How to get the crystals back into place
The most effective treatment is a series of head and body movements called canalith repositioning maneuvers. The most commonly used is the Epley maneuver.
A healthcare professional (such as an ENT specialist, vestibular therapist, or physical therapist) can perform these maneuvers and determine which ear and canal are affected. Many people experience significant improvement after one or a few treatments.
What you can do
- See a healthcare professional for a proper diagnosis, since not all vertigo is caused by BPPV.
- If BPPV is confirmed, ask about the Epley maneuver or other repositioning maneuvers such as the Semont maneuver.
- Move carefully during active episodes to reduce the risk of falls.
- Stay hydrated and get adequate rest.
When to seek urgent medical care
Vertigo can sometimes be caused by more serious conditions. Seek immediate medical attention if vertigo occurs with:
- Weakness or numbness on one side of the body
- Difficulty speaking
- Double vision
- Severe headache
- Loss of consciousness
- New hearing loss
Important note
There is no medication that “dissolves” or removes the crystals. The goal is to guide them back to the area of the inner ear where they belong. Medications may help with nausea in some cases, but they do not correct the underlying crystal displacement.
If you describe:
- your age,
- how long the vertigo lasts,
- whether it happens when turning over in bed or looking up,
- and whether you have hearing loss or ringing in the ears,
I can help determine whether BPPV is a likely cause and explain the appropriate maneuver in more detail.
