What are “ear crystals”?
The inner ear contains tiny crystals called otoconia that help with balance. In BPPV, some crystals become displaced into a semicircular canal, causing brief episodes of vertigo when you change head position.
Common symptoms of BPPV
- Brief spinning sensation when rolling over in bed
- Vertigo when looking up or bending over
- Nausea
- Balance problems
How BPPV is treated
A healthcare professional may perform repositioning maneuvers, such as the:
- Epley maneuver
- Semont maneuver
These use a series of head and body movements to guide the crystals back into place.
Can you do exercises at home?
Some people are instructed by a clinician to perform repositioning maneuvers at home. However:
- The correct maneuver depends on which ear and canal are affected.
- Performing the wrong maneuver may not help and can worsen symptoms temporarily.
What may help reduce vertigo symptoms
- Move slowly when changing positions.
- Sit up for a moment before standing.
- Avoid sudden head movements during active episodes.
- Stay hydrated and get adequate rest.
🚨 Seek medical evaluation if you have:
Vertigo accompanied by:
- Weakness or numbness
- Difficulty speaking
- Double vision
- Severe headache
- Fainting
- Hearing loss that is new or worsening
These symptoms may indicate something more serious than BPPV.
Bottom line
The most effective treatment for BPPV is usually a canalith repositioning maneuver, often the Epley maneuver, performed by or under the guidance of a healthcare professional. The crystals are not dissolved or removed—they are repositioned so they stop triggering vertigo.
