Drug Induced Vertigo, Drugs That Can Cause Dizziness
ⓘ Important Notice: Drug Brand Names for Information Only All drug brand names mentioned in this article are provided for informational and educational purposes only. This article does not endorse, recommend, or promote any specific brand or product. Brand names may vary by region and manufacturer. Always consult a qualified physician or pharmacist before starting, […]
Vestibular Neuritis — Complete Guide
Introduction to Vestibular Neuritis — Complete Guide Note: This article mentions medicine names for educational purposes only. All medications should only be taken under your doctor’s supervision. Doses and duration depend on your individual condition. I remember a patient who walked into my clinic — or more accurately, was practically carried in — a 38-year-old […]
Why Does BPPV Keep Coming Back? Understanding Recurrence
{‘raw’: ”, ‘rendered’: ‘
If you’ve experienced BPPV once, there’s a decent chance you’ll experience it again. I see this often in my clinic at Prime ENT Center in Hardoi-patients come back a few months later with the same spinning sensation they thought they’d solved. It’s frustrating, but also completely normal. Let me explain why BPPV recurs and what […]
\n’, ‘protected’: False}
योग और चक्कर, कौन से आसन फायदेमंद हैं और कौन से खतरनाक
नमस्ते, मैं डॉ. प्रतीक पोरवाल हूँ। Prime ENT Center में मैंने देखा है कि बहुत सारे लोग चक्कर के इलाज के लिए योग करना शुरू करते हैं, लेकिन गलत आसन करने से उनका चक्कर और बढ़ जाता है। आज हम चक्कर में योग के बारे में बात करेंगे। मेरे क्लिनिक में जो मरीज़ BPPV से […]
Ramsay Hunt Syndrome, When Shingles Attacks the Ear
You’ve probably heard of Bell’s palsy, that sudden facial paralysis that comes out of nowhere. You might have even known someone it happened to. But what you probably haven’t heard about is its more severe, more painful cousin: Ramsay Hunt syndrome. And if you’re experiencing sudden facial weakness combined with severe ear pain and blisters […]
What is BPPV? Types, Symptoms & Best Treatments
Last Updated: February 2026 | Medically Reviewed by Dr. Prateek Porwal, ENT & Vertigo Specialist | Prime ENT Center, Hardoi This post covers benign paroxysmal positional vertigo in detail. 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 […]
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
Your Anxiety Is Making You Dizzy: The Stress-Vertigo Link
Main concept: PPPD (Persistent Postural-Perceptual Dizziness) = anxiety + brain’s threat system overdrive—NOT structural ear problem
Brain connection: Vestibular system directly wired to amygdala (fear center); anxiety triggers false “balance alarms”
Common misconception: “All in your head”—WRONG; it’s a real functional disorder, not psychiatric (though anxiety is involved)
Diagnostic test: Standard imaging (MRI, hearing tests) = NORMAL (explains why doctors say “nothing wrong”)
Diagnostic criteria: 3+ months symptoms, triggered by upright posture/movement/complex visuals (supermarket effect)
Best treatment combination: SSRI medication + Cognitive Behavioral Therapy (CBT) + Vestibular Rehabilitation Therapy (VRT) = 70–80% improvement
Critical mistake: Bed rest + avoidance = WORSE (isolates patient, maintains threat loop; movement + exposure = recovery)