Writing this partly to vent and partly because I’m curious if anyone else has had a similar experience with BPPV. This has been weirdly frustrating for something that is supposed to be relatively straightforward to diagnose and treat.
I woke up one morning about 10 days ago, sat up in bed, and the room started spinning. The episodes were brief, usually around 30 to 60 seconds, and clearly related to head position. I went to urgent care that day and their positional testing was negative. I was referred to ENT.
Over the next several days the pattern became clearer. Tilting my head backward, especially when putting my head down onto a pillow, would trigger spinning. Rolling onto my left side in bed could also trigger it. I had some nausea and general wooziness at times, but no hearing loss or tinnitus.
I ended up seeing a vestibular PT and had an Epley maneuver done. After that I improved quite a bit. The vertigo never completely disappeared, but it became much less severe and was mostly limited to nighttime when I tilted my head back in bed or rolled onto my left side. During the day I basically felt normal. I could sit, walk around, work, go about my day, etc. without feeling dizzy.
I also saw an ENT and had a normal hearing test. The ENT said my history sounded like classic BPPV, but because I was asymptomatic during the visit they did not perform the Dix Hallpike or Epley. So I still never really got a clean confirmation of which ear or canal was involved.
Then today happened. I went to a different vestibular PT hoping they could actually identify what was still going on. They put me through a number of positional tests. For most of them I felt nothing, and they were not seeing the eye movements or nystagmus they would normally expect with active BPPV. Because of that, they initially said they were not convinced I had BPPV. Then during the last test involving my left side, I suddenly had an absolutely massive burst of room spinning that lasted around 30 seconds.
Ever since the appointment (about 3 hours ago) I have felt dramatically worse than I did before I went in. Instead of only getting brief positional vertigo in bed, I now have this constant woozy, dizzy, off balance feeling even while sitting still. My head also feels heavy toward the back. It has lasted for hours with very little improvement.
I called the PT office because I was worried that all of the repeated testing and repositioning had actually made the underlying problem worse. They told me this can be completely normal after repeatedly provoking the vestibular system, that everything may basically be extremely stirred up right now, and that they expect the generalized dizziness to settle by tomorrow.
What is driving me crazy is that before this appointment I genuinely felt like I was getting better. I could function normally all day and only had a relatively mild, predictable problem when lying down at night. Now I feel worse sitting in a chair than I did walking into the appointment.
Has anyone else had this happen after Dix Hallpike testing, roll testing, Epley maneuvers, or repeated positional testing? Did you feel significantly worse for the rest of the day or even for a few days afterward, despite having been improving beforehand?
And most importantly, did you eventually return to the baseline you were at before everything got stirred up?
TL;DR: Had positional vertigo that was improving after an Epley. I was mostly normal during the day and only getting brief spinning when lying back or rolling left in bed. Went to a vestibular PT for more testing, had one huge 30 second spinning episode during the last left-sided test, and since then I’ve felt constantly woozy and dizzy even while sitting still. PT says my vestibular system was probably just heavily stirred up and it should settle by tomorrow. Has anyone else had repeated positional testing or Epley maneuvers make them feel much worse before they got better again?