Benign Paroxysmal Positional Vertigo and Pain

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The MSK physician should be familiar with Benign Paroxysmal Positional Vertigo (BPPV). This is because in chronic BPPV the majority of patients have pain as a major symptom, with 87% of cases in one series. Furthermore, trauma is a major cause of BPPV in those under 50.[1] Remembering that BPPV comes on with neck movements, it is easy to see how a misdiagnosis of "cervical vertigo" can be made when there is a history of trauma and neck pain. Treatment of the BPPV may resolve the pain.[1]

See https://dizziness-and-balance.com/disorders/bppv/bppv.html.

References

  1. ā†‘ 1.0 1.1 Iglebekk, Wenche; Tjell, Carsten; Borenstein, Peter (2013-10-01). "Pain and other symptoms in patients with chronic benign paroxysmal positional vertigo (BPPV)". Scandinavian Journal of Pain (in English). 4 (4): 233ā€“240. doi:10.1016/j.sjpain.2013.06.004. ISSN 1877-8860.