What should you know about the Epley manoeuvre to treat BPPV?

BPPV causes brief episodes of vertigo when a person rolls in bed, looks up, bends over, or turns the head. Small calcium particles can move into a semicircular canal and disturb its motion sensors. The manoeuvre uses a sequence of head and body positions so gravity can move those particles to a less troublesome area. It is usually directed at the affected side, so the correct diagnosis and side matter.

A clinician may perform the manoeuvre during an assessment and may explain a home version. Move slowly, have another adult nearby, and stop if severe symptoms develop. Avoid attempting it without advice if you have significant neck or back problems, limited movement, or vascular concerns. Temporary spinning or nausea can occur while the positions are changed. Keep a record of which movements trigger symptoms and whether hearing changes or headache accompany them.

Seek urgent medical help for vertigo with new weakness, facial drooping, trouble speaking, fainting, severe headache, chest pain, or difficulty walking. Arrange a clinical review when spinning is persistent, follows a head injury, comes with new hearing loss, or does not settle after assessment. These features need evaluation because they are not typical of straightforward BPPV.

Ask which ear appears affected, whether the manoeuvre is suitable for your neck and back, how to position yourself at home, and what symptoms should prompt a repeat review.