How to alleviate vertigo

This article was co-authored by Lisa Bryant, ND. Dr. Lisa Bryant is Licensed Naturopathic Physician and natural medicine expert based in Portland, Oregon. She earned a Doctorate of Naturopathic Medicine from the National College of Natural Medicine in Portland, Oregon and completed her residency in Naturopathic Family Medicine there in 2014.

There are 31 references cited in this article, which can be found at the bottom of the page.

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Vertigo is the feeling that you’re dizzy and spinning, which may also include nausea and vomiting. It can have a variety of causes and triggers, including infections or damage in your inner ear, migraines, air or sea travel, or a head injury. [1] X Trustworthy Source Mayo Clinic Educational website from one of the world’s leading hospitals Go to source The most common type of vertigo, benign paroxysmal positional vertigo, often has no clear cause. [2] X Trustworthy Source Mayo Clinic Educational website from one of the world’s leading hospitals Go to source If you have vertigo, you likely want to feel better fast. Fortunately, you may be able to relieve your vertigo using natural treatments. However, see your doctor if this is your first episode of vertigo, your vertigo keeps coming back, or you may need to treat an underlying medical condition. Additionally, check with your doctor before using natural treatments.

Vertigo: 8 Tips and Tricks to Help Alleviate the Spinning

How to alleviate vertigo

Vertigo has been defined as the feeling that you or the things in the environment around you are moving when they are not. It often has a rotational component of false movement. Some associate vertigo with a fear of heights, which is called acrophobia. This has to do with a popular movie from long ago. But vertigo has nothing to do with how high up you are. Rather, it is a disorder of the inner ear or central nervous system that can be due to a number of different underlying factors.

Table of Contents

Vertigo Causes

Some things that may cause vertigo to occur include:

  • Swelling of the inner ear
  • Misplaced crystals in the inner ear
  • Improper fluid balance
  • Tumors
  • Bacterial or viral infections
  • Diseases of the ear such as benign paroxysmal positional vertigo (BPPV) and Meniere’s disease
  • Head or neck trauma
  • Brain injuries
  • Migraines
  • Skin growth behind the eardrum (cholesteatoma)
  • Pressure changes in the middle ear
  • Colds and allergies
  • Abnormal growth of bone in the middle ear
  • Exposure to certain drugs or chemicals that damage the hairs of the ear
  • An aneurysm
  • Arrhythmia
  • Atherosclerosis
  • Dehydration
  • A defective heart valve
  • Embolism
  • Hyperventilation
  • Certain medications
  • A heart attack
  • Nervous system disorders
  • Stress and tension

Vertigo Symptoms

Vertigo is among the most common reason for adults and children to visit their family physician or emergency department. Dizziness and vertigo become more common after the age of 40. Vertigo can be temporary or long-term. The symptoms of vertigo include:

  • Lightheadedness
  • Balance issues
  • Tinnitus – ringing in the ears
  • A feeling of fullness in the ear
  • Nausea and vomiting
  • A headache

Tips and Tricks to Reduce Vertigo

Here are 8 things you can try at home to help reduce the occurrence of vertigo.

Check your blood pressure

If you have low blood pressure, your body may be struggling to deliver enough blood to the brain. This causes you to feel dizzy when you stand up quickly. However, if you have high blood pressure, you may have the same reaction for the opposite reason. Your heart is working extra hard to move the blood. If your pressure is low, avoid blood thinners. With either condition, strive to live a heart-healthy lifestyle that includes exercise.

Practice fall prevention exercises

This will not stop your vertigo but will help you manage one of the resulting complications – falling. It is a good idea to visit a physiotherapist to help you learn how to develop the muscles in your legs, ankles, and feet so you can build reflexive strength. This helps you to be able to steady yourself when you begin to fall.

Balancing exercises

You may be surprised to learn that it is possible to train yourself to be balanced. Along with the previously mentioned reflexive exercises, a number of other exercises can be learned to help you keep your balance and increase the link between the body and the brain.

Clean your ears

It is possible the improper signals being sent by your ears to your brain can be the result of blockages in the ear. A heavily blocked ear can lead to vertigo. Do not use Q-tips as these can push the wax further in the ear and make matters much worse. Instead, get drops that you can put in the ear to soften and break up the wax. This can also be the reason for ear infections.

Lie down

Just taking a break and lying down for awhile can be enough to reset your balance issues. This gives the fluid in the ear time to settle down and helps ensure that the proper amounts of blood and oxygen can reach the brain and help you de-stress. Lying down also helps you connect with being firmly grounded and establish yourself in your environment. When you get up, take your time and do it slowly so as to keep your balance in line.


Stress is one reason vertigo can get out of hand. This is because it may lead to rapid breathing and hyperoxia (too much oxygen). Stress also heightens all our senses and makes us hyperaware. This is often the reason people faint when they have a panic attack. By using controlled breathing and self-help talk, many are able to calm down and relax.

Eat some sweets

The brain needs oxygen and blood to function at its best. The brain also needs stabilized sugar levels. If you have skipped meals, your blood sugar may become low and begin to impact your brain function. A banana or another source of healthy carbs can help with vertigo.


