Q My BPPV has already recurred for the third time in a year. Is it going to keep repeating like this?
A BPPV responds well to the repositioning procedure, but it is a condition that recurs fairly often within a year. If recurrences are frequent, rather than repeating the procedure alone, managing the bodily state and overall condition that keep causing the otoliths to dislodge is the way to lengthen the interval between recurrences.
Detailed Answer
BPPV has a high success rate with the repositioning procedure, but it is not uncommon for it to recur within a year. Osteoporosis, vitamin D deficiency, lack of sleep, chronic fatigue, and head trauma are known to raise the risk of recurrence. In cases of repeated recurrence, managing the triggering factors along with vestibular rehabilitation exercises is important.
Korean Medicine Clinic Perspective
Dongjedang links frequent recurrence to an internal constitutional background such as dampness and phlegm (dameum) or deficiency of qi and blood. Simply returning the dislodged otoliths to their place is not enough; we believe recurrence decreases only when you dissolve the phlegm that disrupts inner-ear lymphatic circulation and replenish qi and blood to create an environment in which the crystals do not readily dislodge. We typically aim to lower the frequency of recurrence over several weeks, together with recovery of overall condition.
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