A BPPV patient describes how a neck massage fueled crippling vertigo

See how a type of movement called the Epley maneuver can resolve one type of vertigo

BPPV, benign paroxysmal positional vertigo, occurs when a calcium crystal breaks off and is floating around in the inner ear. This video describes how someone suffering from this type of vertigo can determine if this is an issue and how treatment involves a movement called the Epley maneuver.

BPPV occurs when tiny calcium particles called otoconia become dislodged

WIth this condition, formally known as benign paroxysmal positional vertigo, calcium particles that normally help the brain interpret head movement and position migrate for unknown reasons into the ear's semicircular canals, sending irregular nerve impulses to the brain, which cause intense vertigo episodes.

Peripheral vertigo is a type of dizziness caused by disturbances the inner ear

This type of vertigo can be triggered by several factors including viruses that cause inflammation in the inner ear, Ménière's disease, or benign paroxysmal positional vertigo, which can cause irregular nerve impulses that cause dizziness.

Vestibular Paroxysmia is often overlooked as a vertigo-causing diagnosis

VP causes brief, recurrent episodes of vertigo. It's often mistaken for the more common "benign paroxysmal positional vertigo," but its vertigo episodes are typically shorter and triggered by specific head movements. The condition is caused by compression of the eighth cranial nerve. Other symptoms that accompany it are nausea and unsteadiness and, more rarely, tinnitus and hearing changes.

See this first-person virtual reality view of vertigo

This video shows a virtual reality environment view of what benign paroxysmal positional vertigo will look like, from a first-person view. It includes a virtual rendering of eye spinning associated with the condition. (Warning: Watching this may make some users feel a bit nauseous.)

Central vestibular disease is another common cause of vertigo

Unlike peripheral vestibular disease that is caused by factors like inflammation in the inner ear, central vestibular disease involves dysfunction of one or more parts of the central nervous system. Vertigo of this type may last for seconds, hours, or even days. It's typically caused by issues with the brain stem and cerebellum and could be caused by stroke, tumor, and vestibular migraine, among other conditions.

Vertigo may be reduced by retraining your brain with visual fixation

In this video podcast neuroscientist Andrew Huberman describes one way to help alleviate dizziness and motion sickness symptoms. He suggests visual anchoring—fixating your vision on a point several feet away and moving closer to it, if possible, or fixating your vision on your extended finger and slowly moving it toward your nose and away again.

Vertigo is considered a subtype of dizziness

This two-minute video explains vertigo—a subtype of dizziness—and its many potential causes. It explores the vestibular system, the inner ear system, which typically governs our sense of stability, and details its anatomy.

Ménière's disease is a long-term, inner ear disorder that causes vertigo

This severe vertigo-causing disorder may involve long and recurrent episodes of vertigo. Symptoms of this disease include balance issues and hearing loss, tinnitus, and a feeling of fullness in the ear. It typically affects only one ear and is linked to a buildup of excess fluid in the inner ear.

Vertigo can last for minutes—or months—and may occur periodically

Vertigo can be caused by a variety of conditions, including as a side effect of medication, but if it comes on suddenly and is accompanied by other symptoms including difficulty with speech or weakness on one side of the body it's important to go to the emergency room to get checked for a stroke. For recurring vertigo, care teams can teach patients exercises to limit panic, lessen nausea and teach the brain to better tolerate head movements.

Vertigo is a mismatch of information between the eyes and the ears

Both vertigo and motion sickness can be caused by mismatches between visual and auditory inputs.The brain relies on inputs from the eyes, inner ear, and receptors in muscles and joints to orient the body. When the eyes suggest movement but other signals suggest the body is stationary dizziness and nausea can occur.

20% of patients with migraines may also experience vertigo

Vestibular migraine is a common cause of vertigo, affecting approximately 20% of patients with migraine. It's the most common cause of recurrent, sudden-onset vertigo.

Studying involuntary, rapid eye movements is a key part of vertigo diagnosis

A doctor will look at a vertigo patient's rapid, uncontrollable eye movements—formally called nystagmus—to better understand its causes. When a patient is lying down with their head turned and their eyes spin in a certain position and stop it's likely a peripheral cause, but if the spinning doesn't stop or it changes direction it's more likely a central nervous system issue.

Pets can experience vertigo, particularly older dogs

This type of dizziness is often caused by disorders of the vestibular system, and in dogs is often referred to as "old dog vestibular disease" because it tends to occur in older animals. The condition tends to resolve on its own in days or weeks. Vertigo is less common among cats than dogs, and in felines is typically caused by inner ear infections or other causes including a tumor.