A dose of caffeine actually helps to increase oxygen to the brain and is very helpful in caring for vertigo. Caffeine clears brain-fog and helps you feel more alert and awake. However, caution should be exercised. Those with high blood pressure should avoid it, and it may cause anxiety in some people, making the problem worse.

Getting Help for Vertigo from a Professional

Upper cervical chiropractors have seen great success in caring for vertigo patients. If one of the top bones of the neck, the C1 or C2 vertebra, are misaligned, they may be putting undue pressure on the brainstem causing it to send improper signals to the brain. If the brainstem tells the brain the body is moving when it is not, vertigo may be the end result.

Upper cervical chiropractors have been specially trained to realign these bones without the need to use force. Rather than popping or cracking the bones of the spine, we use a gentle method that aligns the bones more naturally, leading to a longer lasting adjustment and less stress on the body. This has proven to be effective in helping people see an improvement in various symptoms, including vertigo.

to schedule a consultation today.

Brett Sears, PT, MDT, is a physical therapist with over 20 years of experience in orthopedic and hospital-based therapy.

Stuart Hershman, MD, is a board-certified spine surgeon. He specializes in spinal deformity and complex spinal reconstruction.

If you stand up and suddenly feel like the room is spinning and you feel dizzy, you may be experiencing the vertigo-type symptoms associated with benign paroxysmal positional vertigo, or BPPV. BPPV is a problem that is caused by dislodged calcium deposits in your vestibular system in your inner ear. The dislodged calcium crystals interact with nerves in your vestibular system and alter the signals to your brain that are responsible for helping to maintain balance and equilibrium.

If you develop vertigo caused by BPPV, there are things that you can do and should do to help decrease or eliminate your symptoms. Some of these things involve getting checked by your healthcare provider and physical therapist, and others are specific exercises and maneuvers to help you start feeling normal again.

Don't Panic

How to alleviate vertigo

Tetra Images / Brand X Pictures / Getty Images

If you go to stand up or move suddenly and the room starts spinning, don't panic. It may seem like the spinning will last forever, but typically it only lasts for a few seconds. With most cases of BPPV, stabilizing your head and fixing your eyes on something helps to quickly mitigate the spinning.  

Call Your Healthcare Provider and Then Call Your Physical Therapist

Sometimes, dizziness and vertigo are caused by something much more sinister than BPPV. Occasionally, vertigo symptoms may be caused by a stroke or by an inner ear infection or virus. Your healthcare provider should be able to perform some simple tests to ensure that your vertigo is truly caused by BPPV.

Your physical therapist can perform special balance tests and vestibular function tests to further assess your BPPV. He or she can then prescribe exercises that are best suited for your specific condition.

Perform the Home Epley Maneuver

The home Epley maneuver is a simple exercise to do that can help reposition the displaced calcium crystals in your inner ear. This can help to decrease or eliminate your symptoms of vertigo caused by BPPV.  

The exercise is one that should be done with another person present as it usually causes your symptoms to temporarily occur. It is done by sitting on your bed and then performing special motions with your head and body in sitting and lying.

The Epley maneuver has been shown to be 80 percent effective in relieving BPPV-related dizziness.

Perform Brandt Daroff Exercises

Brandt Daroff exercises can also be done to help decrease the dizziness and vertigo caused by BPPV. The exercises involve sitting on your bed and moving into a lying position on your side.

Brand Daroff exercises can be used to help treat the primary symptoms of BPPV by helping you habituate to the vertigo. The exercises do not necessarily reposition the displaced calcium crystals in the vestibular system. Brandt Daroff exercises can also be used to help prevent future occurrences of BPPV.  

Try the Semont Maneuver

The Semont maneuver is another exercise that is done to treat BPPV. It is similar to the Epley maneuver and Brandt Daroff exercises in that it involves rotation of the head combined with moving from a sitting position to a lying position.  

A Word From Verywell

Vertigo, room spinning, and dizziness caused by BPPV can be a scary thing that causes you to lose your balance and limit your functional mobility. By keeping calm, checking in with your healthcare provider and physical therapist, and trying simple exercises, you may be able to quickly mitigate your symptoms and return to your previous level of function.

Vertigo is dizziness that creates the false sense that you or your surroundings are spinning or moving.

The condition can feel similar to motion sickness, but it’s not the same as lightheadedness.

There are two categories of vertigo: peripheral vertigo and central vertigo.

Peripheral vertigo

Peripheral vertigo is the most common type of vertigo. It occurs as a result of a problem in the inner ear, or the vestibular nerve, which controls balance.

Central vertigo

Central vertigo occurs as a result of a problem in the brain. It can be caused by a variety of different conditions, including:

Common causes for vertigo include:

  • Benign paroxysmal positional vertigo (BPPV). This is the most common cause of vertigo and creates an intense, brief sense that you’re spinning or moving. These episodes are triggered by a rapid change in head movement, such as a blow to the head.
  • Infection. A viral infection of the vestibular nerve, called vestibular neuritis or labyrinthitis, can cause intense, constant vertigo.
  • Meniere’s disease. When excessive fluid builds up in the inner ear, the result can be sudden episodes of vertigo that last for several hours.
  • Migraine.Migraine-induced vertigo can last minutes to hours.
  • Head or neck injury. Vertigo is a common symptom after a traumatic injury to the head or neck, especially if there is damage to the vestibular system.
  • Medications. Certain medications can cause vertigo, along with other symptoms like dizziness, hearing loss, and tinnitus, or a ringing in the ears.

Benign positional vertigo

Although benign paroxysmal positional vertigo can be bothersome, it’s rarely serious, except when it increases the chance of falling.

Can stress cause vertigo?

Although stress doesn’t cause vertigo directly, it can worsen it. What’s more, 2016 research suggests that severe stress could increase your risk of stroke, which could potentially cause vertigo.

One of the most common symptoms of vertigo is dizziness, which usually worsens with head movement. It’s typically described by patients as a spinning sensation, with the room or objects around them seeming to move.

Other symptoms of vertigo include:

Treatment options for vertigo can depend on the underlying cause. To improve symptoms, vestibular rehabilitation therapy as well as medications, such as meclizine (Antivert), have been found to be effective.

Repositioning maneuvers

The canalith repositioning maneuver, also known as the Epley maneuver, is used to relieve symptoms of BPPV.

These specific head maneuvers can help displace canalith crystals (small particles that can cause vertigo) from the canals of the inner ear.

Each treatment session involves holding four positions for 30 to 60 seconds each and repeating each position several times, as needed.

A healthcare professional can guide you through each movement during the session. They may also provide additional guidance on how to perform this procedure at home.


Meclizine is an antihistamine, which is a class of medication often used to treat allergies.

Meclizine is effective in treating motion sickness or vertigo. However, it might lead to confusion or even amnesia in older adults.


There are several exercises used to help alleviate symptoms of vertigo. They typically involve marching in place or holding specific positions to improve balance.

These exercises are similar to the ones used in vestibular rehabilitation therapy (VRT).

VRT involves exercises designed according to each person and their symptoms. After a thorough clinical examination, one of three main methods is applied:

  • habituation, which improves dizziness
  • gaze stabilization, which improves control of eye movements so vision can be clear during head movement , which improves steadiness

However, if you have severe vertigo, it’s best to reach out to an experienced physical therapist for additional guidance, instead of performing these exercises on your own.


Surgery may be necessary for the treatment of certain underlying conditions that can cause vertigo, such as a brain tumor or head injury.

There are several ways to naturally relieve discomfort caused by vertigo.

For example, certain supplements can help improve sleep while dealing with vertigo, including ginkgo biloba and melatonin.

There are also many exercises for vertigo that you can perform at home, such as Brandt-Daroff exercises, the Semont maneuver, and the Foster maneuver.

Essential oils for vertigo

Essential oils such as lavender may help stop dizziness and nausea.

However, it’s important to keep in mind that there is currently no research available to support the use of essential oils for vertigo.

A healthcare professional can diagnose vertigo by performing a clinical exam and collecting information about your symptoms and medical history.

Certain clinical tests and observations can be helpful when assessing for vertigo. These include head impulse testing or the Dix-Hallpike maneuver (patients are quickly lowered from a seated position to lying down).

In some cases, additional testing may be needed to diagnose vertigo, including imaging, hearing exams, and balance tests.

The signs and symptoms of BPPV can come and go, with symptoms commonly lasting less than a minute.

In cases of Meniere’s disease, an episode of vertigo can last for longer than 20 minutes.

Migraine-induced vertigo can last minutes to hours.

Although vertigo and dizziness are often confused, vertigo is typically described as feeling like the world is spinning, even when there is no movement.

While dizziness is a more ambiguous term, patients will often interpret it as a sense of imbalance within their own space.

According to a 2020 study, vertigo is the most commonly reported vestibular symptom during the first trimester of pregnancy.

BPPV is particularly common during pregnancy. According to 2017 research, which categorized participants as women and men, BPPV affects women more frequently than men with a ratio of 2-to-1.

Factors that can cause vertigo during pregnancy include:

  • fluctuations in hormone levels
  • prolonged bed rest
  • changes in the metabolism of certain nutrients, including vitamin D and calcium

Many people also experience dizziness during pregnancy. This could be caused by several factors, including unstable blood sugar levels.

During the third trimester, the baby can put pressure on some of the major abdominal veins when the parent lies on their back, which can also cause dizziness.

In some cases, vertigo can be hereditary. Also known as familial benign recurrent vertigo, hereditary vertigo is a form of migrainous vertigo because it’s strongly associated with migraine attacks.

Vertigo can be caused by many factors, including infections, migraines, injuries, and several other health conditions.

Treating the underlying cause of your vertigo is the most effective way to decrease discomfort and provide long-term relief. There are also many home remedies, exercises, and medications that may be beneficial.

If you experience vertigo, it’s best to talk with a doctor to determine the cause and find a treatment plan that works for you.

