If your vertigo is caused by inner ear crystals (BPPV — benign paroxysmal positional vertigo), the goal is to move the tiny calcium carbonate particles (otoconia) back to where they belong. The most effective treatments are repositioning maneuvers rather than medicines.
1. Try a canalith repositioning maneuver (Epley maneuver)
The Epley maneuver is commonly used to treat BPPV. It involves a sequence of head and body positions that helps guide the crystals out of the balance canal.
A typical sequence (for the affected side) is:
- Sit on a bed and turn your head 45° toward the affected ear.
- Quickly lie back with your shoulders on the pillow and your head slightly tilted back. Stay for about 30–60 seconds.
- Turn your head 90° to the opposite side and wait 30–60 seconds.
- Roll onto your side in the same direction, so your nose points downward. Wait 30–60 seconds.
- Slowly sit back up.
Because the correct side matters, it is best to have BPPV confirmed by a clinician or vestibular therapist before repeatedly doing maneuvers.
2. Reduce symptoms while it settles
- Move your head slowly and avoid sudden position changes.
- Sit on the edge of the bed before standing.
- Avoid bending down quickly; squat instead if needed.
- Sleep well and stay hydrated.
- Avoid driving or risky activities if you feel spinning or unsteady.
3. If symptoms continue
A vestibular physical therapist or ENT specialist can:
- Confirm whether it is BPPV.
- Identify which ear and canal are affected.
- Perform the correct repositioning maneuver.
- Teach balance exercises if dizziness remains.
Seek medical care urgently if vertigo comes with:
- Weakness, numbness, facial drooping, trouble speaking, or confusion
- Severe new headache
- Fainting
- Chest pain
- New hearing loss
- Difficulty walking or controlling movements
If you tell me your symptoms (for example: does the room spin when you turn in bed, which side triggers it, how long each episode lasts, and whether you have ear ringing/hearing loss), I can help you determine whether it sounds like BPPV or another cause of vertigo.
