Battling BPPV

Battling BPPV: How Functional Neurology Can Offer Relief

Benign Paroxysmal Positional Vertigo (BPPV) is a common and disruptive inner ear condition that affects people of all ages. The sudden sensation of spinning or dizziness caused by BPPV can significantly impact one’s daily life. Fortunately, functional neurology is a holistic approach that offers effective solutions to alleviate the symptoms of BPPV. In this blog, we will explore what BPPV is and how functional neurology can be a valuable tool for those seeking relief.

Understanding BPPV

BPPV is a type of vertigo characterized by brief episodes of intense dizziness triggered by specific head movements. These episodes are typically caused by displaced calcium crystals, or otoliths, in the inner ear’s semicircular canals. When you move your head, these otoliths can shift and send confusing signals to your brain, leading to the sensation of spinning or unsteadiness.

BPPV is often linked to:

Aging: As we get older, the likelihood of developing BPPV increases.

Head Trauma: A blow to the head or a history of concussions can dislodge the otoliths.

Viral Infections: Certain viral infections can affect the inner ear, contributing to BPPV.

Ear Disorders: Conditions like Meniere’s disease or vestibular neuritis may increase the risk of BPPV.

Functional Neurology and BPPV

Functional neurology is an approach that focuses on optimizing the nervous system’s function, including the vestibular system, which controls balance and spatial orientation. Here’s how functional neurology can help those suffering from BPPV:

Precise Diagnosis: A functional neurologist will conduct a comprehensive evaluation to determine the specific areas of dysfunction in the vestibular system. They may use techniques like videonystagmography (VNG) or posturography to identify the underlying causes of BPPV.

Customized Treatment Plans: Functional neurology doesn’t take a one-size-fits-all approach. Instead, it tailors treatment plans to address each individual’s unique needs. This customization is essential in dealing with the varying triggers and symptoms of BPPV.

Vestibular Rehabilitation: Functional neurologists can employ vestibular rehabilitation therapy (VRT) to help patients adapt to their inner ear issues. VRT involves specific exercises and maneuvers to reposition the otoliths within the inner ear canals, reducing dizziness and vertigo.

Neuroplasticity: Functional neurology harnesses the brain’s neuroplasticity, allowing it to rewire itself and compensate for vestibular issues. Through a combination of sensory integration exercises and visual, auditory, and somatosensory stimulation, the brain can learn to interpret the signals from the vestibular system more accurately.

Lifestyle and Dietary Guidance: Functional neurology often includes recommendations for dietary and lifestyle changes that can help manage BPPV triggers. This may involve reducing salt intake or making adjustments to daily routines to prevent exacerbating symptoms.


BPPV can be a disruptive and frustrating condition, but it doesn’t have to control your life. Functional neurology offers a comprehensive approach to address the root causes of BPPV and provide effective solutions to reduce its symptoms. If you’re experiencing the spinning sensation of BPPV, seeking the expertise of a functional neurologist can be a valuable step towards regaining your balance and improving your overall quality of life. Don’t let BPPV keep you off balance – explore the possibilities of functional neurology to regain control and find relief.

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