BPPV Vertigo Treatment: How Physiotherapy Helps Dizziness?

If you experience brief episodes of dizziness (which last less than a minute) when rolling over in bed, looking up, or bending down, you may have Benign Paroxysmal Positional Vertigo (BPPV).

BPPV is one of the most common causes of vertigo, and although it can feel alarming, it is highly treatable with physiotherapy.

At Neuro Balance Physio in Surrey, we specialise in diagnosing and treating BPPV quickly and effectively.

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What causes BPPV?

BPPV occurs when tiny calcium crystals, known as otoconia, become dislodged in the inner ear and move into the wrong part of the vestibular system.

These crystals interfere with how your brain senses movement and position, leading to

short-lasting vertigo, which is triggered by specific movements.

Common symptoms of BPPV

BPPV typically causes:

• Brief episodes of spinning dizziness (lasting less than a minute), triggered by head movements (e.g. rolling over in bed, looking up, looking down)

• Difficulties with your balance

• An increased risk of falling

• Symptoms are often worse in specific positions and may come and go over time.

  
  

How is BPPV diagnosed?

At Neuro Balance Surrey, we carry out a specialist vestibular assessment to confirm whether BPPV is the cause of your symptoms.

This includes:

• A detailed discussion of your symptoms

Positional testing (such as the Dix-Hallpike test)

• Observation of eye movements

This allows us to accurately diagnose BPPV and identify which part of the inner ear is affected.

Physiotherapy treatment for BPPV

The main treatment for BPPV is a series of specific head movements known as canalith

repositioning manoeuvres. The most commonly used is the Epley manoeuvre, which:

• Moves the displaced crystals back to their correct position

• Reduces or completely resolves vertigo symptoms

• Can often work in just 1–2 sessions

• Treatment is safe, evidence-based, and highly effective when performed by a specialist physiotherapist.

  
  

How effective is physiotherapy for BPPV?

Physiotherapy is considered the first-line treatment for BPPV.

Many patients experience:

• Immediate improvement after treatment

• Significant reduction in dizziness

• Return to normal activities within days

  
  

In some cases, symptoms may recur, but they can be treated again just as effectively.

Can BPPV come back, and can I do anything to stop it?

BPPV can sometimes return after treatment, and recurrence is not uncommon. Once you have been diagnosed with BPPV, further treatment from a specialist is usually very effective if symptoms recur. If you have low levels of vitamin D, there is some evidence that taking a supplement can reduce the risk of symptoms returning.

Book a free telephone consultation

If you think you may have BPPV and are looking for expert treatment in Weybridge or wider Surrey, Neuro Balance Surrey can help.

We offer a free telephone consultation where you can:

• Speak directly with a specialist physiotherapist

• Discuss your symptoms

• Get clear advice on the next steps

  
  

There’s no obligation, just expert guidance to help you feel confident about your recovery.

👉 Contact Neuro Balance Surrey today to book your free consultation.