Vertigo (BPPV) Treatment in Vancouver

What is BPPV?

Benign Paroxysmal Positional Vertigo (BPPV) is a common inner ear problem that causes short-lived but intense episodes of vertigo or the sensation of spinning. This condition occurs when naturally occurring tiny calcium carbonate crystals, known as canaliths, detach from their usual location in the inner ear and move to the wrong spot. When the head is moved in certain positions, these displaced crystals shift, sending false signals to the brain about the body's position. This miscommunication triggers the symptoms of vertigo. The hallmark signs of BPPV include dizziness, a spinning sensation, nausea, and sometimes vomiting, which are typically triggered by movements such as looking up, bending forward, or rolling over in bed.

Vancouver chiropractor Vincent Ng treating vertigo using epley's maneuver

How will your Chiropractor determine if you have BPPV?

The diagnosis of Benign Paroxysmal Positional Vertigo (BPPV) primarily involves a clinical evaluation and the performance of specific positional tests by your Vancouver chiropractor. There are no standard lab tests or imaging studies specifically for diagnosing BPPV; instead, the diagnosis is based on the patient's history of symptoms and the results of physical examination maneuvers. Key components in diagnosing BPPV include:

  1. Patient History: The healthcare provider will ask about the patient's symptoms, particularly noting if episodes of vertigo occur with changes in head position. Details about the duration, frequency, and triggers of these episodes can help differentiate BPPV from other types of vertigo.

  2. Dix-Hallpike Test: This is the primary diagnostic maneuver for BPPV, particularly for diagnosing posterior canal BPPV, the most common variant. D

  3. Observation of Nystagmus: The type of nystagmus (a rapid, involuntary movement of the eyes) observed during these tests can help determine which canal is affected.

  4. Tests to rule out other conditions: If necessary, your chiropractor may use other tests to examine your symptoms. They may examine your neck and test nerves in the neck and head region to determine the appropriate treatment.

Ferris wheel spinning at a carnival with lights and attractions in the background, night scene.