Benign Paroxysmal Positional Vertigo (BPPV) Quiz
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Dizziness
Spinning feeling
Nausea when I move my head
Dizziness multiple times
Have nausea
Off-balance like floating
Dizziness when looking up
Not seeing your symptoms? No worries!
What is Benign Paroxysmal Positional Vertigo (BPPV)?
Benign paroxysmal positional vertigo occurs when calcium crystals become trapped in the semicircular canals, a part of the inner ear that controls balance. Usually, only one ear is affected. It is characterized by sudden vertigo (a feeling of instability and the room spinning) due to abrupt changes in head position.
Typical Symptoms of Benign Paroxysmal Positional Vertigo (BPPV)
- Dizziness
- Nausea when moving head
- Pain at the back of the head
- I feel like I'm spinning around / vertigo
- Repeated dizziness / vertigo
- Dizziness when turning over in bed after waking up
- Forehead pain
- Dizziness when tilting the head upwards
Diagnostic Questions for Benign Paroxysmal Positional Vertigo (BPPV)
Your doctor may ask these questions to check for this disease:
- Do you feel dizzy?
- Do you experience nausea when moving your head?
- Do you have pain at the back of your head?
- Do you feel like your surroundings are spinning?
- Do you experience repeated episodes of dizziness/vertigo?
Treatment of Benign Paroxysmal Positional Vertigo (BPPV)
BPPV may resolve on its own within a few weeks. A doctor may also perform a simple repositioning maneuver to relocate the trapped crystals causing BPPV and may recommend exercises and physical therapy.
Reviewed By:
Unnati Patel, MD, MSc (Family Medicine)
Dr.Patel serves as Center Medical Director and a Primary Care Physician at Oak Street Health in Arizona. She graduated from the Zhejiang University School of Medicine prior to working in clinical research focused on preventive medicine at the University of Illinois and the University of Nevada. Dr. Patel earned her MSc in Global Health from Georgetown University, during which she worked with the WHO in Sierra Leone and Save the Children in Washington, D.C. She went on to complete her Family Medicine residency in Chicago at Norwegian American Hospital before completing a fellowship in Leadership in Value-based Care in conjunction with the Northwestern University Kellogg School of Management, where she earned her MBA. Dr. Patel’s interests include health tech and teaching medical students and she currently serves as Clinical Associate Professor at the University of Arizona School of Medicine.
Rohini R, MD (Otolaryngology (ENT))
Dr. Rohini R is an ENT, Head and Neck Surgeon, with a Fellowship in Advanced Endoscopic Sinus and Skull Base Surgery and a Fellowship in Aesthetic Medicine and Lasers. Besides clinical practice and working with Ubie, she is actively training and mentoring medical students and residents. She has functioned in various work settings - teaching hospitals, private and free health centers, and worked with patients from all socioeconomic backgrounds due to her experience in free hospitals and volunteering in India and Singapore.
Content updated on Apr 4, 2024
Following the Medical Content Editorial Policy
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- A sense of motion or spinning (vertigo)
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- Lightheadedness when I am standing
- Ringing in the ears and dizziness
- Dizziness after straining my muscles
Symptoms Related to Benign Paroxysmal Positional Vertigo (BPPV)
Diseases Related to Benign Paroxysmal Positional Vertigo (BPPV)
FAQs
Q.
Are women more prone to Benign Paroxysmal Positional Vertigo (BPPV) and its associated dizziness?
A.
Yes, women are more likely to experience Benign Paroxysmal Positional Vertigo (BPPV) and dizziness compared to men.
References:
Schifino E, Joffily L, Koohi N, & Kaski D. (2025). Sex differences in dizziness diagnoses across acute and .... Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 40056252.
https://pubmed.ncbi.nlm.nih.gov/40056252/
Neuhauser HK. (2016). The epidemiology of dizziness and vertigo. Handbook of clinical neurology, 27638063.
https://pubmed.ncbi.nlm.nih.gov/27638063/
Kim HJ, Lee JO, Choi JY, & Kim JS. (2020). Etiologic distribution of dizziness and vertigo in a referral- .... Journal of neurology, 32300888.
Q.
Can Benign Paroxysmal Positional Vertigo (BPPV) cause multiple dizzy spells in a short period?
A.
Yes, Benign Paroxysmal Positional Vertigo (BPPV) can cause multiple dizzy spells in a short period.
References:
Lempert T. (2012). Recurrent spontaneous attacks of dizziness. Continuum (Minneapolis, Minn.), 23042061.
https://pubmed.ncbi.nlm.nih.gov/23042061/
Fife TD, & Kalra D. (2015). Persistent vertigo and dizziness after mild traumatic brain .... Annals of the New York Academy of Sciences, 25728715.
https://pubmed.ncbi.nlm.nih.gov/25728715/
Pollak L, & Stryjer R. (2015). Fatigue during an episode of benign paroxysmal positional .... European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 24728232.
Q.
Can Benign Paroxysmal Positional Vertigo (BPPV) lead to dizziness when looking at a computer screen?
A.