Vertigo (feeling off balanced) can have a significant effect on your life. The symptoms and sensations of vertigo may come on suddenly, or you may experience them off and on as weeks go by, further affecting your daily activities.

This condition may be due to a number of causes, but most often it stems from problems with your inner ear, your circulatory system, or your nervous system. Benign paroxysmal positional vertigo (BPPV; the sudden feeling that you’re spinning), Meniere ’ s disease (inner ear problem that causes dizziness or ringing of the ears), and labyrinthitis (inflammation of the inner ear) can all cause the symptoms of vertigo to develop.

Vertigo can leave you feeling like the world is spinning. It can even make you nauseous or sweaty, which may lead to headaches and vomiting. While most symptoms improve after several days or weeks, when present they can feel overwhelming.

To help you cope with vertigo and its symptoms, try to focus on exercises that strengthen your balance.

Exercises to Help with Vertigo

Repetitive movements can help your brain and body overcome the confusing signals of vertigo. They can also help you manage the sudden onset of dizziness and motion sensations.

When you begin these exercises for vertigo, start slowly and understand that initial reactions may make you feel worse. Make sure that you complete these exercises individually, taking breaks between each one. Speak with your doctor before beginning any of these exercises, and let them know if your vertigo symptoms become more serious or if you experience any new symptoms.

Brandt-Daroff Exercise

This exercise helps to reduce the symptoms of vertigo, and it is most often used for BPPV and labyrinthitis.

Step 1: Sit at the end of your bed. When ready, turn your head 45 degrees to the right.

Step 2: Lie down on your left side and remain still for 30 seconds until dizziness fades.

Step 3: Sit up and wait 30 seconds.

Step 4: Turn your head 45 degrees to the left.

Step 5: Lie down on your right side, and hold the position for 30 seconds until dizziness fades.

Step 6: Sit up and wait 30 seconds.

Repeat this process five times, twice a day or as comfort allows.

Marching in Place Exercise

Marching in place can help you with balance while standing, and it acts as a stepping stone for more advanced movements.

Step 1: Stand near a wall or corner, or place a chair nearby. Place your arms by your side.

Step 2: Lift your right knee, followed by your left knee as you march. Try to raise your knees as high as comfort allows.

Step 3: March in place 20 times.

Repeat this exercise two times a day times, and try to extend each set to 30 marching steps.

Turning in Place Exercise

Turning in place is a more advanced exercise than marching in place. Make sure you have a chair or sturdy walker nearby in case you feel dizzy.

Step 1: Stand straight with your arms at your sides.

Step 2: Slowly turn left in a half-circle, equal to 180 degrees.

Step 3: Stop moving and stand motionless for 10 to 15 seconds.

Step 4: Slowly turn right in a half-circle. Stand still for 10 to 15 seconds.

Repeat this exercise five times. As you complete each round, favor moving in the direction that makes you feel dizzier.

Epley Maneuver

The Epley maneuver is one of two exercises, called canalith repositioning procedures, designed specifically for BPPV. Follow this exercise maneuver only if you are experiencing BPPV.

Step 1: Sit at the end of your bed and turn your head 45 degrees to the right.

Step 2: Maintain that position and lie back with head reclining and shoulders resting on a pillow. Hold for 30 seconds.

Step 3: Turn your head 90 degrees to the left and wait for 30 seconds.

Step 4: Turn your head and body 90 degrees to the left until you are face down on the bed. Hold for 30 seconds.

Step 5: Sit up on your left side.

These steps apply to the right ear. For left ear issues, reverse all directions:

Step 1: Sit at the end of your bed and turn your head 45 degrees to the left.

Step 2: Maintain that position and lie back with head reclining and shoulders resting on a pillow. Hold for 30 seconds.

Step 3: Turn your head 90 degrees to the right and wait for 30 seconds.

Step 4: Turn your head and body 90 degrees to the right until you are face down on the bed. Hold for 30 seconds.

Step 5: Sit up on your right side.

Repeat this exercise three times or as comfort allows.

Semont Liberatory Maneuver

The Semont Liberatory maneuver is the second exercise procedure for treating BPPV.

Step 1: Sit at the end of your bed and turn your head 45 degrees to the right.

Step 2: Lie down on your left side with your head tilted upright, and hold still for 60 seconds.

Step 3: In one motion, move from your left side to your right side. Make sure your face is facing the bed. Remain still for 60 seconds.

Step 4: Return to a sitting position and sit for 5 minutes.

These steps apply to the left ear. For right ear issues, reverse all directions:

Step 1: Sit at the end of a bed and turn your head 45 degrees to the left.

Step 2: Lie down on your right side with your head tilted upright, and hold still for 60 seconds.

Step 3: In one motion, move from your right side to your left side. Make sure your face is facing the bed. Remain still for 60 seconds.

Step 4: Return to a sitting position and sit for 5 minutes.

Repeat this exercise three times or as comfort allows.

Safety Considerations

When completing the standing exercises for vertigo, stand near a wall or handrail, or set up a chair, walker, or other personal assistance device in case you lose your balance. If you have a higher risk of falling, ask someone to stand close by as you work on these exercises.

