Vertigo is a common complaint in clinical practice.  There are different reasons why one would experience vertigo, such as Meniere’s disease, vestibular neuronitis, labyrinthitis, acoustic neuroma, etc.  Most common are Benign Paroxysmal Positional Vertigo (BPPV) and cervicogenic vertigo.  In this blog I will explain BPPV and in part 2 I will explain cervicogenic vertigo.

In BPPV the vertigo lasts seconds to a couple minutes and the attacks are precipitated by common head positioning changes, ie. looking up, rotation, bending over and straightening back up, or rolling over in bed.

BPPV is caused by degenerative debris known as otoconia that floats around in the posterior semicircular canal.  If this debris sticks to the Cupula in the canal or floats in the long arm of the canal it inappropriately causes movement of the cupula, resulting in vertigo.  BPPV is the most common cause of vertigo.

The most common type of treatment is a repositioning maneuver.  Epley’s maneuver seems to be the most popular and it can be performed assisted or on your own.   This is an instructional video of Epley’s maneuver.


However, I found that the Half Somersault Maneuver, created by Dr. Carol Foster seems to work better for my patients.  Here is how to perform the HSM:

If you need assistance with these techniques feel free to contact Dr. Angelini at Active Chiropractic, we would be happy to assist.  We can also help you differentiate between BPPV, Cervicogenic vertigo, or other types of vertigo.