BPPV can cause dizziness, and looking at a computer screen might make it worse because of how your eyes and balance system work together.
References:
Abe M, Yoshizawa M, Sugita N, Tanaka A, Chiba S, Yambe T, & Nitta S. (2008). A method for evaluating effects of visually-induced motion .... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference, 19163738.
https://pubmed.ncbi.nlm.nih.gov/19163738/
Fu M, Zhang L, Zhao X, Lv Z, & Tang P. (2024). Association between screen time and self-reported .... Aging clinical and experimental research, 38856860.
https://pubmed.ncbi.nlm.nih.gov/38856860/
Viirre E, & Sitarz R. (2002). Vestibular rehabilitation using visual displays: preliminary .... The Laryngoscope, 12148861.
Q.
Can looking at screens exacerbate dizziness in Benign Paroxysmal Positional Vertigo (BPPV) patients?
A.
Looking at screens can make dizziness worse for people with BPPV because screens can cause visual dizziness.
References:
Aydogan Z, Binay-Bolat K, Ocak E, & Tokgoz-Yilmaz S. (2023). The effect of screen time on hearing and balance in 6-16 .... Acta oto-laryngologica, 38197860.
https://pubmed.ncbi.nlm.nih.gov/38197860/
Pavlou M, Whitney SL, Alkathiry AA, Huett M, Luxon LM, Raglan E, et al. (2017). Visually Induced Dizziness in Children and Validation .... Frontiers in neurology, 29259575.
https://pubmed.ncbi.nlm.nih.gov/29259575/
Wiener-Vacher SR, Wiener SI, Ajrezo L, Obeid R, Mohamed D, Boizeau P, et al. (2019). Dizziness and Convergence Insufficiency in Children. Frontiers in integrative neuroscience, 31354441.
Q.
Could Benign Paroxysmal Positional Vertigo (BPPV) be the reason for frequent dizziness?
A.
Yes, Benign Paroxysmal Positional Vertigo (BPPV) can cause frequent dizziness, especially when you change positions like getting up or lying down.
References:
Lempert T. (2012). Recurrent spontaneous attacks of dizziness. Continuum (Minneapolis, Minn.), 23042061.
https://pubmed.ncbi.nlm.nih.gov/23042061/
Strupp M. (2013). [Vertigo and dizziness: the neurologist's perspective]. Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft, 23288313.
https://pubmed.ncbi.nlm.nih.gov/23288313/
Eckhardt-Henn A. (2013). [Dizziness from a psychosomatic perspective]. Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft, 23329117.
Q.
Does Benign Paroxysmal Positional Vertigo (BPPV) cause dizziness when looking both up and down?
A.
Yes, BPPV can cause dizziness when looking both up and down due to changes in head position affecting the inner ear.
References:
Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El-Kashlan H, Fife T, et al. (2017). Benign Paroxysmal Positional Vertigo (Update). Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 28248609.
https://pubmed.ncbi.nlm.nih.gov/28248609/
Ling X, Li KZ, Shen B, Si LH, Hong Y, & Yang X. (2018). Diagnosis and treatment of anterior canal benign .... International journal of audiology, 30318958.
https://pubmed.ncbi.nlm.nih.gov/30318958/
Choo OS, Kim H, Jang JH, Park HY, & Choung YH. (2020). Vertical Nystagmus in the Bow and Lean Test may Indicate .... Scientific reports, 32300206.
Q.
Does tapping really help Benign Paroxysmal Positional Vertigo (BPPV)?
A.
Tapping, or using mastoid vibration, may help with BPPV when used with certain head movements, but more research is needed to fully understand its effectiveness.
References:
Griech SF, & Carroll MA. (2018). The use of mastoid vibration with canalith repositioning .... Physiotherapy theory and practice, 29336656.
Q.
How can you stop dizziness that results from Benign Paroxysmal Positional Vertigo (BPPV)?
A.
To stop dizziness from BPPV, specific head movements can help reposition the small crystals in your ear. Medications like meclizine or diazepam may also be used to manage symptoms.
References:
Hain TC, & Uddin M. (2003). Pharmacological treatment of vertigo. CNS drugs, 12521357.
https://pubmed.ncbi.nlm.nih.gov/12521357/
Shih RD, Walsh B, Eskin B, Allegra J, Fiesseler FW, Salo D, & Silverman M. (2017). Diazepam and Meclizine Are Equally Effective in the .... The Journal of emergency medicine, 27789115.
https://pubmed.ncbi.nlm.nih.gov/27789115/
Sandhaus S. (2002). Stop the spinning: diagnosing and managing vertigo. The Nurse practitioner, 12352769.
Q.
How does Benign Paroxysmal Positional Vertigo (BPPV) cause sudden dizziness?
A.
BPPV causes sudden dizziness because tiny crystals in your ear move to places they shouldn't be, confusing your balance system.
