How are the crystals “got rid of”?
The crystals usually aren’t removed. Instead, they are guided back to the part of the inner ear where they belong using specific head and body movements called canalith repositioning manoeuvres.
The best-known is the Epley manoeuvre, which is highly effective for the most common type of BPPV. Many people improve after one or a few treatments, though symptoms can recur.
Other manoeuvres may be used depending on which semicircular canal is affected, such as the Semont manoeuvre or the Barbecue roll manoeuvre.
Can you do these at home?
Some people perform the Epley manoeuvre at home after a healthcare professional has confirmed that BPPV is the cause of their vertigo and identified the affected ear. Using the wrong manoeuvre or treating the wrong ear is unlikely to help and may make symptoms worse temporarily.
What else can help?
- Move slowly when getting in or out of bed.
- Sit on the edge of the bed for a moment before standing.
- Avoid situations where sudden vertigo could be dangerous, such as climbing ladders or driving until symptoms are controlled.
- If symptoms persist, a healthcare professional may recommend vestibular rehabilitation exercises.
When should you seek urgent medical care?
Vertigo is not always caused by BPPV. Get urgent medical attention if vertigo is accompanied by:
- Weakness or numbness on one side.
- Difficulty speaking.
- Double vision or sudden vision loss.
- Severe new headache.
- Chest pain.
- Fainting.
- Difficulty walking that doesn’t improve.
- Hearing loss in one ear that develops suddenly.
These symptoms can indicate a more serious condition, such as a stroke or another neurological problem.
If your dizziness lasts more than a few weeks, keeps returning, or you’re unsure of the cause, it’s a good idea to see a healthcare professional for an evaluation. Proper diagnosis is important because the treatment depends on the underlying cause of the vertigo.
