How does physical therapy help BPPV?

How does physical therapy help BPPV?
How does physical therapy help BPPV?

Physical therapy can be highly effective in treating Benign Paroxysmal Positional Vertigo (BPPV), a common vestibular disorder characterized by sudden, intense episodes of dizziness triggered by head movements.

Here’s how physical therapy helps individuals with BPPV:

  1. Assessment and Diagnosis:
    • A physical therapist will first conduct a comprehensive assessment to confirm the diagnosis of BPPV.
    • They will evaluate the patient’s medical history, symptoms, and perform specific tests to identify the affected ear and the type of BPPV.
  2. Canalith Repositioning Maneuvers (CRMs):
    • Physical therapists are trained to perform Canalith Repositioning Maneuvers, such as the Epley or Semont maneuvers.
    • These maneuvers involve a series of head and body movements designed to reposition displaced calcium crystals (otoconia) within the inner ear’s semicircular canals.
    • This helps to alleviate vertigo symptoms.
  3. Vestibular Rehabilitation:
    • In addition to CRMs, physical therapists often incorporate vestibular rehabilitation exercises into the treatment plan.
    • These exercises are aimed at improving balance, coordination, and reducing dizziness.
    • They can include gaze stabilization exercises, balance training, and habituation exercises.
  4. Home Exercise Programs:
    • Physical therapists provide patients with specific exercises to perform at home.
    • These exercises help reinforce the effects of in-office maneuvers and rehabilitation sessions, promoting faster recovery.
  5. Education:
    • Therapists educate patients about BPPV, its triggers, and strategies to avoid provoking vertigo episodes.
    • They also provide guidance on safe head and body movements to minimize symptoms.
  6. Monitoring and Follow-up:
    • Physical therapists monitor the patient’s progress and adjust the treatment plan as needed.
    • Follow-up appointments are essential to ensure that BPPV symptoms have resolved and to address any lingering issues.
  7. Fall Prevention:
    • Given that BPPV can increase the risk of falls, physical therapists may also focus on fall prevention strategies, including exercises that improve stability and coordination.
  8. Customized Care:
    • Physical therapists tailor BPPV treatment to the individual’s specific needs and the type of BPPV they have.
    • Each person’s experience with BPPV can vary, and therapy is adapted accordingly.


Physical therapy for BPPV can be highly successful in resolving symptoms and improving the quality of life for those affected by this vestibular disorder.

It is crucial to consult with a qualified vestibular physical therapist or healthcare provider for an accurate diagnosis and appropriate treatment plan.

Treatment options for BPPV

Specialized vestibular physical therapy treatment can assist in improving BPPV.  Most cases respond with just specific maneuvers.  However, other cases will need a systematic approach of manuevers, vestibular rehabilitation, cervical alignment and sensorimotor re-training is usually necessary to alleviate symptoms.

At PhysioFit of NC, we have the expert team to help you to the fullest.

We provide a comprehensive treatment approach through our BPPV Relief Program. The primary goal of treatment is to address the underlying issues causing vertigo.

Don’t hesitate to contact us today so we can help you!