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Written by Dr Julian Simpson — Chiropractor with 15+ years of experience, Board Member of the Chiropractic Australia Research Foundation, and author/reviewer of 800+ health articles. New Research Reveals Why Some People Still Feel Dizzy After Vertigo Treatment Understanding the Brain's Role in Vertigo Recovery Most people think of Benign Paroxysmal Positional Vertigo (BPPV) as an inner ear problem. While that's true, new research suggests the story may be more complicated. A groundbreaking study has found that BPPV doesn't just affect the inner ear—it may also temporarily alter how different regions of the brain communicate with each other. These changes may help explain why many people continue to experience dizziness, imbalance, brain fog, or feelings of disorientation even after successful treatment. At Health Wise Chiropractic in Sunbury, we regularly see patients who have been told their vertigo has been "fixed" but still don't feel completely back to normal. This new research provides important insights into why that may occur. What is BPPV? Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause of vertigo worldwide, accounting for approximately 20–30% of all vertigo cases. The condition occurs when tiny calcium carbonate crystals (otoconia) become displaced within the inner ear and move into one of the balance canals. When this happens, normal movement can trigger: Spinning sensations (vertigo) Dizziness Loss of balance Nausea Motion sensitivity Difficulty walking confidently BPPV most commonly affects middle-aged and older adults and can significantly impact quality of life, independence and confidence. The Good News: Treatment Works The primary treatment for BPPV is a repositioning manoeuvre, such as: Epley Manoeuvre Barbecue Roll Manoeuvre Yacovino Manoeuvre These techniques are designed to move displaced crystals back to their correct location within the inner ear. Research consistently shows that repositioning manoeuvres successfully eliminate abnormal eye movements and vertigo symptoms in approximately 80–90% of patients. However, there is an important catch. Why Do Many People Still Feel Dizzy? Despite successful treatment, studies show that approximately 31–61% of patients continue to experience residual dizziness for days, weeks or even months after their vertigo has resolved. Many people report: Feeling "off balance" Brain fog Motion sensitivity Spatial disorientation Reduced confidence when walking Anxiety about triggering symptoms again Researchers have long suspected that the brain may need time to adapt after the inner ear problem has been corrected. This new study provides some of the strongest evidence yet supporting that theory. What Did the Researchers Discover? Researchers compared 29 people diagnosed with BPPV to 29 healthy individuals. Using advanced functional near-infrared spectroscopy (fNIRS), they measured how different areas of the brain communicated with one another before and after repositioning treatment. The results were striking. Brain Connectivity Was Significantly Reduced Before treatment, people with BPPV showed significantly lower communication between key brain regions compared to healthy individuals. The most affected areas included: Visual processing centres Somatosensory (body awareness) regions Prefrontal cortex areas involved in attention and spatial awareness Researchers described this as a reduction in "functional connectivity" — essentially meaning that important brain networks were not working together as efficiently. The Brain Begins to Recover After Treatment Seven days after successful repositioning treatment, researchers observed improvements in several important brain regions. The biggest improvements occurred in: Visual Processing Centres The visual cortex demonstrated significant recovery after treatment. This is important because the brain relies heavily on visual information to maintain balance and orientation when vestibular function is disrupted. Somatosensory Regions Areas responsible for body awareness and proprioception also improved. These regions help us understand where our body is positioned in space and play a critical role in maintaining balance. But Recovery Was Not Complete Even after successful treatment, brain connectivity remained below normal levels. This suggests that recovery of the brain's balance networks may take considerably longer than recovery of the inner ear itself. Why Does This Matter? One of the most important findings was the strong relationship between brain connectivity and symptom severity. Researchers found that people with lower levels of brain network connectivity reported significantly worse dizziness and disability scores. In simple terms: The more disrupted the brain networks were, the worse people felt. This helps explain why some individuals continue experiencing symptoms despite successful treatment of the underlying vestibular problem. The Link Between Vision, Balance and Proprioception Balance depends on three major systems working together: The Vestibular System Your inner ear balance organs. The Visual System Information coming from your eyes. The Proprioceptive System Information from muscles, joints and ligaments that tells the brain where your body is in space. When vertigo develops, the brain must rapidly adapt to conflicting information coming from these systems. Researchers believe this adaptation process may temporarily alter communication between brain regions, leading to lingering symptoms even after the inner ear has recovered. Why Vestibular Rehabilitation May Help The study highlights the importance of ongoing rehabilitation after vertigo treatment. Research suggests vestibular rehabilitation exercises may help the brain: Improve sensory integration Restore balance control Reduce dizziness Improve confidence with movement Accelerate recovery of normal brain network function For some patients, vestibular rehabilitation may be just as important as the repositioning manoeuvre itself. What About the Neck? Previous research has demonstrated strong connections between the vestibular system, visual system and cervical spine. The neck contains thousands of proprioceptive receptors that help the brain understand: Head position Movement direction Balance Spatial orientation When neck joints or muscles become dysfunctional, altered sensory information may contribute to: Dizziness Balance disturbances Headaches Motion sensitivity Feelings of disorientation This may help explain why some people continue experiencing symptoms despite successful inner ear treatment. How Chiropractic Care May Help At Health Wise Chiropractic, we frequently assess patients experiencing: Vertigo Dizziness Neck pain Headaches Balance problems Postural dysfunction Many patients recovering from vertigo also present with: Neck stiffness Reduced cervical mobility Muscle tension Postural strain Ongoing balance concerns A comprehensive assessment can help identify musculoskeletal factors that may be contributing to symptoms while ensuring appropriate referral for vestibular or medical assessment where required. Practical Recommendations for People Recovering From Vertigo If you've recently experienced BPPV, research suggests several strategies may help support recovery: Continue Moving Avoiding movement can slow vestibular adaptation and recovery. Follow Professional Advice Complete any vestibular rehabilitation exercises prescribed by your healthcare provider. Address Neck Mobility Persistent neck stiffness may contribute to ongoing balance disturbances. Maintain Physical Activity Regular walking and gentle exercise can help promote vestibular compensation. Seek Assessment if Symptoms Persist Ongoing dizziness, headaches, balance problems or neck pain should be professionally evaluated. Looking for Help With Vertigo or Dizziness in Sunbury? If you're experiencing vertigo, lingering dizziness, balance problems, headaches or neck stiffness, it is important to understand that recovery may involve more than simply correcting the inner ear problem. At Health Wise Chiropractic in Sunbury, we provide evidence-informed assessments for dizziness, headaches, neck pain and balance-related concerns. Our goal is to identify contributing factors, improve function and help guide patients towards the most appropriate management pathway. How Chiropractic Care May Help At Health Wise Chiropractic, we take a comprehensive approach to posture-related care. Treatment may include: Chiropractic adjustments Postural assessment Soft tissue therapy Corrective exercises Ergonomic advice Laser therapy Shockwave therapy Spinal decompression therapy We focus on addressing both the symptoms and the underlying biomechanical stress contributing to neck dysfunction. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. Reference Yang TH, Chung SD, Lin HC, Liu TC. Seasonal variation in climate, air pollution, and the incidence of benign paroxysmal positional vertigo. Sci Rep. 2026 May 21. doi: 10.1038/s41598-026-52205-3. Epub ahead of print. PMID: 42168266. Xiao J, Pan Q, Huang R, Jin S. Dynamic changes in brain network functional connectivity following repositioning treatment for benign paroxysmal positional vertigo: an fNIRS study. Front Neurol. 2026 Apr 13;17:1820148. doi: 10.3389/fneur.2026.1820148. PMID: 42051761; PMCID: PMC13111341.

