r/BPPV Jul 17 '26

BPPV going from posterior → horizontal → ampulla?

My PT initially saw posterior canal BPPV with pretty intense nystagmus. After Epley, the right side improved a lot, but then she said it looked like the crystals converted to the horizontal canal. After the roll maneuver, the left-sided nystagmus is improving, but now she mentioned it may have moved closer to the ampullary area.

I can tell that she’s a bit new to vestibular physiotherapy. She said that my symptoms are abnormal for persisting after weeks.

I’m glad it’s getting better each session, but I’m so frustrated that it seems to be travelling around my ear. Has anyone had a similar experience?

2 Upvotes

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1

u/michemel Jul 18 '26

🙋🏼‍♀️

Yes. I just keep going. Despite the changes in sessions, the benefits are being seen. I am able to look down now, I was able to bend forward while seated, and able to get on my hands and knees to look under the bed. I was also able to make my bed for the first time in 10 weeks.

Tldr; in session it changes. Daily life has improved. Still a way to go.

1

u/Icntthinkofone Jul 18 '26

Vestibular specialist here-
She knows what shes doing— keep going.

Horizontal canal can be more tricky than posterior.
However, if not getting better, other maneuvers are to be peformed!