BPPV Doc - Vestibular Physical Therapy

BPPV Doc - Vestibular Physical Therapy

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I am a Doctor of Physical Therapy specializing in vestibular rehabilitation.

02/14/2023

This is a 74 y/o man referred to me from ENT office with a diagnosis of balance issues and positional vertigo. Patient c/o dizziness and vertigo symptoms for about 1 year. Episodes usually occur during head turning and positional changes. THIS IS NOT BPPV. Patient presents with strong downbeating nystagmus indicating a central problem - Cerebellar flocculus region. Medulloblastoma vs Posterior Fossa Tumor. Patient referred to neurologist for MRI.

10/05/2017

Antivert (Meclizine) is the most commonly used medication for dizziness. In a vestibular injury (like BPPV or vestibular neuronitis) –vestibular suppressants mask the info the brain needs to re calibrate the VOR (one of the primary vestibular reflexes). Some of the potential side effects of Meclizine are: 1) Inhibits natural recovery process*, 2) Drowsiness, 3) Imbalance, 4) Slows reaction time, 5) Reduces vestibular input when the patient may need it the most, 6) IT DOES NOT FIX THE UNDERLYING PROBLEM!

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