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BPPV — the most common cause of vertigo — occurs when calcium crystals in the inner ear migrate into the semicircular canals. The Epley repositioning maneuver combined with SOT cranial adjusting resolves most cases rapidly.
Benign paroxysmal positional vertigo (BPPV) is caused by otoconia — calcium carbonate crystals from the utricle — dislodging and entering the semicircular canals of the inner ear. When the head moves in certain directions, these crystals displace fluid in the canal, sending false movement signals to the brain and triggering intense spinning vertigo. Episodes are typically brief (less than one minute) and triggered by specific position changes such as rolling over in bed, looking up, or bending forward. The posterior semicircular canal is most commonly affected.
The Epley canalith repositioning procedure is highly effective for BPPV and is performed in-office by Dr. Foss. The head is guided through a specific sequence of positions to move the displaced crystals out of the affected canal and back to the utricle. SOT cranial adjusting addresses concurrent cranial bone distortions — particularly temporal bone dysfunction — that can perpetuate or worsen BPPV. Most patients experience complete resolution within one to three visits. Cervical adjusting reduces associated neck tension that compounds dizziness.
At Pura Vida Chiropractic, Dr. Foss uses Sacro-Occipital Technique (SOT) — a gentle, category-based system that addresses the spine, pelvis, and craniosacral rhythm as one integrated unit. SOT restores proper biomechanics, reduces nerve interference, and creates the neurological environment your body needs to heal itself.
Pura Vida Chiropractic is a family-friendly, bilingual (English/Spanish) clinic serving San Antonio, TX. Dr. Dan Foss is trained in Sacro-Occipital Technique (SOT), a comprehensive chiropractic system that addresses the whole body — not just the area of pain. We combine hands-on spinal correction with the latest regenerative technology to help patients resolve the root cause of their condition rather than masking symptoms.
We are insurance friendly. Bring your insurance card and ID to the office to verify how your insurance can contribute to your care. New patient appointments are available promptly.
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BPPV occurs when calcium carbonate crystals (otoconia) become displaced from the utricle into the semicircular canals of the inner ear, producing brief but intense vertigo triggered by specific head positions. It's the most common cause of vertigo and is highly treatable.
Dr. Foss performs the Epley maneuver (canalith repositioning) — the established treatment for BPPV — and addresses any concurrent upper cervical dysfunction that often coexists with BPPV. Most BPPV resolves within 1–3 Epley maneuvers combined with cervical correction.
Most BPPV resolves within 1–3 visits. Recurrent BPPV (some patients have repeated episodes) may benefit from ongoing cervical care to maintain stable vestibular function. Cases that don't respond to Epley warrant ENT evaluation.
Yes. The Epley maneuver is the established standard of care for BPPV and has an excellent safety profile. SOT cervical adjustment is gentle and well-tolerated. Dr. Foss screens for central vestibular pathology before treating positional vertigo as BPPV.
Schedule your new patient appointment with Dr. Foss at Pura Vida Chiropractic in San Antonio, TX. We'll identify the root cause and build a personalized care plan.
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