References:
Lempert T. (2012). Recurrent spontaneous attacks of dizziness. Continuum (Minneapolis, Minn.), 23042061.
https://pubmed.ncbi.nlm.nih.gov/23042061/
Yang J, Xiong G, Lu H, Luo X, Xie X, & Shao A. (2025). Residual Dizziness Characteristics of Idiopathic Sudden .... Audiology & neuro-otology, 39068920.
https://pubmed.ncbi.nlm.nih.gov/39068920/
Kornhuber HH. (1976). [Differential diagnosis of dizziness (author's transl)]. Archives of oto-rhino-laryngology, 990084.
Q.
How does Benign Paroxysmal Positional Vertigo (BPPV) contribute to feeling off-balance?
A.
Benign Paroxysmal Positional Vertigo (BPPV) makes you feel off-balance because it affects your inner ear, which helps you stay steady.
References:
Mitchell MB, & Bhattacharyya N. (2023). Balance Disorder Trends in US Adults 2008-2016. OTO open, 37287493.
https://pubmed.ncbi.nlm.nih.gov/37287493/
Eibling D. (2018). Balance Disorders in Older Adults. Clinics in geriatric medicine, 29661330.
https://pubmed.ncbi.nlm.nih.gov/29661330/
Walley M, Anderson E, Pippen MW, & Maitland G. (2014). Dizziness and Loss of Balance in Individuals With Diabetes. Clinical diabetes : a publication of the American Diabetes Association, 26130865.
Q.
How long do episodes of Benign Paroxysmal Positional Vertigo (BPPV) usually last?
A.
BPPV episodes usually last less than a minute, but the dizziness can be unsettling.
References:
Fife TD, & von Brevern M. (2015). Benign Paroxysmal Positional Vertigo in the Acute Care .... Neurologic clinics, 26231274.
https://pubmed.ncbi.nlm.nih.gov/26231274/
Zucca G, Valli S, Valli P, Perin P, & Mira E. (1998). Why do benign paroxysmal positional vertigo episodes .... Journal of vestibular research : equilibrium & orientation, 9652482.
https://pubmed.ncbi.nlm.nih.gov/9652482/
Imai T, Ito M, Takeda N, Uno A, Matsunaga T, Sekine K, & Kubo T. (2005). Natural course of the remission of vertigo in patients with .... Neurology, 15753441.
Q.
In Benign Paroxysmal Positional Vertigo (BPPV), is the sensation more like the room spinning or the person spinning?
A.
In Benign Paroxysmal Positional Vertigo (BPPV), people often feel like the room is spinning around them.
References:
Strupp ML, Straumann D, & Helmchen C. (2021). Nystagmus: Diagnosis, Topographic Anatomical .... Klinische Monatsblatter fur Augenheilkunde, 34784642.
https://pubmed.ncbi.nlm.nih.gov/34784642/
Luis L, Costa J, Vaz Garcia F, Valls-Solé J, Brandt T, & Schneider E. (2013). Spontaneous plugging of the horizontal semicircular canal .... Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 23632787.
https://pubmed.ncbi.nlm.nih.gov/23632787/
Amir I, Young E, & Belloso A. (2010). Self-limiting benign paroxysmal positional vertigo following .... The Journal of laryngology and otology, 20003605.
Q.
Is Benign Paroxysmal Positional Vertigo (BPPV) a permanent condition, or can it be resolved?
A.
Benign Paroxysmal Positional Vertigo (BPPV) is not always permanent and can often be resolved with treatment, though some people may experience recurrent episodes.
References:
Choi SJ, Lee JB, Lim HJ, Park HY, Park K, In SM, et al. (2012). Clinical features of recurrent or persistent benign .... Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 22807487.
https://pubmed.ncbi.nlm.nih.gov/22807487/
Zucca G, Valli S, Valli P, Perin P, & Mira E. (1998). Why do benign paroxysmal positional vertigo episodes .... Journal of vestibular research : equilibrium & orientation, 9652482.
https://pubmed.ncbi.nlm.nih.gov/9652482/
Nakayama M, & Epley JM. (2005). improved treatment results with automated, nystagmus .... Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 16025062.
Q.
Is Emotional Freedom Techniques (EFT) Tapping effective for Benign Paroxysmal Positional Vertigo (BPPV) relief?
A.
There is no direct evidence that Emotional Freedom Techniques (EFT) Tapping is effective for relieving Benign Paroxysmal Positional Vertigo (BPPV).
References:
Rancour P. (2017). The Emotional Freedom Technique: Finally, a Unifying .... Journal of holistic nursing : official journal of the American Holistic Nurses' Association, 27170647.
https://pubmed.ncbi.nlm.nih.gov/27170647/
Bach D, Groesbeck G, Stapleton P, Sims R, Blickheuser K, & Church D. (2019). Clinical EFT (Emotional Freedom Techniques) Improves .... Journal of evidence-based integrative medicine, 30777453.
https://pubmed.ncbi.nlm.nih.gov/30777453/
Church D, Stapleton P, Yang A, & Gallo F. (2018). Is Tapping on Acupuncture Points an Active Ingredient in .... The Journal of nervous and mental disease, 30273275.
Q.
Is it common to experience vertigo multiple times a day with Benign Paroxysmal Positional Vertigo (BPPV)?
