BPPV Quick Guide & Videos

Here you will find a Quick Guide to BPPV treatment, along with the full collection of BPPV instructional videos.

Quick Guide - The Epley Maneuver

Benign Paroxysmal Positional Vertigo (BPPV) is caused by small crystals from one part of our inner ear breaking free and falling into another part of our inner ear, called the semicircular canals. When this happens it makes us dizzy and feel vertigo (see the Vertigo Quiz). Treatment involves finding where those crystals are and moving them out of the canal with a head maneuver.

Step 1: Test using the Dix-Hallpike

To find where the crystals are, we will use the Dix-Hallpike Test.

Complete both the Right and Left Dix-Hallpike Tests. Take note of which causes the strongest reproduction of your symptoms. 

Step 2: Treat using the Epley Maneuver

To move the crystals out of the canal, we will use the Epley Maneuver.

If the Right Dix-Hallpike caused your symptoms: Complete the Right Epley Maneuver

If the Left Dix-Hallpike caused symptoms: Complete the Left Epley Maneuver

Step 3: Rest and Repeat

After completing the Epley Maneuver, we recommend you rest for at least 10-15 minutes. After this time, you may want to begin at Step 1 and test yourself again to see if your BPPV has been fully treated. It is common to require 2-3 repetitions of these steps to get full resolution. 

Dix-Hallpike Tests

Side-Lying Tests

Head Roll Test

Epley Treatments

Semont Treatments

BBQ Roll Treatments

Gufoni Treatments

Casani Treatments

BPPV Masterclass

Get our FREE BPPV Masterclass!

A BPPV class, JUST for patients! Learn from a certified vestibular physiotherapist everything you need to know about Benign Paroxysmal Positional Vertigo (BPPV) and how to manage your BPPV at home safely.

You will learn basic anatomy, how BPPV happens, how to perform at home testing, how to perform a treatment maneuver, and post-treatment management. This is over 40 minutes of education, all for free!