09/02/2026
One of the things I check on every concussion eval: does the dizziness pattern actually match the story?
Most of the time, it does. But every so often, a patient describes classic concussion symptoms — until we get to positional testing, and suddenly rolling over in bed or looking up at a shelf sets off a spinning sensation that's a different kind of dizzy than the rest of their symptoms.
That's a red flag worth chasing — not because something's wrong, but because it usually means there are two things going on, not one. In cases like this, we're often looking at BPPV (a mechanical inner-ear issue) riding alongside the concussion — and BPPV is one of the few dizziness causes that can often be resolved in a single visit with the right repositioning maneuver.
This is exactly why we don't treat "dizziness" as one thing. The eval has to ask what kind of dizzy, and when — because the answer changes the plan.
📍 Hackensack, NJ | Bergen County