A.
It is possible to experience vertigo multiple times a day with BPPV, as it can be persistent for some individuals.
References:
Alessandrini M, Micarelli A, Pavone I, Viziano A, Micarelli D, & Bruno E. (2013). Persistent benign paroxysmal positional vertigo. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 23818117.
https://pubmed.ncbi.nlm.nih.gov/23818117/
Feazadeh A, & Carmeli E. (2006). Rehabilitation exercise for treatment of vestibular disorder. TheScientificWorldJournal, 16518517.
https://pubmed.ncbi.nlm.nih.gov/16518517/
Hughes D, Shakir A, Goggins S, & Snow D. (2015). How many Epley manoeuvres are required to treat benign .... The Journal of laryngology and otology, 25816719.
Q.
Is it common to feel always off-balance with Benign Paroxysmal Positional Vertigo (BPPV)?
A.
Feeling off-balance with BPPV is common because it affects the inner ear, which helps with balance.
References:
Young AS, Rosengren SM, & Welgampola MS. (2018). Disorders of the inner-ear balance organs and their pathways. Handbook of clinical neurology, 30482329.
https://pubmed.ncbi.nlm.nih.gov/30482329/
Russo FY, Ralli M, De Seta D, Mancini P, Lambiase A, Artico M, et al. (2018). Autoimmune vertigo: an update on vestibular disorders .... Immunologic research, 30270399.
https://pubmed.ncbi.nlm.nih.gov/30270399/
Hermansen A, Peolsson A, Hedlund R, & Kammerlind AS. (2020). Balance problems and dizziness after neck surgery. Physiotherapy theory and practice, 30686102.
Q.
Is it normal to experience dizziness several times a day with Benign Paroxysmal Positional Vertigo (BPPV)?
A.
Dizziness several times a day can happen with BPPV, but treatments like specific exercises and medications might help.
References:
Cesarani A, Alpini D, Monti B, Raponi G, & ENT Department, University of Milan, Milan, Italy. (2004). The treatment of acute vertigo. Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 15045617.
https://pubmed.ncbi.nlm.nih.gov/15045617/
Feazadeh A, & Carmeli E. (2006). Rehabilitation exercise for treatment of vestibular disorder. TheScientificWorldJournal, 16518517.
https://pubmed.ncbi.nlm.nih.gov/16518517/
Wan TJ, Yu YC, Zhao XG, Tang P, & Gong YS. (2018). Efficacy of betahistine plus cognitive behavioral therapy on .... Neuropsychiatric disease and treatment, 30464481.
Q.
What are the common causes of dizziness, and could Benign Paroxysmal Positional Vertigo (BPPV) be one of them?
A.
Dizziness can be caused by many things, and Benign Paroxysmal Positional Vertigo (BPPV) is one of the common causes.
References:
Ojala M, & Palo J. (1991). The aetiology of dizziness and how to examine a dizzy .... Annals of medicine, 1930912.
https://pubmed.ncbi.nlm.nih.gov/1930912/
Whitman GT. (2018). Dizziness. The American journal of medicine, 29859806.
https://pubmed.ncbi.nlm.nih.gov/29859806/
Post RE, & Dickerson LM. (2010). Dizziness: a diagnostic approach. American family physician, 20704166.
Q.
What are the defining features of BPPV (Benign Paroxysmal Positional Vertigo)?
A.
BPPV is a condition that causes brief episodes of dizziness when you move your head in certain ways, like looking up or rolling over in bed.
References:
Cole SR, & Honaker JA. (2022). Benign paroxysmal positional vertigo: Effective diagnosis .... Cleveland Clinic journal of medicine, 36319052.
https://pubmed.ncbi.nlm.nih.gov/36319052/
Furman JM, & Cass SP. (1999). Benign paroxysmal positional vertigo. The New England journal of medicine, 10564690.
https://pubmed.ncbi.nlm.nih.gov/10564690/
Imai T, & Inohara H. (2022). Benign paroxysmal positional vertigo. Auris, nasus, larynx, 35387740.
Q.
What are the latest treatments for Benign Paroxysmal Positional Vertigo (BPPV)?
A.
The latest treatments for Benign Paroxysmal Positional Vertigo (BPPV) focus on repositioning maneuvers, which help move the tiny crystals in the ear to reduce dizziness.
References:
Edlow JA, & Kerber K. (2023). Benign paroxysmal positional vertigo: A practical approach .... Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 35833326.
https://pubmed.ncbi.nlm.nih.gov/35833326/
Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El-Kashlan H, Fife T, et al. (2017). Benign Paroxysmal Positional Vertigo (Update). Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 28248609.
https://pubmed.ncbi.nlm.nih.gov/28248609/
Gold DR, Morris L, Kheradmand A, & Schubert MC. (2014). Repositioning maneuvers for benign paroxysmal positional .... Current treatment options in neurology, 25007983.
Q.
What are the main characteristics of Benign Paroxysmal Positional Vertigo (BPPV) that differentiate it from other forms of vertigo?
A.
