Benign Paroxysmal Positional Vertigo (BPPV)

Are you suffering from Benign Paroxysmal Positional Vertigo (BPPV) that has been previously diagnosed by your physician or ENT?

At Ace Physio our Registered Physiotherapists can help you treat your vertigo simply and easily.

The advantage of treating your BPP Vertigo at Ace Physio is:

  • Drug Free
  • It takes just 3 minutes to perform the “Particle Repositioning Maneuver”
  • We use a highly effective training device that has been on The Doctors Show, Discovery Channel, Reader’s Digest, and provide you with a simple to follow ‘Quick Reference Guide”
  • The maneuver cures 88% of patients with just 1 treatment, and most users find immediate relief following this maneuver. And once you learn it once it can be easily repeated as necessary at home.
  • Can be used for either ear
  • This “Particle Repositioning Maneuver” has helped thousands world-wide!

The only non medicinal cure for BBPV is a “Particle Repositioning Maneuver”. This is a sequence of rolling movements of the head and body that guide the loose particles through the inner ear and out into a safe area. This often immediately eliminates your vertigo. This maneuver was developed in 1992 and has undergone rigorous scientific study.

At Ace Physio our physiotherapists are trained to help you 1) assess whether you are able to safely perform the “Particle Repositioning Maneuver”, 2) determine the side of BBPV 3) perform the most effective “Particle Repositioning Maneuver” to help you treat your BPPV.

If you are currently suffering from symptoms of vertigo caused by BPPV give Ace Physio a call at 416-900-6653 and let us help you get better, faster!

For more information about Benign Paroxysmal Positional Vertigo (BPPV) continue reading our educational section below.

Benign Paroxysmal Positional Vertigo (BPPV)

“Vertigo” is the sudden and unexpected feeling that the world around you is moving and the objects around you are spinning in space . Benign paroxysmal positional vertigo (BPPV) is indeed the most common variant of vertigo.

How does BPPV develop?
Inner ear is the inner most part of ear that contain 3 semi-circular canals, filled with a fluid that bathe specialized sensors or hair cells. These hair cells (also called Organ of Corti) respond to the changes in head position as a result of movement of crystals called “otoconia” in semi-circular canals. These crystals can become loose and float around inside the inner ear, and sometimes bump into the walls of the inner ear and cause a sudden spinning sensation. Episodes of Benign paroxysmal positional vertigo (BPPV) are normally acute but short-lived and disappear in about less than a minute. Once you position your head, the sensors stabilize and your vertigo will disappear, but some lingering positional dizziness or nausea may persist.

In almost 50% of the cases, the actual cause of BPPV remains undiagnosed; however following risk factors are strongly associated with the pathophysiology of BPPV.
– Moderate to severe trauma to the head or ear (Such as with motor vehicle accidents)
– Long standing chronic infections that involve inner ear
– Surgery involving ear canal or deeper structures of ear
– Age, as crystals dislodge. Most people who report BBPV are over 60.

Sign and symptoms:
Most episodes of benign paroxysmal positional vertigo (BPPV) are provoked by sudden changes in position of head or body that may include triggers like when you sit from a lying position or vice versa or stand from sitting position abruptly.

Benign paroxysmal positional vertigo (BPPV) are marked by symptoms of:
– Dizziness when lying down, rolling over or moving the head in certain ways
– The sensation lasts only for a few minutes, but the nausea can last longer

These symptoms are not often present with BPPV, and if present should be further investigated by a physician:
– Dizziness when standing up too fast
– Dizziness that lasts continuously all day and night
– Hearing loss and noise in the ears when dizzy
– Muscle weakness, numbness, confusion and problems speaking when dizzy

Further investigation required:
– vertigo or nystagmus is persistent at rest
– vertigo occurs in the context of a loss of consciousness
– a focal neurological deficit
– headache
– hearing loss
– tinnitus,
– hypotension or hypertension

People who should not perform a “Particle Repositioning Maneuver” includes those with:
– carotid stenosis
– vertebrobasilar vascular disease
– cervical spine disease
– spinal injury
– cardiovascular disease
– cardiac dysrhythmia.

Stop suffering from BPPV… Book an appointment today with one of our Registered Physiotherapists at Ace Physio by calling 416-900-6653.


  • Sharon Gabison

    Registered Physiotherapist BSc, BScPT, MSc, PhD: A graduate of the University of Toronto in Human Biology, Sharon completed her Bachelor of Science in Physical Therapy at the University of Toronto. She went on to pursue further graduate work, completing her Master of Science from the Rehabilitation Sciences Institute and a PhD from the Institute of Medical Science both from the University of Toronto. Her interest in Physiotherapy originated while pursuing her first undergraduate degree while struggling with postural challenges and seeking physiotherapy treatment. Her interest in medicine, working with people, and developing and adhering to therapeutic plans inspired her to pursue a career in Physiotherapy. Her interest in research, orthopaedics, neurology, therapeutic agents and pressure injuries (bed sores) lead her to pursue graduate work. Sharon emphasizes a holistic approach to rehabilitation. Her experience of raising a son with a disability has continued to inform her career that has spanned over 25 years. She is able to appreciate the rehabilitation process not only from the professional perspective, but from the client perspective. Her extensive knowledge of biomechanics, orthopaedics, exercise prescription, electrophysical agents with a strong background in research enables her to provide evidence based treatment when designing and implementing rehabilitation plans. With a special interest in patient and family engagement through her volunteer work, Sharon is able to ensure that treatment that is provided takes into consideration the unique challenges that individuals may experience when adhering to treatment recommendations in their busy lives.

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