The most commonly used maneuver is the Epley maneuver. When performed correctly for the affected ear, it relieves symptoms in many people after one or a few treatments. A healthcare professional can determine which ear and which part of the inner ear is affected and show you the correct technique. In some cases, other repositioning maneuvers, such as the Semont maneuver, may be more appropriate.
To reduce vertigo symptoms:
- Move slowly when getting out of bed or turning your head.
- Sleep with your head slightly elevated for a night or two after treatment if your clinician recommends it.
- Stay well hydrated.
- Avoid driving or climbing ladders while you’re having active vertigo episodes.
- If symptoms persist after successful repositioning, a healthcare provider may recommend vestibular rehabilitation therapy.
It’s important to make sure BPPV is actually the cause. Vertigo can also result from conditions such as Ménière’s disease, Vestibular neuritis, migraines, or, less commonly, a stroke. Those conditions require different treatments.
You should seek urgent medical evaluation if your dizziness is accompanied by:
- Sudden weakness or numbness on one side
- Difficulty speaking or understanding speech
- Double vision or loss of vision
- Severe headache unlike your usual headaches
- Difficulty walking that is severe or persistent
- Loss of consciousness
If your dizziness occurs only when you roll over in bed, look up, or bend down and lasts less than a minute each time, BPPV is more likely.
Can you describe:
- What triggers the vertigo (rolling in bed, standing up, turning your head, etc.)?
- How long each episode lasts (seconds, minutes, or hours)?
- Whether you have hearing loss, ringing in the ears, or ear fullness?
