dizziness when laying down or looking up

by Baba
(Germany)

I have cervical spondylosis which is much under control.
The only problem is that I have when I go to bed severe dizziness, especially when I lay on my back.
I have no pain.

Hello Baba,
The most likely cause of your problem is a condition called Benign Positional Paroxysmal Vertigo, or BPPV.

It's caused by crystals of calcium that have come loose in the inner ear. There's a simple test for the condition called the Hallpike Dix manoeuvre.

It the test is positive, then you need to consult someone who is knowledgeable about the Epley manoeuvres. They are conservative and effective in the treatment of vertigo.

If it continues, or if there are any other signs of concern, then a consult with a neurologist is indicated.

Manipulation of the neck can be effective, but only once the Epleys have been exhausted with no result, and then with caution.

I hope this contributes.

Dr B

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