What it is
A short, honest summary.
- —Vertigo movement ka illusion hai — sabse aam roop mein aapke ird-gird duniya ka ghoomna, ya duniya mein aapka.
- —BPPV (benign paroxysmal positional vertigo) leading cause hai: inner ear ke nanhe crystals hatkar galat canal mein float kar jaate hain.
- —Anya causes: vestibular neuritis, Meniere's disease, vestibular migraine, central causes.
What families notice
The signals worth taking seriously.
- 01Head position se trigger hone waala chota, intense ghoomna (rolling over, upar dekhna)
- 02Episodes ke saath nausea aur vomiting
- 03Attacks ke beech imbalance
- 04Motion, scrolling screens, ya busy environments ke prati sensitivity
- 05India mein aksar galti se 'cervical' ya 'BP problem' diagnose
My approach
How the work is structured.
- —Treatment se pehle proper bedside diagnosis — Dix-Hallpike, Roll Test, Head Impulse.
- —BPPV ke liye repositioning manoeuvres (Epley, Semont, BBQ Roll) — aksar ek-do sessions mein symptoms hal karti hain.
- —Non-BPPV causes ke liye vestibular rehabilitation exercises: gaze stabilisation, habituation, balance retraining.
- —Triggers, recovery rhythm, aur kya vertigo nahi hai (light-headedness, anxiety-related dizziness) par education.
What recovery looks like
A plain-language picture.
“BPPV zyaadatar logon mein ek se teen sessions mein hal ho jaata hai. Anya vestibular conditions mein hafton se mahinon ki targeted exercise lagti hai, aur substantial improvement apवaad nahi niyam hai.”
FAQ
Common questions, answered briefly.
- Mahinon se bina improvement ke 'cervical vertigo' ka ilaaj kyon ho raha hai?
- Kyunki sachcha cervical vertigo durlabh hai, aur zyaadatar spinning vertigo BPPV hai — jiska ilaaj bahut alag tareeke se hota hai. Ek proper vestibular assessment aam taur par 20 minute mein clarify karta hai.
- Kya yeh wapas aayega?
- BPPV lagbhag 30% logon mein recur ho sakta hai. Achhi baat: re-treatment doosri baar bhi utni hi jaldi kaam karta hai.
For clinicians
Clinical detail, assessment and evidence.
Clinical summary
The picture in clinician register.
Most positional spinning vertigo is BPPV — canalith debris in a semicircular canal — and is resolved by canal-specific repositioning rather than medication. Accurate bedside differentiation (BPPV vs vestibular neuritis vs Meniere's vs vestibular migraine vs a central cause) is the determining step; central red flags are excluded before treating.
Terminology
Terms worth being precise about.
- BPPV
- Benign paroxysmal positional vertigo — displaced otoconia in a semicircular canal.
- Canalith repositioning
- Manoeuvres (Epley, Semont) that return debris to the utricle.
- Dix-Hallpike / supine roll test
- Positional tests that identify the affected canal.
- Direction-changing nystagmus
- A pattern suggesting a central rather than peripheral cause.
Assessment aur measures
What the first sessions measure.
- —Dix-Hallpike and supine roll test.
- —Head Impulse Test; the HINTS examination where an acute vestibular syndrome is present.
- —Gait and the Dynamic Gait Index.
Red flags
Signs that need urgent escalation.
- Direction-changing or vertical nystagmus, new headache, or other neurological signs — a central cause; refer or escalate.
- Acute vertigo with a normal head-impulse test — a central-suggestive (HINTS-positive) pattern.
Referral aur MDT
When and to whom to refer.
ENT or neuro-otology for refractory or atypical cases. Neurology where central features are present.
Evidence
References and guideline anchors.
- Repositioning manoeuvres for BPPV — PLACEHOLDER — verify against current guidelines before launch.