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BPPV or cervical spondylitis
How do u get treated for BPPV can physio help or do o need to consult ENT . I have positional vertigo while standing and walking also in cervical MRI there is bludge between. C3 and C5 can it cause vertigo
Answers (15)
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You should take online consultations for consultation for better understanding
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Both are required as physio exercises can't be performed in the condition of positional vertigo so consult to an ENT for the medicine part and for your cervical problem take 2 weeks of physiotherapy treatment and your problem will disappear.
Next Steps
Take Proper Rest and Good Sleep
Health Tips
Avoid Driving if possible.
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Physio definitely will help in reducing vertigo.The correct positioning and manoeuvre to turn or get up will help a lot.Along either it certain exercises for neck and balancing will help a lot to manage vertigo
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Possible Causes:
BPPV (Benign Positional Vertigo) – common cause of vertigo due to inner ear issue.
Cervical Spondylosis – neck disc problem can rarely cause vertigo.
✅ Best Medical Solution:
Step 1: ENT consult to rule out or treat BPPV
→ May need Epley maneuver or short-term meds (Betahistine).
Step 2: If cervical cause confirmed → Physiotherapy
→ Neck exercises, posture correction, cervical traction (under expert).
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Benign Paroxysmal Positional Vertigo (BPPV) and cervical spondylitis are distinct conditions that can cause vertigo, and your symptoms and MRI findings suggest a need for a thorough evaluation.
Next Steps
Consulting an ENT specialist is recommended to confirm BPPV and rule out other inner ear issues, while a neurologist or orthopedic specialist could assess the cervical bulge's impact.
Health Tips
Don'ts
Sudden head movements.
looking up and down for prolonged time.
high impact activities
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ENT opinion is a must. Simple exercises can help you in BPPV
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Benign Paroxysmal Positional Vertigo (BPPV) is a common inner ear condition caused by small calcium crystals (otoconia) that dislodge and float into the semicircular canals of the inner ear. These crystals disrupt balance signals, causing vertigo triggered by head movement or position changes (e.g., turning over in bed, looking up/down, sudden head turns).
es!
In fact, vestibular physiotherapists are often the first line of treatment for BPPV â sometimes even more than ENTs â if you're already diagnosed or strongly suspected.
Itâs possible, but rare. Cervical issues cause "cervicogenic dizziness", not true vertigo. Signs:
Light-headedness when the neck is in certain positions
Neck stiffness or pain
Poor balance
Feels worse with head/neck movement or prolonged postures
Next Steps
Visit a Trained Physio, who can provide you the best treatment
Health Tips
ENT consult only if symptoms persist after 1â2 physio treatments or if red flags appear.
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First consult with the ENT and take medicines accordingly, after a week then consult with physiotherapist and take electrotherapy therapy treatment.
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Do direct consultation with Dr.Andrew jaya singh senior physiotherapist
Next Steps
head to heel clinic , porur , chennai
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Dr. Siddhertha Adhikary
Pain Management Specialist
7 yrs exp
Kolkata
Firstly u need to differentiate vertigo and dizziness
Then specific cause of vertigo
Then treatment
Next Steps
consultant physician
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Dr. Shivani Taywade (PT)
Physiotherapist
5 yrs exp
Bangalore
Visit to a physiotherapist trained in vestibular (balance/inner ear) assessment for BPPV maneuvers.
If your symptoms do not improve or are unclear, consult an ENT specialist to confirm the diagnosis or rule out other causes.
Neck (cervical) issues can be discussed with your physiotherapist or a spine specialist, especially if you have neck pain, weakness, or sensory changes.
Next Steps
Always seek professional help.
Health Tips
A bulged disc between C3 and C5 seen on your cervical MRI is not a recognized cause of BPPV. However, cervical spine issues can sometimes cause dizziness, but typically not the brief spinning sensation characteristic of BPPV.
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Ms. Shefali Gandotra (PT)
Physiotherapist
20 yrs exp
Jammu
You can consult online. Bppv is caused by crystals that float inside ear canal, as ears are the main balancing part of body. Cervical spondylosis also sometimes causes vertigo
Next Steps
Consult online
Health Tips
Watch your posture
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Dr. Avijit Das (PT)
Sports and Musculoskeletal Physiotherapist
4 yrs exp
Kolkata
Hi please take an online consultation for best diagnosis and treatment.
Next Steps
Yes physiotherapy treatment is the right option.
Health Tips
To take care of your posture..
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Dr. Afsa Rafiq (PT)
Physiotherapist
4 yrs exp
Srinagar
See a vestibular physiotherapist first – especially if BPPV is confirmed
Next Steps
symptoms persist or diagnosis is unclear, consult an ENT
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Dr. Jacob Roshan Mathew (PT)
Physiotherapist
21 yrs exp
Bangalore
You are on the younger side for BPPV. Consult with an ENT if it's the first time...
Physios can help in the crystal repositioning but there are other issues that can be ruled out by an ENT appointment
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.