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BPPV vs Vestibular Neuritis 

Stronglife Physiotherapy
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How to tell the difference between BPPV (Benign Paroxysmal Positional Vertigo) and Vestibular neuritis so you can recover more quickly
#bppv #vertigo #vestibularneuritis
Take control of your BPPV and keep it from coming back with The BPPV Protocol: bppvcured.com
If you have debilitating vertigo it’s important to know what the cause is so you can recover as quickly as possible. I’m Dr AJ Ludlow and in this video you’ll learn how to tell the difference between BPPV and vestibular neuritis. Make sure to watch until the end because we’ll cover what to do to recover from each condition.
First, we’ll cover vestibular neuritis. This condition is caused when a virus causes damage to the vestibular nerve. It’s possibly a form of the herpes virus (which also causes cold sores, chickenpox, and shingles) but has also been found to be associated with the influenza, measles, rubella, mumps, polio, hepatitis, and Epstein-Barr viruses. The vestibular nerve brings information to the brain from our inner ear to help us maintain balance. The infection causes inflammation and swelling of the nerve which distorts the information coming into the brain causing vertigo. About 50% of people with vestibular neuritis will have viral symptoms, kind of like a head cold, before the vertigo sets in. When vestibular neuritis starts, it is a sudden onset of dizziness, nausea, vomiting and a feeling of being off balance that lasts from 1 to about 3 days. Over the course of a week the dizziness will gradually decrease. Then over the next few months the symptoms will continue to slowly decrease. It usually doesn’t cause further intense episodes of dizziness after it starts to calm down. It doesn’t affect your hearing. During the intense first few days the symptoms are constant, these symptoms might be made worse with head movements but they aren’t triggered by the head movements.
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 one of the inner ear canals. 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.
Comparing the two conditions, we can find some key differences to help you know which condition you have. They follow very different patterns. Vestibular neuritis comes on suddenly and intensely, with the most intense vertigo lasting for a few days then fades over the following weeks and months, and the vertigo is not triggered by head movements. BPPV has a sudden onset of vertigo but is triggered by head movements but only lasts for a minute or two then will settle down. You will be fine between episodes but the triggering head movements can cause another episode. Each episode is consistent and feels the same. Based on this information you should be able to tell the difference between the two.
Now what can you do to get rid of the vertigo? For vestibular neuritis you are healing from a viral infection so getting plenty of high quality sleep is helpful. The symptoms generally fade on their own over weeks or months but a low inflammation diet can help as well as high doses of vitamin C and other anti-inflammatory and immune boosting supplements. Some doctors will prescribe anti-dizziness medications or steroids but these medications have questionable benefits and have side effects. Going to a physical therapist for vestibular rehab or finding vestibular rehab exercises online can help recalibrate your balance more quickly.
BPPV has a quick and easy solution. You can do a repositioning maneuver to clear the particles from the inner ear, which can immediately stop the spinning. You can go to an ENT or a physical therapist for this or you can just do it at home. Check out my BPPV Vertigo Cure video to learn the maneuver or click the link at the end of the video for a step by step guide on what to do and how to keep BPPV from coming back.

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30 июн 2024

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Комментарии : 94   
@rickroller9951
@rickroller9951 Год назад
Thanks you so much for this video very informative Appreciated ✌️
@StronglifePhysiotherapy
@StronglifePhysiotherapy Год назад
You're welcome, glad it was helpful!
@naveenkumar-nq3id
@naveenkumar-nq3id 8 месяцев назад
Thanks doc for the info ❤
@elizabethsandobal2340
@elizabethsandobal2340 2 года назад
THANK YOU SOO MUCH FOR THIS VIDEO.GREAT ADVICE 👍❤💯
@StronglifePhysiotherapy
@StronglifePhysiotherapy 2 года назад
You’re welcome! Thanks for watching!
@sharondirks8603
@sharondirks8603 Год назад
Never have I seen, heard or met any other herbalist that can cure herpes except HERBALIST DOCTOR KINGSLEY.. He is so different from other herbalists online with his genuine fast effective natural herbal products for curing herpes and his. You can find Herbalist Doctor Kingsley via his channel on RU-vid @ THE SEVEN DAYS FAST CURE FOR HERPES 1&2. Herbalist Kingsley can also cure bad breath and body odor. God bless him for curing my herpes and genital warts
@DONNAKINNE-if6dc
@DONNAKINNE-if6dc 2 месяца назад
I really wish there wasn't parts of the video to imitate dizziness for a group of viewers who are already dizzy.
@Jenifer_G
@Jenifer_G 15 дней назад
Me too
@antoniovasco8316
@antoniovasco8316 2 года назад
It was very useful, Thank's Dr.
