BPPV and Physical Therapy

Benign paroxysmal positional vertigo, the most common cause of dizziness, treated effectively with specific repositioning maneuvers.

The most common cause of dizziness, and highly treatable.

Benign paroxysmal positional vertigo (BPPV) is a common disorder causing spinning, dizziness, and symptoms tied to rapid head movement. It's usually idiopathic, meaning there's no clear single cause, though head trauma, vestibular neuritis, reduced blood flow to the brain, and inner ear infections can all contribute.

The leading theory is that small particles, called otoconia, become displaced within the inner ear's semicircular canals and over-stimulate the sense organs responsible for balance. Patients typically report dizziness lasting anywhere from a few seconds to about a minute, sometimes with associated nausea.

The most effective treatments are specific repositioning techniques, including the Brandt-Daroff exercises and the canalith repositioning technique known as the Epley Maneuver, both aimed at moving the displaced particles out of the semicircular canal. High-quality research shows patients treated for BPPV see significant symptom improvement and better results on diagnostic testing.

While BPPV is the most common cause of vertigo, there are many other central and peripheral causes, so vertigo should always be properly diagnosed by a doctor or physical therapist.

BPPV and Physical Therapy at Empower Physical Therapy & Aquatics Institute

Targeted repositioning, not just watchful waiting.

Our vestibular-trained approach uses proven repositioning techniques like the Epley Maneuver, tailored to your specific presentation, to resolve BPPV directly rather than simply waiting it out.

No referral needed. Most insurances accepted. In most cases, you can be seen within the same week.

Treatment goals for fast, lasting relief from dizziness.

Resolved Vertigo Episodes

Clear the displaced particles causing the dizziness.

Improved Balance

Rebuild confidence in everyday movement.

Reduced Nausea & Discomfort

Ease the symptoms that often accompany BPPV episodes.

Accurate Diagnosis

Rule out other central or peripheral causes of vertigo.

Schedule Your Appointment

No referral needed. Most insurances accepted. Same-week appointments available.

Your first visit is a thorough evaluation: come in, tell us everything, and leave with a plan.

Prefer to call? (949) 545-7007

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