Optimizing Benign Paroxysmal Positional Vertigo (BPPV) Management with Direct Primary Care (DPC): A Guide

Updated on: September 15, 2023

A benign paroxysmal positional vertigo (BPPV) occurs when the head is moved in certain ways and causes repeated episodes of dizziness or vertigo. Vertigo is the sensation that you or your surroundings are spinning or moving. A person with BPPV usually experiences vertigo when their head moves, tilts, lies down, turns over, or gets up. BPPV is the most common cause of vertigo and is a common complaint among primary care physicians.

Small calcium carbonate crystals (otoconia) normally found in another part of the ear break free and enter the semicircular canals, which sense head movement with fluid. By blocking the flow of fluid in the canals, crystals cause the brain to receive false signals about the head's position, resulting in vertigo when the eyes see something different from what the inner ear senses.

Symptoms of BPPV include:

  • Dizziness

  • A sense that you or your surroundings are spinning or moving (vertigo)

  • A loss of balance or unsteadiness

  • Nausea

  • Vomiting

  • Blurred vision

  • Lightheadedness

It usually lasts less than one minute for BPPV symptoms to appear and go. It can cause mild or intense symptoms depending on the severity of the condition. The symptoms can also vary from person to person, but they are almost always caused by a change in head position. Standing or walking may also leave some people feeling out of balance.

In some cases, additional tests may be needed to rule out other conditions that can cause facial paralysis, including stroke, tumor, infection, or injury. BPPV can be diagnosed by a physical examination and medical history. The most common test for BPPV is the Dix-Hallpike maneuver, which involves moving the head in different directions and observing the eye movements and vertigo response.

According to the type and location of crystals in the ear, BPPV can be treated differently. It is most effective to move the crystals out of the semicircular canals and into a less sensitive area of the ear using a series of head movements called canalith repositioning maneuvers, or Epley maneuvers. Usually, these maneuvers are performed by a physician or a physical therapist in a clinic setting, but they can also be taught to patients at home. Medication, surgery, or vestibular rehabilitation exercises are also options for treating BPPV.

There are, however, many obstacles to accessing quality primary care, including high costs, long wait times, and a lack of insurance coverage for people with BPPV. If these challenges prevent them from getting regular follow-ups and monitoring, their condition may be delayed in diagnosis or treatment. Direct primary care (DPC) is a model of primary care that can help people with BPPV manage their condition more conveniently and effectively.

How DPC Can Help Manage Your Benign Paroxysmal Positional Vertigo

In exchange for a monthly or annual fee, primary care physicians are able to offer their services directly to their patients through direct primary care (DPC), without an insurance company in the middle. It covers all or most primary care services, such as consultations, exams, care coordination, and some lab services, with no additional charge at the time of service.

People with BPPV can benefit from DPC in several ways:

  • You will receive more time and attention from your physician as a result of DPC. Since DPC physicians typically have fewer patients than traditional primary care physicians, they are able to spend more time with each patient. You can then receive a more accurate and fast diagnosis of BPPV, as well as a customized treatment plan tailored to your needs and preferences.

  • A DPC practice offers more convenience and accessibility, as well as extended hours, same-day appointments, and minimal wait times. Telehealth services, such as phone calls, emails, or video chats, allow patients to access care anywhere, anytime. Getting timely advice and support for your BPPV symptoms can help you avoid unnecessary trips to the clinic.

  • DPC practices do not accept insurance or participate in government programs, so they do not have to deal with the bureaucracy and paperwork that can inflate health care costs. Moreover, they provide upfront and clear pricing, so that you know exactly what you are paying for and what you are getting. This can help you save money on your BPPV care, as well as avoid unexpected bills.

The Benefits of DPC for Benign Paroxysmal Positional Vertigo Patients

It is possible to improve your health and well-being by choosing DPC for your BPPV care:

  • By providing high-quality care tailored to your needs and preferences, DPC can help you achieve better outcomes for your BPPV. Also, DPC offers continuity of care, which means you can build a trusting and lasting relationship with your doctor who knows your medical history and understands your goals. Your overall health and wellness can be improved by doing this, as well as preventing complications or recurrences of your BPPV.

  • By giving you more control and choice over your health care decisions, DPC can help you achieve greater satisfaction with your BPPV care. You can select a physician who matches your personality and values, and who respects your autonomy and privacy. Your physician can also be contacted in person, over the phone, or online in the way that works best for you. As a result, you may feel more empowered and engaged in your health care journey, as well as more comfortable and confident about your BPPV care.

  • Providing you with more convenience and flexibility for your BPPV care can help you enhance your quality of life. When you need care, wherever you need it, and how you need it, you won't have to worry about insurance or bureaucracy hassles or expenses. Additionally, you can enjoy greater peace of mind knowing that your doctor is always there to help and care for you. As a result, your emotional and mental health will improve as well as your stress and anxiety related to your BPPV condition.

Personalized Benign Paroxysmal Positional Vertigo Management in DPC

Here are some steps you can take if you want to explore DPC for your BPPV management:

  • Check out online directories and websites to find DPC practices in your area that offer the services and amenities you need. You can also ask family or friends who have experience with DPC for recommendations.

  • Make contact with the DPC practice of your choice and schedule a consultation. You can learn more about the DPC model and how it works by meeting the physician and staff, touring the facility, and learning more about the DPC model. You can also ask any questions you have about the membership fee, the included services, the cancellation policy, and the privacy policy.

  • Get started with your BPPV care by joining a DPC practice. Once you join a DPC practice, you will be able to sign a contract outlining the terms and conditions of your membership. Then, you will receive care for your BPPV and any other primary care needs you may have. If you are not satisfied with the service or the results, you may cancel your membership at any time.

You can invest in your health and reap the rewards of better outcomes, greater satisfaction, and enhanced quality of life by choosing DPC for your BPPV management. The DPC team can help you manage your BPPV condition so that you live a happier and healthier life.

Published on: July 24, 2023
Doctors that manage benign paroxysmal positional vertigo
  • Riffat H. Qadir, Concierge ENT in Uniontown
    Riffat H. Qadir, MD, FACS
    Concierge ENT
    Uniontown, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
  • Narendra Desai, Concierge ENT in Gurnee
    Narendra Desai, MD
    Concierge ENT
    Gurnee, Illinois
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
  • John W. Miller, Concierge ENT in Lancaster
    John W. Miller, MD
    Concierge ENT
    Lancaster, Pennsylvania
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
  • Maria F. Kuzio, Concierge ENT in Lancaster
    Maria F. Kuzio, PA-C
    Concierge ENT
    Lancaster, Pennsylvania
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
  • Jennifer Dankel, Concierge ENT in Lancaster
    Jennifer Dankel, PA-C
    Concierge ENT
    Lancaster, Pennsylvania
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
  • Victor M. Da Costa, Concierge ENT in Lancaster
    Victor M. Da Costa, MD
    Concierge ENT
    Lancaster, Pennsylvania
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
  • Steven N. Dorf, Concierge ENT in Lancaster
    Steven N. Dorf, DO
    Concierge ENT
    Lancaster, Pennsylvania
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
  • Daniel A. Barker, Concierge ENT in Chattanooga
    Daniel A. Barker, MD
    Concierge ENT
    Chattanooga, Tennessee
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending