Brainstorm about BPPV Recurrence
There is a fairly high rate of BPPV recurrence, especially in people with migraines.
Is a BPPV Recurrence Preventable?
Many of my patients ask me what they can do to prevent the BPPV crystals from coming back.
Generally, BPPV is not considered “preventable.”
Seek BPPV Treatment
If you suffer a BPPV recurrence, you may need different treatment maneuvers than you needed in the past. Therefore, I suggest you consult a vestibular professional for evaluation for each BPPV recurrence.
Possible Reasons for BPPV Recurrence
- Hormonal changes (such as during puberty, pregnancy, or menopause)
- Changes in barometric pressure
- Jarring impact
- Head Trauma
- Fall with impact (hard landing)
- Herpes breakout
- Virus affecting ear
- Dental work
- Sinus congestion
- Sinus infection
- Inflammation affecting the ears
- Auto-immune disease (like Hashimoto’s thyroiditis)
- Tobacco smoking
- High blood pressure
- High cholesterol
- Low Vitamin D level (below 30)
- Restricted blood flow to the ear due to problems with neck alignment, such as from poor posture
- Atlas subluxation (C1 bone alignment problem which can affect blood flow to one or both of the ears)
- Normal aging that causes degeneration of the utricle (which contains the membrane that is supposed to have BPPV crystals)
- History of recurrent ear infections or swimmer’s ear during childhood (that caused inner ear damage)
- Inner ear damage from repeated vertigo attacks from Meniere’s disease
- History of vestibular neuritis or labyrinthitis that damaged the inner ear
- Genetic predisposition to motion sensitivity (lifelong car sickness)
This blog is provided for informational purposes only. The content and any comments by Dr. Kim Bell, DPT are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. The details of any case mentioned in this post represent a typical patient that Dr. Bell might see and do not describe the circumstances of a specific individual.