Benign Paroxysmal Positional Vertigo (BPPV) is a type of vertigo that happens when you change the position of your head, like when you look up or roll over in bed. It is different from other types of vertigo because it usually comes on suddenly and lasts for a short time.
References:
Lee SH, & Kim JS. (2010). Benign paroxysmal positional vertigo. Journal of clinical neurology (Seoul, Korea), 20607044.
https://pubmed.ncbi.nlm.nih.gov/20607044/
Imai T, & Inohara H. (2022). Benign paroxysmal positional vertigo. Auris, nasus, larynx, 35387740.
https://pubmed.ncbi.nlm.nih.gov/35387740/
Cole SR, & Honaker JA. (2022). Benign paroxysmal positional vertigo: Effective diagnosis .... Cleveland Clinic journal of medicine, 36319052.
Q.
What can be done to stop feeling dizzy after a spinning episode due to Benign Paroxysmal Positional Vertigo (BPPV)?
A.
To stop feeling dizzy after a spinning episode from BPPV, consider resting and allowing time for the dizziness to subside naturally.
References:
Smith PF, & Darlington CL. (2010). A possible explanation for dizziness following SSRI .... Acta oto-laryngologica, 20144124.
https://pubmed.ncbi.nlm.nih.gov/20144124/
Singh G, Mittal A, Panwar VK, Kumar A, & Talwar HS. (2023). Inner ear barotrauma: A case report of rare post-operative .... Journal of minimal access surgery, 35915540.
https://pubmed.ncbi.nlm.nih.gov/35915540/
Measham AR, Khan AR, & Huber DH. (1980). Dizziness associated with discontinuation of oral .... International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 6108246.
Q.
What causes Benign Paroxysmal Positional Vertigo (BPPV) to develop in the first place?
A.
BPPV is caused by tiny crystals in the inner ear moving to places they shouldn't be, which makes you feel dizzy when you change positions.
References:
Fife TD. (2009). Benign paroxysmal positional vertigo. Seminars in neurology, 19834861.
https://pubmed.ncbi.nlm.nih.gov/19834861/
Guerra J, & Devesa J. (2020). Causes and treatment of idiopathic benign paroxysmal .... Journal of otology, 33293917.
https://pubmed.ncbi.nlm.nih.gov/33293917/
Tusa RJ. (2001). Benign paroxysmal positional vertigo. Current neurology and neuroscience reports, 11898559.
Q.
What causes the sensation of the room spinning in Benign Paroxysmal Positional Vertigo (BPPV)?
A.
In BPPV, the sensation of the room spinning is caused by small particles in the inner ear moving to places they shouldn't be, disrupting balance signals.
References:
Goldschagg N, Brem C, & Strupp M. (2022). Case report: Bitter vertigo. Frontiers in neurology, 36277927.
https://pubmed.ncbi.nlm.nih.gov/36277927/
Patel S, Yuan A, & Pineda R. (2021). Acute Benign Paroxysmal Positional Vertigo After .... Cornea, 33252384.
https://pubmed.ncbi.nlm.nih.gov/33252384/
Singh G, Mittal A, Panwar VK, Kumar A, & Talwar HS. (2023). Inner ear barotrauma: A case report of rare post-operative .... Journal of minimal access surgery, 35915540.
Q.
What does feeling off-balance due to Benign Paroxysmal Positional Vertigo (BPPV) feel like?
A.
Feeling off-balance due to BPPV often feels like the world is spinning, especially when you move your head in certain ways.
References:
Walker HK, Hall WD, Hurst JW, & Reilly BM. (1990). Dizziness. Unknown Journal, 21250167.
https://pubmed.ncbi.nlm.nih.gov/21250167/
Hermansen A, Peolsson A, Hedlund R, & Kammerlind AS. (2020). Balance problems and dizziness after neck surgery. Physiotherapy theory and practice, 30686102.
https://pubmed.ncbi.nlm.nih.gov/30686102/
Expert Panel on Neurological Imaging, Wang LL, Thompson TA, Shih RY, Ajam AA, Bulsara K, et al. (2024). ACR Appropriateness Criteria® Dizziness and Ataxia. Journal of the American College of Radiology : JACR, 38823940.
Q.
What does it mean to feel off-balance in the context of Benign Paroxysmal Positional Vertigo (BPPV)?
A.
Feeling off-balance in BPPV means experiencing dizziness or a spinning sensation when you move your head in certain ways. This happens because tiny crystals in your inner ear are out of place, affecting your balance.
References:
Hermansen A, Peolsson A, Hedlund R, & Kammerlind AS. (2020). Balance problems and dizziness after neck surgery. Physiotherapy theory and practice, 30686102.
https://pubmed.ncbi.nlm.nih.gov/30686102/
Walker HK, Hall WD, Hurst JW, & Reilly BM. (1990). Dizziness. Unknown Journal, 21250167.
https://pubmed.ncbi.nlm.nih.gov/21250167/
Abe-Fujisawa I, Maeda Y, Takao S, Kariya S, & Nishizaki K. (2021). Subjective Evaluation of Balance by the Dizziness .... The Annals of otology, rhinology, and laryngology, 33467884.