Written by Dr Julian Simpson — Chiropractor with 15+ years of experience, Board Member of the Chiropractic Australia Research Foundation, and author/reviewer of 800+ health articles. Vertigo Is More Than Just Dizziness: New Research Reveals the Hidden Link Between Balance, Sleep and Mental Wellbeing Why Do Some People Struggle Long After Their Vertigo Settles? If you've ever experienced vertigo, you'll know it's far more than simply feeling a little dizzy. Many people across Sunbury, Melton and Melbourne's north-west describe feeling exhausted, anxious, foggy-headed and emotionally drained long after the spinning sensations have improved. Whether you're commuting down the Calder Freeway, working long shifts on your feet, caring for young children, or trying to stay active around local sporting clubs, ongoing dizziness can have a major impact on everyday life. New research is helping us understand why. A large 2025 study involving more than 600 participants found that Benign Paroxysmal Positional Vertigo (BPPV) may affect far more than the inner ear. Researchers discovered strong links between vertigo, anxiety, depression, sleep quality and changes in important brain neurotransmitters that help regulate mood, balance and recovery. The findings highlight why a comprehensive approach to vertigo management may be just as important as treating the inner ear itself. What Is BPPV? Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause of vertigo worldwide. It occurs when tiny calcium crystals inside the inner ear become displaced and move into one of the balance canals. When this happens, normal head movements can trigger: Sudden spinning sensations Dizziness when rolling over in bed Balance problems Nausea Motion sensitivity Difficulty walking confidently Fear of movement Research estimates that approximately 2.4% of people will experience BPPV during their lifetime, with recurrence rates of 15–20% each year. Importantly, BPPV accounts for a significant proportion of all vestibular disorders seen in clinical practice. The Surprising Link Between Vertigo and Mental Health Most people assume vertigo is purely a physical condition. However, this new research found that people with BPPV experienced dramatically higher levels of anxiety and depression compared to healthy individuals. Researchers assessed 310 patients with BPPV and compared them with 300 healthy controls. The results were striking: Anxiety Scores Were Three Times Higher Patients with BPPV recorded average anxiety scores of: 15.09 compared to 5.00 in healthy controls This represents a substantial increase in anxiety symptoms. Depression Scores Were Nearly Three Times Higher Average depression scores were: 16.18 in the BPPV group 5.55 in healthy controls Researchers noted a strong relationship between dizziness severity and emotional wellbeing. Simply put: The worse the dizziness, the worse people tended to feel emotionally. Vertigo Can Seriously Impact Sleep One of the most overlooked aspects of vertigo is its effect on sleep quality. Many people with BPPV report: Difficulty getting comfortable in bed Fear of rolling onto the "wrong side" Frequent waking Poor quality sleep Daytime fatigue The study found BPPV sufferers had sleep quality scores almost four times worse than healthy participants. Average sleep scores were: 12.0 in BPPV patients 3.36 in healthy controls Researchers believe this creates a vicious cycle: Vertigo disrupts sleep, poor sleep affects recovery, and reduced recovery may increase dizziness and emotional distress. What Are Neurotransmitters and Why Do They Matter? One of the most fascinating aspects of the research involved measuring neurotransmitters. Neurotransmitters are chemical messengers that help your brain and nervous system communicate. They influence: Mood Balance Sleep Stress responses Movement control Learning and adaptation Researchers discovered that patients with BPPV had significantly lower levels of: Dopamine Often called the "motivation" neurotransmitter. Dopamine helps regulate: Movement Reward pathways Focus Learning Nervous system adaptation Norepinephrine Important for: Alertness Balance regulation Stress responses Vestibular compensation Epinephrine Plays a key role in: Physical resilience Nervous system regulation Adaptation to stress Patients with lower neurotransmitter levels generally reported: Greater dizziness More physical limitations Poorer emotional wellbeing Higher levels of depression Why Some People Continue Feeling "Off" After Treatment One of the most important findings is that successful treatment of the inner ear does not always mean immediate recovery. Many patients continue experiencing: Residual dizziness Motion sensitivity Anxiety Fatigue Poor sleep Reduced confidence Researchers believe this may occur because the brain needs time to recalibrate after vestibular dysfunction. The inner ear may recover quickly. The nervous system often takes longer. Why a Holistic Approach Works BestModern research increasingly shows that vertigo is rarely just an "ear problem."The most successful recovery plans often combine:Accurate diagnosisCanalith repositioning procedures when appropriateVestibular rehabilitation exercisesNeck and postural assessmentPhysical activity and movement strategiesSleep optimisationStress managementPatient educationAddressing all contributing factors often produces better long-term outcomes than focusing on a single aspect of care alone. Evidence-Based Recommendations for Managing Vertigo Current evidence suggests several strategies may help support recovery. 1. Obtain an Accurate Diagnosis BPPV should be properly assessed using recognised vestibular testing procedures such as: Dix-Hallpike testing Supine roll testing Vestibular assessment Not all dizziness is caused by BPPV. 2. Consider Repositioning Procedures When BPPV is confirmed, repositioning manoeuvres such as: Epley Manoeuvre Barbecue Roll Yacovino Manoeuvre remain the gold-standard treatment. Research shows these procedures successfully resolve symptoms in the majority of cases. 3. Address Neck Function Many people with dizziness also experience: Neck stiffness Reduced mobility Headaches Postural strain The neck provides important sensory information to the brain regarding balance and body position. 4. Prioritise Sleep The research demonstrated a strong relationship between vertigo severity and poor sleep quality. Practical sleep strategies include: Maintaining consistent bedtimes Reducing screen exposure before bed Limiting caffeine later in the day Creating a comfortable sleep environment 5. Keep Moving Gentle activity may help encourage vestibular adaptation. This might include: Walking Structured exercise Vestibular rehabilitation programmes Balance exercises Avoiding movement completely may delay recovery. 6. Manage Stress and Anxiety Because anxiety and vertigo influence one another, addressing emotional wellbeing may support overall recovery. Strategies may include: Mindfulness Relaxation techniques Counselling Exercise Professional support where appropriate Can Chiropractic Care Help? At Health Wise Chiropractic, we regularly assess patients experiencing: Dizziness Vertigo Neck pain Headaches Postural dysfunction Balance concerns Many patients presenting with vertigo also report: Neck stiffness Reduced cervical mobility Tension headaches Poor posture Ongoing feelings of instability A comprehensive assessment can help identify musculoskeletal factors that may be contributing to symptoms while ensuring appropriate referral for vestibular or medical assessment where required. Our approach focuses on helping patients improve function, mobility and confidence while supporting their broader recovery journey. Looking for Help With Vertigo in Sunbury or Melton? If you're experiencing vertigo, dizziness, balance problems, headaches or neck stiffness, you don't have to simply "put up with it." At Health Wise Chiropractic, our Sunbury and Melton teams provide evidence-informed assessments designed to identify potential contributing factors and help guide you towards the most appropriate management pathway. Whether your symptoms are new, recurring, or lingering after previous treatment, we're here to help you better understand what's happening and what steps may support your recovery. References Based on 2025 research investigating psychological health, sleep quality and neurotransmitter changes in 310 patients with Benign Paroxysmal Positional Vertigo (BPPV), alongside current evidence relating to vestibular rehabilitation, balance disorders and recovery from dizziness. How Chiropractic Care May Help At Health Wise Chiropractic, we take a comprehensive approach to posture-related care. Treatment may include: Chiropractic adjustments Postural assessment Soft tissue therapy Corrective exercises Ergonomic advice Laser therapy Shockwave therapy Spinal decompression therapy We focus on addressing both the symptoms and the underlying biomechanical stress contributing to neck dysfunction. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. Reference Zhang Q, She R, Zhou H, Guo J, Hu Z. Serum neurotransmitter imbalances in benign paroxysmal positional vertigo: correlations with anxiety, depression, and sleep quality. Front Neurol. 2026 Apr 10;17:1798705. doi: 10.3389/fneur.2026.1798705. PMID: 42037689; PMCID: PMC13106000.

Written by Dr Julian Simpson — Chiropractor with 15+ years of experience, Board Member of the Chiropractic Australia Research Foundation, and author/reviewer of 800+ health articles. Could Low Vitamin D Be Making Your Vertigo Return? What New Research Reveals About BPPV and Dizziness Tired of Feeling Dizzy Every Time You Roll Over in Bed? If you've ever experienced a sudden spinning sensation when turning your head, getting out of bed, or looking up at a shelf, you're not alone. Many people across Sunbury, Melton and surrounding communities experience episodes of dizziness that seem to come out of nowhere. For busy parents juggling school drop-offs, tradies working long days, or commuters travelling the Calder Freeway and Western Highway, recurring dizziness can quickly disrupt daily life. One of the most common causes of these symptoms is a condition called Benign Paroxysmal Positional Vertigo (BPPV). While BPPV is usually very treatable, many sufferers find their symptoms return weeks or months later. Exciting new research is now shedding light on a surprisingly simple factor that may influence whether vertigo comes back: Vitamin D levels. What Exactly Is BPPV? BPPV is the most common cause of peripheral vertigo and affects approximately 1 in 10 people during their lifetime. The condition occurs when tiny calcium carbonate crystals inside the inner ear, known as otoconia, become dislodged and move into the balance canals of the ear. This can trigger symptoms including: Sudden spinning sensations Dizziness when changing head position Nausea Loss of balance Brief episodes of vertigo lasting less than a minute Unsteadiness when walking BPPV can affect people of all ages but is most commonly seen in middle-aged and older adults, particularly women. The Surprising Link Between Vitamin D and Vertigo Researchers have increasingly discovered that the same calcium-regulating processes responsible for healthy bones may also be important for healthy balance organs inside the ear. The tiny otoconia crystals responsible for detecting movement are largely made from calcium carbonate. When calcium metabolism becomes disrupted, these crystals may become more fragile, unstable, or prone to dislodgement. This is where Vitamin D becomes important. Vitamin D helps regulate: Calcium absorption Bone metabolism Otoconia structure and maintenance Inner ear function Several studies have now found that people with recurrent BPPV are significantly more likely to have low Vitamin D levels. What Did The New Research Find? A recent prospective study followed 60 patients diagnosed with BPPV over a six-month period. Researchers measured Vitamin D levels and tracked whether vertigo symptoms returned after successful treatment using the Epley manoeuvre. The findings were striking. 75% of Patients Were Vitamin D Deficient Three out of every four participants had Vitamin D levels below the recommended range. Vertigo Returned More Often in People With Low Vitamin D Among participants with Vitamin D levels below 20 ng/ml: 28.9% experienced a recurrence of BPPV Among those with normal Vitamin D levels: Only 6.7% experienced recurrence This represented a statistically significant difference. Severe Deficiency Was Associated With The Highest Risk Researchers found the greatest relapse rates in people with the lowest Vitamin D levels. Patients with Vitamin D levels below 10 ng/ml experienced recurrence rates of approximately: 64.3% This suggests that the lower the Vitamin D level, the greater the likelihood of BPPV returning. Most Recurrences Happened Early Interestingly: 11 of the 13 relapses occurred within the first two months All relapses occurred within the first three months No further recurrences were observed after Vitamin D levels normalised Why Might Vitamin D Matter So Much? Scientists believe Vitamin D plays a crucial role in maintaining the integrity of the inner ear's balance structures. When Vitamin D levels fall: Calcium regulation becomes impaired Otoconia crystals may deteriorate Crystal fragments may break away more easily The risk of triggering BPPV episodes may increase This theory is supported by laboratory studies showing structural changes in balance organs when Vitamin D deficiency is present. How Is BPPV Usually Treated? The good news is that BPPV often responds extremely well to specific repositioning procedures. The most common is the Epley manoeuvre, which is designed to guide displaced crystals back into their proper position within the inner ear. Many patients experience substantial relief after just one or two treatments. At Health Wise Chiropractic, we work closely with patients experiencing dizziness and balance disorders by providing comprehensive assessments and, where appropriate, evidence-based management strategies alongside communication with GPs and other healthcare providers. Why A Holistic Approach Often Works Best Modern healthcare increasingly recognises that long-term outcomes improve when treatment addresses both symptoms and underlying contributing factors. Why Looking Beyond Symptoms MattersSimply repositioning the crystals may resolve an episode of vertigo, but identifying factors that contribute to recurrence can help reduce the likelihood of future episodes.A comprehensive approach may include:Vestibular assessmentCanalith repositioning proceduresPostural evaluationBalance retraining exercisesLifestyle recommendationsNutritional considerationsVitamin D testing when clinically appropriateCollaboration with GPs and other healthcare professionals Could You Be At Higher Risk? You may wish to discuss Vitamin D testing with your healthcare provider if you: Have experienced repeated episodes of BPPV Spend most of your day indoors Have osteoporosis or osteopenia Are over 40 years of age Have previously been diagnosed with Vitamin D deficiency Experience recurring dizziness despite successful treatment Many Australians are unknowingly deficient in Vitamin D, particularly during winter months when sun exposure decreases. Practical Steps To Support Your Recovery If you're experiencing dizziness or recurrent vertigo: 1. Seek An Accurate Diagnosis Not all dizziness is BPPV. A thorough assessment is important to identify the true cause. 2. Have Appropriate Positional Testing Performed Tests such as the Dix-Hallpike manoeuvre help determine whether BPPV is present. 3. Follow Recommended Repositioning Procedures Evidence-based manoeuvres such as the Epley manoeuvre can be highly effective when correctly applied. 4. Consider Underlying Risk Factors Discuss factors such as: Vitamin D status Bone health Physical activity levels Balance function General health conditions 5. Stay Active Appropriate movement and vestibular rehabilitation exercises may help improve confidence and balance during recovery. Supporting Sunbury and Melton Families With Evidence-Based Care Recurring dizziness can affect every aspect of daily life—from work productivity and exercise participation to confidence when driving or caring for family members. At Health Wise Chiropractic, our experienced team takes the time to understand the bigger picture behind your symptoms. We focus on thorough assessment, personalised care, patient education, and evidence-informed recommendations to help you move, feel, and function at your best. Whether you're in Sunbury, Melton, Diggers Rest, Bacchus Marsh, Caroline Springs or surrounding areas, we're here to help you better understand your symptoms and explore the most appropriate pathways towards recovery. Book an Assessment Today If recurring dizziness, vertigo, neck stiffness, headaches or balance concerns are affecting your quality of life, our Health Wise Chiropractic team in Sunbury and Melton would be delighted to help. A personalised assessment could be the first step towards understanding what's contributing to your symptoms—and getting you back to enjoying life with confidence. How Chiropractic Care May Help At Health Wise Chiropractic, we take a comprehensive approach to posture-related care. Treatment may include: Chiropractic adjustments Postural assessment Soft tissue therapy Corrective exercises Ergonomic advice Laser therapy Shockwave therapy Spinal decompression therapy We focus on addressing both the symptoms and the underlying biomechanical stress contributing to neck dysfunction. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. Walia MS, Tuli N, Hussain A, Bansal S, Bhagat R. Effect of Vitamin D Deficiency on Incidence and Relapse of Benign Paroxysmal Positional Vertigo. Iran J Otorhinolaryngol. 2026;38(2):99-108. doi: 10.22038/ijorl.2026.90851.4032. PMID: 42006900; PMCID: PMC13090813.

