Common signs of BPPV
- A spinning sensation when turning over in bed, looking up, bending down, or changing head position
- Episodes that usually last seconds to a minute
- Nausea or unsteadiness may occur
- Hearing is usually normal (hearing loss is not typical of BPPV)
Treatments that can help
1. Canalith repositioning maneuvers
These are movements designed to guide the loose crystals back into place. The most commonly used is the Epley maneuver, usually performed by a healthcare professional, but some people are taught how to do it safely at home after diagnosis.
2. Vestibular rehabilitation
A physical therapist trained in balance disorders can provide exercises to improve dizziness and balance.
3. Move carefully during episodes
- Sit up slowly from bed.
- Avoid sudden head movements until symptoms improve.
- Use support if you feel unsteady to reduce fall risk.
When to get medical help
Seek medical advice if:
- Vertigo is new, severe, or persistent
- You have weakness, numbness, trouble speaking, severe headache, fainting, or vision changes (possible emergency signs)
- You have new hearing loss, ear pain, or fluid from the ear
- Episodes keep returning
Avoid putting drops, oils, or “ear-cleaning” remedies into the ear—BPPV is usually a problem of the inner ear balance system, not earwax or the ear canal.
If you describe what triggers your vertigo (for example, rolling in bed, looking up, standing up, or it happening constantly), I can help narrow down whether it sounds like BPPV or another cause.
