Understanding PPPD: Persistent Postural Perceptual Dizziness

Have you ever found yourself constantly feeling dizzy? Are you unsteady on your feet even when all your medical tests are showing “normal” results? Do you feel particularly dizzy when you're in crowds? You might be dealing with a condition known as Persistent Postural Perceptual Dizziness or PPPD.

What is PPPD?

PPPD is a chronic functional disorder of the vestibular system. This is the system in our bodies that helps us maintain balance. When this system is not functioning correctly, it can result in a range of symptoms, including dizziness, unsteadiness, and problems with coordination.

Typically, a person with PPPD may feel dizzy almost all the time, and this dizziness usually increases in complex environments or when performing certain tasks. For example, they may feel particularly dizzy in a crowded place or when trying to focus on multiple things at once.

One of the most frustrating aspects of PPPD is that tests often come back “normal”. This is because the issue is not with any specific part of the vestibular system, but with how the brain is processing the information it receives from this system. As a result, standard tests may not pick up on the problem.

Coping with PPPD

Living with PPPD can be challenging, but there are ways to manage the condition and improve your quality of life. Treatment usually involves a combination of medication, physical therapy, and cognitive-behavioral therapy.

Medication can help control the symptoms of PPPD, while physical therapy can help improve balance and coordination. Cognitive-behavioral therapy can help you learn ways to cope with the condition and reduce the impact it has on your daily life.

Overall, the goal of treatment is not just to reduce symptoms but to help individuals with PPPD regain control over their lives. If you think you may be dealing with PPPD, it's important to seek medical advice. With the right help and support, you can manage your symptoms and lead a full and active life.

Where to Get Help?

Finding a local certified vestibular therapist is the preferred method of treatment. However, it is often difficult to find a knowledgeable vestibular therapist. Trust me, all Physical Therapists and Vestibular Therapists are not created equal. Keep searching until you find someone who fits with your personality and comfort level. Use the website at VEDA, Vestibular Disorders Association, to find a local vestibular provider near you. If there is no one locally or you would like to take your vestibular therapy to the next level after discharge, I offer virtual vestibular coaching world wide! Click on the link below to learn more about the program.



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