Written by Dr Julian Simpson — Chiropractor with 15+ years of experience, Board Member of the Chiropractic Australia Research Foundation, and author/reviewer of 800+ health articles. Why Does Vertigo Keep Coming Back? New Research Reveals the Hidden Link Between Inflammation and Recurring Dizziness Struggling With Recurring Vertigo in Sunbury or Melton? Few health problems are as frustrating as vertigo. One moment you're getting ready for work, helping the kids get organised, or preparing for another commute down the Calder Freeway or Western Highway. The next, the room suddenly feels like it's spinning. For many people across Sunbury, Melton and surrounding communities, Benign Paroxysmal Positional Vertigo (BPPV) can seem to disappear after treatment, only to unexpectedly return weeks or months later. While BPPV has traditionally been viewed as a simple mechanical problem of the inner ear, exciting new research suggests there may be much more to the story. Scientists are now discovering that inflammation throughout the body may influence whether vertigo becomes a recurring problem. What Is BPPV? BPPV is one of the most common causes of dizziness and vertigo. The condition occurs when tiny calcium crystals, known as otoconia, become displaced within the inner ear's balance system. These crystals move into areas where they shouldn't be, sending incorrect signals to the brain about movement and position. Common symptoms include: Sudden spinning sensations Dizziness when rolling over in bed Vertigo when looking up or bending down Nausea Balance difficulties Brief episodes lasting seconds to minutes Although BPPV is highly treatable, recurrence remains common and can significantly affect quality of life. Why Recurring Vertigo Matters Research shows that BPPV doesn't simply affect balance. Repeated episodes can lead to: Reduced confidence when walking Increased fall risk Avoidance of physical activity Difficulty driving or travelling Lost productivity at work Increased healthcare visits For active families throughout Sunbury and Melton, recurring vertigo can interfere with everything from weekend sport to everyday household activities. What Did The New Research Discover? Researchers followed 300 patients diagnosed with BPPV and monitored them for six months after treatment. The findings revealed that approximately: 26% of patients experienced a recurrence of vertigo within six months The researchers investigated whether common markers of inflammation found in routine blood tests could help predict who was more likely to experience a relapse. Key Finding #1: Higher Inflammation Was Linked to Higher Recurrence Risk Patients whose vertigo returned had significantly higher levels of inflammatory markers, including: Neutrophil-to-Lymphocyte Ratio (NLR) C-Reactive Protein (CRP) Systemic Immune-Inflammation Index (SII) Compared with patients who remained symptom-free, those experiencing recurrence consistently showed evidence of greater systemic inflammation. Key Finding #2: NLR Was The Strongest Predictor The most significant finding involved the Neutrophil-to-Lymphocyte Ratio (NLR). Researchers found that for every increase in NLR, the likelihood of BPPV recurrence increased significantly. NLR demonstrated the strongest predictive ability among all inflammatory markers studied. Key Finding #3: Inflammation May Affect The Inner Ear Scientists believe inflammation may influence: Inner ear blood flow Vestibular nerve function Otoconia stability The health of the delicate structures responsible for balance Rather than being solely a mechanical issue, BPPV may also be influenced by broader whole-body health factors. Why This Matters For Your Overall Health This research highlights something healthcare providers have increasingly recognised over recent years: Your body doesn't work in isolated systems. Inflammation associated with: Poor sleep Chronic stress Metabolic conditions Physical inactivity Obesity Cardiovascular disease may influence many aspects of health, including balance and vestibular function. This reinforces the importance of taking a holistic approach to health rather than focusing solely on symptom relief. What Does Evidence-Based Care Look Like? Whether you're dealing with vertigo, neck pain, headaches or lower back pain, modern healthcare research consistently supports a comprehensive, multimodal approach. For example, lower back pain remains one of the world's leading causes of disability, accounting for approximately 24% of all global disability-adjusted life years linked to workplace ergonomic factors. Clinical Practice Guidelines worldwide show remarkable agreement regarding conservative spinal care: 90% of guidelines recommend Spinal Manipulative Therapy (SMT) for lower back pain 100% recommend SMT as part of care for neck pain Importantly, research consistently shows the best outcomes occur when manual therapy is combined with other evidence-based strategies rather than used in isolation. What A Multimodal Care Plan May Include A personalised management programme may involve: 1. Comprehensive Assessment Understanding contributing factors such as: Posture Movement patterns Vestibular function Occupational demands Exercise habits General health status 2. Hands-On Care Depending on individual findings, treatment may include: Spinal Manipulative Therapy (SMT) Joint mobilisation Soft tissue techniques Vestibular rehabilitation approaches 3. Tailored Exercise Programmes Exercise may help: Improve balance Enhance mobility Strengthen supporting muscles Optimise recovery 4. Patient Education Understanding your condition often improves outcomes by helping you: Recognise triggers Manage flare-ups Maintain long-term improvements 5. Active Self-Management Developing sustainable habits that support long-term health and resilience. Why A Holistic Approach Works BestResearch consistently demonstrates that the best outcomes occur when healthcare combines multiple evidence-based strategies rather than relying on a single modality.A multidisciplinary approach addresses:Physical functionMovement qualityExercise capacityLifestyle factorsStress managementPatient educationLong-term preventionThis whole-person approach helps optimise recovery while empowering patients to actively participate in their own health journey. Is Chiropractic Care Safe? Safety is understandably one of the most common questions patients ask. The good news is that extensive clinical reviews have demonstrated that serious complications associated with conservative manual therapy are exceptionally rare. In fact, conservative care is widely considered a safe frontline treatment option for many musculoskeletal conditions, particularly when compared with the well-documented risks associated with prolonged prescription medication use. As with any healthcare intervention, a thorough assessment and appropriate clinical decision-making remain essential. Supporting Sunbury and Melton Families With Evidence-Based Care At Health Wise Chiropractic, we understand that recurring dizziness, neck stiffness, headaches and back pain can make everyday life more difficult. Our approach focuses on identifying the factors contributing to your symptoms, providing personalised care, and helping you build long-term strategies that support better movement, function and wellbeing. Whether you're managing long hours at a desk, spending time travelling between Melbourne and the western suburbs, or simply wanting to stay active with your family, our experienced team is here to help. Take The Next Step Towards Better Balance And Better Health If recurring vertigo, dizziness, neck pain or back pain is affecting your quality of life, the team at Health Wise Chiropractic in Sunbury and Melton is here to support you. Through thorough assessment, evidence-informed care, tailored exercise programmes and practical education, we'll help you understand what's driving your symptoms and create a personalised plan designed to optimise your health for the long term. How Chiropractic Care May Help At Health Wise Chiropractic, we take a comprehensive approach to posture-related care. Treatment may include: Chiropractic adjustments Postural assessment Soft tissue therapy Corrective exercises Ergonomic advice Laser therapy Shockwave therapy Spinal decompression therapy We focus on addressing both the symptoms and the underlying biomechanical stress contributing to neck dysfunction. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. Reference Doğan B, Baklacı D. Association between systemic inflammatory markers and recurrence risk in benign paroxysmal positional vertigo: a retrospective cohort study. Acta Biochim Pol. 2026 Mar 23;73:16188. doi: 10.3389/abp.2026.16188. PMID: 41948030; PMCID: PMC13050786.

