: Mosby Elsevier; 2010:chap 165.
Post RE, Dickerson LM. Dizziness: a diagnostic approach. Am Fam Physician. 2010;82:361-369.
Updated by: Joseph V. Campellone, MD, Division of Neurology, Cooper University Hospital, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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