Eating too much salt can worsen vertigo

High salt intake can cause fluid retention in the inner ear, worsening vertigo. Slashing sodium amounts (and caffeine and alcohol consumption) are particularly recommended for those suffering from Ménière's disease to help stabilize inner ear fluid levels.

Dizziness may describe lightheadedness and imbalance, not the spinning of vertigo

Dizziness is defined as an altered sense of spatial orientation, and may include feeling like you might fall over. Vertigo is associated with feeling like you are spinning or your surroundings are spinning.

The word 'vertigo' derives from the Latin 'vertere,' meaning to turn

Beyond the word's origin, this article makes clear that fuzzy definitions of the disorder make it confusing for patients to describe it.

Why dizziness is still a mystery

Dizzy spells can completely upend the lives of those suddenly struggling to find their footing. Despite this severe impact, the different flavors of dizziness and their sources continue to elude medical understanding. This article follows a health...

Vertigo is two to three times more common in women than men

Dizziness, including vertigo, occurs among 15% to 20% of adults. Vertigo can have numerous causes, but generally it's more common with age. It's also much more common among women than in men—occuring roughly two to three times more frequently, sometimes potentially related to the hormonal fluctuations of menopause or to migraines.

Pulsatile tinnitus is when you hear thumping synchronized with your heartbeat

This rare type of tinnitus, which sounds like rhythmic thumping or whooshing, is often linked to blood vessel conditions or high blood pressure. Lowering blood pressure through exercise and food choices can help reduce the severity of this condition.

Ménière's disease was first identified in 1861

This condition is named after the French clinician Prosper Ménière, who first identified it as being linked to the inner ear, noting it was a disorder of the semicircular canals. It tends to occur in people who are 40 years old or older.

There's no cure for Ménière's disease, only medications to reduce frequency of attacks

Ménière's disease is an inner ear problem that can cause vertigo and hearing loss. Most of the time, Ménière's disease affects only one ear.

What happens to the brain during migraine?

Migraine is a neurological condition that can cause debilitating symptoms across various bodily functions. So, what exactly is happening in the brain during these attacks? This five-minute video briefly overviews the internal machinations behind the painful episodes. An incapacitating headache is a common symptom of migraine, though migraine can occur without any headache.

What is a migraine attack like?

Are you one of the lucky people who've never experienced a migraine? Take the neurological condition for a whirl in this virtual experience sponsored by Excedrin, a pain relief medication brand. This 360º video is less than two minutes long and shows a snippet of an oncoming migraine suffered by a pastry chef.

Learn how a doctor successfully treated a patient's phantom limb pain with a mirror, tricking his brain into thinking his still-present arm was the missing paralyzed left one.

Longer-duration space missions may amplify astronaut motion sickness

NASA is using the Kraken, a 50-foot-long, 100-ton US Navy research device, to simulate space motion sickness and vertigo and test possible recovery strategies, including testing out different, specific head movements. The Kraken, located at Wright-Patterson Air Force Base near Dayton, Ohio, can rotate participants at exposures of up to 3G.

Historians theorize Vincent Van Gogh suffered from Ménière's disease or epilepsy

A century after researchers suggested he suffered from epilepsy, some researchers in the 1990s began to support an alternate diagnosis: Ménière's disease, since he had suffered from severe, repeated attacks of disabling vertigo. Still, some researchers remain skeptical of the Ménière's diagnosis. One posits that Van Gogh had temporal epilepsy complicated by his absinthe consumption.

Unlike physical therapy, chiropractic lacks substantive, evidence-based support

Originating as a practice focused on removing blockages in the spine that impede the flow of mystical energy in the body, chiropractic has claimed to resolve many ailments, even those unrelated to the spine or skeletal system. However, no scientific studies have identified such blockages, and there are insufficient clinical trials supporting these treatments.

Deep brain stimulation helps manage movement in patients with neurological disorders

DBS is a surgical procedure that uses implanted electrodes to send electrical signals to targeted areas in the brain, interrupting abnormal neural activity. It may be implemented when medications lose effectiveness or cause disruptive side effects.

Face and neck massages improve the removal of brain cell waste products in mice

A study identified that massaging mice and monkeys' faces and necks enhanced the flow of cerebrospinal fluid. Because CSF has been shown to flush out proteins linked to Alzheimer's and Parkinson's, the research hints at non-invasive treatments to reduce the severity of these diseases.

Long-term goose bumps are something to flag to your doctor

Although rarely a cause for concern, persistent goose bumps with no known cause could be a symptom of something to discuss with your doctor, including anxiety, a hair follicle blockage, or conditions that arise from an overreaction of the autonomic nervous system.

