Vertigo is a common ailment that affects a large number of people every year. Though it is not a life threatening condition but it can affect their quality of life substantially. Vertigo attacks leave a person felling a sense of rocking, rotation and spinning, moving the head and body just make the symptom worse. A useful technique is using physical therapy for vertigo. This is wanted we are going to discuss in this article what exactly is BBPV (benign paroxysmal positional vertigo).
What causes vertigo?
A lot of causes of vertigo, including:
Central nervous system issues
Cervical spine issues
Meniere’s disease(a disorder of inner ear that characterized by episodes of felling like the world is spinning ,ringing in the ears ,hearing loss and a fullness in the ear
Inner ear infections
BPPV(benign paroxysmal positional vertigo) or loose crystals(a common cause of vertigo and is due to a mechanical change in the inner ear)
How is it diagnosed:
Your physical therapist will use your answers to the questions to help identify the cause of your vertigo and determine best course of treatment
When did you 1st have vertigo(sensation of spinning)
What are you doing when you have vertigo(turning your head, bending over ,standing perfectly still, rolling in bed)
How long does the vertigo last (seconds, minutes, hours, days)?
Have you had vertigo before?
Do you have hearing loss, ringing, or fullness in your ears?
Do you have nausea with the spinning?
Have you had any changes in your heart rate or breathing?
How Can a Physical Therapist Help?
The type of exercise that your therapist designs for you will depend on your unique problems and might include:
Exercises to improve your balance
Exercises to help the brain “correct” differences between your inner ears
Exercises to improve your ability to focus your eyes and vision
In addition, your physical therapist might prescribe exercises to improve your strength, your flexibility, and your heart health—with the goal of improving your overall physical health and wellbeing.
Many studies have been performed in the past 25 years that provide evidence regarding the effectiveness of vestibular physiotherapy in successfully treating people with dizziness and vertigo. These studies have demonstrated reductions in dizziness and vertigo, improved function, increased balance and reduced risk of falling following vestibular physiotherapy. In particular, research has found greater improvements if the exercises are customized to the specific needs of each person.
Vertigo Exercises At Home:
There are a number of home treatments for BPPV(benign paroxysmal positional vertigo) that can be found on the internet, but it is not recommended that people try these treatments at home without adequate supervision. Your physiotherapist with expertise in treating BPPV can advise you as to the correct treatment technique for your particular condition.
Brandt-Daroff exercises: This exercise helps to extricate crystals from the semicircular canal. Here are the steps to follow:
Sit in a bed with your feet on the floor. Turn your head 45 degrees to one side.
Without moving your head, rests on your left side. Rest for 30 seconds. Come back to the beginning position. Rest for 30 seconds.
Turn your head 45 degrees to one side. Repeat these steps 2 and 3 on the correct side.
Come back to the beginning position. Delay for 30 seconds.
Complete one lot of five repetitions on each side.
Note: Try to perform this exercise two to three times a day.
Liberatory Maneuver: Even though this exercise does not consume much time as compared to Brandt-Daroff exercises, it’s recommended to perform this exercise under the proper supervision of your healthcare provider.
If you have BPPV in right-ear, your healthcare provider will walk you through the following steps:
Sit upstanding on the edge of a bed and turn your head 45 degrees to the left.
Quickly drop to the right side until your head is on the bed. Hold for 30 seconds.
In one development, rapidly move your body to the left side. Try not to change the angle of your head.
Hold for 30 seconds. Gradually come back to the beginning position.
If you have BPPV(benign paroxysmal positional vertigo) in the left-ear, turn your head to the right and drop on your right side first.
Epley maneuver: The first Epley move requires help from two others. Yet, the adjusted form underneath should be possible all alone at home. This presentation is known as the home Epley move.
Follow these means on the off chance that you have right-ear BPPV. Do it the other way in the event that you have left-ear BPPV:
Sit upstanding in bed. Spot your legs straight ahead and put a cushion behind you.
Turn your head 45 degrees to the right side.
Lie back rapidly until your shoulders are on the cushion. Hold for 30 seconds.
Turn your head 90 degrees to the left side without lifting it up. Hold for 30 seconds.
Turn your body and head another 90 degrees to the left side. Hold for 30 seconds.
Sit upstanding on the left edge of the bed.
Note: Perform this exercise three times a day and make sure to repeat this exercise every day until you don’t experience any symptoms for 24 hours.
Mayfair wellness clinic is a well-organized physiotherapy clinic at gulshan 1,Dhaka. Our expert physical therapist can give you a solution if you have vertigo. Please visit us and let us know about your problem.
Azhar is a registered physiotherapist with degrees from BPT, faculty of Medicine, DU (NITOR) and Masters in speech and language pathology, Department of communication disorders (DU).He has worked in a variety of settings, encompassing orthopedics, neurology, pain, paralysis and sports physiotherapy through Mayfair Wellness Clinic.