Posts

BPPV Testing and Management

Startling Statistics About BPPV

At The Hearing & Dizziness Clinic, we understand how debilitating BPPV or  Benign Paroxysmal Positional Vertigo can be.

Benign paroxysmal positional vertigo is the most common form of positional vertigo and is probably the most common disorder involving vertigo. It’s an affliction of the inner ear. In the most common clinical scenario, when the patient changes the position of the head, he or she feels that the room is spinning. The person may experience significant nausea as well.┘

According to The University of California, BPPV will affect nearly 40 percent of people over 40 at least once in their lifetime.

The good news about BPPV is that in most cases, it is entirely treatable.

The bad news about BPPV is that studies show, it can take an absurdly very long time from presentation of symptoms to treatment.

 

Two recent studies explored the time period from initial presentation of symptoms of BPPV to correct diagnosis. Fife and Fitzgerald report that in the United Kingdom, the mean wait time from initial presentation to correct diagnosis was 92 weeks. A more recent study out of China found the delay to be longer than 70 months.

We have witnessed this very same phenomenon in our practice, when people have seen multiple specialties and undergone several tests over the course of months and even years. Patients have altered their lives to accommodate their BPPV, changed their habits, disturbed their activities, family lives and working responsibilities. BPPV is easily diagnosed and easily treated.

In both studies mentioned above, the subjects were treated with Canalith repositioning (CRP) once the diagnosis of BPPV was made. In the Chinese study over 80% were successfully treated with one CRP, while the Fife and Fitzgerald study reports 85% were successfully treated.

Perhaps this is the most disturbing reality of these studies. 8/10 people who had suffered for years from Vertigo were cured of their BPPV in one treatment. Just one. 

At least 85% of cases had classical symptoms of BPPV and could have been easily identified by Primary Care Physicians at first referral, had they been trained to recognize and diagnose the condition.┌

It’s amazing to me that once someone is affected by BPPV and they tell their family and friends about it, they are shocked to realize how many people they know have experienced the very same thing! Further, they are shocked at just how easy it is to treat.

We are happy to test and manage your BPPV for you and your loved ones right in the heart of Essex County. If you have questions or concerns in regards to who we are and how we can help, please never hesitate to contact us. We are here to help!

Don’t be a statistic! 

Read more

VEDA-BAW Save the Date-for website

DEFEAT DIZZINESS – It’s Balance Awareness Week

At The Hearing & Dizziness Clinic, we’re kicking off Balance Awareness Week! A whole week dedicated to defeating dizziness.

Top Ten Facts about Vestibular Disorders

1. The vestibular system includes the parts of the inner ear and brain that process sensory information involved with balance.

2. Over 35% of US adults aged 40 years and older (69 million Americans) have had a vestibular dysfunction at some point in their lives.

3. Vestibular disorders can be caused by disease, injury, poisoning by drugs or chemicals, autoimmune causes, traumatic brain injury, or aging. Many vestibular disorders occur from unexplained causes.

4. Symptoms of vestibular disorders include dizziness, vertigo (a spinning sensation), imbalance, tinnitus (ringing in the ears), fatigue, jumping vision, nausea/vomiting, hearing loss, anxiety, and cognitive difficulties.

5. Vestibular disorders are difficult to diagnose. It is common for a patient to consult 4 or more physicians over a period several years before receiving an accurate diagnosis.

6. There is no “cure” for most vestibular disorders. They may be treated with medication, physical therapy, lifestyle changes (e.g. diet, exercise), surgery, or positional maneuvers. In most cases, patients must adapt to a host of life-altering limitations.

7. Vestibular disorders impact patients and their families physically, mentally, and emotionally. In addition to physical symptoms such as dizziness and vertigo, vestibular patients can experience poor concentration, memory, and mental fatigue. Many vestibular patients suffer from anxiety and depression due to fear of falling and the loss of their independence.

8. Common vestibular disorders include benign paroxysmal positional vertigo (BPPV), Ménière’s disease, labyrinthitis, vestibular neuritis, and vestibular migraine.

9. In the US, medical care for patients with chronic balance disorders exceeds $1 billion per year.

10.The Vestibular Disorders Association (VEDA) is the largest patient organization providing information, support, and advocacy for vestibular patients worldwide. (For more information click HERE)

If you or a loved one suffers from dizziness, vertigo, imbalance, instability or vestibular dysfunction, please feel free to contact our office to find out how we can help! (519) 961-9285