What to Avoid after BPPV treatment

Believe it or not, when I first started treating BPPV in 2006, we used to have our patients sleep upright and wear a soft cervical collar for a few days after treatment.

Yes, it is true! Things have changed since then.

The research has evolved at this point, so we have new instructions on what to avoid after BPPV treatment.

In this blog, I will give you the official evidence-based precautions of what to avoid after BPPV treatment.

I will also share with you additional precautions that I have learned from my patients who had a recurrence of BPPV shortly after I successfully treated them.

I hope this information helps you maximize your recovery from BPPV!

Evidence-Based Precautions after BPPV Treatment

The only precautions that are now supported by research after BPPV treatment are these:

1. Sit up for 20 minutes after treatment is completed. What to avoid after BPPV treatment includes bending forward to put on your shoes, leaning back to recline, and tipping your chin down to check your phone. It is important that you just sit upright with your head level for a 20 minute rest break, on a chair or the couch.
2. Avoid vigorous head shaking for one week.

These two evidence-based precautions will allow the BPPV crystals to settle in after treatment.

Do I Need to Sleep Upright?

For some very difficult or extremely stubborn cases, I may suggest for my patient to sleep propped up until treatment is all completed. But most people do not need to take that precaution.

Sleeping upright is considered an old recommendation and I rarely recommend it.

One doctor that I work very closely with recommends for all of his patients with BPPV to sleep upright for the rest of their lives.

In my experience, sleeping upright causes people to develop neck pain.

The most important thing is get a good night’s sleep after BPPV treatment so your brain can reset.

How to Avoid Vigorous Head Shaking

If my patient feels the recurrence of BPPV within the first week after I had completed their treatments, I have always asked them what they were doing.

I have been gathering information from my patients so I can learn more about what to avoid after BPPV treatment.

With the information I have gathered from my patients over the years, I learned that a lot has to do with head shaking/movement. I have made a list for you of specifically what to avoid after BPPV treatment for the first week.

These are some examples of activities that caused my patients to get BPPV again, within a week after we finished their care.

What To Avoid after BPPV treatment (for one week):

1. Using an electric toothbrush (Tip: You can use it without the vibration for the first week.)
2. Shaking your head around vigorously while exercising, including bouncing and jumping jacks
3. High impact exercises such as running, burpees, or jump squats
4. Jumping on a trampoline
5. Enthusiastic dancing, such as headbanging in the car
6. Using a handheld blender, or mixer with beaters, such as to make cake batter or guacamole
7. Putting your hand on a blender to stabilize the base, while you’re making a smoothie
8. Blowing raspberries on the belly of a baby
9. Bouncing a baby on your lap vigorously
10. Sitting or lying on a vibrating mat for a back massage
11. Sitting on a vibrating massage chair at the nail salon, such as during a pedicure
12. Holding any kind of vibrating massager near your head, neck, or arms
13. Listening to extremely loud music or audio, especially through headphones or earbuds

Pro Tip: Make sure you tell any provider that works on you, like a chiropractor or massage therapist, to avoid using any vibrating tool near your head or neck for at least a week after BPPV treatment.

I hope these tips on what to avoid after BPPV treatment are helpful.

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