Be careful how you sleep! Treatment and self-prevention of benign paroxysmal positional vertigo

In order to find out whether you have benign paroxysmal positional vertigo, it is also important to have a head position nystagmus test and head position nystagmus test in addition to general ear tests such as interviews and audiometry. The test uses Franzel glasses to see how the eyes move from one side to the other. Both are tests that move the head and check eye movement. Benign paroxysmal positional vertigo is dizziness that occurs when you move your head.



Treatment of benign paroxysmal positional vertigo
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When benign paroxysmal positional vertigo is diagnosed, the first treatment is otolith replacement (cephalic position treatment). This is a treatment that moves the patient's head and body so that the otolith, which has entered the three semicircular canals, returns to the otolith organs. The location of the otolith can be determined by observing the movement of the eye using Franzel glasses or a small CCD camera. Once the accumulated otolith leaves the semicircular canal, the seizure will not occur again. 70-80% of benign paroxysmal positional vertigo will improve with this treatment. This treatment is always carried out by the doctor and not something the patient can do voluntarily.

Medications can be used to help relieve symptoms. Anti-nausea drugs are the most commonly used, but other drugs such as anti-anxiety drugs and anti-dizziness drugs can also be used.

Physical therapy should be carried out by the patient.

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Sit in the middle of the bed, feet down, and slowly turn over for 60 seconds.
After counting to 60 seconds, slowly lift your body and return to the starting position.
Then slowly roll over to the side and count to 60 seconds.
Then slowly raise your body and return to the original position.
3 times on each side is 1 group. Do this once a day before going to bed.
If you do this before you go to bed, you're less likely to wake up feeling overwhelmed or dizzy. At first, changing the position of the head may cause dizziness, but the symptoms will gradually lessen over time.

Exercises to relieve dizziness



Prevention of benign paroxysmal positional vertigo


The key to prevent benign paroxysmal positional vertigo is to prevent the accumulation of otolith in the semicircular canal. Therefore, in daily life, please pay attention to the following points.

Do not sleep on the same side

If the head is always facing the same direction when sleeping, the otolith is easy to accumulate in the semicircular canal of the lower ear. Avoid watching TV while lying on your side.

Roll over

Moving the head usually prevents the otolith from accumulating in one place. Therefore, after getting up, before going to bed, we do the following "roll over" in bed. Count to the left for 10 seconds, then slowly lie on your back for 10 seconds, turn to the right for 10 seconds, then return for 10 seconds. Repeat this once for about 10 times.

Sleep with your head elevated

Raising your head while you sleep can prevent the otolith from entering the semicircular canal. Raising your pillow or tilting your upper body can help prevent this.





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