Show Sources

Cigna: “Marching-in-Place Exercise to Improve Balance.”

Cigna: “Turning-in-Place Exercise to Improve Balance.”

Cigna: “Vertigo: Balance Exercises.”

Cleveland Clinic: “Canalith Repositioning Procedure (CRP).”

Cleveland Clinic: “Dizziness: Possible Causes.”

Johns Hopkins Medicine: “Home Epley Maneuver.”

Mayo Clinic: “Benign paroxysmal positional vertigo (BPPV).”

University of Iowa Hospitals and Clinics: “Vertigo: Frequently asked questions.”

University of Michigan Health System: “Liberatory Maneuver Left Posterior Canal.”

University of Michigan Health System: “Vestibular Rehabilitation Brandt-Daroff Habituation Exercise.”

Vertigo can be an extremely distressing symptom. Fortunately, most attacks are not due to serious medical conditions. This article provides tips for dealing with vertigo attacks.

Vertigo can be extremely hard to deal with. The sudden onset of world-turning dizziness and the accompanying nausea, imbalance and loss of function can feel paralyzing and cause great concern. You’re not alone. In fact, nearly 40% of adults in the U.S. will experience vertigo at some point in their lives.

Fortunately, most attacks are not due to serious medical conditions. And there is help available to understand why these symptoms occur and how to improve your condition.

Here are some tips to help you deal with vertigo, when it happens.

Seek Medical Help

Get to an Acute Care Center or the Emergency Department for the following:

  • If this is the first time you’ve experienced a vertigo attack
  • If your symptoms of vertigo, nausea, vomiting are worsening
  • If you have trouble with any of the following:
    • Speaking or swallowing
    • Double vision or loss of vision
    • Loss of coordination of your hands, fingers, feet
    • Weakness or loss of sensation in one or more of your limbs
    • Severe headache that is not typical to you.

    If your attack is similar to a previous one, then you’ll likely benefit from seeing your family doctor or a vestibular rehabilitation professional, such as a vestibular physical therapist.

    Get to a Safe Place

    Vertigo episodes can result in problems with vision and balance, and cause you to feel disoriented. Your personal safety is top priority.

    • Move away from roads, unstable ground, and nearby obstacles
    • Move slowly keeping your head straight and walk near walls and hand rails
    • Focus on a spot in front of you
    • Sit or lie down. If lying, elevate your head with an extra pillow.
    • Find a quiet, dark place. Use ear plugs or headphones if you need to and close your eyes.


    Some medications can help by acting as antihistamines and vestibular suppressants, which can calm down the overactive balance centers in your inner ear. Your doctor may suggest meclizine, dimenydrinate, Betahistine, scopolamine, and other similar drugs.

    If you can feel signs that a vertigo attack is coming on, taking these preventatively can give you even greater control over your dizziness episode. Remember, these medications are only intended for short-term use.

    Reducing Your Nausea

    Nausea is often the most disabling symptom of a vertigo attack. The following are common aids to reduce nausea and improve your tolerance to dizziness.

    • Ginger and peppermint (tea, capsules, dietary)
    • Essentials oils (applied to points on the body or using with a diffuser)
    • Inhale alcohol prep pads or wipes
    • Acupressure applied to your forearm, an inch away from your wrist (or by using motion sickness bands)
    • Cannabidiol (CBD), usually taken as oil drops or edibles. Warning: products with active THC can actually increase dizziness, further worsening nausea.
    • Stay hydrated with lots of fluids

    Relaxation Techniques

    • Acute vertigo is usually caused by hyperactivity issues with your brain’s balance sensing system. Relaxation strategies can directly calm these areas down, reducing your overall dizziness.
    • Understanding that vertigo is usually not a serious condition can help reduce anxiety
    • Practice slow and deep breathing
    • Learn to meditate using online resources, smartphone/tablet apps, or by contacting a therapist such as a social worker or psychologist

    Avoid or Reduce Triggers

    The following are common triggers that can provoke dizziness, particularly in the midst of an attack. Be mindful of them, and avoid when possible.

    • Decrease alcohol, caffeine and tobacco use
    • Reduce your salt intake
    • Keep your blood sugar level stable. Try to eat small meals and often. Avoid high sugar foods and drinks that can spike your insulin levels.
    • Avoid situations or activities that cause you to feel stress
    • Try to limit the specific movements and activities that directly increase your dizziness until your symptoms have settled past the initial, acute stage

    Create a Plan

    If you suffer from repeated episodes of acute vertigo, your best defense is preparation. An attack can make you feel confused and disoriented, and they typically don’t occur on a schedule. So have a plan prepared and ready to go.

    1. Have your medications and aids (anti-nausea pills, dizziness suppressants, seasickness bands etc.) nearby in your purse, desk or car.
    2. Keep your medical ID with you.
    3. Keep a short list of people you can call if you have an attack. Mark them as “favorites” on your phone’s contact list.
    4. Most importantly, don’t keep your dizziness condition a secret. Let friends, family and co-workers know that you experience potential vertigo attacks. Help them understand how you may react and in what ways they can assist you (check out VeDA’s Family Support Network).

