Please Help BPPV

[IceMan]

Hi Iceman,
Thank you so much for replying and for the information. I am trying to continue with the epley by doing it last thing at night 30 mins after taking prochlorperazine to help with nausea/false movement afterwards. I find it exhausting to try and sleep upright (as some recommend following epley) so am sleeping on my right (and hoping this is not affecting crystals) as positive side left & am also struggling with panic attacks. I have an MRI scan booked for this weekend to rule out any nasties but as you say I will try and push on with the programme.

At this stage don't worry about not sleeping on your left side or in an upright position. As I've said before you're doing the self epley as a means to desensitize yourself from experiencing your symptoms and not to drain the crystals out of the semicircular canals of the inner ear. The latest research suggests that the patient stay upright a few hours after the initial epley and then to avoid sleeping on the positive side for a week. Its been a while since your initial epley maneuver was done in the clinic so for now you can sleep in any position.

Q ?Do you suggest brandt daroff excercised with epley ?

No. I would do one or the other. Talk to your GP or ENT before changing your home program.

[psychophysio]

When I treat BPPV at work I usually do one Epley, then get the patient to start the Brandt Daroff exercises 48 hrs after that.

We recommend the Brandt-Daroff exercises 3x per day, building up to 5 reps per side. Start with 2-3 reps per side and stay down until your symptoms stop. We get the pt to do the exercises for 7 days, or for 2 days after vertigo symptoms cease.

an interesting website with some nice diagrams is:

BPPV -- BENIGN PAROXYSMAL POSITIONAL VERTIGO

I would ignore the surgical bit etc as this shouldn't apply to you and I have never seen a patient who has had surgery for BPPV.

Are your symptoms still short duration (<1 minute) positional (triggered by particular movements) vertigo? The caloric testing and ENT opinion will further evaluate your vestibular system. I agree as well that you can sleep how you like.

[tynribs]

When I treat BPPV at work I usually do one Epley, then get the patient to start the Brandt Daroff exercises 48 hrs after that.

We recommend the Brandt-Daroff exercises 3x per day, building up to 5 reps per side. Start with 2-3 reps per side and stay down until your symptoms stop. We get the pt to do the exercises for 7 days, or for 2 days after vertigo symptoms cease.

an interesting website with some nice diagrams is:

BPPV -- BENIGN PAROXYSMAL POSITIONAL VERTIGO

I would ignore the surgical bit etc as this shouldn't apply to you and I have never seen a patient who has had surgery for BPPV.

Are your symptoms still short duration (<1 minute) positional (triggered by particular movements) vertigo? The caloric testing and ENT opinion will further evaluate your vestibular system. I agree as well that you can sleep how you like.

Hi thank you for replying.
My symptoms of false movement (not spins) nausea/feeling unbalanced, usually happen on movement although I have had it when im sat still. This can be worse when i turn onto my left side and really anytime i move my head. It feels like things are moving for split seconds and sends a wave of nausea and panic through. Compilled into a 24/7 x 7 week experience Im knackered with it all. Its completely taken over my life and I would say before this I was a rationale level headed person. I feel it is exacerbated when i go into a crowded place and it feels like there are too many movements things happening & Im walking on cotton wool. I have had my MRI scan this morning which was not as bad as i expected. Awaiting caloric test now although the date ive been given is 2 days before I should fly to spain on holiday. Doesnt look like Ill be going anyway. I am wondering if to start brandt daroff excercise as I dont want to make things worse? ENT consultant advised that I do home epley once per day & Ive been doing that. what do you think??
Thank You so much