BPPV Testing and Management

Vertigo and “Ear Crystals”

We have a large number of patients who call us to inform us that their Doctor has told them that they have “Ear Crystals” and that they should come to see us; that we may be able to help them. Everyone has ear crystals, but when they migrate or move away from where they are supposed to be, most often, YES, we can help them! But how?

Trouble with “Ear Crystals’ is another way of describing BPPV, Benign Paroxysmal Positional Vertigo. Benign: the condition almost always goes away with proper treatment Paroxysmal: the condition may return causing vertigo without warning Positional: it is brought on by specific type of head movement Vertigo: the sensation is that of spinning that may be mild or violent.

These crystals normally lie in a gel layer inside the utricle in our vestibular systems. A common symptom of migrated crystals is that there is dizziness or vertigo when you wake up, nausea and vomiting. The vertigo may stop when the position of your head is held still. The common reasons that these crystals migrate can be: head injury, aging, or idiopathic (the cause is not known). Some studies show there may be a correlation between allergies and respiratory infections and BPPV.

Whatever the reason that caused those crystals to migrate, the treatment is same: Particle or crystal re-positioning – getting those crystals back into the utricle. Our Doctors of Audiology are well versed in this. We often hear that people have tried these maneuvers at home, without success – we do not recommend this, as if completed improperly may cause more harm than good.

So what should you expect of your appointment with us? Well, we always ask you to fill out a case history and those documents will be reviewed with the audiologist. Then a few very precise head and body maneuvers will determine if you could be helped by the crystal re-positioning. The entire appointment takes but 1 hour and symptoms may disappear entirely with one treatment.

If you are tired of feeling dizzy or imbalanced when changing positions, simply call us to arrange an appointment with the audiologist at The Hearing & Dizziness Clinic.