It is the most common type of vertigo, the feeling that one is spinning or that everything is spinning. It can happen when one moves the head in a certain position. Postural vertigo; benign paroxysmal postural vertigo; VPPB; Postural dizziness and tell .


Benign postural vertigo is also called benign paroxysmal postural vertigo (BPPV) and is caused by a problem in the inner ear.

The inner ear has tubes filled with fluid called semicircular canals. When one moves, the liquid moves inside these tubes. The channels are very sensitive to any movement of the liquid. The sensation of movement of the fluid in the tube tells the brain the position of the body. This helps to maintain balance.

Benign postural vertigo manifests when a small piece of calcium similar to bone is detached and floats inside the tube. This sends confusing messages to the brain about the position of the

This vertigo has no major risk factors. However, the risk of presenting it may increase if you have:

  • Family members who suffer from it.
  • You have had a previous head injury (even a light blow to the head).
  • You have had an infection in the inner ear called labyrinthitis.


The cause of any brain disorder that causes vertigo should be identified and treated as much as possible.

To help resolve the symptoms of benign postural vertigo, the care provider can perform the Epley maneuver. This involves placing the head in different positions to help restore the organ of balance. You may be prescribed medications to treat the symptoms of peripheral vertigo, such as nausea and vomiting. Physical therapy can help improve balance problems. They will teach you exercises to restore your sense of balance.

  • To prevent worsening of symptoms during a vertigo episode, try the following:
  • Hold still. Sit or lie down when symptoms occur.
  • Resume activity gradually.
  • Avoid sudden changes in position.
  • Do not try to read when symptoms occur.
  • Avoid bright lights.

You may need walking aid when symptoms occur. Avoid risky activities such as driving, operating heavy machinery and climbing up to 1 week after the symptoms have disappeared. Other treatments depend on the cause of the vertigo. Surgery may be suggested in some cases.

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