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BPPV Vertigo VS Vestibular Migraine

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Stronglife Physiotherapy

Vertigo sufferers: learn the difference between BPPV vertigo and vestibular migraine and what to do about it!
#bppv #vestibularmigraine #vertigo

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Take control of your BPPV vertigo and keep it from coming back: https://bppvcured.com
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If you are suffering from vertigo you may be wondering if it’s from BPPV or a vestibular migraine. I’m Dr AJ and in this video we’ll help you understand the difference so you can find the best way to recover instead of rolling the dice and hoping something works.

Lets start with what BPPV is and what the symptoms are then we’ll talk about vestibular migraine and it’s symptoms so we can compare the two. BPPV stands for Benign Paroxysmal Positional Vertigo which, as the name implies, is a feeling of spinning that comes on suddenly from certain head positions. It’s called benign because it’s not life threatening or progressive even though it is intense and debilitating. It is caused when particles in the inner ear called otoconia, come loose and enter the inner ear canal. This is a fluid filled canal that helps our brain process head movement and when the particles move inside the canal they cause a false sensation of spinning. Vertigo attacks from BPPV are a sudden intense feeling of spinning that only lasts for 30 to 90 seconds. It can cause nausea and vomiting during the attack but afterwards it will settle down and you will be fine until another attack is triggered. BPPV attacks are ONLY triggered by specific head movements that cause the particles in the inner ear to move. These include getting into and out of bed, rolling over in bed and looking up or down. BPPV vertigo attacks are also accompanied something called nystagmus, or a repeated beating movement of the eyes which you may feel or someone who is watching could see your eyes moving in a specific pattern. BPPV is the most common form of vertigo.

Vestibular migraines are, unfortunately, less understood even by doctors. About 1 to 3 percent of adults are affected by this type of vertigo, so it is not nearly as common as BPPV. It’s a common misunderstanding that vestibular migraine always come with a headache but this is not true. It is simply a type of migraine that affects the vestibular or balance system with or without headache pain. During an episode you can experience balance difficulties or feeling wobbly, dizziness with head movements which may or may not include nausea. It can cause a sensation as if your body is spinning or moving or it can cause a feeling of the room spinning around you. Another symptom is sensitivity to movement especially of the head and neck or even watching something move. Nausea and vomiting are a common symptom and there can sometimes be sensation of fullness or pressure in the ears. Vertigo attacks from a vestibular migraine can be as short as seconds or minutes or as long as several hours to several days. After the episode is gone its not uncommon to have symptoms that linger in a milder form for a few weeks. Triggers for vestibular migraine include stress and anxiety, insufficient or poor quality sleep, hunger, dehydration, Food triggers like MSG, chocolate, red wine and especially caffeine, and hormonal changes like menstruation or during menopause. Weather changes can also be a trigger.

Comparing the two vertigo conditions we see that there is some overlap in symptoms, specifically vertigo with head movements. Once of the features of BPPV is that it is very consistent. The same movements will cause a consistent response. It’s predictable and consistent and brief and each vertigo attack is pretty much the same. Vertigo from a vestibular migraine is not always consistent, can have a much wider range of symptoms and each episode can be different. Any kind of head movement can worsen the attack where as BPPV has the specific head movements that we talked about earlier. The triggers are also quite different and not necessarily related to head movement although once the vertigo episode begins you will be sensitive to head movements.

If you think you from vestibular migraines, you should get examined by a neurologist but in addition to that it’s a good idea to learn your triggers, get plenty of high quality sleep, learn some techniques to handle stress better, like breath work which can also help you get through a vertigo attack, and stay hydrated.

If you have BPPV, there is good news! You can actually fix your own BPPV on your own at home. Click the link at the end of this video for a step by step guide that walks you through the process of eliminating your vertigo instantly and teaches you how to keep it from coming back.

posted by austranklt