Q.
What exactly is Benign Paroxysmal Positional Vertigo (BPPV) and how does it affect the inner ear?
A.
Benign Paroxysmal Positional Vertigo (BPPV) is a common inner ear problem that causes dizziness when your head changes position. It happens because tiny crystals in your ear move to places they shouldn't be.
References:
Lee SH, & Kim JS. (2010). Benign paroxysmal positional vertigo. Journal of clinical neurology (Seoul, Korea), 20607044.
https://pubmed.ncbi.nlm.nih.gov/20607044/
Imai T, & Inohara H. (2022). Benign paroxysmal positional vertigo. Auris, nasus, larynx, 35387740.
https://pubmed.ncbi.nlm.nih.gov/35387740/
Cole SR, & Honaker JA. (2022). Benign paroxysmal positional vertigo: Effective diagnosis .... Cleveland Clinic journal of medicine, 36319052.
Q.
What exercises are recommended for managing Benign Paroxysmal Positional Vertigo (BPPV)?
A.
To help with Benign Paroxysmal Positional Vertigo (BPPV), exercises like the Epley maneuver are recommended. These exercises help move small particles in the ear that cause dizziness.
References:
Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El-Kashlan H, Fife T, et al. (2017). Benign Paroxysmal Positional Vertigo (Update). Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 28248609.
https://pubmed.ncbi.nlm.nih.gov/28248609/
Hilton M, & Pinder D. (2002). The Epley (canalith repositioning) manoeuvre for benign .... The Cochrane database of systematic reviews, 11869655.
https://pubmed.ncbi.nlm.nih.gov/11869655/
Gold DR, Morris L, Kheradmand A, & Schubert MC. (2014). Repositioning maneuvers for benign paroxysmal positional .... Current treatment options in neurology, 25007983.
Q.
What is Benign Paroxysmal Positional Vertigo and how is it diagnosed?
A.
Benign Paroxysmal Positional Vertigo (BPPV) is a common cause of dizziness, triggered by changes in head position. It is diagnosed through specific physical tests that check for nystagmus, a type of eye movement.
References:
Lee SH, & Kim JS. (2010). Benign paroxysmal positional vertigo. Journal of clinical neurology (Seoul, Korea), 20607044.
https://pubmed.ncbi.nlm.nih.gov/20607044/
Furman JM, & Cass SP. (1999). Benign paroxysmal positional vertigo. The New England journal of medicine, 10564690.
https://pubmed.ncbi.nlm.nih.gov/10564690/
Cole SR, & Honaker JA. (2022). Benign paroxysmal positional vertigo: Effective diagnosis .... Cleveland Clinic journal of medicine, 36319052.
Q.
What mechanisms in Benign Paroxysmal Positional Vertigo (BPPV) lead to a spinning feeling in the head?
A.
BPPV causes a spinning feeling because tiny crystals in the ear move to places they shouldn't be, confusing the brain about head movement.
References:
Walker HK, Hall WD, Hurst JW, & Konrad HR. (1990). Vertigo and Associated Symptoms. Unknown Journal, 21250072.
https://pubmed.ncbi.nlm.nih.gov/21250072/
Hande V, Jain S, Ranjan A, Murali M, Singh CV, Deshmukh P, et al. (2023). A Rural Hospital-Based Cross-Sectional Comparative .... Cureus, 37065313.
https://pubmed.ncbi.nlm.nih.gov/37065313/
Palmeri R, & Kumar A. (2025). Benign Paroxysmal Positional Vertigo. Unknown Journal, 29261987.
Q.
What techniques can help get rid of dizziness caused by Benign Paroxysmal Positional Vertigo (BPPV) while lying down?
A.
To help with dizziness from BPPV while lying down, try sleeping with your head slightly elevated and avoid quick movements in bed.
References:
Lindell E, Finizia C, Johansson M, Karlsson T, Nilson J, & Magnusson M. (2018). Asking about dizziness when turning in bed predicts .... Journal of vestibular research : equilibrium & orientation, 30149484.
https://pubmed.ncbi.nlm.nih.gov/30149484/
Kitahara T, Horinaka A, Shiozaki T, Ito T, Wada Y, Yamanaka T, & Nario K. (2020). Combination of head-up sleep and vertical recognition .... Acta oto-laryngologica, 32069120.
https://pubmed.ncbi.nlm.nih.gov/32069120/
Yousovich R, Duvdevani SI, Lipschitz N, Wolf M, Migirov L, & Yakirevitch A. (2019). Correlation Between the Sleep-Position Habits and .... The Israel Medical Association journal : IMAJ, 31713357.
Q.
Which Emotional Freedom Techniques (EFT) help with Benign Paroxysmal Positional Vertigo (BPPV)?
A.
Emotional Freedom Techniques (EFT) are not specifically shown to help with Benign Paroxysmal Positional Vertigo (BPPV) according to the provided references.