New drugs called Gepants have been shown to improve the quality of life of many sufferers.

Journalist Eva Wiseman has had migraines since childhood. Beginning with a yawn they segue into visual auras before turning into severe pain. As it so happened, she experienced a migraine during the course of her interview with Dr. Peter Goadsby, a pioneer in understanding and treating migraines as well as getting the world to treat them seriously.

Phantom limb pain may often match the pain or contortion of the injury that led to the limb loss.

In 2011, a mysterious illness spread around LeRoy, New York

A handful of girls were stricken with bizarre twitches, tics, and spasms — all apparently involuntary. Some believed the incident to be conversion disorder, an illness where emotional troubles have physical symptoms.

Ancient Egyptian papyrus from 16th century BCE seems to reference tinnitus

Ancient Egyptians wrote that they treated "bewitched ear" with herbal concoctions that involved frankincense and other ingredients, which were placed in the ear.

People with a sleep disorder called REM Sleep without Atonia don't experience the temporary paralysis of skeletal muscles that typically occurs during REM sleep—instead, they have vivid dreams that they act out during sleep.

Hear about life as an amputee and how mirror box therapy helped.

Palliative care physician BJ Miller describes his phantom limb pain and itching after losing both legs and half an arm in an accident. Mirror box therapy eventually helped him, alongside physical therapy. This podcast also features neuroscientist VS Ramachandran who explains how he developed mirror box therapy in the 1990s.

If hearing is damaged, the brain may amplify remaining sounds, perhaps causing tinnitus.

Migrane 101: data, symptoms, and treatments

Living with migraine, however often the neurological condition attacks, is a journey fraught with pain and isolation. This migraine guide offers insight into the condition, common triggers, possible treatments, personal stories, and tips for managing life with migraine.

A novel tinnitus therapy, called Lenire, involves mild electric tongue shocks and sound exposures.

Why do we sometimes jolt awake before falling asleep?

Around 70% of people are estimated to experience the sensation of falling and jerking awake right as they're about to drift to sleep. That mysterious phenomenon is called hypnic jerking. As common as it is, hypnotic jerking remains disconcerting and hard to explain. While we don't yet have clear answers, peruse this article in Popular Science for some possible explanations as to why this happens.

Sleep paralysis occurs when the body fails to 'unfreeze' in sync with waking.

There's no cure for West Nile virus—and infection can leave patients with permanent symptoms.

People with tinnitus should avoid silence—sound-rich environments distract the brain

This podcast from an audiologist discusses common questions about tinnitus. It notes that tinnitus could be described as a phantom sound associated with hyperactivity in the brain. It's linked with loud sound exposures above 85 decibels, hearing loss associated with aging and stress, among other factors.

Misfired motor signals may explain why many people with schizophrenia hear voices

Up to 80% of schizophrenia patients may have auditory hallucinations. Recent research concluded that this symptom may be from misfired motor signals that feed into each other, essentially failing to suppress certain sensory neural activities and that resulting overexcitment fuels hallucinations. The finding suggests that, one day, magnetic pulses might be used to stimulate specific nerves to better regulate the errant signals and reduce or stop hallucinations. (Some users may encounter a paywall.)

Hippocratic doctors treated severe mental illness with the poisonous plant hellebore

Since symptoms like hallucinations were believed be due to an imbalance of black bile, yellow bile, blood, and phlegm, the treatment at the time was to bring those humors back into balance. That meant standard treatments could include bleeding a patient or using substances like hellebore to induce vomiting or diarrhea.

Read Charles Darwin's description of his tinnitus suffering

When he was 57 years old, Darwin wrote to a new doctor about his suffering from a variety of maladies, including "singing of ears", vomiting, recurring flatulence, vomiting, and more. He noted how he believed his stress contributed to these symptoms.

Changes in vision or eye pain can be early MS symptoms

This occurs due to myelin degradation around the optic nerve, impairing its ability to transmit visual information to the brain. Individuals may especially experience eye symptoms after exercising or taking a hot shower because boosted body temperatures slow down nerve function in nerves already damaged by MS.

The brains of people who experience frisson have unique neural pathways

A small 2016 study aimed to investigate the behavioral and neural differences between 10 individuals who experience goose bumps when listening to music and 10 who typically don’t. Scientists reported that individuals experiencing musical chills had greater white matter connectivity in specific auditory, emotional, and social processing areas of the brain.

How does the body know where it is in space?

Close your eyes and touch your nose. How did you know where your nose was? How could you tell where your hand was? That's proprioception, the sense that keeps your brain apprised of the body's position and movement. This article explains how this sense works, what happens when people don't have it, and what we know about it.