Benign paroxysmal positional vertigo is one of the most common causes of dizziness. It is estimated around 75 000 Australians are affected every year. The disease is common in the elderly and women, but can occur in all ages and both sexes. Fall and twists his head and neck can trigger.
What is benign paroxysmal positional vertigo?
Benign paroxysmal positional vertigo is short and severe attacks of vertigo that occurs most often in conjunction by the person lies down, sits up otherwise turns in bed. These seizures are short, usually from 10 to 20 seconds, nausea and vomiting may occur and nystagmus is involuntary rapid eye movement. The symptoms are usually triggered by a change of position of the head with respect to gravity. Very often one less dizzy upright and when walking around.
In our inner ear balance organ sits maze, and inside the maze is sensory organs containing small calcium carbonate crystals called otoliths that in normal cases stuck in a membrane. Loosening of these otoliths causes it to move in the maze that will affect the body in connection with head movements. The symptoms are often exacerbated when otoliths harbors part of the maze called archways.
What can our chiropractors do?
The Chiro & Sports Med chiropractors will do a thorough medical history and examination of the entire nervous system including neck and back to rule out other possible causes for dizziness. Decreased movement in the neck, chest back and jaw can be directly causes of vertigo that should be examined by one of our chiropractors.
If our chiropractors suspect you have benign paroxysmal positional vertigo they will confirm the diagnosis by performing a maneuver called Dix-Hall Pike test. The test involves the chiropractor putting the patient in the supine position, bending your head backward and rotating the head 45 degrees to one side and holding the position for 30 seconds. The test is repeated in the same way to the other side. If this test triggers symptoms to either side, the test is positive. Most often the symptoms will be most striking the first 10 to 20 seconds and then slow down towards the end of the test.
What does the treatment consist of?
The treatment for benign paroxysmal positional vertigo consists of the chiropractor performing a technique called Epley maneuver. After the chiropractor has found what side the otoliths move, using Dix-Hall Pike test, he tests again and waits for 30 seconds until the symptoms calm down. Then he turns the patient’s head 90 degrees to the fresh side, with quietly controlled movement, then twists the head another 90 degrees to the fresh side. At the last 90 ranks the chiropractor will explain the patient having to rotate the entire body over on the fresh side, and then sit up 45 degrees .
Treatment is usually very effective and patients are often symptom free after a few treatments. After treatment, our chiropractors at Chiro & Sports Med recommend that for 48 hours you do not drive yourself home, avoid quick movement with the neck and sleeps upright with upper body 45 degrees raised, either in a chair or building up with pillows in bed.