The 360 Living Balanced Podcast

The 360 Living Balanced Podcast


Crystal(s) Clear: Let's Explore BPPV!

May 06, 2025

Episode Summary

In this comprehensive episode, Bridget Wallace demystifies Benign Paroxysmal Positional Vertigo (BPPV), the most common type of vertigo treated in clinical settings. With her extensive experience treating vestibular disorders, Bridget explains how dislodged ear crystals can cause brief but intense spinning sensations with certain head movements. She breaks down the complex anatomy of the inner ear, identifies the various types and locations of BPPV, and details effective treatment approaches for each variation. This episode offers valuable insights for both those experiencing BPPV and healthcare professionals looking to enhance their understanding of this prevalent vestibular condition.


Key Topics

  • 00:01:11 - Introduction to Benign Paroxysmal Positional Vertigo (BPPV)
  • 00:02:19 - Detailed explanation of BPPV and its impact on daily life
  • 00:03:02 - Risk factors and prevalence of BPPV
  • 00:04:06 - Key indicators to recognize BPPV
  • 00:04:58 - How healthcare providers diagnose BPPV
  • 00:06:22 - Detailed anatomy of the inner ear and semicircular canals
  • 00:07:57 - Types of BPPV and terminology explained
  • 00:10:30 - Introduction to Type 2 BPPV (without nystagmus)
  • 00:11:03 - Treatment options for different types of BPPV
  • 00:12:58 - Post-treatment precautions and effectiveness


Episode Highlights

  • BPPV is the most common inner ear disorder, with prevalence increasing with age and over 50% recurrence rate within three years
  • The two most reliable indicators of BPPV are short duration vertigo (less than 60 seconds) and specific head movement triggers
  • Risk factors include low vitamin D levels, age, osteoporosis, low estrogen, diabetes, head trauma, migraines, and inner ear fluid problems
  • There are more than 20 specific maneuvers designed to reposition dislodged ear crystals depending on their location
  • Posterior canal BPPV is most common (80%), followed by horizontal canal (10-15%), and anterior canal (2%)


Resources Mentioned

  • Visual handout for understanding inner ear anatomy and BPPV terminology
  • Epley maneuver for posterior canal BPPV
  • Semont maneuver as an alternative treatment
  • Barbecue roll for horizontal canal BPPV
  • Yacovino maneuver for anterior canal BPPV
  • Episode 3 reference for describing dizziness to healthcare providers


Connect with Us

Visit 360livingbalance.com to join our community, access resources including the visual handout referenced in this episode, and learn more about vestibular health. If you found this information helpful, please subscribe to the podcast and share with others who might benefit from understanding BPPV.