@StronglifePhysiotherapy
@StronglifePhysiotherapy 2 года назад
You’re welcome! Thanks for watching!
@joyzkagames
@joyzkagames 5 месяцев назад
Thank u so much for the information.. i do have the 2nd one which is BPPV.. i’m doing the Apley maneuver which is good for such case.. i’m not sure how many times do i need to do it to get back to my normal state.. I think it takes some time to heal
@susanmainridge3331
@susanmainridge3331 Год назад
I have read everything I could find about BPPV and Vestibular Neuritis. But my Vestibular Neuritis never went away, and hasn't changed or improved. It does seem to get worse the day before a rain, hot humidity or very cold weather when the barometric pressure changes in the atmosphere or if Im flying on an airplane. On Feb-2-2016, I woke up with vertigo, all the symptoms that go along with it, never had tinnitus before this but it has remained quite loud too. I also had spinning sensation and double vision vertically and horizontally and a massive headache. At the time I did have a bad cold. I have had issues since childhood with sinuses draining into my ears. I did have tubes put in as a child. It has been 6.5 years later, and my vertigo never went away. I deal with it every day as soon as my head gets off the pillow, the spinning starts. So if my head is in motion-moving or if my body is in motion and my head is not moving traveling in a car, I get the same reactions and symptoms. The Neurotologist Inner Ear Specialist at Barnes Hospital in St Louis Missouri was my final diagnosis of Vestibular Neuritis. I had seen 2 ENTs, Audiologist and the Nuerologist Brain Specialist to rule out a stroke, brain bleed, tumor or multiple sclerosis. I was told by my inner ear doctor that in my case the damage to vestibular nerves from inner ears to brain was permanent and that I would first have to accept and then adapt to my new life with this disorder. Which I have done. Only thing that helped me with the anxiety, depression and stress that comes also with this was for me to retire early. I have been retired almost 2 months now and loving it. I have a question for you? I also have diabetes for a long time and it has done some damage to my optic nerve causing glaucoma so to keep my vision as good as it can be, I see a Retina Dr every 4 months. Is it possible that the diabetes could have played some role in the vestibular nerve damage? I wonder because I do have neuropathy pain kind of feels like ear aches all the time and the ear ringing never stops either. Just wondering since diabetes does damage to other nerves in the body. Thanks.
@kelbee8974
@kelbee8974 Год назад
I have had 3 episodes. Each 10 years apart. After each episode I do recover, but it takes time. Several months really. I too am diabetic (T1) There may be a connection, who knows. Hope you feel better soon 👍 I am on week 3 of the latest episode & am still feeling unsteady under foot & still have a little "brain fog"
@apkennel
@apkennel Год назад
Hello Susan, I have been suffering from what you similarly described. I’m 35, and have been dealing with these strange type of headaches that are usually accompanied by crippling anxiety, for about ten years now. I saw a doctor for it once and he prescribed an antidepressant which only made things worse. My symptoms appear when under stress, if I consume a lot of sugar’s/trans fats, on a plane, boat, or in back of a car, or lack of exercise. I am eager to know more about what is triggering these dizzy spells then anxiety and vice versa. Any information you could provide is appreciated 🙏🏼
@angelbabycards3595
@angelbabycards3595 Год назад
An excellent and somewhat comprehensive explanation of your problem, signs, symptoms, method of diagnosis, the outcomes from your treating physicians, and what you have done to address the problem in order to get on with your life. Yes, I too am experiencing this very problem. As I type this comment, I feel the forward and backward swaying, as if I am living on a small yacht or boat.. Well, I think I understand what is happening in my case. Here, this problem began for me on or about the Spring of 2019. In my particular case, it kinda came on suddenly one morning as I leaned forward in the bathroom to clean myself. As I leaned forward, I suddenly began feeling out of balance. I though it was temporary, but as the weeks and months passed, I began to associate the broken upper molar, just below where my middle ear is. As my upper molar went untreated, the 2020 worldwide pandemic hit, I was not being seen by a dentist to perform an extraction of the tooth. 2020 turned eventually into 2021. I managed to get my dentist to finally perform an extraction, and the tooth upon the extraction, was absolutely [Putrid]. One of the worst smells a person smells when one smells infection; pure and simple. Well, the dentist prescribed Amoxicillin, and after two regiments, believe it or not, I was able to stand normally while showering. Problem is: After about a week, the problem slowly started coming back. I thought: I didn't get enough antibiotics to fully abate the infection, and the infection had traveled upward; reaching my middle ear, which was the cause of both Inflammation, a bulging ear drum as I was later told, and that the problem would be treated with liquid prednisone. Nope, though I took the meds, it didn't work, so I went back. The doctor later.., prescribed Amoxicillin with Augmentum. After two regiments, I began to feel some improvement, but not a complete recovery. Well, that was last Fall; August-September, 2021. Though I feel a bit better, I clearly believe that Vestibular Nerves were damaged a bit, as from my Ask Google Research, *they say the [damaged vestibular nerves] don't heal very well, and that the damage unfortunately becomes a permanent injury, sigh.. I'm constantly somewhat dizzy, and though there has been some improvement due my my doing all the balance exercises, though my exercises have made walking around the house and to the store somewhat normal, the problem tends to make me feel, that Life is just not quite what it once was now, if that makes any sense. My opinion: Since the nerves appear to be a bit damaged, instead of just putting up with this and trying to learn to live with it, ..I'm seriously thinking about Stem Cell Therapy for this problem, as some of my research is saying, some of the therapies are showing a bit of efficacy toward returning balance as the stem cells, injected into the target area, can regrow the appropriate cells, and the subjects experienced improvement with middle ear function. I hope this long-winded comment is helpful, because You are not alone in this problem, as I am dealing with it myself, and am doing my own research to address and potentially solve this somewhat complex problem. - You take care.., and all the best. MDM, JD Candidate. Fresno, CA. - Peace. \\// :)
@mossyoakmom8880
@mossyoakmom8880 Год назад
@@angelbabycards3595 I hope it works for you. Thank you for the information!