Written by Dr Julian Simpson — Chiropractor with 15+ years of experience, Board Member of the Chiropractic Australia Research Foundation, and author/reviewer of 800+ health articles. New Research Highlights a Simpler Way to Diagnose a Common Cause of Vertigo Understanding BPPV, Dizziness and Why Accurate Diagnosis Matters Feeling dizzy when you roll over in bed, look up, or change position can be frightening. For many Australians, these symptoms are caused by a condition known as Benign Paroxysmal Positional Vertigo (BPPV), one of the most common causes of vertigo and balance disturbances. Recent research has identified a simpler and more comfortable way to help diagnose certain forms of BPPV, potentially improving patient experience and allowing faster treatment. At Health Wise Chiropractic in Sunbury, we regularly help patients understand the causes of dizziness and determine when referral for vestibular assessment may be appropriate. What is BPPV? BPPV occurs when tiny calcium carbonate crystals, known as otoconia, become dislodged from their normal location within the inner ear. When these crystals move into one of the balance canals of the inner ear, they can interfere with normal balance signals being sent to the brain. This can trigger episodes of: Vertigo (a spinning sensation) Dizziness when changing position Loss of balance Nausea Motion sensitivity Difficulty walking or turning BPPV is estimated to account for up to 20% of all dizziness presentations and is one of the most common vestibular disorders seen in clinical practice. A Commonly Missed Form of Vertigo While many healthcare professionals are familiar with posterior canal BPPV, the second most common form affects the horizontal semicircular canal. Research suggests horizontal canal BPPV accounts for approximately 16–31% of all BPPV cases. This form can be more challenging to diagnose because symptoms and eye movement patterns (nystagmus) are often more complex. As a result, some patients experience prolonged symptoms before receiving the correct diagnosis and treatment. What Did the New Study Find? Researchers analysed 209 patients diagnosed with horizontal canal BPPV and investigated the effectiveness of a simple assessment known as the Lying-Down Test (LDT). The LDT involves moving from a seated position to lying flat, making it significantly more comfortable than some traditional diagnostic procedures. The findings were impressive: The test correctly identified the affected side in approximately 97% of cases. The test produced positive findings in over 60% of patients. Patients with positive results often required fewer diagnostic manoeuvres. Older adults aged over 60 were more likely to demonstrate positive findings. The test was well tolerated and easier for many patients to complete. The researchers concluded that the Lying-Down Test is a reliable and valuable addition to the assessment process for horizontal canal BPPV. Why Faster Diagnosis Matters Anyone who has experienced vertigo knows how disruptive it can be. Symptoms can interfere with: Driving Work performance Exercise Sleep quality Daily activities Confidence when moving around Research has consistently shown that appropriate diagnosis and treatment can dramatically improve symptoms, often within a short period. The sooner the correct diagnosis is made, the sooner effective treatment can begin. The Importance of Comprehensive Assessment Not all dizziness is caused by BPPV. Dizziness and balance problems may also be associated with: Vestibular disorders Inner ear infections Migraines Neck-related dysfunction Concussion Neurological conditions Medication side effects Cardiovascular issues This is why a thorough history and examination are essential before any treatment recommendations are made. How Chiropractic Care May Help While chiropractors do not treat the inner ear itself, a comprehensive chiropractic assessment may help identify musculoskeletal factors that can contribute to symptoms such as dizziness, balance disturbances, neck stiffness and headaches. Many patients experiencing dizziness also report: Neck pain Reduced neck mobility Muscle tension Postural strain Headaches Addressing these factors may help improve overall function and comfort while ensuring patients receive appropriate referrals when vestibular assessment or medical investigation is required. When Should You Seek Help? If you experience: Sudden episodes of spinning sensations Dizziness when rolling over in bed Symptoms triggered by looking up or bending down Balance problems Recurrent vertigo it is important to seek professional assessment. Early diagnosis can help identify whether symptoms are related to BPPV, vestibular dysfunction, neck-related causes or other health conditions requiring further investigation. Looking for Help with Dizziness in Sunbury? At Health Wise Chiropractic, we provide comprehensive assessments for patients experiencing dizziness, neck pain, headaches and balance-related concerns. Our goal is to identify contributing factors, provide evidence-informed care where appropriate, and help guide patients towards the most suitable management pathway. If you're experiencing dizziness, vertigo or recurring neck-related symptoms, contact Health Wise Chiropractic in Sunbury to arrange an assessment and discuss your options. How Chiropractic Care May Help At Health Wise Chiropractic, we take a comprehensive approach to posture-related care. Treatment may include: Chiropractic adjustments Postural assessment Soft tissue therapy Corrective exercises Ergonomic advice Laser therapy Shockwave therapy Spinal decompression therapy We focus on addressing both the symptoms and the underlying biomechanical stress contributing to neck dysfunction. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. Reference Xia K, Gao R, Zhang X, Yan X, He D. Re-evaluating the lying-down test: a step-saving and well-tolerated diagnostic adjunct for horizontal canal benign paroxysmal positional vertigo. Front Neurol. 2026 May 25;17:1830444. doi: 10.3389/fneur.2026.1830444. PMID: 42266592; PMCID: PMC13243013.

Written by Dr Julian Simpson — Chiropractor with 15+ years of experience, Board Member of the Chiropractic Australia Research Foundation, and author/reviewer of 800+ health articles. Dizziness When You Roll Over in Bed? It Might Not Be "Just Vertigo" Understanding Atypical Vertigo: When Common Inner Ear Problems Aren't So Straightforward Ever Feel Dizzy Turning Over in Bed or Looking Up? If you've ever rolled over in bed, looked up to grab something from a shelf, or tilted your head back while gardening and suddenly felt the room spin, you're not alone. For many people across Sunbury and Melton, dizziness and vertigo can be incredibly unsettling. Whether you're commuting along the Calder Freeway, travelling the Western Highway for work, or simply trying to keep up with active family life, unexpected bouts of dizziness can quickly affect confidence, mobility, and quality of life. Most people have heard of Benign Paroxysmal Positional Vertigo (BPPV) — one of the most common causes of vertigo. However, emerging research shows that not every case follows the textbook pattern. In fact, some studies suggest that up to 40% of positional vertigo presentations in specialist clinics may involve atypical features, making diagnosis more challenging than many people realise. Understanding these less common presentations can help people receive the right care sooner and avoid unnecessary worry. What Exactly Is BPPV? BPPV occurs when tiny calcium carbonate crystals, called otoconia, become displaced within the inner ear. Normally these crystals help your body detect movement and balance. When they move into one of the inner ear's balance canals, they can trigger false signals to the brain whenever the head changes position. This commonly causes: Sudden spinning sensations Brief episodes of vertigo Nausea Loss of balance Unsteadiness when changing positions Symptoms when rolling in bed, bending over, or looking up The good news is that typical BPPV often responds extremely well to specific repositioning manoeuvres designed to guide these crystals back where they belong. When Vertigo Doesn't Follow the Rules While classic BPPV has well-recognised patterns, researchers are increasingly identifying a variety of atypical BPPV presentations. These cases can be confusing because symptoms may not match what clinicians normally expect. Examples include: Vertigo Without Visible Eye Movements Normally, BPPV produces a characteristic eye movement called nystagmus during testing. However, some people experience: Vertigo Nausea Balance disturbances without obvious nystagmus being observed. This is sometimes referred to as subjective BPPV. Multiple Canal Involvement Instead of affecting a single balance canal, some patients experience involvement of: Two canals Multiple canals on the same side Both ears simultaneously This often occurs following: Falls Sporting injuries Motor vehicle accidents Head trauma Persistent Symptoms Most BPPV episodes are brief. Atypical variants may involve: Longer-lasting dizziness Symptoms that don't respond immediately to treatment Recurrent episodes More complex eye movement patterns Why Accurate Diagnosis Matters One of the most important findings from recent neuro-otology research is that not all positional dizziness originates from the inner ear. Some forms of positional vertigo can arise from the: Brainstem Cerebellum Central nervous system This is known as Central Positional Vertigo or Central Positional Nystagmus (CPN). While relatively uncommon, central causes require a very different management approach. Potential underlying causes may include: Vestibular migraine Multiple sclerosis Stroke affecting balance centres Tumours affecting vestibular pathways Other neurological disorders This is why thorough assessment is so important whenever symptoms don't fit the expected pattern. Warning Signs That Need Further Investigation Research highlights several features that may suggest a central rather than peripheral cause. These include: Persistent dizziness that does not improve Symptoms that worsen despite appropriate treatment Double vision Facial weakness Limb numbness Difficulty speaking Severe headaches Unusual eye movement patterns Symptoms lasting several minutes rather than seconds These signs don't automatically indicate a serious problem, but they do warrant further investigation and potentially referral for additional testing. The Importance of Comprehensive Assessment At Health Wise Chiropractic, we understand that dizziness can have many different causes. That's why a thorough assessment often includes: Detailed History Understanding: When symptoms started What movements trigger symptoms Previous injuries Migraine history Medication use Previous episodes of vertigo Positional Testing Specific tests help evaluate how the balance system responds to movement. These may include: Dix-Hallpike testing Roll testing Head positioning assessments Balance evaluation Neurological Screening Where appropriate, clinicians may assess: Eye movements Coordination Balance control Reflexes Other neurological indicators This helps ensure patients receive the most appropriate pathway of care. What Does Research Say About Conservative Care? When dizziness is related to typical BPPV, evidence strongly supports the use of repositioning manoeuvres to restore normal vestibular function. For musculoskeletal conditions that often accompany dizziness—such as neck stiffness, headaches, postural strain, and balance dysfunction—research continues to support conservative, evidence-based care. Importantly: Lower back pain alone accounts for approximately 24% of all global disability-adjusted life years related to workplace ergonomic factors (Ead et al., 2024). Modern Clinical Practice Guidelines show overwhelming support for Spinal Manipulative Therapy (SMT), with 90% recommending it for lower back pain and 100% recommending it for neck pain (Trager et al., 2024). Evidence consistently supports combining manual therapy with exercise and education rather than relying on a single treatment modality. Why a Multimodal Approach Matters Research shows people generally achieve the best outcomes when care includes multiple strategies working together. The most effective healthcare programmes rarely rely on a single treatment. Research consistently shows that combining hands-on care, targeted exercise, education, lifestyle modifications, and active self-management produces better long-term outcomes than passive treatment alone. This approach helps: Improve movement confidence Restore the balance function Optimise posture Reduce neck tension Support vestibular rehabilitation Improve long-term resilience What an Evidence-Based Recovery Plan May Look Like Every patient is different, but a comprehensive approach may include: Step 1: Accurate Assessment Identify whether symptoms are consistent with: Typical BPPV Atypical BPPV Vestibular dysfunction Neck-related dizziness A condition requiring medical referral Step 2: Appropriate Repositioning Manoeuvres Where indicated, specific manoeuvres may help reposition displaced otoconia. Step 3: Vestibular Rehabilitation Tailored exercises designed to: Improve balance Reduce motion sensitivity Restore confidence with movement Step 4: Neck and Postural Care Addressing: Cervical stiffness Joint restriction Muscle tension Postural stress from desk work and commuting Step 5: Education and Self-Management Helping patients understand: Triggers Recovery expectations Home exercises Strategies to reduce recurrence Is Manual Therapy Safe? Safety is understandably one of the most common questions patients ask. Large clinical reviews have shown that serious complications associated with conservative manual therapy are extremely rare. Research suggests that appropriately delivered manual therapy has a strong safety profile and compares favourably with the known risks associated with prolonged prescription medication use (Breen et al., 1999). As with any healthcare intervention, assessment and individualisation remain essential. When Should You Seek Help? If you're experiencing: Recurrent vertigo Balance problems Neck-related dizziness Unsteadiness when walking Symptoms when rolling in bed Ongoing episodes that aren't improving a professional assessment can help identify the underlying cause and guide the most appropriate management strategy. Supporting Sunbury and Melton Families Through Better Balance and Mobility At Health Wise Chiropractic, our teams in Sunbury and Melton regularly help local residents navigate dizziness, balance concerns, neck tension, headaches, and musculoskeletal issues that can affect everyday life. Whether you're commuting daily, working long hours at a desk, keeping up with young children, or simply wanting greater confidence in your movement, our evidence-informed approach focuses on helping you understand what's driving your symptoms and creating a personalised plan to optimise your recovery. If dizziness, vertigo, or balance concerns are affecting your daily life, the Health Wise Chiropractic team in Sunbury and Melton is here to help you take the next step toward feeling steadier, stronger, and more confident. How Chiropractic Care May Help At Health Wise Chiropractic, we take a comprehensive approach to posture-related care. Treatment may include: Chiropractic adjustments Postural assessment Soft tissue therapy Corrective exercises Ergonomic advice Laser therapy Shockwave therapy Spinal decompression therapy We focus on addressing both the symptoms and the underlying biomechanical stress contributing to neck dysfunction. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. reference Sideris G, Korres G, Lazarou I, Vasileiou E, Male A, Kaski D. Differentiating Atypical BPPV from Central Positional Vertigo: A Narrative Review. NeuroSci. 2026 Mar 3;7(2):32. doi: 10.3390/neurosci7020032. PMID: 41874035; PMCID: PMC13010662.