    Additional Considerations

    If vertigo is new to you, avoid end-range head movements (e.g. looking all the way up and turning your head as far as it can go). In some rare circumstances, vertigo can be caused by blood flow issues in your neck.

    As the acute phase of your condition subsides, the best advice for reducing your symptoms can differ significantly from what is outlined here. Find a health professional that understands dizziness and get help. Search for a vestibular specialist using VeDA’s Healthcare Provider Directory.

    How to alleviate vertigo

    We can take balance for granted and don’t think about much until we don’t have it any longer. Most likely, you have been dizzy or lost your balance temporarily. Whether you felt seasick on a boat, finished a carnival ride, or even spun around in an office chair too quickly. However, those feelings of the room spinning were temporary, and your sense of balance resumed. Imagine if that feeling stayed with you all day or as you lie down, causing your daily activities to come to a standstill. That is what happens to many who suffer from vertigo.

    Why Vertigo Happens

    Vertigo is often caused by an inner ear problem, giving the sensation of feeling off-balance or illusion of movement. The medical term for experiencing a spinning sensation is benign paroxysmal positional vertigo (BPPV). It may surprise most people to learn that the inner ear is not involved with hearing but rather with balance. This is called the vestibular system.

    The body’s vestibular system includes the parts of the inner ear and brain that help control balance. There are fluid-filled tubes in the inner ear called semicircular canals. When the head moves, the fluid moves inside these tubes. The canals are quite sensitive to any movement of the fluid, so the sensation of the fluid moving in the tubes tells the brain the body’s position. This is how balance is maintained.

    BPPV occurs when tiny pieces of calcium break free and float inside the tube. This sends confusing messages to the brain about the body’s position.

    Living With Vertigo

    There can be many BPPV symptoms, including dizziness, nausea, lightheadedness, feeling like you’re spinning even while lying down, and feeling the floor is tilting.

    Vertigo attacks can happen suddenly and last for a few seconds, or they may last much longer – up to a few days. A person may lose their balance or fall when they are struggling with vertigo. Those with more prolonged bouts of vertigo may find themselves in bed, unable to even lift their head without becoming nauseous.

    Factors For an Increased Risk of Vertigo

    Vertigo can strike anyone, but certain risk factors may increase changes. These include:

    • Suffering a head injury
    • Having a blood relative who has vertigo
    • Being over the age of 50
    • Having an inner ear infection
    • Experiencing a previous episode of vertigo
    • High levels of stress
    • Hormonal fluctuations
    • Taking certain types of medication

    Treating Vertigo

    The good news is that BPPV is very treatable by a physical therapist when it comes to vestibular problems. Most patients who suffer from vertigo don’t need more than a couple of physical therapy sessions.

    Once a patient has overcome vertigo through physical therapy, they may find that their balance improves and their fear of falling is alleviated. Everyday life activities can resume with the loss of a spinning sensation.

    Ending Vertigo

    If you are suffering from vertigo, our trained staff has experience restoring vestibular systems to alleviate this affliction. Contact Kinetic Physical Therapy today to find out how we can help restore your quality of life.

    The home Epley maneuver is a type of exercise help that helps to treat the symptoms of benign paroxysmal positional vertigo (BPPV). You can do this exercise at home.

    BPPV is caused by a problem in your inner ear. Your semicircular canals are found inside your ear. They detect motion and send this information to your brain. The utricle is a nearby part of the ear. It contains calcium crystals (canaliths) that help it detect movement.

    Sometimes these crystals detach from the utricle and end up inside the semicircular canals. When these crystals move inside the canals, they may send incorrect signals to your brain about your position. This can make you feel like the world is spinning. This is called vertigo.

    Dr. John Epley designed a series of movements to dislodge the crystals from the semicircular canals. These movements bring the crystals back to the utricle, where they belong. This treats the symptoms of vertigo.

    The original Epley maneuver was designed to be done with a healthcare provider. The home Epley maneuver is similar. These are a series of movements that you can do without help, in your own home.

    Why might I need the home Epley maneuver?

    You may need to try the home Epley maneuver if you have symptoms of BPPV. In BPPV, vertigo may come on with certain head movements. It may last for up to a minute. These symptoms may be more frequent at times. You may also have nausea and vomiting.

    Often BPPV happens without any known cause. Sometimes there is a cause. Causes of BPPV can include:

    • A head injury
    • Problems after ear surgery

    The home Epley maneuver is safe and inexpensive. It often works well to treat the symptoms of BPPV.

    Your healthcare provider may suggest the home Epley maneuver if your health history and physical exam support that you have BBPV. Your healthcare provider may also suggest that you see a vestibular therapist for treatment.

    Your healthcare provider may first do the original Epley maneuver in his or her office. He or she may teach you the home Epley maneuver. You may need to do the home Epley maneuver if you still have symptoms after you leave your healthcare provider’s office. It may also be useful to know how to do this maneuver if your BPPV comes back after a few months or years.