References:
Mitchell M. (2009). Emotional freedom technique (2). The practising midwife, 19813366.
https://pubmed.ncbi.nlm.nih.gov/19813366/
Church D, Stapleton P, Vasudevan A, & O'Keefe T. (2022). Clinical EFT as an evidence-based practice for the .... Frontiers in psychology, 36438382.
https://pubmed.ncbi.nlm.nih.gov/36438382/
Bach D, Groesbeck G, Stapleton P, Sims R, Blickheuser K, & Church D. (2019). Clinical EFT (Emotional Freedom Techniques) Improves .... Journal of evidence-based integrative medicine, 30777453.
Q.
Why do I experience a spinning feeling when lying down with Benign Paroxysmal Positional Vertigo (BPPV)?
A.
The spinning feeling when lying down with BPPV is likely due to changes in head position that affect the inner ear, which helps control balance.
References:
Lindell E, Finizia C, Johansson M, Karlsson T, Nilson J, & Magnusson M. (2018). Asking about dizziness when turning in bed predicts .... Journal of vestibular research : equilibrium & orientation, 30149484.
https://pubmed.ncbi.nlm.nih.gov/30149484/
Smith PF, & Darlington CL. (2010). A possible explanation for dizziness following SSRI .... Acta oto-laryngologica, 20144124.
https://pubmed.ncbi.nlm.nih.gov/20144124/
Mathew RJ, Wilson WH, Humphreys D, Lowe JV, & Wiethe KE. (1992). Middle cerebral artery velocity during upright posture after .... Acta psychiatrica Scandinavica, 1529742.
Q.
Why do I feel dizzy for just a second with Benign Paroxysmal Positional Vertigo (BPPV)?
A.
BPPV causes short bursts of dizziness when you move your head because tiny particles in your ear canals get out of place.
References:
Lempert T. (2012). Recurrent spontaneous attacks of dizziness. Continuum (Minneapolis, Minn.), 23042061.
https://pubmed.ncbi.nlm.nih.gov/23042061/
Fyrmpas G, Barkoulas E, Haidich AB, & Tsalighopoulos M. (2013). Vertigo during the Epley maneuver and success rate in .... European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 23203243.
https://pubmed.ncbi.nlm.nih.gov/23203243/
Koc EA, Koc B, Eryaman E, & Ozluoglu LN. (2013). Benign paroxysmal positional vertigo following .... The Journal of craniofacial surgery, 23348352.
Q.
Why do I get dizzy multiple times a day with Benign Paroxysmal Positional Vertigo (BPPV)?
A.
BPPV can cause dizziness multiple times a day because small crystals in the ear move, affecting balance. This condition is common and usually happens when you change the position of your head.
References:
Lempert T. (2012). Recurrent spontaneous attacks of dizziness. Continuum (Minneapolis, Minn.), 23042061.
https://pubmed.ncbi.nlm.nih.gov/23042061/
Goldschagg N, Brem C, & Strupp M. (2022). Case report: Bitter vertigo. Frontiers in neurology, 36277927.
https://pubmed.ncbi.nlm.nih.gov/36277927/
Cesarani A, Meloni F, Alpini D, Barozzi S, Verderio L, & Boscani PF. (1998). Ginkgo biloba (EGb 761) in the treatment of equilibrium .... Advances in therapy, 10345150.
Q.
Why does Benign Paroxysmal Positional Vertigo (BPPV) cause dizziness when lying down?
A.
BPPV causes dizziness when lying down because small crystals in the ear move and send confusing signals to the brain about balance.
References:
Lindell E, Finizia C, Johansson M, Karlsson T, Nilson J, & Magnusson M. (2018). Asking about dizziness when turning in bed predicts .... Journal of vestibular research : equilibrium & orientation, 30149484.
https://pubmed.ncbi.nlm.nih.gov/30149484/
Lindell E, Karlsson T, Johansson M, Magnusson M, & Finizia C. (2019). Investigation of self-reported dizziness in the elderly when .... The Journal of laryngology and otology, 30929651.
https://pubmed.ncbi.nlm.nih.gov/30929651/
Feng XZ, Zhu JS, Lu JN, & Zhang LP. (2017). [Clinical features and advanced progress of secondary .... Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery, 29797965.
Q.
Why does Benign Paroxysmal Positional Vertigo (BPPV) make me feel like I'm spinning even when I'm still?
A.
Benign Paroxysmal Positional Vertigo (BPPV) causes a spinning feeling because it affects the inner ear, which helps control balance and movement.
References:
Blum CA, & Kasner SE. (2015). Transient Ischemic Attacks Presenting with Dizziness or .... Neurologic clinics, 26231276.
https://pubmed.ncbi.nlm.nih.gov/26231276/
Smith PF, & Darlington CL. (2010). A possible explanation for dizziness following SSRI .... Acta oto-laryngologica, 20144124.
https://pubmed.ncbi.nlm.nih.gov/20144124/
Becares-Martinez C, Lopez-Llames A, Arroyo-Domingo MM, Marco-Algarra J, & Morales Suarez-Varela MM. (2019). [What do MRI and CT scan provide us in patients with .... Revista de neurologia, 30963529.
