Yeehaw. Hi folks I'm Bob Schrupp physical therapist, Brad Heineck physical therapist.
Together we are the most famous physical therapists on the internet, in our opinion of course Bob.
Today we're gonna talk about is your dizziness vertigo, BPV.
All you have to answer is four questions to know.
Right so if you answer these four questions you answer yes to them
There's a good chance-- very likely right. What does BPPV, do you want to say it? Benign proximal positional vertigo Bob, it's a mouthful.
There ya go. I've been studying Bob. A common vertigo--
A common source of your dizziness, a common vertigo.
And the really good thing about it is I don't I can say this already Brad but is it's very treatable.
Right, without meds. Without meds and it's simple. Sometimes it's one treatment and I've seen it where it's been one treatment
Oh I've done that many times myself.
Exactly. Well, don't brag. Well I just thought I'd kind of wave my flag, or whatever you say.
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You're gonna want to go over to at least the Facebook for sure, Bob and Brad because we're doing another giveaway right now.
We're doing a Flexispot Desk Riser, right? Yeah. He's gonna show.
You can put your computer on there, on your desk, and you can raise it lower, so you can sit
or stand while you work at your desk, relieving back pain.
Getting the circulation going, you just feel better with that option.
Show how portable it is. Yup. We lock 'er down.
Way to go Brad. Here we go and we got a handle right there and you can carry it around.
Yeah, which a lot of desk risers can't do. I also want to mention Instagram.
We just went on to Instagram official Bob and Brad.
Make sure you join us over there, we got some cool little clips that we're gonna put on there.
And we're gonna start putting some pictures on there too. --Sure! Of our ugly mugs.
Well yeah who knows what'll happen at that point in time. Anyway let's talk about some dizziness. Let's talk about it yeah.
Vertigo is you know a dizziness. You can get nausea, lightheaded, there's lots of symptoms,
But one thing that we always have to be concerned about
As clinicians as well as people who have this, is there's a lot of other things that can cause--
A huge amount of things and that's why you know it usually starts off with your doctor trying to diagnose
Narrow it down what is causing your dizziness or spinning. So do you treat it with physical therapy,
With medications or whatever it may be. A few examples of problems that do cause similar symptoms is Meniere's disease,
Hypotension, low blood pressure or possibly hypertension, high blood pressure
Right, either one could.
Hypoglycemia --very common--blood sugar issues --running low-- right.
TMJ issues related right close to the vestibular system, that can throw things off.
Medications --very common--side effects.
CVA or stroke can relate to that. I mean-- I have a lady right now who
I mean she had surgery on her brain tumor and when they took it out she's been dizzy ever since
So you are obviously probably related to that but
Medication is very common. I see that quite often, might have too much or too little of some type of medication.
So now that we've mentioned all those you kind of wonder
What chance do I have of knowing.
Well there was the four questions we mentioned we're gonna go through in just a little bit.
Oftentimes it's going to narrow it down. Yes it is. It's not a 100% but it gives you a real good indication
A real good start, and it's hard sometimes because I think you're gonna mention Brad is that a lot of times these are misdiagnosed,
Or they're not caught right until, or maybe it takes quite a few doctors visits.
Right as a matter of fact the VDA- the Vestibular Disorder Association
Did a benchmark study and they found an average of 4.4 doctor visits
Before-- it took that many-- before they got the proper diagnosis to weed all these things out.
And a lot of it depended on the very first visit, if the first visit was incorrect,
Then it draws it out quite a bit longer because the doctor if they diagnose it right immediately say it is
BPPV and they send you to a therapist well that's it.
Right--but if they don't --then they're going off into the wrong direction
And who knows where they're going. It just takes longer and eventually it all works out. It shows you you need to stick with it though.
Right--if you have dizziness and you're not getting an answer you know you gotta
Keep mentioning it to your clinician and at some point maybe even go to a different clinician
Or doctor you mean. Yeah a doctor, I'm saying clinician.
So the four questions this is what people are been waiting for, they're probably saying quit babbling on, but anyways-- there from the dizziness
And these are from the Dizziness Handicap Inventory.
Right and it's a form, there's like 35 questions
And there's four of those questions that if you answer yes to those four then you likely have BPPV.
The first one: does looking up produce dizziness or your symptoms, so if you simply look up do you get that dizziness
I actually get a little mild form of that sometimes just looking up, --right so that's why you have to have yes to all four of these.
Right exactly cuz the rest of them don't bother me. --Sure so the next one number two
Does quick movements of the head increase your problem. So you can even do this
And see does that make it worse --right exactly. It could be side to side, up and down
If that one's yes, you go to the next one. Does turning in bed increase your problems, just rolling over.
I've seen that I mean that on the ones I'm treating almost yeah that's almost universal a 100%
If they have trouble with that, typically one direction, not the other. Very good point, it tends to be one side
Especially if you pay attention you'll find out it's always to the left or it's always to the right.
So if that one's just then the last one does bending over increase your problem
And a lot of times --reaching to the floor and grabbing something-- yup here
Bending over like that it could be--if your head is vertical and you go down like this that motion is
--And you can see why this is so dangerous then because you're bending over to pick something up. You get dizzy,
Down you could go
So this is you know not something to be messed with.
I mean you want to get to the source of the problem because this can result in many falls.
And for a lot of these people that have this,
It's very very disturbing to have it. It gets you nauseous and actually you can vomit if you have a real bad episode.
Now the thing with BPPV is
They don't last usually more than a minute or so. Right-- and if it does if it goes on for minutes or even hours
It's not --it's not bpv-- right so--you might
Last a minute and you still might feel weird after that but the actual dizziness or spinning
Probably doesn't last that long, and by the way we do have videos on how to treat using the Epley Maneuver
Right--so you can see how it's done. We actually did one with a live patient
Sure--I mean a real patient I shouldn't say a live patient
They weren't dead but,
yeah and she was completely successful. Yeah it was kind of cool because it was a girl that worked for us and
we did it right on camera and it went away.
And it stayed away, yeah. It worked out,
Win-win situation for everyone
Yeah so, it's a really good idea to you know see a therapist that you know
Does this treatment and go through it but then you know
I've had people, my patients I say
After they go through it and they have no problem doing it, I say you could do this at home--on your own-- by yourself.
And I've had people do that, but I would say 80% of the time or even more than that,
I've had really good success with the first treatment. --Yeah or it may come back not as strong and then we just repeated it again.
Now, just a course that I'm taking,
This clinicians therapist she'll actually go through the maneuver two or three times
Right there. --I do too-- you do? --Yeah I quite often do it to see if it kind of sticks
But yeah I don't hesitate to do it more than once, that's for sure, yeah.
So if you're wondering what we're talking about, just go to our video on the Epley Maneuver.
Canalith the repositioning technique I think they also call it, but it's the Epley Maneuver--right that's a good point.
There's different names for it --yeah there's different names for the similar treatment.
Same with some protocols, different therapists do things slightly different, it all boils down to--
You're trying to get the crystals in the right spot--right those rocks in your head.
All right, once again Bob, I think this relates to getting one step closer
I don't know how but, we can fix just about anything, except for a broken heart. There ya go. But we're working on it.
And we're not gonna stop Bob. --I know. --You know this is a good step in the right direction
I'm going to take a continuing ed on that. All right thanks for watching.