We often are asked if there is anything a person can do to prevent BPPV from coming back. To date there is no evidence that doing a maneuver will prevent all recurrences. A recent study in 2008 (Daily exercise does not prevent recurrence of benign paroxysmal positional vertigo. Otology and Neurotology) demonstrated this fact but lacked, in my opinion, sufficient numbers of patients to end the debate. It certainly would intuitively seem to make sense that a prophylactic maneuver would prevent, at least some, recurrences.
There are, however, factors which make dizziness worse. Age, head trauma and inner ear infections are risk factors for BPPV. Stress, depression, caffeine and alcohol make the experience of dizziness worse also. Any inner ear condition like Menieres disease has also been associated with an increased risk of BPPV.
So, what can be done? Reduce stress where possible and avoid medications or drugs to reduce possible side effects. Prophylactic maneuvers have thus far not demonstrated efficacy but they don’t hurt either. I’d be interested to hear if anyone is having any luck at prevention themselves.
As usual – discuss all medical issues with your own physician.