@sharondirks8603
@sharondirks8603 Год назад
Never have I seen, heard or met any other herbalist that can cure herpes except HERBALIST DOCTOR KINGSLEY.. He is so different from other herbalists online with his genuine fast effective natural herbal products for curing herpes and his. You can find Herbalist Doctor Kingsley via his channel on RU-vid @ THE SEVEN DAYS FAST CURE FOR HERPES 1&2. Herbalist Kingsley can also cure bad breath and body odor. God bless him for curing my herpes and genital warts
@busterdavis29
@busterdavis29 7 месяцев назад
I know which 2 i have then!
@Kayl3ss
@Kayl3ss Год назад
Thank you for your thorough explanation. Could HSV-2 cause Vestibular Neuritis?🤔
@StronglifePhysiotherapy
@StronglifePhysiotherapy Год назад
Good question! I’ve only heard of it being linked to HSV-1 but it is linked to several possible viruses
@Kayl3ss
@Kayl3ss Год назад
@@StronglifePhysiotherapy Thank you for your response. I was diagnosed with Vestibular Neuritis a couple days ago. Thank God the vertigo stopped and I'm no longer using that Meclizine. The Docs weren't too crazy about that med anyway😄
@omarbilbao7460
@omarbilbao7460 Год назад
​@@Kayl3ssHave you cured of tinnitus ringing in my ear?
@sharondirks8603
@sharondirks8603 Год назад
Never have I seen, heard or met any other herbalist that can cure herpes except HERBALIST DOCTOR KINGSLEY.. He is so different from other herbalists online with his genuine fast effective natural herbal products for curing herpes and his. You can find Herbalist Doctor Kingsley via his channel on RU-vid @ THE SEVEN DAYS FAST CURE FOR HERPES 1&2. Herbalist Kingsley can also cure bad breath and body odor. God bless him for curing my herpes and genital warts
@PM-ut4xs
@PM-ut4xs Год назад
But what would cause one to lose eye control? I can turn my head and my eyes will roll in the opposite direction. When I have a bad vertigo case I lose control of my eyes all together and they will roll in opposite directions. One up, one down, one left, one right. I can never see it because I can't focus my eyes enough to not see double.
@alejandroruiz1796
@alejandroruiz1796 Год назад
I'm experiencing the same. Try yourself or have someone to record your eye movement (nystagmus) every episode and take those videos to the doctor.
@brad2548
@brad2548 3 месяца назад
😭😭😭😭 so many things allopathic doctors dont know.
@chandabawa796
@chandabawa796 15 дней назад
There's a test called Nystagmography where they check if eyes move in tandem. Ive been dealing with vestibular imbalance and dizziness for 5 years now.. the doc who did the Nystagmography on me said the nerve damage was permanent. I have chronic fatigue from the sense of imbalance and dizziness..I'm afraid my quality of life is slowly declining.. I can't exercise much as the dizziness kicks in,, and is very uncomfortable, and raises my anxiety. So here's what I read once about the vestibular nerve, it performs 3 functions : 1. Physical balance, ability to walk on a straight line. 2. Posture... I sway back and forth if I close my eyes and stand without support.. I have to hold on to the escalator when using it 3. Gaze stabilisation ... This may be the one causing the lack of eye coordination n control. Nystagmography will clearly show if the eyes move in tandem or not. My best wishes
@Pstm1988
@Pstm1988 11 месяцев назад
Cómo se llama la mujet
@brad2548
@brad2548 Год назад
I dont know which doctors to trust. I had a neuro episode in Jan 2021 diagnosed and debated as to whether or not my condition is,was or still may be as of 12/22 Vestibular. I've have swelling in my brain and balance and equilibrium daily for almost 2 years. How come noone can determine what's wrong ?
