March 24, 2022

Feeling Dizzy? We can help!


Victoria Rose Conroy, SPT

Read Time

5 Min

Do you have these symptoms?

When you are turning over in bed, bending forward, or looking up, you get the feeling like the room is spinning and may experience nausea. The above symptoms started randomly and without an apparent reason.1,3 Once the symptoms appear, they only last for a short time and go through variations in intensity.1,3 The conditions listed above are commonly reported symptoms for a patient experiencing Benign Paroxysmal Positional Vertigo (BPPV). This condition is easily treatable with physical therapy and patients can return to their normal functioning without residual symptoms in most cases.3,4


What is Benign Paroxysmal Positional Vertigo (BPPV)?

BPPV is a disorder of the inner ear that is characterized by repeated cases of vertigo associated with positional changes.1 Vertigo is the sensation of motion despite being in the absence of true motion and people often describe it as a feeling of the room spinning.1 This occurs when little crystals in our ears, called otoconia, move from their normal position to an alternative spot within the inner ear.1,2 The good news is that physical therapy is 98% effective for treating BPPV!4


Physical Therapy for BPPV

When you come in, the therapist will talk to you and get to know more about your symptoms. They will then perform a test, called the Dix-Hallpike test, that is used to determine if you are experiencing BPPV. The Dix-Hallpike test requires you to change positions from sitting to lying down and the therapist will assess your response.1-3 If they determine that you have tested positive, you will immediately receive treatment for BPPV. The purpose of physical therapy for BPPV is to assist the displaced crystals in returning to their correct location. According to research, the treatment we provide for BPPV at Imagine Physical Therapy is 90-98% effective at resolving the symptoms associated with BPPV.4 The therapist will also be sure to show you ways that you can perform a version of the treatment on yourself at home to make you self-sufficient.4 The research also recommends that we assess your balance and work toward improving any impairments we may find.1,5 The biggest thing to remember is that BPPV is common, easily assessed, and effectively treated with physical therapy.


For all your physical therapy concerns, Imagine what we can do together and contact us today!



1. Bhattacharyya N, Gubbels SP, Schwartz SR, et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update). Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2017;156(3_suppl):S1-S47.

2. Vidal P, Huijbregts P. Dizziness in orthopaedic physical therapy practice: history and physical examination. J Man Manip Ther. 2005;13(4):221-250.

3. You P, Instrum R, Parnes L. Benign paroxysmal positional vertigo. Laryngoscope Investig Otolaryngol. 2019;4(1):116-123. doi:10.1002/lio2.230

4. Uz, U., Uz, D., Akdal, G., & Celik, O. Efficacy of Epley Maneuver on Quality of Life of Elderly Patients with Subjective BPPV. J Int Adv Otol.. 2019; 15(3), 420+.

5. 3Heydari M, Ahadi M, Jalaei B, Maarefvand M, Talebi H. The Additional Effect of Vestibular Rehabilitation Therapy on Residual Dizziness After Successful Modified Epley Procedure for Posterior Canal Benign Paroxysmal Positional Vertigo. American Journal of Audiology. 2021;30(3):535. doi:10.1044/2021_AJA-20-00171