Vertigo Treatment in Wake Forest, NC
Benign paroxysmal positional vertigo (BPPV) is a condition characterized by brief episodes of vertigo evoked by changes in the position of the head.
The diagnosis is established if there is a combination of typical symptoms with a positive Dix–Hallpike test, which is a maneuver that provokes both typical vertigo and torsional–vertical nystagmus and is diagnostic for the presence of canaliths in the posterior semicircular canal.
These patients can be easily treated using the Epley maneuver, resolving vertigo complaints in 80%–90% of the patients.
However, in some cases, the Dix-Hallpike test is negative, meaning that during Dix-Hallpike positioning either vertigo or nystagmus does not recur. In that case, the diagnosis is based solely on the patient’s history of temporary, isolated episodes of positional vertigo with characteristic triggers (bending, turning, or rolling in bed). This type of BPPV is classified as probable BPPV .
Among patients with probable BPPV, more than half have been shown to have recurring complaints of positional vertigo within 8 weeks, which can be objectified as definite BPPV in 16%. (Zaag-Loonen et al 2018)
It is recommended that by advising patients to actively contact the clinic in case of recurring symptoms, BPPV could be confirmed and treated.
Research guidelines advise professionals to adopt a policy of low-threshold access for patients with recurring symptoms when confronted with a patient with symptoms of BPPV but with a negative Dix-Hallpike test.
This is one reason we have direct access, so you can get for treatment fast for quick and effective results when you need to.
We also have a Physio Membership program that allows for monthly wellness visits to address deficits in strength, balance, pain and flexibility; as well as address any dizziness complaints that may be coming from your inner ear.
Feel free to contact us today to determine if your vertigo or dizziness symptoms are BPPV.
Dr. Danielle Vaughan is a Vestibular Specialist who treats balance, dizziness, and vertigo conditions in Wake Forest, North Carolina.