Written by Dr Julian Simpson — Chiropractor with 15+ years of experience, Board Member of the Chiropractic Australia Research Foundation, and author/reviewer of 800+ health articles. Why Your Vertigo Keeps Coming Back: The Hidden Link Between Inner Ear Balance, Health Conditions, and Everyday Function When “Just Vertigo” Starts Interrupting Real Life If you’ve ever been sitting up in bed in Sunbury or rolling over after a long day commuting home along the Calder Freeway and suddenly felt the room spin, you’ll know how disruptive vertigo can be. For many people across Sunbury and Melton, these episodes don’t just happen once. They come back—sometimes weeks or months later—leaving you cautious with movement, uneasy when driving, and unsure whether it’s something serious or “just one of those things.” What research is now showing is that benign positional vertigo (BPPV), while often mechanical in origin, is rarely influenced by the inner ear alone. Instead, it appears to be shaped by broader health factors that affect the body’s balance system over time. What the Research Says About BPPV and Recurrence BPPV is one of the most common causes of vertigo worldwide. It occurs when tiny calcium crystals in the inner ear shift into the wrong balance canal, sending false signals about movement. While treatment is usually quick and effective, recurrence is surprisingly common. Recent clinical research shows: BPPV recurrence rates sit around 20–30% within 6 months of treatment Large cohort data confirms a 24.7% recurrence rate in real-world clinical settings This means roughly 1 in 4 people experience it again within half a year But the more important question is why it comes back. The Evidence: It’s Not Just an Ear Problem A large retrospective clinical study involving 300 patients found that recurrence of BPPV is significantly associated with systemic health conditions—not just inner ear mechanics. Key findings from the research: People with recurrence were more likely to have: Diabetes mellitus (DM) → ~1.6x increased risk Hypertension (HT) → ~1.5x increased risk Migraine → ~1.75x increased risk These findings suggest that BPPV is influenced by whole-body systems that affect: Blood flow to the inner ear Metabolic health Neurological sensitivity Vestibular stability and recovery In other words, the inner ear doesn’t operate in isolation—it responds to the health of the entire body. Why This Matters for Everyday Australians For many people in Sunbury and Melton, these risk factors are already part of daily life: Long hours sitting at a desk job in Melbourne Travelling daily via the Western Highway or Calder Highway Managing stress, sleep disruption, and busy family schedules Living with conditions like blood pressure or blood sugar fluctuations These factors don’t “cause vertigo” on their own—but they can influence how stable the balance system remains over time. How Chiropractic Care Fits Into the Bigger Picture While BPPV itself is treated with specific vestibular repositioning techniques, research increasingly supports a broader, whole-body approach to reducing recurrence risk and improving functional stability. Lower back pain and musculoskeletal strain are also highly prevalent, with global data showing: Lower back pain accounts for approximately 24% of all global disability-adjusted life years linked to workplace ergonomic factors (Ead et al., 2024) This matters because spinal function, posture, and neck mechanics all directly influence balance input from the cervical spine. What Clinical Guidelines Say About Manual Therapy Modern international Clinical Practice Guidelines strongly support conservative spinal care: 90% of guidelines recommend spinal manipulative therapy (SMT) for lower back pain 100% of guidelines recommend SMT for neck pain (Trager et al., 2024) This level of consensus is significant. It reflects a strong evidence base supporting spinal care as a frontline healthcare modality when appropriately applied. Why a Multimodal Approach Works Best Research consistently shows that the best outcomes come from combining several approaches rather than relying on a single treatment alone. This is known as a multimodal care approach, which may include: Manual therapy or spinal adjustments Targeted exercise rehabilitation Postural correction strategies Vestibular or balance retraining (when relevant) Patient education and self-management programmes Studies support this integrated model as more effective than passive care alone (Gevers-Montoro et al., 2021; LeFebvre et al., 2012). What a Chiropractic Care Plan May Look Like At Health Wise Chiropractic, care is tailored to the individual, but a typical evidence-informed pathway may include: 1. Comprehensive Assessment Posture and spinal alignment analysis Neck and upper back mobility testing Neurological screening where appropriate Balance and dizziness history review (if relevant) 2. Identifying Contributing Factors Cervical joint restriction Muscle tension patterns Ergonomic strain from work or driving Lifestyle and recovery stressors 3. Manual Therapy and SMT (When Appropriate) Gentle spinal adjustments Joint mobilisation techniques Soft tissue therapy to reduce muscular tension 4. Active Rehabilitation Neck stability exercises Balance and proprioception retraining Postural correction drills Functional movement re-education 5. Education and Prevention Understanding triggers and recurrence patterns Workplace setup advice Home strategies to reduce strain during commuting or screen time Long-term self-management planning Why a Holistic Approach Matters When multiple systems contribute to dizziness, balance issues, or musculoskeletal strain, the most effective care programmes address the body as a connected system. Combining manual therapy, exercise, education, and lifestyle support helps optimise spinal function, reduce recurrence risk, and improve long-term stability—rather than focusing on symptoms in isolation. Is Chiropractic Care Safe? Safety is a valid and important concern. Clinical reviews indicate that: Serious complications from conservative manual therapy are extremely rare When delivered appropriately, manual therapy is considered a safe, frontline healthcare modality Risk profiles are favourable compared with long-term reliance on prescription pain medication (Breen et al., 1999) As with any healthcare approach, individual assessment is essential to ensure care is appropriate and safe. Supporting Sunbury and Melton Through Better Balance and Spinal Health Whether you’re: Driving long distances along busy commuter corridors Sitting at a desk all day Managing recurring neck stiffness or dizziness Or simply trying to stay active with family life your spine and nervous system play a central role in how your body adapts and maintains balance. At Health Wise Chiropractic in Sunbury and Melton, our focus is on helping you understand the why behind your symptoms, not just treating the surface presentation. Through evidence-based care programmes that combine assessment, manual therapy, rehabilitation, and education, we aim to help local residents move more freely, feel more stable, and return to everyday life with confidence. If recurrent dizziness, vertigo, or neck-related tension is affecting your routine, a tailored assessment may be the next step toward clarity and recovery. How Chiropractic Care May Help At Health Wise Chiropractic, we take a comprehensive approach to posture-related care. Treatment may include: Chiropractic adjustments Postural assessment Soft tissue therapy Corrective exercises Ergonomic advice Laser therapy Shockwave therapy Spinal decompression therapy We focus on addressing both the symptoms and the underlying biomechanical stress contributing to neck dysfunction. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. reference Doğan B, Baklacı D. Association between diabetes mellitus, hypertension, migraine, and recurrence risk in benign paroxysmal positional vertigo: a retrospective cohort study. Front Neurol. 2026 Feb 24;17:1785013. doi: 10.3389/fneur.2026.1785013. PMID: 41815728; PMCID: PMC12971438.

