The good news: BPPV is often treatable, and many people improve with specific repositioning exercises.
Common Symptoms of BPPV
You may notice:
- A sudden spinning sensation when turning your head
- Vertigo when getting out of bed
- Dizziness when looking up or down
- Nausea
- Loss of balance
- Episodes that usually last seconds to a minute
BPPV typically does not cause constant dizziness all day.
1. The Epley Maneuver (Most Common Treatment)
The Epley maneuver is a series of head and body movements designed to guide the loose crystals back to their normal position.
A healthcare professional can identify the affected ear and perform it correctly. Some people also learn to do a home version after diagnosis.
General idea:
- Sit on a bed and turn your head about 45° toward the affected side.
- Quickly lie back with your head slightly tilted backward.
- Wait while the dizziness settles.
- Move your head to the opposite side.
- Roll onto your side while keeping your head positioned.
- Slowly sit up.
Because the correct direction depends on which ear is affected, doing the wrong side may not help.
2. Brandt-Daroff Exercises
These exercises are sometimes used when symptoms keep returning.
Basic method:
- Sit upright on the edge of a bed.
- Turn your head slightly.
- Quickly lie on your side.
- Stay there until dizziness improves.
- Return to sitting.
- Repeat on the other side.
They may help the brain adapt and can be useful for some people, but they may not work as quickly as repositioning maneuvers.
3. Avoid Triggering Movements Temporarily
During an active episode:
- Move your head slowly
- Sit up gradually from bed
- Avoid sudden bending or looking upward
- Use support when walking if you feel unsteady
However, avoiding all movement for long periods may slow recovery.
4. Stay Hydrated and Support Balance
While dehydration does not cause “crystals,” it can worsen feelings of dizziness.
Helpful habits:
- Drink enough fluids
- Sleep well
- Avoid excessive alcohol
- Manage stress
5. See a Healthcare Professional If Needed
A doctor, ENT specialist, or vestibular physiotherapist can:
- Confirm whether it is BPPV
- Identify the affected ear
- Perform repositioning treatment
- Check for other causes of dizziness
Seek Urgent Medical Help If Vertigo Comes With:
🚨 Weakness or numbness on one side
🚨 Trouble speaking
🚨 Severe headache
🚨 Fainting
🚨 Chest pain
🚨 New hearing loss
🚨 Difficulty walking that is severe or sudden
These symptoms may suggest conditions other than BPPV.
