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Dr Stork said he self-diagnosed himself with benign vertigo but called in a specialist because his world was spinning. Treatments for BPPV mainly focus on improving visual stability and reducing vertigo and dizziness. The runaway ear crystals cause BPPV (Benign Paroxysmal Positional Vertigo). Benign paroxysmal positional vertigo can be treated with a canalith repositioning procedure (e.g., Epley maneuver). If people have a lot of crystal sediment in their canal and they improperly treat themselves with the Epley maneuver, the crystals end up converting into the other canal because they don’t pass through the common crus. Sometimes people even have BPPV in both ears. For more information on BPPV and other topics related to vertigo, check out my Vertigo Detective blog. Usually done in assistance of a therapist or a clinician, the head is moved in different positions to control the movement of calcium debris or particles, therefore, helping a patient to overcome the vertigo ailment. Episodic vertigo triggered by head motion may be due to benign paroxysmal positional vertigo.
The posterior canal is a little lower in the head than the others, making it the most common place the crystals end up. There is a shared entry point of the posterior and anterior canal connecting to the utricule where the ear crystals normally live is called the “common crus.” The horizontal canal connects with the utricle also. Each inner ear, or vestibular system, has three semi-circular canals – the posterior, the anterior and the horizontal canal. The reason the self-Epley treatment does work for a lot for people is because the inner ear canals are not totally set horizontal in relation to gravity. People with “multi-canal BPPV” and persistent BPPV are the patients I usually need to see more than once. Once otoconia have become dislodged, it’s possible that BPPV will develop if those particles enter the semicircular canals. In my practice, I see a lot of patients who have all types of BPPV and all combinations of canals with ear crystals, and I get excellent results with these patients. In a case of BPPV, a person can have a misplaced crystal(s) floating in any of one or combination of their 6 inner ear canals. As a party planner, you’ll have to come up with a few extraordinary ideas so that the children’s birthday is the number one topic of conversation the next day.
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