Dizziness (BPPV)

Written By Martin Spitzeck

Physiotherapy for BPPV & Vertigo

Snippet (SEO-Optimised): Physiotherapy for BPPV and vertigo provides fast, effective relief using repositioning manoeuvres, balance retraining, and vestibular exercises to correct dizziness caused by inner ear crystals moving out of place.

Physiotherapy for BPPV (Benign Paroxysmal Positional Vertigo)

BPPV is one of the most common causes of vertigo and occurs when tiny calcium crystals in the inner ear become displaced, triggering sudden spinning sensations with head movement. Physiotherapy offers highly effective treatment through specific repositioning manoeuvres that guide these crystals back into the correct part of the inner ear.

Our physiotherapists are trained in diagnosing and treating BPPV, helping you reduce dizziness, improve balance, and return to normal activities safely and quickly.

Common Symptoms of BPPV & Vertigo

  • Sudden spinning sensation when rolling in bed

  • Vertigo when looking up or bending down

  • Dizziness lasting seconds to minutes

  • Nausea or unsteadiness

  • Loss of balance or disorientation

  • Light-headedness with specific head movements

  • Symptoms triggered by turning the head quickly

Areas We Treat

1. Posterior Canal BPPV (Most Common)

Caused by crystals moving into the posterior canal, triggering strong spinning sensations.
Treatment includes:

  • Epley Manoeuvre

  • Modified repositioning techniques

  • Balance and gaze stability exercises (if needed)

2. Horizontal Canal BPPV

Often more intense and triggered by rolling in bed.
We use:

  • BBQ Roll (Lempert) Manoeuvre

  • Appiani and Gufoni techniques

  • Progressions to reduce residual dizziness

3. Anterior Canal BPPV

Less common but still treatable with specific head manoeuvres.
Treatment includes:

  • Deep head-hang repositioning

  • Vestibular retraining to restore confidence and movement

4. Residual Dizziness & Imbalance After BPPV

Even after successful repositioning, some people experience lingering dizziness.
We address this through:

  • Gaze stabilisation exercises

  • Balance retraining

  • Gradual exposure to movement to restore normal function

5. Motion Sensitivity & Postural Instability

Some patients develop fear of movement or sensitivity to fast head turns.
Our approach includes:

  • Habituation exercises

  • Balance and mobility training

  • Confidence-building strategies

Our Physiotherapy Treatment Approach

Your personalised BPPV and vertigo plan may include:

  • Diagnostic positional testing (Dix-Hallpike, Roll Test)

  • Specific canal repositioning manoeuvres

  • Vestibular rehabilitation

  • Balance and gait retraining

  • Home exercises for reducing sensitivity

  • Education on triggers and self-management techniques

Most cases of BPPV improve significantly within 1–3 sessions using correct physiotherapy techniques.

Book Your BPPV & Vertigo Assessment

If vertigo is affecting your confidence, movement, or daily activities, our physiotherapists can help diagnose and treat your symptoms quickly and safely.

Contact us today to start your recovery.

Martin Spitzeck