Vertigo & BPPV Treatment in West Omaha
Vertigo & BPPV Treatment
If the room spins when you turn your head, sit up, or lie down, that’s often BPPV, and it’s often fixable in one or two visits.
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- Best of Omaha
- 18 years in West Omaha
- Most insurance accepted
- Same-week appointments
The two big causes of “dizziness” we see
“Dizziness” describes several different problems. The two most common we treat:
BPPV (Benign Paroxysmal Positional Vertigo). Brief, intense spinning that’s triggered by position changes (rolling over in bed, looking up, lying down, sitting up quickly). Caused by tiny calcium crystals in the inner ear ending up in the wrong canal. It’s the most common cause of vertigo and often resolves in one or two visits with the right maneuver.
Cervicogenic dizziness. Dizziness or imbalance caused by dysfunction in the upper cervical spine. The joints at the top of your neck have a major role in spatial orientation, and when they’re not moving correctly, you can feel “off” (woozy, unsteady, foggy) without the dramatic spinning of BPPV. Common after whiplash or with chronic neck pain.
The first visit tells us which one (or both) you’re dealing with.
How we treat vertigo and BPPV
BPPV: repositioning maneuvers. The Epley maneuver (and a few related ones) physically move the displaced crystals back to where they belong. This is mechanical, not magic, it works because it puts the crystals where they should be. Often resolves in 1 to 2 visits.
Cervicogenic: upper cervical adjustments. Specific, gentle adjustments to the upper neck joints restore the motion and proprioception that was off. Usually combined with soft-tissue work for the muscles around those joints.
Combined cases. Some patients have both. We address BPPV first since that resolution is more dramatic, then work on the cervical component over a few weeks.
When dizziness needs different care
Some dizziness isn’t BPPV or cervicogenic. See your doctor or go to the ER for:
- Dizziness with severe headache, slurred speech, weakness on one side, or vision changes
- Dizziness with chest pain or shortness of breath
- Dizziness after a head injury
- Constant dizziness that doesn’t change with position
- Dizziness with hearing changes or ringing in one ear (could be Meniere’s or vestibular neuritis)
Frequently asked questions
How quickly does BPPV go away after treatment?
Often immediately or within a day or two. A properly done Epley maneuver resolves about 80-90% of cases on the first try, with most of the rest resolving on the second visit.
Will my vertigo come back?
BPPV can recur, especially in older adults, about 30-50% over a few years. If it does, the same maneuver usually fixes it again. We’ll teach you what to watch for so you can come back at the first sign rather than living with it.
Is the Epley maneuver safe?
Yes, when done properly. It’s a specific series of head positions that move the displaced crystals. It can briefly intensify the vertigo during the maneuver (that’s expected) but is otherwise very safe.
Can chiropractic care really help dizziness?
For BPPV and cervicogenic dizziness, yes, these are mechanical conditions that respond to mechanical treatment. For other types of dizziness (inner ear infections, central nervous system causes, cardiovascular causes), other care is appropriate, and we’ll refer you out.
Related reading
Get the dizziness looked at
BPPV is one of the most satisfying conditions to treat: a few minutes of maneuvers and many patients walk out feeling like a different person. If the room has been spinning, come in.