Positional Dizziness (BPPV) - penninecare.nhs.uk · Positional dizziness Positional dizziness,...
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Positional Dizziness (BPPV) Information for patients
Transcript of Positional Dizziness (BPPV) - penninecare.nhs.uk · Positional dizziness Positional dizziness,...
Positional Dizziness (BPPV)Information for patients
Positional dizzinessPositional dizziness, known as Benign Paroxysmal Positional Vertigo (or BPPV) is a disorder that usually causes spinning dizziness with certain head movements. About 20% of all dizziness is due to BPPV, and approximately 50% of dizziness in older people is due to BPPV. It occurs when loose crystals collect in the wrong part of the inner ear and send false signals to the brain.
Movements that usually trigger dizziness are lying down, sitting up, rolling over in bed and up and down head movements. The dizziness can clear up itself but if it doesn’t, a simple head manoeuvre called the Epley manoeuvre can be performed in the audiology clinic.
The Epley manoeuvre
The Epley manoeuvre involves moving the head into certain positions to allow the crystals to move out of the part of the ear that is causing the problem and then dissolve in the fluid inside the inner ear.
After this has been done you will be advised to keep your head in an upright position for around twenty minutes. You might feel slightly unwell for a few days afterwards whilst the brain adjusts to the change. The manoeuvre may have to be repeated but is usually a very successful treatment for this condition.
Brandt-Daroff exercises
If the dizziness returns, you can perform Brandt-Daroff exercises at home to see if this relieves your symptoms.
These exercises are performed in three sets, each day for up to two weeks. Each set of exercises should be performed five times.
Displaced otoconia
Otoconia
Posterior semi-circularcanal
Cochlea
Saccule
Utricle
Contact us
If you have any questions or concerns about your appointment or the information given, please contact: Community Hearing and Balance Service Audiology Department, Radcliffe Primary Care CentreChurch Street West, Radcliffe, Bury, M26 2SP Telephone: 01706 758 648 Fax: 02071 198251Email: [email protected]
Community Hearing Care, Therapy and Balance Service Audiology Department, Nye Bevan House Maclure Rd, Rochdale, OL11 1DN Telephone: 01706 758 626 Fax: 02071 198251Email: [email protected]
Website: www.penninecare.nhs.uk/audiology
Additional information:
– We accept calls from Relay formally known as Type talk– Please contact the department in advance if an interpreter
is required– We are an accredited training centre and it is possible that
a student may undertake some aspects of the appointment under supervision
– There is limited availability for parking– You can find more information to help you self-manage
your health condition by visiting My Health My Community website at www.mhmc.penninecare.nhs.uk
If you would like any further information or have any special requirements, please contact the department using the details above
Time Exercise Duration
Morning 5 repetitions 5-10 minutes
Evening 5 repetitions 5-10 minutes
Noon 5 repetitions 5-10 minutes
Suggested schedule for Brandt-Daroff exercises
Position 1Begin the exercise by sitting upright.
Position 2Lie down quickly onto you right side with your head facing upwards. Stay in this position for 20-30 seconds or until the dizziness subsides.
Position 3Go back to sitting upright and stay in this position for 20-30 seconds
Position 4Lie down quickly onto your left side with your head facing upwards. Stay in this position for 20-30 seconds or until the dizziness subsides.
Go back to position 1 and repeat.
Further information
www.penninecare.nhs.uk/your-services/community-services/audiology-services
Useful contacts
Action on Hearing Loss 19-23 Featherstone Street, London, EC1Y 8SL Telephone: 0808 808 0123 www.actiononhearingloss.org.uk
Useful websiteswww.vestibular.org www.dizziness-and-balance.com www.patient.co.uk
Patient advice and liaison serviceThe Patient Advice and Liaison Service (PALS) acts on behalf of service users, families and carers to negotiate prompt solutions and help bring about changes in the way that services are developed. As well as providing a confidential advice and support service, PALS will help guide you through the different services available from the NHS. Tel: 0161 716 3178
Comments and complaintsWe want to learn from comments and complaints about our services. If you have any, please speak with a member of staff. Every effort will be made to resolve any concerns and complaining will not cause any difficulties in your care with us. You can also contact our Complaints Department via post at Trust Headquarters, 225 Old Street, Ashton-under-Lyne, OL6 7SR.Tel: 0161 716 3083 Email: [email protected]
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Alternative formatsIf you need help to understand this information, require it in another format such as large print, spoken (on CD) or Braille, or require it in a different language – speak to a member of staff.
Date of publication: September 2018Reference: 5759© Pennine Care NHS Foundation Trust
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