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Benign Paroxysmal Positional Vertigo (BPPV)

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Conditions

How the Epley Manoeuvre Can Help

Vertigo can be worrying, but you don’t have to manage it alone. Our physiotherapists are here to help and support you. With the right assessment, diagnosis and the appropriate treatment, BPPV can often be resolved quickly, safely and effectively.

Common symptoms include:
  • Brief spinning sensations, especially when lying down or rolling over in bed
  • Dizziness when moving your head
  • Nausea
  • Feeling off-balance
  • Symptoms lasting seconds (but can feel longer!)
  • Can affect your ability to do everyday tasks, driving and working
  • Feeling generally groggy / ‘a bit off’ between dizziness episodes
If you think you may have BPPV, contact our clinic to book an assessment with our physiotherapists.

(WITH ANY NEW SYMPTOMS PLEASE CONSULT YOUR GP FIRST, ESPECIALLY IF YOU HAVE ANY ADDITIONAL SYMPTOMS SUCH AS PERSISTENT HEADACHE, NEUROLOGICAL CHANGES, HEARING LOSS, OR CONTINUOUS DIZZINESS)
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Treatments

BPPV is a condition that affects the inner ear. Inside your ear are tiny calcium crystals that help your brain understand where you r head is in relation to the rest of your body. It’s an important part of your balance system.

Sometimes, these crystals can shift and block part of the inner ear. When this happens, certain head movements, result in spinning and dizziness (vertigo)

Common Symptoms:

  • Brief spinning sensation when rolling in bed
  • Dizziness when looking up or bending down
  • Nausea
  • Feeling off-balance
  • Symptoms lasting seconds (but can feel longer!)
At Cheadle Osteopathy and Physiotherapy, we assess your symptoms using specific positional tests to determine:

  • Whether it is BPPV
  • Which inner ear canal is involved
  • Determine the best treatment options and make any referrals if appropriate
The Epley manoeuvre is a gentle, guided repositioning technique designed to move the displaced crystals back to where they belong in the inner ear.

It involves a sequence of specific head and body movements performed by our skilled physiotherapists.

Following diagnostic testing, if the physiotherapist feels the technique is appropriate it can be performed during your treatment.

The Epley manoeuvre – What to expect:

  • The physiotherapist will explain each step
  • The Epley manoeuvre Only takes a few minutes
  • Often provides immediate or rapid improvement
  • May need repeating 1–3 times (many patients feel better after just one session)
  • During the procedure you may feel dizzy (actually a sign it’s working) and it will pass once the crystals have moved into their correct position.
Not everyone responds the same but most people notice quick improvement:

  • Reduced spinning / dizziness within 24–48 hours
  • Feeling steadier and more balanced over the following days
  • Returning to normal everyday activities quickly
  • You may need to repeat the procedure again, if not completely resolved. Your physiotherapist will explain this to you.

Occasionally, BPPV can recur, but it is easily treated again if needed.
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