When people talk about dizziness, they may mean different things. For example: everything is spinning around me, I feel lightheaded, I feel like I am going to faint, or I have an unsteady feeling in my legs. There are three main types: spinning dizziness, lightheadedness, and unsteadiness. BPPV falls under the category of spinning dizziness. With this form of dizziness, you can consult your physiotherapist for treatment and advice.
Complaints and Symptoms
Dizziness, known as Benign Paroxysmal Positional Vertigo (BPPV), characterized by acute spinning dizziness that occurs with movements, such as when lying down or getting up from a lying position. The dizziness is very intense but lasts briefly, usually less than 1 minute. Sometimes, the dizziness accompanied by a feeling of nausea. The symptoms are fatigable, meaning that repeated quick head movements can reduce or eliminate the symptoms. This has an important therapeutic consequence.

Causes
The exact cause of BPPV is still unknown. It suspected that loose calcium crystals in the inner ear settle on the sensory cells in the balance organ due to rapid position changes. This leads to short-term overstimulation of the sensory cells, resulting in spinning dizziness. BPPV can occur after a head injury, ear surgery, an infection, a circulatory disturbance in the inner ear, or after prolonged bed rest. However, in most cases, no clear cause can identify.
Treatment
There are two treatment methods. In the canalith repositioning maneuver, a specific technique used to move the loose calcium crystals to another part of the balance organ. This prevents the crystals from overstimulating the sensory cells, thus eliminating the dizziness. The second method involves exercises according to Brandt and Daroff. These repetitive exercises, from sitting upright to lying on one side, help train and compensate the balance system, leading to faster relief from symptoms. Your physiotherapist can treat you for this and assist with the exercises, helping you get rid of your dizziness and regain full function in your daily activities.
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Check our FAQ – you’ll quickly find answers to the most frequently asked questions.
In principle, you can go to the physiotherapist for all types of pain in the movable parts of the body. Depending on whether the pain is in the muscles, ligaments, and tendons, or in the harder parts of the body such as your spine or joints, it determines which therapist you should visit.
Read moreIf you have a complaint related to the musculoskeletal system that you believe a physiotherapist can help with, in most cases, you do not need a referral for physiotherapy. This applies regardless of whether the complaint concerns your muscles, joints, tendons, or ligaments.
Exceptions for a Physiotherapy Referral
Of course, there are exceptions where a referral for physiotherapy will required. This concerns chronic conditions that listed by the government. This list has created because chronic conditions often (partially) covered by the basic insurance.
When You’re Uncertain Whether You Need a Referral for Physiotherapy
If you are not sure whether you need a referral, the physiotherapist or our central office can always provide you with more information. Additionally, your health insurance policy will indicate whether a referral from your general practitioner or medical specialist is necessary for physiotherapy.
The cost of physiotherapy depends on how you are insured. If you are not insured for physiotherapy, you can view the rates in our pricing overview at the bottom of this page.
If you have additional insurance, it will always used first. If it fully used up or the coverage is insufficient, you will receive an invoice for your treatments.
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