BPPV and Dizziness Rehabilitation in Ontario | ProFunction.ca

BPPV and Dizziness Rehabilitation: Overcoming Balance Issues

Introduction: Understanding BPPV and Dizziness

If you’ve ever experienced a sudden feeling of vertigo or dizziness when you turn your head or stand up too quickly, you’re not alone. Many people suffer from balance issues, with one of the most common causes being Benign Paroxysmal Positional Vertigo (BPPV). This condition can be incredibly disorienting and can disrupt daily life. However, the good news is that BPPV and dizziness rehabilitation can offer relief, helping individuals regain their balance and live their lives more comfortably.

At ProFunction.ca, we specialize in diagnosing and treating balance disorders like BPPV and dizziness. In this blog post, we will discuss what BPPV is, how it causes dizziness, and the rehabilitation methods that can help restore your balance. Let’s explore how you can overcome dizziness and improve your overall well-being.

What Is BPPV and How Does It Cause Dizziness?

Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common causes of dizziness, particularly among older adults. It occurs when small calcium crystals, known as otoconia, become dislodged from their usual location in the inner ear and migrate into one of the semicircular canals. These canals are responsible for detecting rotational movement and helping us maintain balance.

When these crystals move into the semicircular canal, they disrupt the normal fluid movement that helps with balance, leading to a false sensation of movement or spinning (known as vertigo). This feeling is typically triggered by changes in head position, such as:

  • Turning over in bed

     

  • Looking up or down

     

  • Tilting the head backward

     

The symptoms of BPPV can be unsettling and may include:

  • Vertigo: A spinning or whirling sensation that can last for seconds to minutes.

     

  • Dizziness: A sense of lightheadedness or unsteadiness, particularly when changing head positions.

     

  • Nausea: In severe cases, the dizziness can lead to nausea or vomiting.

     

  • Loss of balance: A feeling of unsteadiness or risk of falling.

     

While BPPV is not life-threatening, it can be incredibly distressing and may interfere with daily activities. Fortunately, the symptoms can often be alleviated with proper treatment, which typically includes vestibular rehabilitation therapy (VRT).

The Importance of Vestibular Rehabilitation Therapy (VRT)

Vestibular Rehabilitation Therapy (VRT) is a specialized form of physical therapy designed to help individuals with balance disorders like BPPV. The goal of VRT is to retrain the brain to compensate for the inner ear problem and restore normal balance function. This therapy is effective in reducing symptoms of dizziness, improving balance, and preventing falls.

At ProFunction.ca, we tailor each treatment plan to the individual’s specific needs, using a combination of exercises and techniques to address the unique aspects of their balance disorder.

How Does VRT Help with BPPV and Dizziness?

VRT consists of exercises and strategies that focus on improving the brain’s ability to process signals from the inner ear and adjust to changes in head and body position. Here’s how it works:

1. Canalith Repositioning Maneuvers

For those diagnosed with BPPV, a common treatment involves a series of maneuvers known as canalith repositioning or Epley Maneuvers. These exercises help move the dislodged otoconia crystals back to their correct location in the inner ear, allowing the vestibular system to function normally again.

The most well-known maneuver is the Epley Maneuver, which involves a sequence of head movements performed by a trained healthcare professional. The goal is to move the crystals from the semicircular canal back to the utricle, where they can no longer cause vertigo.

2. Gaze Stabilization Exercises

Gaze stabilization exercises are designed to help improve the control of eye movements. These exercises help individuals with dizziness focus their gaze while moving their heads, preventing the visual distortions that often accompany balance problems.

Examples include:

  • VOR (Vestibulo-Ocular Reflex) Exercises: These exercises involve focusing on a target while moving the head in different directions.

     

  • Eye-Head Coordination Exercises: These exercises focus on improving coordination between eye and head movements, helping the individual maintain visual focus during head movement.

     

3. Balance Training Exercises

Balance training exercises aim to strengthen the muscles responsible for maintaining stability and improving overall coordination. These exercises help prevent falls and improve postural control. They often include:

  • Standing balance exercises: Performing tasks like standing on one leg or walking heel-to-toe to challenge balance.

     

  • Sensory organization exercises: These exercises involve moving from one surface to another (e.g., from a firm surface to a foam pad) to enhance the ability to adapt to different environments.

     

4. Habituation Exercises

These exercises help the brain get used to the movements that cause dizziness. Over time, the brain adapts and becomes less sensitive to the stimuli that cause vertigo, thereby reducing symptoms.

Habituation exercises may involve repetitive movements that trigger dizziness, gradually desensitizing the brain to those motions.

5. Home Exercises and Self-Management

In addition to in-clinic treatments, physiotherapists will often provide patients with exercises they can perform at home. These exercises are designed to reinforce what’s learned during therapy sessions and promote ongoing improvement in balance and dizziness management.

Some common home exercises include:

  • Head motion exercises to gradually improve tolerance to head movement.

     

  • Postural exercises to strengthen the muscles that support balance and stability.

     

The Benefits of BPPV and Dizziness Rehabilitation

Rehabilitation for BPPV and dizziness has a range of benefits, including:

  1. Reduced Dizziness: The primary goal of rehabilitation is to reduce or eliminate dizziness, allowing individuals to return to normal activities without fear of falls or loss of balance.

