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Old 10-05-2005, 12:24 PM   #1
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nowamember HB User
Disappointing 1st visit with P.T.

I went to see a Physical Therapist who specializes in working with those with BPPV yesterday. She tried the Epley maneuver twice on me and then the Selmont, I think... but she couldn't seem to shake those ear rocks back to the right place. I got the impression that she usually got really good results; she even seemed disappointed that she couldn't seem to help me yesterday.

Anyone else with BPPV care to share what their experience was like?

Hope everyone is in balance today!

Robin

 
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Old 10-05-2005, 01:07 PM   #2
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Subs30 HB User
Cool Re: Disappointing 1st visit with P.T.

Quote:
Originally Posted by nowamember
I went to see a Physical Therapist who specializes in working with those with BPPV yesterday. She tried the Epley maneuver twice on me and then the Selmont, I think... but she couldn't seem to shake those ear rocks back to the right place. I got the impression that she usually got really good results; she even seemed disappointed that she couldn't seem to help me yesterday.

Anyone else with BPPV care to share what their experience was like?

Hope everyone is in balance today!

Robin
Hi Robin

..."she couldn't seem to shake those ear rocks back to the right place."....

Wonder how she determined that...depending on the type of BPPV u have---aka---where the ear rocks have lodged vis-a-vis the canals, i.e., which one---or the utricle(which is more a gravity issue)---it is rarely possible to tell if the procedure worked---and even when/if it does---in 99.xx% of those cases---it is the person---not the PT or Doc---us says---"its gone"---since they feel great---also known as "spontaneous" recovery---the Epley and Semont Maneuvers---work in about 80% of the cases---so they say...

---At the Northwestern Univ web site---located in the "sticky" Information Archives" post at the top of this board...is the results of:

.."BENIGN PAROXYSMAL POSITIONAL VERTIGO---February 12, 2005

Controlled Treatment Trials

More than 394 patients have been reported in blinded studies comparing the Epley or Semont maneuver to either placebo or medical treatment. The results are clearly in favor of these maneuvers. The median response in treated patients was 81%, compared to 37.% in placebo or untreated subjects. The few instances where the Epley or Semont results were not compelling (e.g. Blakely et al, 1994), may have been instances where technique was not perfected............."..........

U can see the entire results at:

http://www.dizziness-and-balance.com/disorders/bppv/bppv%20trials.htm



When the Epley or Semont maneuver don't work---as determined over time---and after a couple of tries-----most Doc's will then use the Brandt-Daroff exercises.

Went back and read ur first post---think it was in a different HealthBoard thread...u said---u have all the symptoms of BPPV except the vertigo is not short lived....and that u have dealt with vertigo off and on for 3-5 yrs...did I get that right??

Did u mean the vertigo was not short lived---like in minutes after u stopped moving

----or that the vertigo stopped but u felt dizzy/weird---for a long length of time after experiencing the vertigo??


Last edited by Subs30; 10-05-2005 at 03:09 PM.

 
Old 10-05-2005, 04:26 PM   #3
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nowamember HB User
Hi Subs

Quote:
Originally Posted by Subs30
Hi Robin

..."she couldn't seem to shake those ear rocks back to the right place."....

Wonder how she determined that...depending on the type of BPPV u have---aka---where the ear rocks have lodged vis-a-vis the canals, i.e., which one---or the utricle(which is more a gravity issue)---it is rarely possible to tell if the procedure worked---and even when/if it does---in 99.xx% of those cases---it is the person---not the PT or Doc---us says---"its gone"---since they feel great---also known as "spontaneous" recovery---the Epley and Semont Maneuvers---work in about 80% of the cases---so they say...

---At the Northwestern Univ web site---located in the "sticky" Information Archives" post at the top of this board...is the results of:

.."BENIGN PAROXYSMAL POSITIONAL VERTIGO---February 12, 2005

Controlled Treatment Trials

More than 394 patients have been reported in blinded studies comparing the Epley or Semont maneuver to either placebo or medical treatment. The results are clearly in favor of these maneuvers. The median response in treated patients was 81%, compared to 37.% in placebo or untreated subjects. The few instances where the Epley or Semont results were not compelling (e.g. Blakely et al, 1994), may have been instances where technique was not perfected............."..........

U can see the entire results at:

http://www.dizziness-and-balance.com/disorders/bppv/bppv%20trials.htm



When the Epley or Semont maneuver don't work---as determined over time---and after a couple of tries-----most Doc's will then use the Brandt-Daroff exercises.

Went back and read ur first post---think it was in a different HealthBoard thread...u said---u have all the symptoms of BPPV except the vertigo is not short lived....and that u have dealt with vertigo off and on for 3-5 yrs...did I get that right??

Did u mean the vertigo was not short lived---like in minutes after u stopped moving

----or that the vertigo stopped but u felt dizzy/weird---for a long length of time after experiencing the vertigo??

Thanks for the reply. The P.T. figured that the procedure didn't work because after performing the Epley and Selmont, she had me lie back down on my 'bad' side and I was just as dizzy as I was when she began. She explained that if the ear rocks had moved back to where they are supposed to be, I wouldn't be so dizzy.

She determined that the ear rocks were in the horizonal canal I believe. (She said it was in the most common canal.) Whether that is the utricle, I don't know! You sound very well versed in BPPV; I didn't know that it existed until I was diagnosed this summer!

Re: my first post...yes, unfortunately sometimes the vertigo doesn't go away in 20 or 30 seconds. This is what sent me to the docs in the first place. I had a couple episodes while at work that practically incapacitated me; the vertigo would come on so strongly that I wouldn't be able to walk straight for hours afterwards. Although the initial violent dizziness subsided, if I even tried to make a move, it would send me me spinning again. Luckily, this has only happened 3 or 4 times in the past 6 months.

Anyway, I'm keeping the faith. The stats for a full or partial remission look pretty darn good. Thanks again for listening; it is appreciated.

Robin

 
Old 10-05-2005, 05:52 PM   #4
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Re: Disappointing 1st visit with P.T.

Hey Robin
Knowing now which ear is affected, have you considered doing the MEP at home? Perhaps with some persistance you can move those rocks yourself. I didn't have success the first time I did it but by the third time I had done it in the 24 hour period I had no more vertigo or nystagmus.
(You may already know how to do it, there is a site on the sticky at the beginning of this board with instructions and a video)
My understanding (and maybe Subs will jump in here with some advice) is that you can't actually do anymore damage by trying it at home.
Also, I still felt pretty gross after doing it and staying completely upright after, I don't know how the professionals do it but I was supprised that she would place you in a vertigo provoking position immediately after trying to place those rocks back out of the canal. Did she give you instructions for sleeping in a semi-recumbant position etc??
Hope you can figure this one out. The MEP saved me from this evil thing!!!
Hope you get the relief soon!
FC

 
Old 10-05-2005, 06:33 PM   #5
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nowamember HB User
Firechick.......

Forgot to say thanks for the reply. Stay well.

Robin

Last edited by nowamember; 10-05-2005 at 06:39 PM.

 
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