Does a general practice perform the Epley manoeuvre?

The Epley manoeuvre is a sequence of carefully guided head and body movements. It is intended to move tiny inner-ear particles away from a balance canal where they can trigger brief spinning when you turn, lie down or look up. A clinician usually asks about the timing of your dizziness and may examine your eye movements and balance before choosing this treatment.

When booking, describe the spinning sensation, what movement brings it on, how long each episode lasts and whether you have hearing changes, headache or weakness. Tell the clinician about neck or back problems, recent injury, reduced mobility, or circulation concerns because these may affect how the manoeuvre is done. The practice may provide treatment during the visit or refer you if another assessment is needed.

Seek urgent medical help for dizziness with new weakness, facial drooping, trouble speaking, fainting, severe headache, chest pain, inability to walk, or sudden hearing loss. These features need prompt assessment rather than a self-directed repositioning manoeuvre. Arrange a routine review if episodes keep returning, your balance remains affected, or nausea prevents normal drinking.

Ask whether your pattern of dizziness fits positional vertigo, whether the Epley manoeuvre is suitable for your neck and spine, and what symptoms should prompt a return visit. You can also ask whether you should avoid driving or climbing until your balance has settled.