    What are the risks of home Epley maneuver?

    The home Epley maneuver is safe. It may be helpful to have someone at home with you while you go through the movements. This can give you peace of mind in case your vertigo gets worse in the middle of the treatment.

    People with health conditions that limit their ability to move may not be able to do the home Epley maneuver safely. These issues can include neck or back disease, vascular conditions, and retinal detachment. Ask your healthcare provider if the home Epley maneuver is safe for you.

    How do I get ready for the home Epley maneuver?

    You can do the home Epley maneuver on a bed. You start by sitting on the bed. You need to have a pillow in place so that when you lie back it will be under your shoulders.

    What happens during the home Epley maneuver?

    You may find it helpful to watch a video of the home Epley maneuver first. Or read a brochure with pictures.

    Your healthcare provider will tell how often to do this procedure. He or she may ask you to do it 3 times a day until your symptoms have been gone for 24 hours. Your healthcare provider will also tell if your right or left ear is causing your symptoms.

    Follow these steps if the problem is with your right ear:

    • Start by sitting on a bed.
    • Turn your head 45 degrees to the right.
    • Quickly lie back, keeping your head turned. Your shoulders should now be on the pillow, and your head should be reclined. Wait 30 seconds.
    • Turn your head 90 degrees to the left, without raising it. Your head will now be looking 45 degrees to the left. Wait another 30 seconds.
    • Turn your head and body another 90 degrees to the left, into the bed. Wait another 30 seconds.
    • Sit up on the left side.

    Follow these steps if the problem is with your left ear:

    • Start by sitting on a bed.
    • Turn your head 45 degrees to the left.
    • Quickly lie back, keeping your head turned. Your shoulders should now be on the pillow, and your head should be reclined. Wait 30 seconds.
    • Turn your head 90 degrees to the right, without raising it. Your head will now be looking 45 degrees to the right. Wait another 30 seconds.
    • Turn your head and body another 90 degrees to the right, into the bed. Wait another 30 seconds.
    • Sit up on the right side.

    What happens after the home Epley maneuver?

    Most people say their symptoms go away right after they do the maneuver. In some cases, it may take a few times for the procedure to work. Some people may have mild symptoms for a couple of weeks. Once your symptoms go away, there is no need to keep doing the maneuver.

    Your healthcare provider may suggest avoiding certain positions for a while after your symptoms have gone away. For instance, you may need to sleep propped up on 2 pillows, to keep your neck from extending straight.

    If you still have symptoms after doing the home Epley maneuver, call your healthcare provider. You may not be doing the maneuver the right way. Or you may have another problem that’s causing your symptoms of vertigo. The home Epley maneuver only works to treat vertigo from BPPV. But many other conditions can cause vertigo.

    You should be able to be active after doing the home Epley maneuver. Make sure your vertigo has really gone away before doing anything dangerous, such as driving.

    With the help of the home Epley maneuver, your vertigo may go away for weeks or even years. BPPV often comes back, though. This might happen if another calcium crystal ends up in your semicircular canals. If your vertigo comes back, do home Epley maneuver again to see if your symptoms go away. If the maneuver doesn’t work, call your healthcare provider.

    How to alleviate vertigo

    Lauren Gerlach was in the middle of a workout video, doing leg lifts that required bending over and steadying herself on the back of a chair, when it began: “This wave of nausea hit, and the room began whirling around me,” she recalls. The sensation lasted for about 10 seconds, and because Gerlach, 45, had been prone to bouts of motion sickness in the past, she dismissed the episode. But in the days following her workout, she felt a little dizzy and unsteady on her feet.

    Then one night Gerlach awakened from a sound sleep and shot straight up in bed. “I looked across at the TV, which I always leave on when I sleep,” she says. “It was literally spinning in a circle — at least, that’s how I saw it.” She raced to the bathroom and was sick.

    That’s vertigo. Almost 40 percent of adults in the U.S. will experience this unsettling sensation at some point in their lives, according to the University of California San Francisco. Defined as “an illusion of motion,” vertigo is a very specific type of dizziness. “If you have an illusion that you’re moving and you’re not, or have an illusion that the world is moving about you when it’s not, you are having vertigo,” says Steven Rauch, a Boston-based ENT-otolaryngologist affiliated with Massachusetts Eye and Ear Hospital and Massachusetts General Hospital.

    A lot of people assume that vertigo has to be a spinning sensation, says Rauch, but it could be rocking, swaying, tumbling, or a feeling of bouncing up, as if you were on a pogo stick.


    Many things can bring on a bout of vertigo, including inner ear infections, migraines and even some medications, including those used to treat high blood pressure or anxiety. But one of the most common causes, as Gerlach discovered after a doctor visit, is an inner-ear condition with a tongue twister of a name: benign paroxysmal positional vertigo (BPPV). About half of all people over age 65 will suffer an episode of BPPV, according to the Cleveland Clinic, and the Mayo Clinic says women are particularly prone. Along with the “Whoa, what the heck …?” sensation, people may also experience lightheadedness and a wonky sense of balance. Queasiness and vomiting may also be part of the package.

