Do you need a referral for epley manoeuvre?

The Epley manoeuvre is a sequence of head and body positions used for certain cases of positional vertigo. A clinician first considers whether brief, position-triggered spinning fits this pattern and checks for features suggesting another cause. General-practice clinicians, physiotherapists, or ear, nose, and throat specialists may provide the manoeuvre. A referral depends on local booking rules, the examination, and whether specialist assessment is needed.

Describe what triggers the dizziness, how long each episode lasts, and whether you have hearing changes, headache, weakness, or difficulty walking. Ask the clinic whether direct booking is possible or whether a referral is required. Do not attempt unfamiliar head movements if neck or back problems, limited mobility, or vascular concerns could make positioning unsafe. The Epley Manoeuvre page explains the treatment in more detail.

Seek emergency help for sudden weakness or numbness, trouble speaking, new severe headache, chest pain, fainting, inability to walk, or continuous severe dizziness. These features need urgent assessment rather than a routine manoeuvre appointment. Arrange medical review for new or recurring vertigo, especially if hearing changes or vomiting are present.

Does my pattern of dizziness fit positional vertigo? Is the manoeuvre suitable with my neck and mobility history? Should I be assessed by another clinician, and what symptoms would change the urgency?