     

  2. Improved Balance: One of the main challenges of BPPV and dizziness is the feeling of unsteadiness. Through VRT, patients can improve their balance and coordination, which enhances their ability to perform daily tasks like walking, driving, and climbing stairs.

     

  3. Enhanced Quality of Life: Chronic dizziness can limit one’s ability to engage in activities. With improved balance and reduced dizziness, patients can enjoy life more fully, participating in social, work, and recreational activities.

     

  4. Prevention of Falls: Chronic dizziness often leads to falls, especially in older adults. Through balance training and rehabilitation, individuals can significantly reduce their fall risk and maintain their independence.

     

  5. Non-Invasive and Drug-Free Treatment: Unlike medications, which may only mask the symptoms, VRT addresses the root causes of dizziness and balance problems, providing a long-term solution without the side effects of drugs.

     

When to Seek Rehabilitation for BPPV and Dizziness

If you experience recurring dizziness, vertigo, or balance issues, it’s important to seek professional help. Early intervention can improve outcomes and reduce the risk of complications. It’s especially important to seek rehabilitation if:

  • You experience sudden, severe dizziness that affects your ability to stand or walk.

     

  • You’ve been diagnosed with BPPV or another vestibular disorder.

     

  • Dizziness is impacting your daily life, such as work, home, or recreational activities.

     

  • You have a history of falls or fear of falling.

     

How ProFunction.ca Can Help

At ProFunction.ca, we specialize in diagnosing and treating balance disorders, including BPPV and dizziness rehabilitation. Our experienced physiotherapists will perform a thorough assessment to identify the underlying cause of your symptoms and create a personalized treatment plan to address your needs.

Whether you’re struggling with BPPV, experiencing dizziness due to other conditions, or seeking to improve your balance, we are here to help you get back on your feet.

Conclusion: Take the First Step Towards Regaining Your Balance

Living with BPPV or chronic dizziness doesn’t have to be a permanent part of your life. BPPV and dizziness rehabilitation offers a comprehensive, non-invasive approach to managing and overcoming balance disorders. With the right treatment, you can regain your independence, reduce dizziness, and live a more active and fulfilling life.

At ProFunction.ca, our team of expert physiotherapists is committed to providing the care and support you need to improve your balance and well-being. If you’re ready to take the first step toward recovery, contact us today to schedule an appointment and start your journey toward a dizziness-free life.

Brooke Edwardson

MClSc (AHCP-SEM), MPT, BScPT, Sport Cert.  

Physiotherapist London Ontario
Orthopaedic Physiotherapy
Sports Injuries Physiotherapy
Post Surgical Rehab
Sports Team On-Field Medicine

Choose Brooke for:
• Soccer, Volleyball, Basketball and Running Injuries
• Industrial / Physically Demanding Jobs + Injuries
• Spinal, Hip and Knee Injuries
• Pre- and Post- Surgical Cases (eg. ACL Recovery after Surgery)
• Strength and Conditioning
• Sports Team Medical Coverage; Tournaments, Travel, Seasonal

Brooke Edwardson

MClSc (AHCP-SEM), MPT, BScPT, Sport Cert.  

Physiotherapist London Ontario
Orthopaedic Physiotherapy
Sports Injuries Physiotherapy
Post Surgical Rehab
Sports Team On-Field Medicine

Choose Brooke for:
• Soccer, Volleyball, Basketball and Running Injuries
• Industrial / Physically Demanding Jobs + Injuries
• Spinal, Hip and Knee Injuries
• Pre- and Post- Surgical Cases (eg. ACL Recovery after Surgery)
• Strength and Conditioning
• Sports Team Medical Coverage; Tournaments, Travel, Seasonal

If you’re an athlete, at any level, you’ll want to meet Brooke.  Brooke Edwardson’s resume and skillset with athletes is extensive, and recently she added to her resume with a Masters in Advanced Health Care Practice in Sports and Exercise Medicine (AHCP-SEM) from Western University.   While in the program,  Brooke focused on all aspects of delivering comprehensive sports medical coverage for a wide variety of venues.  Additionally, she completed research on ACL-related injuries based on playing surface types in collaboration with several sports medicine and surgical physicians.  Brooke says the experience gave her one-of-a-kind insight into the risks, prevention strategies, and  keys to post-ACL surgical rehabilitation at the highest of levels. 

Having originally graduated with a Masters of Physiotherapy from Western, Brooke has quickly developed into one fo London’s brightest and most dynamic sports physiotherapists. Brooke sees patients both on and off the field and when in clinic, she chooses to treat at Pro Function’s sports injury clinic due to the fact that the facility has 40,000 sq ft of turf and two weight-training areas which allows her to really challenge her patients as they return to activity/sport. 

Professionally, Brooke has worked in various formats with Skate Canada, the Toronto Rock, at both the Canada Games and the Ontario Summer Games, with the Toronto Triathlon, St George Rugby, Great Lake Canadians (GLC) Baseball, and right here in London as the lead physiotherapist with FC London. Additionally, Brooke works as a consultant for GM Canada and feels the physicality and endurance required with line-side work mimics many of the soft tissue injuries commonly associated with the training errors seen in athletes. 

Outside of the clinic, Brooke loves finding creative ways to stay active and is up for the challenge of trying out a new sport or skill.  She enjoys running, rock climbing, hiking, water sports, and of course soccer!  She also loves to travel and spend time with family and friends.