Dizziness

Dizziness is a common complaint which affects approximately 20% of adults each year. Interestingly, dizziness occurs more frequently in females when compared to males (3:1). There can be many different causes of dizziness and therefore it is important to have a thorough assessment to determine the best course of treatment.

Dizziness may be caused by:

- Cardiovascular and respiratory conditions

- Medications

- Benign Paroxysmal Positional Vertigo (BPPV)

- Meniere’s Disease

- Migraine

- Balance issues

- Concussion

Vertigo

The vestibular system is located within the inner ear which includes several canals containing fluid. When you move your head, the fluid in the canals move, sending a message to your brain to make you aware the position you’re in. Small crystals called otoconia can sometimes move into the fluid causing abnormal messages to your brain. The brain interprets movement although the head is stationary resulting in a spinning sensation. This condition is referred to as Benign Paroxysmal Positional Vertigo (BPPV). BPPV can be diagnosed by a Physiotherapist which typically has characteristics involving short-term recurrent attacks of spinning dizziness of short duration.

Symptoms of BPPV can include:

- Dizziness (room spinning sensation)

- Nausea

- Vomitting

- Headaches

- Symptoms worsen when you look down/up

Causes of BPPV

BPPV is generally considered idiopathic, meaning there is no specific cause. However, there are several risk factors which have been identified that may increase someone’s risk of developing BPPV:

- Ear infection

- Head injury

- Migraine

- Female gender

- Recent surgical procedure to ear

- Hypertension

How is BPPV Treated?

Physiotherapy has been shown to be an effective way of managing BPPV. Following a thorough assessment, your treatment will depend on the cause and severity of the condition. Treatment options that may be considered include:

- Advice and education about BPPV and how it’s managed

- Epley Manoeuvre – This a technique that can be performed by Physiotherapists to assist with relocating crystals in the inner ear. Your Physiotherapist will educate you on what you can and cannot do following the treatment.

- Balance retraining exercises

If you or someone you know are having issues with dizziness, give us a call and find out if we can help today.