Ways that may help
1. Try a repositioning maneuver (for BPPV)
The most common treatment is the Epley maneuver, which uses specific head and body movements to guide the crystals back into place. It is often effective, but it works best when the affected ear and diagnosis are identified correctly.
A typical Epley maneuver involves:
- Sitting upright and turning your head about 45° toward the affected side.
- Quickly lying back with your head slightly tilted back.
- Holding the position while symptoms pass.
- Moving through a sequence of head turns and body positions before sitting up again.
Because the correct steps depend on which ear is affected, it can be helpful to have a healthcare professional demonstrate it first—especially if you have neck or back problems.
2. Move carefully during episodes
- Sit or lie down when dizziness starts.
- Avoid sudden head movements.
- Get up slowly from bed.
- Use support if you feel unsteady.
3. Consider vestibular rehabilitation
A physical therapist trained in balance disorders can teach exercises that help reduce dizziness and improve balance.
When to get medical help
Seek urgent care if vertigo occurs with:
- Weakness or numbness on one side
- Trouble speaking
- Severe headache
- Chest pain
- Fainting
- New hearing loss
- Difficulty walking that is severe or persistent
Also see a healthcare professional if:
- This is your first episode of vertigo.
- Symptoms last a long time rather than seconds to minutes.
- Vertigo keeps returning.
- You are unsure whether it is BPPV.
BPPV is often treatable, but not every type of vertigo is caused by inner ear crystals. A correct diagnosis is important before trying repeated maneuvers.
