Back story: A few years ago I had a nasty attack of BPPV, which months later progressed into MAV. Felt pretty good during recent pregnancy but the vertigo has been coming back post-partum.
I moved to a new state a few months ago, and have started looking for help here for my vertigo. Today I went to see a vestibular physical therapist about my BPPV. Although I am much much better with that than I was several years ago, sometimes I will still get attacks of it for a few days, where I start to spin more if I look down, or get out of bed too quickly, turn my head the wrong way in bed, or look under the couch, etc. I’ve been careful for years about not tilting my head in an odd way, or if I’m at the doctor or dentist, I tell them not to put me flat on my back. When I feel an attack coming on, I usually just put my head back to how it was right before, and I can pretty much stop it that way.
Anyway, first she wanted to test me and look for nystagmus. She had me quickly lie down with my head lower than my body, as she tilted my head and looked at my eyes (Dix-Hallpike test, I believe?) Amazingly enough, I didn’t get the spins at all…I was shocked, to be honest. It’s nothing I’d ever try at home, since the past few years I’ve been so afraid of the room spinning like that (I was alone during my first (and worst) BPPV attack, where I was literally trying to grip onto the floor and scared out of my mind).
She said I had no nystagmus either, and I don’t have BPPV (at least not now). She also said that when she treats patients, she does her treatment maneuver once and they are basically cured forever. I tried explaining over and over to her that while maybe I don’t have it this second, it does still happen sometimes (honestly, she was pretty obnoxious to me and not really answering my questions). I left there feeling really confused. Is she right and I am “forever cured” of BPPV? Then why do I still get positional vertigo sometimes? Why can’t I lay on my left side in bed sometimes without my head totally propped up? Is it all just MAV now, or is something else going on? Does my brain just think I should get dizzy if I move a certain way, and therefore I do, even if the debris in my ears is settled? As a MAVer, am I more prone to getting recurring BPPV attacks than someone who just has one attack of BPPV and then is “ forever cured”? Any help would be greatly appreciated.
Oh, she also said that there is another physical therapist there who will work on posture and it’s supposed to help with migraine…is there any truth to this? Do you think it’s worth making an appointment? Thanks.