Q Is it possible for BPPV to be completely cured, or do I have to live with recurrences for the rest of my life?
A BPPV itself is a condition that mostly improves quickly with the repositioning maneuver. However, the recurrence rate is high, so building a bodily state that does not recur is the key to long-term prognosis. Managing recurrence factors together can greatly reduce the frequency of attacks.
Detailed Answer
BPPV itself has a good prognosis, improving quickly in over 80% of cases with the canalith repositioning maneuver. However, with a high annual recurrence rate of 30-50%, it is not uncommon for it to recur in someone who has had it once. In cases of vitamin D deficiency or osteoporosis, correction alone reduces the frequency of recurrence, and consistently doing vestibular rehabilitation exercises and managing your condition lengthens the interval between recurrences.
Korean Medicine Clinic Perspective
Dongjedang sees BPPV as a signal in which an internal imbalance of dameum, qi and blood, and Kidney deficiency manifests through the ear. We resolve the acute attack with the canalith repositioning maneuver, and by continuing management that resolves dameum and replenishes qi and blood and Kidney essence, an inner-ear environment is created in which the otoliths are less likely to come loose even under the same fatigue and stress. Rather than a complete cure, we set a realistic goal of a state in which recurrence is rare and daily life is unaffected.
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