Written by Dr Julian Simpson — Chiropractor with 15+ years of experience, Board Member of the Chiropractic Australia Research Foundation, and author/reviewer of 800+ health articles. When the Room Spins: Understanding BPPV, Dizziness, and How Modern Chiropractic Care Helps You Get Your Balance Back The everyday frustration no one talks about If you’ve ever rolled over in bed and suddenly felt the room spin… or stood up from the couch and had to grab the wall just to steady yourself… you’ll know how unsettling dizziness can be. For many people across Sunbury and Melton—especially those doing long drives along the Calder Freeway or Western Highway, working at a desk all day, or juggling busy family routines—these episodes often get brushed off as “just stress” or “getting up too fast”. But when it keeps happening, it stops being minor. It starts affecting confidence, movement, sleep, and even safety. One of the most common culprits behind these symptoms is a condition called benign paroxysmal positional vertigo (BPPV)—a mechanical issue in the inner ear that creates brief but intense spinning sensations with head movement. What’s actually happening in BPPV? Inside your inner ear are tiny calcium carbonate crystals (otoconia) that normally help your brain understand gravity and movement. Sometimes—due to aging, head injury, migraines, or even prolonged inactivity—these crystals shift into the wrong part of the balance system (the semicircular canals). When your head moves, they “misfire” your balance signals. That mismatch is what creates the sudden spinning sensation. Typical features include: Vertigo lasting seconds to minutes Triggered by rolling in bed, looking up/down, or standing quickly No hearing loss or persistent neurological symptoms A brief delay before symptoms kick in (often a few seconds) Importantly, dizziness is common—around 15% of adults experience balance or dizziness issues, making it one of the most frequent reasons people seek urgent or primary care review. Why dizziness matters more than most people realise While BPPV itself is usually benign, untreated balance disorders can significantly impact quality of life and increase fall risk—particularly in older adults. And dizziness is not always straightforward. It can overlap with: Migraine-related vestibular issues Cervical (neck-related) dysfunction Medication side effects Cardiovascular or neurological conditions That’s why careful assessment is essential—especially when symptoms are new, severe, or changing. What the research says about modern conservative care Spinal and musculoskeletal care is strongly evidence-supported While BPPV is treated with specific repositioning manoeuvres, broader dizziness and neck-related symptoms often sit within a musculoskeletal and neuro-mechanical system. For low back and spinal pain—which frequently co-exists with dizziness and balance issues—research is very clear: Low back pain accounts for around 24% of global disability-adjusted life years linked to workplace ergonomic strain (Ead et al., 2024) Clinical Practice Guidelines show ~90% recommend spinal manipulative therapy (SMT) for low back pain 100% of neck pain guidelines recommend SMT (Trager et al., 2024) This matters because the neck plays a major role in proprioception (your body’s sense of position in space). When cervical joints and muscles are stiff or irritated, they can contribute to imbalance, dizziness, and “foggy” spatial awareness. The multimodal approach: why single treatments rarely work best Modern evidence strongly supports a combined (multimodal) care model, rather than relying on one technique alone. 🟦 Why multimodal care works best Research consistently shows that spinal manual therapy produces the best outcomes when combined with: Individualised rehabilitation exercises Patient education and reassurance Active self-management strategies Postural and movement retraining (Gevers-Montoro et al., 2021; LeFebvre et al., 2012) This approach improves both symptom relief and long-term resilience, rather than just short-term correction. At Health Wise Chiropractic, this is exactly how we approach balance and spine-related conditions—especially for active locals in Sunbury and Melton who need long-term solutions, not temporary fixes. Where BPPV fits into chiropractic care While BPPV originates in the inner ear, not the spine, its symptoms often overlap with musculoskeletal dysfunction—particularly in the neck. A typical evidence-informed approach includes: 1. Detailed assessment We look at: Symptom timing (seconds vs hours vs constant) Triggers (rolling in bed, looking up/down) Neck mobility and joint function Neurological screening to rule out red flags If BPPV is suspected, positional testing such as: Dix–Hallpike manoeuvre Supine roll test may be used to identify the affected canal. 2. Targeted repositioning techniques (when appropriate) If BPPV is confirmed, specific head and body manoeuvres are used to guide the displaced crystals back into the correct area of the inner ear. These can include: Epley manoeuvre (most common form) Semont manoeuvre Log roll techniques for horizontal canal involvement These procedures are often highly effective, with studies showing success rates between 76% and 93%. The Semont Maneuver The Semont maneuver (sometimes called the Liberatory maneuver) relies on rapid momentum. Instead of twisting the head across multiple positions, it moves the entire torso in a swift arc to "sling" the crystals out of the canal. It is highly effective but requires a bit of physical agility. Step-by-Step Procedure 1. Starting Position:Preparation. Sit upright on the very edge of a flat bed or examination table, with your legs hanging off the side. Turn your head 45 degrees to the left (away from the bad ear). You will maintain this exact head angle relative to your body for the rest of the procedure. 2.Drop to the Affected Side:Hold for 1–2 minutes. Swiftly lie down onto your right side (the affected side). Because your head is turned left, you will end up lying on your side looking up toward the ceiling. Expect strong vertigo. Stay perfectly still for 1 to 2 minutes until the crystals settle. 3.The Rapid Swing:Hold for 1–2 minutes. In one rapid, fluid motion taking less than 2 seconds, swing your entire upper body up and all the way over to your left side. Do not change your head position. You will land on your left side with your face and nose pointing straight down into the bed. Hold this position for 1 to 2 minutes. 4.The Return to Upright:Final Step. Slowly push yourself back up into a normal sitting position on the edge of the bed. Keep your head straight and level. The Epley Maneuver The Epley maneuver is a gradual, sequential rotation. It is excellent for most patients, particularly those who have limited mobility or cannot tolerate rapid, jarring movements. Step-by-Step Procedure 1.Starting Position:Preparation. Sit completely upright on a bed or treatment table. Place a pillow behind you so that when you lie backward, the pillow will rest beneath your shoulders, allowing your head to extend slightly off the edge. 2.The First Turn:Hold for 30–60 seconds. Turn your head 45 degrees to the right. Keep your eyes open. Quickly lie flat on your back so your shoulders rest on the pillow and your head is reclined backward at a 20-degree angle. Vertigo will likely trigger here. Wait for the spinning to completely stop, plus an extra 30 seconds. 3.The Second Turn:Hold for 30–60 seconds. Without raising your head or neck, slowly rotate your head 90 degrees to the left (so you are now looking 45 degrees to the left side). Hold this position until any dizziness subsides, plus an extra 30 seconds. 4.The Body Roll:Hold for 30–60 seconds. Roll your entire body onto your left side, keeping your head turned relative to your torso. Your face should now be angled downward toward the mattress or floor at a 45-degree angle. Hold this position until all spinning stops, plus 30 seconds. 5.The Return to Upright:Final Step. Carefully bring your legs over the edge of the bed and push yourself sideways up into a normal sitting position. Do not look up or down right away; keep your chin slightly tucked. 3. Neck and postural rehabilitation Because cervical dysfunction can amplify dizziness symptoms, care may include: Gentle spinal mobilisation or SMT Deep neck stabiliser strengthening Balance and gaze stability exercises Postural retraining (especially for desk workers and drivers) 4. Education and reassurance Understanding what is happening physiologically is often a major part of recovery. Many patients find that once they understand BPPV is mechanical—not dangerous—the anxiety around symptoms reduces significantly. Is it safe? Yes—when appropriately assessed. Research consistently shows that conservative manual therapies have a strong safety profile, with serious complications being extremely rare (Breen et al., 1999). This is especially important when compared with long-term use of certain medications for dizziness or pain, which carry well-documented risks when used continuously. Safety always begins with proper screening to ensure symptoms are not coming from vascular, neurological, or other systemic causes. A practical care pathway for patients A typical evidence-based approach may look like: Clinical history focusing on the dizziness pattern and triggers Neurological and cardiovascular screening if needed Positional testing (Dix-Hallpike / roll tests) Repositioning manoeuvres if BPPV is confirmed Cervical spine assessment for contributing dysfunction Multimodal rehab plan (manual therapy + exercise + education) Referral if symptoms do not match BPPV patterns or don’t respond as expected When to seek help You should get assessed if you experience: Recurrent spinning when lying down or turning in bed Sudden dizziness when looking up or bending forward Ongoing imbalance after an episode Neck stiffness alongside dizziness Symptoms affecting driving or daily activities How Chiropractic Care May Help At Health Wise Chiropractic, we take a comprehensive approach to posture-related care. Treatment may include: Chiropractic adjustments Postural assessment Soft tissue therapy Corrective exercises Ergonomic advice Laser therapy Shockwave therapy Spinal decompression therapy We focus on addressing both the symptoms and the underlying biomechanical stress contributing to neck dysfunction. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. reference Cole SR, Honaker JA. Benign paroxysmal positional vertigo: Effective diagnosis and treatment. Cleve Clin J Med. 2022 Nov 1;89(11):653-662. doi: 10.3949/ccjm.89a.21057. PMID: 36319052.

