BBQ Roll Maneuver: Treatment for Horizontal Canal BPPV
Last Updated: February 2026 | Medically Reviewed by Dr. Prateek Porwal, ENT Specialist & VAI Budapest 2025 Award Winner BBQ Roll Maneuver: Treatment for Horizontal Canal BPPV If you’ve been diagnosed with horizontal canal BPPV—the type that causes severe vertigo when you roll over in bed from side to side—the BBQ Roll Maneuver (also called […]
Semont Maneuver: BPPV Treatment (70-90% Success)
Last Updated: February 2026 | Medically Reviewed by Dr. Prateek Porwal, ENT Specialist & VAI Budapest 2025 Award Winner Semont Maneuver: Ultimate Guide to BPPV Treatment The Semont Maneuver, also known as the “Liberatory Maneuver,” was the first successful physical therapy treatment for BPPV (Benign Paroxysmal Positional Vertigo), developed by French physician Dr. Alain Semont […]
VNG Testing: Vestibular Assessment for Dizziness
Last Updated: February 2026 | Medically Reviewed by Dr. Prateek Porwal, ENT Specialist & VAI Budapest 2025 Award Winner VNG Testing: Comprehensive Vestibular Assessment for Complex Dizziness When bedside tests like the Dix-Hallpike and Supine Roll aren’t giving us clear answers—or when your dizziness seems more complex than simple BPPV—VNG testing (Videonystagmography) provides the comprehensive […]
Supine Roll Test: Diagnosing Horizontal Canal BPPV
Last Updated: February 2026 | Medically Reviewed by Dr. Prateek Porwal, ENT Specialist & VAI Budapest 2025 Award Winner Supine Roll Test: Diagnosing Horizontal Canal BPPV If you’ve been experiencing severe vertigo when you roll over in bed from side to side, but your doctor says your Dix-Hallpike test was negative, you might have horizontal […]
Dix-Hallpike Test – Gold Standard for BPPV Diagnosis
Last Updated: February 2026 | Medically Reviewed by Dr. Prateek Porwal, ENT Specialist & VAI Budapest 2025 Award Winner Dix-Hallpike Test for BPPV: Expert Diagnosis in Hardoi The Dix-Hallpike Test is the gold standard diagnostic procedure for identifying BPPV (Benign Paroxysmal Positional Vertigo) in Hardoi and throughout India. If you’re experiencing sudden spinning sensations when […]
Vestibular Migraine: 4-Step Treatment Guide (2026)
TL;DR: Vestibular migraine is a spinning form of migraine where vertigo and imbalance are often more disabling than the headache, and standard pain drugs like triptans frequently fail to control the dizziness. Effective treatment usually needs a 4‑pillar plan: strict trigger and diet control, daily preventive migraine medicines (including newer CGRP therapies when needed), customized vestibular rehabilitation, and psychological support such as CBT to retrain the brain’s balance and pain networks. For patients in Hardoi, working with a vertigo‑focused migraine specialist allows this full protocol to be tailored to your specific triggers, comorbid anxiety, and lifestyle so that attacks become shorter, less intense, and less frightening over time
What is BPPV? Types, Symptoms & Best Treatments
Last Updated: February 2026 | Medically Reviewed by Dr. Prateek Porwal, ENT Specialist & VAI Budapest 2025 Award Winner You wake up at 3 AM. Your bedroom begins spinning violently—like the world has become a carnival ride you never boarded. You reach for the bedside lamp but stop yourself. Any movement makes it worse. For […]
The Cervical Vertigo Misdiagnosis Trap: Why Neck X-Rays Mislead
🎯 TL;DR (Too Long; Didn’t Read)
Main trap: Cervical spondylosis (bone spurs, disc space narrowing) on X-rays is INCIDENTAL and usually NOT the cause of vertigo
Most common misdiagnosed cause: BPPV (Benign Paroxysmal Positional Vertigo)—displaced inner ear crystals, NOT a neck problem
Gold standard test: Dix-Hallpike maneuver (90–95% sensitivity; bedside; FREE; diagnostic AND therapeutic)
Time to cure: 80–90% of BPPV cases cured within MINUTES with Epley maneuver
Why imaging misleads: Neck X-rays/CT show bone spurs (incidental in 70–80% of elderly) but CANNOT explain spinning sensation
Red flag for emergency: Abnormal HINTS exam (3-minute eye movement test) suggests central cause (stroke)—needs MRI urgently
Action plan: If told you have “cervical vertigo,” request Dix-Hallpike test; if positive, ask for Epley maneuver IMMEDIATELY