@janlewis567
@janlewis567 4 месяца назад
I feel for you, Brad, I'm in the same boat still
@brad2548
@brad2548 4 месяца назад
@@janlewis567 Hi Ms Lewis. Doesn't help trust medical science practitioners very much when we know the technology is there to find out what's going on. Maybe a compassionate concerned family member or friend will muster the fortitude to research Neurological Medical Institutions that specialize in Brain Science Explorations in yur behalf. I'm currently trying to do some investigative research myself. If I come up with anything soon I'll try to let you know via RU-vid. I have no other way really to communicate with folks. God bless you. I'll be praying for you. Trust and rest in Jesus. Everything's going to e ok. Eat healthy. Try to walk some and practice breathing exercises. Our brain absorbs %20 more oxygen when we breathe through our nose slowly and deeply . Hold it for 7 seconds and slowly exhale thru yur mouth. Each time you should feel a tad better 😊 keep yur chin up
@PeaceIsYeshua
@PeaceIsYeshua 3 месяца назад
@@brad2548, I really hope you get better. I wonder if brain retraining might help? It targets the autonomic nervous system, which is often to blame for chronic conditions.
@brad2548
@brad2548 3 месяца назад
@@PeaceIsYeshua Thank you so very much. I haven't tried any of those protective measures yet. But one thing I do know is that when the communication towers go down and electricity out in about 20 minutes my whole being relaxes and my brain clears up. No more balance or equilibrium issues. Thank you so much for your input. God bless you
@brad2548
@brad2548 3 месяца назад
@@PeaceIsYeshua are you a nurse or into the medical profession of some sort. I've learned alot about human anatomy but not much about the autonomic nervous system. I'll look into that. I appreciate your input. 👍😇 feel free to reach out anytime. I was delivered and born again years ago through World Challenge ( David Wilkerson ministries) prayer counselors in Lindale,Texas 🤠😇❤🤣 hallelujah
@hananmrad7761
@hananmrad7761 Год назад
Does vestibular neuritis cause heavy head?
@StronglifePhysiotherapy
@StronglifePhysiotherapy Год назад
That's not one of the more common symptoms. It can start feeling like a head cold, but usually those symptoms pass while the vertigo symptoms remain for a longer period of time.
@lararose9106
@lararose9106 3 месяца назад
Does bppv cause heavy head and ear pain
@NoName78144
@NoName78144 Месяц назад
What about tinnitus?
@StronglifePhysiotherapy
@StronglifePhysiotherapy 20 дней назад
BPPV can occasionally cause tinnitus and vestibular neuritis rarely causes tinnitus. On its own it’s not the best symptom to use to tell the difference between the two conditions.
@PeterJohns
@PeterJohns Год назад
I am unaware of any evidence for the benefit of "low inflammation diet", Vit C , Turmeric, Vit D3 or Vit K2 or even"high quality sleep" in the treatment of vestibular neuritis. If you know of any evidence, please post it.
@StronglifePhysiotherapy
@StronglifePhysiotherapy Год назад
There are no specific studies on these for vestibular neuritis but these are well known regulators of inflammation. Do you believe that diet and sleep have an impact on how the Body heals?
@PeterJohns
@PeterJohns Год назад
@@StronglifePhysiotherapy Diet and sleep no doubt have an impact on how the body heals. However to suggest to patients that 4 different supplements would be beneficial to their recovery from vestibular neuritis is quackery and a waste of patient's money.
@StronglifePhysiotherapy
@StronglifePhysiotherapy Год назад
You and I have a very different idea of health if you recommend against supplementing commonly deficient vital nutrients that support the immune system, which many people already have and are affordable.
@PeterJohns
@PeterJohns Год назад
@@StronglifePhysiotherapy If you can provide evidence on their efficacy, I'd be interested in seeing it.
@PeterJohns
@PeterJohns Год назад
@@StronglifePhysiotherapy I think you may have asked me to provide evidence that they don't work, and then you deleted your comment. You must have remembered Russell's teapot.
@Jenifer_G
@Jenifer_G 15 дней назад
Good vid but dont show the head moving like that its disturbing
@StronglifePhysiotherapy
@StronglifePhysiotherapy 14 дней назад
Noted, thanks for the feedback
@onlywei
@onlywei 5 месяцев назад
Can you have both at the same time?
@StronglifePhysiotherapy
@StronglifePhysiotherapy 5 месяцев назад
Yes it's possible, just not as likely.
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