Written by Dr Julian Simpson — Chiropractor with 15+ years of experience, Board Member of the Chiropractic Australia Research Foundation, and author/reviewer of 800+ health articles. Why Do Some People Keep Getting Vertigo Back? Understanding Recurrent BPPV and What the Research Really Shows If you’ve ever been hit with sudden spinning dizziness while rolling over in bed, looking up, or bending down to pick something up, you’ll know how unsettling it can be. For many people across Sunbury and Melton, this doesn’t just happen once—it can come back again and again, disrupting work, driving, and even simple things like getting out of bed. This condition is called Benign Paroxysmal Positional Vertigo (BPPV), and despite its intimidating name, it is actually the most common cause of vertigo worldwide. The good news? It’s highly treatable. The frustrating part? For some people, it keeps returning. So what does the latest clinical research actually say about why BPPV recurs—and what can be done about it? Why Vertigo Disrupts Everyday Life For many locals juggling long commutes along the Calder Freeway or Western Highway, BPPV can be more than an inconvenience—it can affect safety, confidence, and quality of life. Typical experiences include: Sudden “room spinning” when turning in bed Dizziness when looking up or down Nausea or imbalance while walking A lingering “off balance” feeling after an episode Even though most episodes are brief, the fear of recurrence often becomes the biggest burden. What’s Actually Happening in BPPV? (In Plain English) Inside your inner ear are tiny calcium carbonate crystals called otoconia. Their job is to help detect gravity and movement. In BPPV: These crystals become dislodged from their normal position They move into one of the balance canals in the inner ear When your head moves, the crystals shift fluid incorrectly This sends a false signal to your brain: “You’re spinning” This mismatch between inner ear signals and vision is what creates the intense vertigo sensation. What the PubMed Research Shows About Recurrence A major systematic review and meta-analysis of 36,646 patients across 60 studies found that while most BPPV cases resolve, recurrence is common and influenced by several measurable risk factors. Key clinical findings include: Females had higher recurrence risk Age over 65 increased risk Diabetes significantly increased the recurrence risk Hypertension and hyperlipidaemia were strongly associated Migraine increased recurrence risk Head trauma history increased recurrence risk Osteopenia/osteoporosis also contributed Long periods of computer use nearly tripled risk Importantly: Around 95% of BPPV cases respond well to canalith repositioning therapy (CRT) However, recurrence rates range from 10–18% within 12 months, and up to 50% over 10 years Why Does BPPV Keep Coming Back? The research suggests recurrence is rarely random. Instead, it appears linked to: Metabolic health factors (blood sugar, cholesterol, vascular health) Inner ear sensitivity or degeneration Musculoskeletal and cervical spine stress Neurological triggers like migraine Postural and lifestyle loads (including prolonged screen use) In simple terms: BPPV is often a systems issue, not just a one-off mechanical fault. Evidence-Based Management: What Actually Works The gold-standard treatment remains canalith repositioning techniques (such as the Epley manoeuvre), which physically guide displaced crystals back to where they belong. However, modern care is increasingly multimodal, meaning it works best when several approaches are combined: A structured, evidence-informed approach may include: Targeted repositioning manoeuvres (CRT) First-line treatment with very high success rates Vestibular and balance rehabilitation Helps retrain the brain’s balance system Reduces sensitivity to movement triggers Lifestyle and posture education Sleep positioning strategies Safe movement patterns during flare-ups Cervical spine assessment Neck dysfunction can sometimes influence balance input Gentle manual therapy may support mobility and proprioception Metabolic health support (in collaboration with GP) Blood sugar, blood pressure, and cholesterol management Why a multimodal approach matters Research consistently shows that combining manual therapy, exercise-based rehabilitation, and education leads to better long-term outcomes than any single approach alone. This is because BPPV is influenced by both mechanical inner ear changes and broader neurological, metabolic, and postural factors—not just one isolated system. Where Chiropractic Care Fits In Modern clinical guidelines show strong support for spinal manipulative therapy (SMT) in musculoskeletal conditions: Around 90% of global clinical practice guidelines support SMT for lower back pain 100% recommend SMT for neck pain (Trager et al., 2024) While BPPV itself is an inner ear condition (not a spinal one), chiropractic care can play a supporting role in selected cases by focusing on: Cervical spine mobility and joint function Reducing neck-related proprioceptive strain Supporting posture and balance integration Coordinating referral pathways for vestibular rehabilitation when needed Importantly, conservative manual therapy has a strong safety profile, with serious adverse events reported as extremely rare in clinical literature (Breen et al., 1999), especially when care is appropriately screened and delivered. What Treatment Looks Like in Practice At Health Wise Chiropractic, a typical supportive care plan for someone with vertigo symptoms may include: A detailed case history (including triggers and medical screening) Movement and balance assessment Cervical spine and postural evaluation Gentle manual therapy where appropriate Vestibular exercise recommendations (home-based) Education on flare-up management and recurrence prevention Referral to GP or ENT if red flags are present The goal is not just symptom relief—but reducing recurrence risk and improving confidence in movement. The Takeaway BPPV is highly treatable, but recurrence is common—especially in people with metabolic, neurological, or musculoskeletal risk factors. The strongest message from the research is this: Most people recover fully with repositioning techniques Recurrence is influenced by whole-body health factors Long-term management works best when care is multidisciplinary and active How Chiropractic Care May Help At Health Wise Chiropractic, we take a comprehensive approach to posture-related care. Treatment may include: Chiropractic adjustments Postural assessment Soft tissue therapy Corrective exercises Ergonomic advice Laser therapy Shockwave therapy Spinal decompression therapy We focus on addressing both the symptoms and the underlying biomechanical stress contributing to neck dysfunction. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. reference Li S, Wang Z, Liu Y, Cao J, Zheng H, Jing Y, Han L, Ma X, Xia R, Yu L. Risk Factors for the Recurrence of Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-Analysis. Ear Nose Throat J. 2022 Mar;101(3):NP112-NP134. doi: 10.1177/0145561320943362. Epub 2020 Aug 10. PMID: 32776833.

Written by Dr Julian Simpson — Chiropractor with 15+ years of experience, Board Member of the Chiropractic Australia Research Foundation, and author/reviewer of 800+ health articles. When the Room Spins: Understanding Vertigo (BPPV) in Children & Teens in Sunbury and Melton The sudden dizziness that catches families off guard For many families across Sunbury and Melton, life is already full of motion—school drop-offs, sport on weekends, and long stretches of driving along the Calder Freeway or Western Highway. So when a child suddenly complains that “the room is spinning,” it can feel alarming and confusing. One of the most common causes behind these brief but intense dizziness episodes is Benign Paroxysmal Positional Vertigo (BPPV). Although more widely known in adults, research shows it also occurs in children and adolescents—sometimes after seemingly minor triggers like head knocks, viral illness, or even no clear cause at all. The reassuring part? It is highly treatable, and most cases improve significantly with the right clinical approach. What the research tells us about childhood BPPV A large body of PubMed research shows that pediatric BPPV, while uncommon, is a recognised vestibular condition affecting children and teens. Key clinical insights: Pediatric vestibular disorders affect roughly 0.4% to 8% of children BPPV may account for up to 1–5% of dizziness cases in children, though some specialist clinics report higher rates due to better testing In larger clinical datasets, girls are slightly more affected than boys (approx. 3:2 ratio) Diagnosis is often delayed, with some studies reporting an average delay of ~170 days Most cases are secondary, often linked to: Head trauma or sports injury Vestibular migraine or migraine tendency Ear infections or labyrinthitis Family history of vertigo conditions The underlying mechanism is well understood: tiny calcium crystals (otoconia) in the inner ear become displaced and move into the semicircular canals. When the head changes position, this creates a false signal of movement—leading to brief but intense spinning sensations. What BPPV looks like in children Unlike adults, children don’t always describe “vertigo” clearly. Instead, parents might notice: Sudden episodes of imbalance or “being off” Fear or distress when moving the head Brief dizziness when rolling in bed, looking up, or bending down Nausea or anxiety during episodes Reluctance to participate in sport or playground activity These episodes are typically short-lived (often under a minute), but can be frightening and repetitive. Why this matters for growing kids in Sunbury & Melton Children in active households—sports clubs, trampoline parks, swimming, and school activities—can unknowingly trigger symptoms more often due to frequent head movement and minor knocks. Add in long car rides along local highways, screen-heavy study habits, and fatigue, and the vestibular system can become more sensitive in susceptible children. What the evidence says about treatment The good news is that pediatric BPPV is one of the most treatable causes of dizziness in medicine. Research consistently shows: Repositioning manoeuvres resolve over 90–95% of cases Most children improve within days to weeks once correctly treated Recurrence can occur, especially in children with migraine tendencies Common evidence-based techniques include: Epley or modified Epley manoeuvre (posterior canal) Semont manoeuvre (alternative repositioning approach) Gufoni or barbecue roll (horizontal canal cases) These procedures physically guide the displaced crystals back to their correct location in the inner ear. Where chiropractic care fits into modern vertigo management While BPPV itself is primarily an inner ear condition managed with repositioning manoeuvres, modern healthcare guidelines strongly support multimodal and collaborative care models for dizziness and musculoskeletal contributors. Clinical Practice Guidelines globally show: Around 90% of guidelines support Spinal Manipulative Therapy (SMT) for lower back pain 100% recommend SMT for neck pain (Trager et al., 2024) Research also consistently shows the best outcomes occur when care is multimodal, combining: Manual therapy (where appropriate) Exercise rehabilitation Patient education Active self-management strategies (Gevers-Montoro et al., 2021; LeFebvre et al., 2012) While SMT is not a primary treatment for BPPV itself, the cervical spine and vestibular system are closely linked. In clinical practice, some children with dizziness may also have: Neck stiffness after falls or sport Postural strain from screens and study habits Co-existing cervicogenic (neck-related) dizziness patterns A safe, structured approach to dizziness in children At Health Wise Chiropractic (Sunbury & Melton), a careful, evidence-informed approach focuses on clarity first—not guesswork. Step-by-step clinical pathway: 1. Detailed assessment Symptom history (timing, triggers, duration) Screening for red flags (neurological or vision changes) Postural and cervical spine assessment 2. Differentiation Distinguish vestibular (inner ear) vs cervical (neck-related) dizziness Identify patterns consistent with BPPV or migraine-related vertigo 3. Appropriate referral when needed ENT or GP referral for formal positional testing (Dix–Hallpike) Imaging or vestibular specialist input if atypical features appear 4. Supportive care plan Neck and postural support strategies (if indicated) Gentle mobility and rehabilitation exercises Lifestyle guidance (hydration, sleep, screen habits, sport load) 5. Long-term prevention focus Balance retraining exercises Education for parents and children on triggers and early signs Monitoring recurrence risk, especially in migraine-prone children Why a combined, multidisciplinary approach matters BPPV in children rarely exists in isolation. Research shows it often overlaps with migraine tendencies, vestibular sensitivity, or post-injury changes. The best outcomes occur when care combines accurate diagnosis, repositioning techniques, postural rehabilitation, and long-term self-management strategies rather than relying on a single modality alone. Safety and reassurance matters It’s important for families to know: Serious complications from conservative manual care are extremely rare Repositioning manoeuvres are non-invasive and highly effective Most children recover fully with appropriate assessment and treatment Early identification reduces anxiety and prevents prolonged symptoms Compared with long-term medication use for dizziness or nausea, conservative care is widely regarded in the literature as a safer frontline option when clinically appropriate (Breen et al., 1999). How Chiropractic Care May Help At Health Wise Chiropractic, we take a comprehensive approach to posture-related care. Treatment may include: Chiropractic adjustments Postural assessment Soft tissue therapy Corrective exercises Ergonomic advice Laser therapy Shockwave therapy Spinal decompression therapy We focus on addressing both the symptoms and the underlying biomechanical stress contributing to neck dysfunction. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. reference Galluzzi F, Garavello W. Benign Paroxysmal Positional Vertigo in Children: A Narrative Review. J Int Adv Otol. 2022 Mar;18(2):177-182. doi: 10.5152/iao.2022.20087. PMID: 35418367; PMCID: PMC9449967.

