BPPV / Vestibular Rehabilitation

Can Physical Therapy Treat BPPV and Dizziness?

Yes. Physical therapists trained in vestibular rehabilitation can evaluate and treat benign paroxysmal positional vertigo (BPPV). Treatment often involves identifying the affected inner-ear canal and using an appropriate canalith repositioning maneuver when BPPV is confirmed.

What Is BPPV and What Causes It?

BPPV is a common inner-ear disorder that can cause brief episodes of vertigo when the head changes position. It occurs when small calcium carbonate particles, commonly called crystals, move into a semicircular canal where they can disrupt normal signals related to head movement.

What Is the Epley Maneuver and When Is It Used?

The Epley maneuver is a canalith repositioning procedure commonly used for certain types of BPPV. The appropriate maneuver depends on the affected canal and side. A trained clinician should first determine whether the symptoms and examination findings are consistent with BPPV.

When Should I See a Physical Therapist for Dizziness or Vertigo?

Consider vestibular evaluation when dizziness or vertigo affects walking, turning, getting out of bed, exercise, or daily activities. However, dizziness can have many causes. New, severe, unusual, or neurological symptoms should receive appropriate medical evaluation.

What Can I Expect During Vestibular Rehabilitation?

A vestibular evaluation may include assessment of eye movements, balance, gait, positional symptoms, and other vestibular-related functions. If BPPV is identified, treatment may include an appropriate repositioning maneuver. Other vestibular conditions may require a customized balance and vestibular exercise program.