What happens if benign paroxysmal positional vertigo is not treated?

BPPV happens when tiny calcium crystals move into a fluid-filled inner-ear canal, making head movement send confusing balance signals to the brain. Turning in bed, looking up, bending down or getting up may trigger a short burst of vertigo, nausea or unsteadiness. Episodes can settle for a while and then return. Avoiding movement may reduce symptoms but can limit daily activities and confidence. The main concern is losing balance during a sudden attack, especially on stairs, near traffic or in the bathroom.

Arrange a GP Consultation if the spinning is new, recurrent or interfering with walking, work or sleep. A clinician can check whether the pattern fits BPPV and look for other causes of dizziness. The Epley Manoeuvre may move the displaced crystals back into a better position; it should be selected and performed with attention to your symptoms and neck or back problems. Until assessed, rise slowly, keep walkways clear and avoid driving or climbing while an episode could occur.

Seek urgent medical help for vertigo with weakness, facial drooping, trouble speaking, fainting, a new severe headache, chest pain, new hearing loss or difficulty walking that does not settle. These features are not typical of simple positional vertigo. Get prompt advice after a fall or head injury, or if vomiting prevents you from keeping fluids down.

Ask whether your triggers and examination support BPPV, whether a repositioning manoeuvre is suitable, and what movements or activities you should avoid until your balance improves.