What is PPPD?

PPPD is defined as persistent non- vertiginous dizziness or unsteadiness lasting for 3 months or more. Symptoms are present most days and may increase through the day but more also vary in intensity. Flare ups may occur spontaneously or with sudden movement.

What are the symptoms?

Usually, if you are affected you will feel worse when upright, when your head is moving or when you are exposed to busy visual environments especially when things are moving around you.

Typically you may have had either a preceding occurrence of acute vestibular dysfunction, balance-related problems or a period of severe stress. Symptoms may initially be intermittent but may become more constant over time.

Precipitating events may include vestibular syndromes, neurologic or medical illnesses or acute psychological distress.

Symptoms may include dizziness or unsteadiness but vertigo is not of a ‘spinning’ type. Often there is some history of anxiety or depression.

How common is PPPD?

PPPD is one of the most common causes of chronic vestibular syndromes. It can occur at any age but is most common between 40 and 50 years old and 65% of the time occurs in women.

If present for long periods you may become very visually dependent for your balance due to changes in connectivity and structure.

What treatment is available?

It is believed that in this disease your brain has responded to an acute illness but has made maladaptive strategies. While the symptoms are physical, the factors limiting recovery are predominantly psychological. Physical Treatment includes a combination of medication, cognitive behavioural therapy and vestibular and balance therapy. Your team will usually include your Physiotherapist, Psychologist and GP. The process commonly takes 3- 6 months for symptoms to settle.