What is BPPV?
BPPV — benign paroxysmal positional vertigo — is the single most common cause of vertigo I treat. About 3-4 patients walk into my OPD every week with it. The room spins when they turn in bed, look up, or bend down. It lasts seconds, but it terrifies people.
The cause is surprisingly simple. Tiny calcium crystals inside your inner ear slip into the wrong canal. Your brain gets a false spinning signal. And just like that — chakkar.
The good news? BPPV is almost always curable. Usually in one sitting at the clinic. No surgery. No long-term medication.
Understanding BPPV — Start Here
If you are new to BPPV, start with these guides. I have written each one from my clinical experience at Prime ENT Center, Hardoi.
- What is BPPV? Types, Symptoms and Best Treatments — the complete overview
- What Causes BPPV? — why it happens out of nowhere
- Vitamin D and BPPV — the supplement-prevention link
- BPPV After Head Injury — trauma-triggered vertigo
BPPV Diagnosis
Diagnosing BPPV correctly matters. I have seen patients bouncing between doctors for months because nobody did the right test. Two tests give us the answer in under a minute:
- Dix-Hallpike Test — the gold standard for posterior canal BPPV
- Supine Roll Test — for horizontal canal BPPV
- VNG Testing — we are the only center in Central UP with this equipment
- MRI for Vertigo — when you actually need a brain scan (and when you do not)
BPPV by Canal Type
BPPV behaves differently depending on which semicircular canal is affected. Treatment changes accordingly.
- Posterior Canal BPPV — accounts for 85-90% of all cases
- Horizontal Canal BPPV — geotropic vs apogeotropic types
BPPV Treatment — The Maneuvers
BPPV treatment is physical, not pharmacological. We reposition those displaced crystals back where they belong. Here is what I use in my clinic:
- Epley Maneuver — the most widely used repositioning technique
- Semont Maneuver — the liberatory approach (70-90% success)
- BBQ Roll Maneuver — for horizontal canal BPPV
- My Approach to BPPV Treatment — what I do differently and why it works
Living with BPPV
- Vertigo During Pregnancy — is it BPPV? What is safe?
- Traveling with Vertigo — the 5-minute motion sickness hack
- The Vertigo Medication Trap — why pills often make it worse
- Anxiety and Dizziness — the stress-vertigo connection
BPPV in Hindi
मैंने हिंदी में भी BPPV के बारे में लिखा है — ताकि आप अपने परिवार को आसान भाषा में समझा सकें:
- BPPV क्या है? — कान के पत्थर से क्यों आता है चक्कर
- कान के पत्थर (BPPV) — सरल भाषा में पूरी जानकारी
- BPPV दोबारा न आए — क्या करें और क्या न करें
- डिक्स-हॉलपाइक टेस्ट — BPPV की पहचान
Why Prime ENT Center for BPPV?
I treat BPPV differently from most ENT doctors. Here is why patients come to Hardoi from Kannauj, Farrukhabad, Sitapur, and even Lucknow:
- Bangalore Maneuver — a technique I developed for anterior canal BPPV. No other clinic in India performs this.
- VNG + Stabilometry — the only such diagnostic setup in Central UP. No guesswork.
- One-visit resolution — most patients walk out symptom-free after a single session.
If you or someone in your family has BPPV — call or WhatsApp 7393062200 to book a consultation. I also do online consultations for patients across India.
This page is maintained by Dr. Prateek Porwal, ENT and Vertigo Specialist, Prime ENT Center, Nagheta Road, Hardoi, UP 241001. For personalized advice, please consult directly — 7393062200.