Written by Dr Julian Simpson — Chiropractor with 15+ years of experience, Board Member of the Chiropractic Australia Research Foundation, and author/reviewer of 800+ health articles. Dizziness? The New Science of Stopping Vertigo Fast We have all been there. You are waking up early for the morning rush-hour commute from Sunbury along the Calder, or navigating the busy roundabouts around Melton, when suddenly the entire room starts spinning. Even something as simple as turning over in bed or bending down to tie your work boots triggers a sickening, brief wave of dizziness. If this sounds familiar, you might be experiencing Benign Paroxysmal Positional Vertigo (BPPV). This specific type of vertigo is caused by tiny, displaced "ear crystals" (otoconia) that slip out of their proper home and float into the fluid-filled semicircular canals of your inner ear. When you move your head, these stray crystals drag through the fluid, sending false "spinning" signals to your brain. The good news? You do not have to just "live with it" or wait weeks for it to clear. Groundbreaking clinical research published in prestigious medical journals has revealed exactly how we can safely nudge those crystals back into place—and there is a new, advanced technique leading the charge. What the Science Says: Epley vs. Semont-Plus For years, the gold-standard treatments for posterior canal BPPV have been physical repositioning movements performed in a clinic. Two famous options boast an incredible 95% clinical success rate: the Epley maneuver and the Semont maneuver. However, a recent multi-center randomized clinical trial published in the Journal of Clinical Medicine closely examined how these movements perform when patients use them as self-treatment programmes at home. The researchers directly compared the traditional Epley maneuver against an updated, biomechanically engineered version called the Semont-Plus maneuver. The key statistics from the study reveal a clear winner for fast relief: Speed of Recovery: Patients practising the Semont-Plus maneuver became completely free of vertigo attacks in a median of just 1 day. The Epley Timeline: Patients using the traditional Epley maneuver took a median of 2 days to find total relief. The Power of Repetition: While a single treatment session performed by a healthcare professional clears vertigo on the spot for over 60% of people, nearly a quarter of them experience a minor recurrence the next morning. This is why the study highlights that performing structured self-maneuvers at home is the ultimate way to lock in your recovery. Why a Multimodal Approach Matters Medical physics models show that the orientation of your inner ear canals relative to gravity is incredibly precise. True, lasting relief rarely comes from a single head tilt. The best clinical outcomes occur when precise physical repositioning is paired with expert patient education, neck function management, and active self-management programmes tailored to your daily life. Your Step-by-Step Recovery Guide If you are diagnosed with a right-sided inner ear issue, the research suggests that a high-frequency home routine—practising your movements 3 times in the morning, 3 times at noon, and 3 times at night—is the most reliable path to clear your head. Here is how the two primary evidence-based procedures are performed for a right-ear issue. Option A: The Advanced Semont-Plus Maneuver The Semont-Plus relies on deliberate, wide-arc momentum to "sling" the loose crystals completely over the crest of your inner ear canal and back to safety. Step 1: Sit completely upright on the edge of your bed. Turn your head 45 degrees to the left (away from your dizzy side). Step 2: Quickly drop your entire torso sideways down onto your right side. Because your head is turned left, you will end up looking slightly up toward the ceiling. Hold this overextended position for 60 seconds while the crystals travel. Step 3: In one swift, fluid motion taking less than 2 seconds, swing your upper body all the way up and over to your left side. Crucially, do not change your head angle—you should land with your nose pointing straight down into the mattress. Hold this position for 60 seconds. Step 4: Slowly bring yourself back up into a normal, level sitting position. Option B: The Modified Epley Maneuver If you suffer from severe neck or shoulder stiffness that makes swift side-to-side swinging difficult, the classic Epley is an excellent, highly controlled alternative. Step 1: Sit upright on your bed with a supportive pillow placed behind you on the mattress. Turn your head 45 degrees to the right. Step 2: Lie straight back quickly so that your shoulders rest flat on the pillow and your head reclines slightly backward over the edge. Stay perfectly still for 30 seconds. Step 3: Without raising your neck, slowly rotate your head 90 degrees to the left (so you are looking 45 degrees to the left side). Hold for 30 seconds. Step 4: Roll your entire body onto your left side, turning your face downward so your nose points toward the floor at a 45-degree angle. Hold for another 30 seconds. Step 5: Use your arms to carefully guide yourself sideways back up into an upright sitting position, slowly returning your head to a neutral, forward-facing view. Ready to Clear the Fog? While self-maneuvers are incredibly powerful, the absolute first step to resolving vertigo safely is securing an accurate clinical diagnosis. Other issues, like neck tension from long drives or complex inner ear imbalances, require very different management strategies. If you are tired of the room spinning and want to optimise your balance, let our local teams help. Step off the highway and visit the experienced practitioners at Health Wise Chiropractic in Sunbury or Melton for a comprehensive assessment and a structured, evidence-based roadmap back to health. How Chiropractic Care May Help At Health Wise Chiropractic, we take a comprehensive approach to posture-related care. Treatment may include: Chiropractic adjustments Postural assessment Soft tissue therapy Corrective exercises Ergonomic advice Laser therapy Shockwave therapy Spinal decompression therapy We focus on addressing both the symptoms and the underlying biomechanical stress contributing to neck dysfunction. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. reference Strupp M, Mandala M, Vinck AS, Van Breda L, Salerni L, Gerb J, Bayer O, Mavrodiev V, Goldschagg N. The Semont-Plus Maneuver or the Epley Maneuver in Posterior Canal Benign Paroxysmal Positional Vertigo: A Randomized Clinical Study. JAMA Neurol. 2023 Aug 1;80(8):798-804. doi: 10.1001/jamaneurol.2023.1408. PMID: 37358870; PMCID: PMC10425825.

📱 Kids, Screens & Growing Bodies: What New Research Says About Posture and Eye Health Screens are everywhere — tablets at school, phones at home, laptops for homework, and streaming in between. And while technology can be incredibly helpful, a new 2024 scoping review has raised an important question: 👉 How is prolonged screen time impacting children’s posture, eyesight, and development? The review analysed 27 studies from 2019–2024, looking at how smartphones and tablets affect kids aged 6–18. The results give parents, carers, and health professionals plenty to think about. 👁️ Visual Health: More Screen Time = More Eye Problems One of the clearest findings from the research is the rise in myopia (short-sightedness) among young people. Several studies show: 📈 Up to a 30% increase in myopia linked to smartphone use 📈 An 80% increase linked to computer use 👧 Higher rates in girls 🏙️ Higher rates in urban areas 🧒 Myopia increasing with age and school demands But it doesn’t stop at blurry vision. Kids also experience: Eye strain Irritation or burning Blurred vision Headaches Computer Vision Syndrome (a mix of visual and neck symptoms) One study found 60% of kids who used their phone for just 1+ hour reported eye fatigue. A big contributor?👉 Screens often replace outdoor time — and natural light is essential for healthy eye development. 🏃 Postural Health: Screens Change How Kids Sit, Stand & Grow The review shows a strong connection between prolonged screen use and musculoskeletal pain, especially in the: Neck Shoulders Upper back Lower back Researchers found that sustained screen time often leads to: Forward head posture Increased neck flexion Reduced lumbar lordosis (the natural curve of the low back) Poor pelvic alignment Spinal asymmetry More sitting and less movement Some studies also linked screen time to nonspecific low back pain in kids as young as six who used screens for 3+ hours a day. During the COVID-19 pandemic, when school moved online: Smartphone addiction went up 53% Kids were using screens an average of 6.8 hours per day The most common complaints?👀 Eye problems (39.7%)🦴 Neck pain (39.1%) 🧠 More Than Posture & Eyes: Screens Affect Brain Development Too The review also highlighted neurodevelopmental concerns such as: Shorter attention span Irritability Behavioural changes Delayed language acquisition Poor sleep Reduced social skills Early screen exposure, especially without supervision or limits, can disrupt stages of neurological development described by Piaget. 📍 The Strongest Overall Message Studies from Asia, Europe, Oceania, and the Americas all showed the same trend: Prolonged screen time negatively affects kids’ visual health, posture, and overall wellbeing. And these effects have grown dramatically since the COVID-19 pandemic. 🛡️ So What Can Parents Do? Here are research-supported strategies: 🧒 1. Follow the “3–6–9–12 Rule” Created by French psychiatrist Serge Tisseron: Under 3: No screens 3–6: Limited supervised use 6–9: No personal devices 9–12: Regulated internet use 12+: Gradual independence with supervision ⏱️ 2. Use the 20-20-20 rule for eye breaks Every 20 minutes:👉 Look 20 feet away (6 metres)👉 For 20 seconds 🧘 3. Encourage posture-friendly habits Keep screens at eye level Support the lower back Avoid long periods of looking down Use chairs with proper back support Take movement breaks every 30–40 minutes 🌳 4. Prioritise outdoor time 30–90 minutes of natural light daily reduces the risk of developing myopia. 🛏️ 5. No screens before bed Screens disrupt melatonin production and sleep quality. 👨‍👩‍👧 6. Active supervision Guidelines from UNICEF emphasise co-viewing and helping kids navigate digital life safely. 🏥 How Healthwise Chiropractic Can Help We see the effects of screen time every day — sore necks, headaches, rounded shoulders, and reduced spinal movement in kids and teens. Our care plans support: Better posture Healthier spinal development Reduced pain from screen-related strain Advice for families on ergonomics and screen habits Vision–posture link assessments (yes, it’s all connected!) If your child is experiencing eye strain, headaches, neck pain, shoulder tension, or poor posture, a chiropractic assessment can help identify early signs and create a plan to support their growth. Neck Pain Chiropractor Q: What causes neck pain that chiropractors treat?Common causes include poor posture, desk work, whiplash, and muscle tension. Q: How does chiropractic care relieve neck pain?Through gentle spinal adjustments, soft tissue therapy, and posture correction. Q: Is it safe to adjust the neck?Yes, when performed by a qualified chiropractor, neck adjustments are safe and effective. Q: Can chiropractic help with tech neck?Absolutely — chiropractic care can ease strain from long hours at computers or devices. For more information about how we can help YOU with your neck pain and improve your underlying dysfunction so the problem doesn’t come back . Please call Health Wise Chiropractic 03 9467 7889 or book online to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Ellis Sandoval N, Peña Martinez MI, Fernandez Cea AB, Hernandez Rincon EH. Effects on Prolonged Screen Time on Postural Health and Visual Health in Children and Adolescents: A Scoping Review. Orthop Res Rev. 2025 Nov 19;17:553-562. doi: 10.2147/ORR.S519541. PMID: 41292679; PMCID: PMC12641052.