Q.
Why does Benign Paroxysmal Positional Vertigo (BPPV) often cause dizziness and nausea together?
A.
Benign Paroxysmal Positional Vertigo (BPPV) causes dizziness and nausea because it affects the balance system in your inner ear, which can make your brain feel confused and upset your stomach.
References:
Whitman GT. (2018). Dizziness. The American journal of medicine, 29859806.
https://pubmed.ncbi.nlm.nih.gov/29859806/
Chimirri S, Aiello R, Mazzitello C, Mumoli L, Palleria C, Altomonte M, et al. (2013). Vertigo/dizziness as a Drugs' adverse reaction. Journal of pharmacology & pharmacotherapeutics, 24347974.
https://pubmed.ncbi.nlm.nih.gov/24347974/
Muncie HL, Sirmans SM, & James E. (2017). Dizziness: Approach to Evaluation and Management. American family physician, 28145669.
Q.
Why does looking down at my phone make me dizzy if I have Benign Paroxysmal Positional Vertigo (BPPV)?
A.
Looking down at your phone can make you dizzy if you have BPPV because it involves head movements that can trigger vertigo symptoms.
References:
Dan-Goor E, & Samra M. (2012). Benign paroxysmal positional vertigo after use of noise- .... American journal of otolaryngology, 21978648.
https://pubmed.ncbi.nlm.nih.gov/21978648/
Gallagher R, Lynch F, Paul G, Petkovski D, Kandl B, Lang S, et al. (2008). Chest symptoms following coronary stenting in the first 10 .... European journal of cardiovascular nursing, 17888741.
Q.
Why does moving my head trigger nausea if I have Benign Paroxysmal Positional Vertigo (BPPV)?
A.
Moving your head can make you feel dizzy and nauseous if you have BPPV because it affects your inner ear, which helps you balance.
References:
Woodman PD, & Griffin MJ. (1997). Effect of direction of head movement on motion sickness .... Aviation, space, and environmental medicine, 9125096.
https://pubmed.ncbi.nlm.nih.gov/9125096/
Muth ER, Raj AK, Rupert AH, & Lee R. (2000). The experience of nausea during sustained hyper-gravity .... Aviation, space, and environmental medicine, 10801007.
https://pubmed.ncbi.nlm.nih.gov/10801007/
Li GF, Wang YT, Lu XG, Liu M, Liu CB, & Wang CH. (2022). Benign paroxysmal positional vertigo with congenital .... World journal of clinical cases, 36387804.
Q.
Why does turning my head lead to nausea in Benign Paroxysmal Positional Vertigo (BPPV)?
A.
Turning your head can cause nausea in BPPV because it involves balance issues related to your inner ear, similar to motion sickness.
References:
Cuomo-Granston A, & Drummond PD. (2010). Migraine and motion sickness: what is the link?. Progress in neurobiology, 20416353.
https://pubmed.ncbi.nlm.nih.gov/20416353/
Smith PF, & Darlington CL. (2010). A possible explanation for dizziness following SSRI .... Acta oto-laryngologica, 20144124.
https://pubmed.ncbi.nlm.nih.gov/20144124/
Hermansen A, Peolsson A, Hedlund R, & Kammerlind AS. (2020). Balance problems and dizziness after neck surgery. Physiotherapy theory and practice, 30686102.
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Lou Y, Cai M, Xu L, Wang Y, Zhuang L, Liu X. Efficacy of BPPV diagnosis and treatment system for benign paroxysmal positional vertigo. Am J Otolaryngol. 2020 May-Jun;41(3):102412. doi: 10.1016/j.amjoto.2020.102412. Epub 2020 Feb 4. PMID: 32057490.
https://www.sciencedirect.com/science/article/abs/pii/S0196070920300831?via%3DihubVaduva C, Estéban-Sánchez J, Sanz-Fernández R, Martín-Sanz E. Prevalence and management of post-BPPV residual symptoms. Eur Arch Otorhinolaryngol. 2018 Jun;275(6):1429-1437. doi: 10.1007/s00405-018-4980-x. Epub 2018 Apr 23. PMID: 29687182.
https://link.springer.com/article/10.1007/s00405-018-4980-xJacobson GP; Editor-in-Chief. The "Reversal Nystagmus" in BPPV. J Am Acad Audiol. 2021 Jan;32(1):1-2. doi: 10.1055/s-0041-1723791. Epub 2021 Apr 19. PMID: 33873211.
https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0041-1723791Uz U, Uz D, Akdal G, Çelik O. Efficacy of Epley Maneuver on Quality of Life of Elderly Patients with Subjective BPPV. J Int Adv Otol. 2019 Dec;15(3):420-424. doi: 10.5152/iao.2019.6483. PMID: 31846923; PMCID: PMC6937179.
https://advancedotology.org//en/efficacy-of-epley-maneuver-on-quality-of-life-of-elderly-patients-with-subjective-bppv-131456BPPV - Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/vertigo/symptoms-causes/syc-20370055