BPPV - Posterior Canal vs Horizontal Canal BPPV
HTML-код
- Опубликовано: 14 янв 2025
- If you're dealing with vertigo, which is the sensation of spinning, swaying or movement, and you're trying to figure out how to diagnose and treat it, figuring out how to differentiate between posterior canal and horizontal canal BPPV is extremely important.
In this video, I'll explain how we test for posterior canal BPPV using the "Dix-Halpike" test, and then we treat this type of vertigo with the Epley Maneuver.
I also explain how we test for horizontal canal BPPV using the "Supine Roll Test", and then we treat this type of vertigo with the Gufoni Maneuver.
I hope this video helps you understand the basic differences between the two types of vertigo! I have several more videos specific to the two tests (Dix-Halpike and Supine Roll), as well as the treatment techniques (Eply Maneuver and Gufoni Maneuver), so make sure to check those out as well.
Best of luck! Please leave me a positive comment before you go :-)
Luke Gordon, DPT
Doctor of Physical Therapy/Owner of Gordon Physical Therapy
www.gordonphys...
This video makes me happy. I tried reading through grad level med books to diagnose which canal it was and got very confused. This is helpful.
Happy to hear that, thank you!
I just wanted to say thank you for posting these videos. I’m currently due to give birth to my first baby and suddenly developed vertigo for the first time. Had a terrible 3 days with it and unable to see a medical professional (as waiting lists too long here). I was panicking on how on earth I would navigate through childbirth whilst suffering vertigo then I came across your videos. Diagnosed which type of vertigo and performed the epley manoeuvre once and it completely cured by symptoms. Thank you so much !
Thank you for your comment, Allison! I'm so happy to hear that my videos were able to help you! Great job diagnosing and treating yourself. That can be very challenging to do! You're quite welcome for the videos :-)
Omg the same happened to me! I was 37 weeks pregnant when i got it. Now im 6 months pp and still have it. Seen couple of times neurologist who did maneuvres and it got resolved but it keeps coming back. Neurologist said it has to do smthg with hormones and changes in blood volumen…
Thank you so much for this. I have been getting bad vertigo after chronic insomnia. Thanks to this video I not know that it’s the supine variety! Hopefully I can do something about it
You're welcome! Good luck!
What's the best maneuver that can treat the horizontal and the posterior at the same time??
There isn't one maneuver that treats both at the same time. You have to treat them separately.
@@GordonPhysicalTherapy I was inspired by the Zuma maneuver... thought I would ask you. I've never seen you talk about it but I did see on RUclips that maneuver being mentioned as treating both. That's why I thought maybe there might be others? I sort of question that maneuver... like, possibly could throw crystals into the wrong canal???
Thank you so much for sharing your expertise,been going thru this for the past 6 weeks, your explanations are simple and very helpful , Im assuming that we need to follow thru with medical experts that have vestibular experience? Your regular Dr. is not going to resolve much and I am guessing they don’t specialize nor do they have sufficient knowledge beyond the written handout that they send you home with.
If your doctor has referred you to a skilled vestibular PT, and this PT is able to help you get rid of your vertigo, you shouldn't need too much follow up care from a doctor. If your PT thinks the cause of your vertigo is more complex, they may refer you to an ENT or neurologist for additional testing and/or treatment. The trick is to find a good vestibular PT!
Hello Gordon, thank you for the posts. How about constant feeling of nausea with no head reeling.
That's probably not BPPV. Have you been able to get a diagnosis from your doctor or a specialist?
If you have bilateral BPPV should you do the epley on both sides or does it cancel each other out. How should you sleep at night?
Can both posterior and horizontal vertigo exist at the same time?
It's possibly but fairly unlikely.
When i do the test and it starts spinning, should i stay at that position till spinning stops?
It depends. If you're just testing for diagnosis purposes, you can get up whenever you'd like. But if you're testing and then moving right into the Epley Maneuver, yes you want to wait until the spinning stops (and wait an additional 30 seconds after that).
@@GordonPhysicalTherapy thanks for the answer, i did epley maneuver about 2 weeks ago and most of the sympthons are gone.( did it about 4 times), felt dizzy for several days, then i was ok and now im having little sympthons again. Anyway your videos was a life saver for me, thank you!
@@GordonPhysicalTherapy and, is it safe to do test anytime or only when sympthons?
Hello! I had my first incident of vertigo last night. Earlier today, I did the Dix Hallpike to the right, and it was awful and I immediately stopped. (I am doing this solo without anyone to look at my eyes, etc.). Hours later, I just tried the Supine Roll Test. When I moved my head to the right, I did get dizzy (not as bad as with Dix Hallpike). When I moved to the left with Supine Roll Test, I felt fine.
So, what does it mean that both tests made me dizzy on the right? And what does it mean that the Dix Hallpike made me feel so much worse?
Should I assume I have horizontal, and record my eyes to see which way they're moving?
Mine always goes from posterior to horizontal. Sometimes I’ll have horizontal then a day later get posterior. It’s been so chronic lately
That's so frustrating! Sometimes you just have to keep trying the appropriate maneuvers (Epley for posterior, Gufoni for horizontal) until you can get things right. Good luck!