Vitamin D Deficiency and BPPV, Can Supplements Prevent Recurrence?

Diagram showing calcium carbonate otoconia (otolith crystals) inside the utricle of the inner ear — the crystals that cause BPPV when displaced

One of the most frustrating things I see in my practice at Prime ENT Center is patients whose bppv/”>BPPV keeps coming back especially in elderly population. I treat them, they get better, and three months later they’re back in my clinic with the same symptoms. After seeing this pattern repeatedly, I started asking: what’s different […]

Why Does BPPV Keep Coming Back? Understanding Recurrence

Educational slide on post-maneuver protocol for BPPV patients after Epley or Semont repositioning — what to do and avoid after treatment by Dr. Prateek Porwal

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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 […]

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योग और चक्कर, कौन से आसन फायदेमंद हैं और कौन से खतरनाक

Lecture slide 12 from the vestibular rehabilitation series — balance retraining exercises and clinical outcomes data

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 […]

BBQ Roll Maneuver: Treatment for Horizontal Canal BPPV

Educational slide on post-maneuver protocol for BPPV patients after Epley or Semont repositioning — what to do and avoid after treatment by Dr. Prateek Porwal

Last Updated: February 2026 | Medically Reviewed by Dr. Prateek Porwal, ENT & Vertigo Specialist | Prime ENT Center, Hardoi 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 the Lempert Maneuver or 360° rotation) is […]

Semont Maneuver: BPPV Treatment (70-90% Success)

Educational slide on post-maneuver protocol for BPPV patients after Epley or Semont repositioning — what to do and avoid after treatment by Dr. Prateek Porwal

Last Updated: February 2026 | Medically Reviewed by Dr. Prateek Porwal, ENT & Vertigo Specialist | Prime ENT Center, Hardoi The Semont maneuver for BPPV is one of the most effective repositioning techniques I use in my clinic for posterior canal BPPV. Semont Maneuver: Ultimate Guide to BPPV Treatment The Semont Maneuver, also known as […]

VNG Testing: Vestibular Assessment for Dizziness

Educational slide explaining VNG (Videonystagmography) for vertigo diagnosis — part of the Vestibular Diagnostic Arsenal series by Dr. Prateek Porwal

Last Updated: February 2026 | Medically Reviewed by Dr. Prateek Porwal, ENT & Vertigo Specialist | Prime ENT Center, Hardoi Vng Testing Vertigo is a key topic discussed here. Vng Testing Vertigo: VNG Testing: Complete Vestibular Assessment for Complex Diz When bedside tests like the Dix-Hallpike and Supine Roll aren’t giving us clear answers—or when […]

Supine Roll Test, Diagnosing Horizontal Canal BPPV

Video thumbnail showing the McClure-Pagnini (Supine Roll) test being performed to diagnose lateral canal BPPV — Dr. Prateek Porwal, Prime ENT Center Hardoi

One of the first things I teach residents is that if you only know the Dix-Hallpike test for BPPV, you’re missing about 30% of your cases. The Dix-Hallpike is brilliant for posterior canal BPPV, probably 80-90% of all BPPV cases, but it misses horizontal canal BPPV completely. That’s where the supine roll test comes in. […]

Dix-Hallpike Test – Gold Standard for BPPV Diagnosis

Diagram showing torsional upbeating nystagmus pattern seen during Dix-Hallpike test in posterior canal BPPV — BPPV Basics series by Dr. Prateek Porwal

Last Updated: February 2026 | Medically Reviewed by Dr. Prateek Porwal, ENT & Vertigo Specialist | Prime ENT Center, Hardoi 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 […]