    BPPV occurs when tiny calcium carbonate crystals, which normally reside in an inner-ear organ called the utricle and help you keep your balance, break loose and travel into the semicircular canals of the inner ear. This may simply be part of the normal aging process. “BPPV is a degenerative change in the inner ear,” says Rauch. “A degenerative utricle will shed crystals from time to time, like shingles falling off the side of an old house.”

    For expert tips to help feel your best, get AARP’s monthly Health newsletter.

    Sometimes it’s a bump on the head that dislodges the crystals.

    "BPPV is positionally triggered,” says Kim Bell, a San Diego-based doctor of physical therapy who specializes in vestibular rehabilitation. That means when you move your head in certain ways — dropping it forward to pick something up off the floor or attempting a Downward-Facing Dog yoga pose, for instance — you can cause these crystals to move and bring about an attack of vertigo.

    It’s often triggered when you’re lying down: You go to bed feeling perfectly fine, then roll over toward your bad ear to get out of bed in the morning, and wham!

    The shifting of the crystals sends a faulty signal from your inner ear to your brain about how you’re moving, which leads to that “world is spinning” sensation.

    Those dizzy spells typically last for less than a minute but can return anytime you pitch your head and trigger another brief, brisk spin. Some attacks can be merely annoying, says Brian McKinnon, an ENT-otolaryngologist in Philadelphia: “Others can be debilitating and dangerous, making you feel off-balance and putting you at risk for falls."


    BPPV usually goes away on its own within weeks of the first episode, though it can last for months or even years. If you want immediate relief from those bouts of spinning, you might consider something called the Epley maneuver. The treatment — typically performed by a vestibular rehabilitation therapist (a specially trained physical therapist), occupational therapist, audiologist or ENT — involves moving the head in a series of precise positions, allowing the crystals to migrate out of the semicircular canals back to the original vestibular organ they came from — the utricle. “It’s kind of like playing one of those small, handheld pinball games,” says Bell, “tipping it right and left, trying to get the silver ball through the maze.”

    Typically, BPPV can be eliminated in about 85 to 90 percent of patients with just one or two treatment sessions, though it can recur periodically. “A few of those little crystals get loose and the whole thing starts all over again,” says Rauch. If this happens, your doctor or therapist can teach you how to perform the Epley maneuver on your own at home.

    Even after BPPV has been treated, some people have residual symptoms of imbalance or unsteadiness. These can be resolved by working with a vestibular rehabilitation therapist — basically, using specific exercises to help patients regain their stability. It might include walking on different types of surfaces, stepping over thresholds, or maintaining one’s balance in a stationary position.

    Unsettling symptoms aside, BPPV isn’t life-threatening. “If your symptoms are centered exclusively around the ear, and you want to wait it out, there’s probably no big danger in doing that,” says Rauch. However, he notes, there are times when dizziness can point to more serious disorders, such as heart disease, stroke, diabetes, brain tumors or multiple sclerosis. If you have symptoms in any other part of your body — say, your vision has changed, or you have numbness, weakness, confusion or slurred speech — it’s worth taking a trip to the ER and getting it checked out by a doctor.

    In this blog post you will find out about ways to deal with your vertigo. Everything from alternative medicine and meditation to surgeries and antibiotics. But first of all, make sure you are aware of a cause of your vertigo. Many people think that vertigo is a medical condition in itself, when in actual fact it is just a symptom. Once you’ve had it checked over, you can then take steps to minimizing its effects.

    There are two kinds; subjective and objective. The objective is when you feel as if the room is moving, and subjective is when you feel like you are moving. Vertigo can be caused by many things; usually a condition in the inner ear or with the brain.

    Many people think that vertigo is a medical condition in itself when in actual fact it is just a symptom. Some forms of vertigo will go away by themselves, while others will require medical treatment.

    Here are a few ideas:

    Get a Diagnosis

    Getting a proper diagnosis is essential, so you know exactly what is causing your vertigo. Treatment will depend on the kind of vertigo you have. It may be caused by an inner ear disorder, a head injury, migraines, strokes, or tumors.

    Sleep With Your Head Propped Up on More Pillows

    If you only sleep using one pillow, this could make your vertigo worse. By sleeping with your head propped up on two or more pillows, you stop your inner ear crystals from moving and becoming dislodged as much.

    You can also sleep on your back rather than your stomach or side to avoid unnecessary disruption of the ear crystals.

    Try Not to Lower Your Head Past Your Shoulders

    If you must bend to pick something up, do it at the knees rather than at the waist.

    Don’t do any exercises that require you to bring your head past your shoulders either!

    Try Not to Stretch Your Neck

    Stretching your neck forwards, as if you’re reaching for something, can also affect your inner ear crystals.

    Avoid Sudden Movements

    Sudden movements can wreak havoc with your inner ear. Unfortunately, this means you should avoid riding roller coasters and taking part in high impact sports.

    You can still exercise and enjoy sport, but low impact is usually best. Try jogging, swimming, and walking.

    Don’t Smoke

    Smoking is a very bad habit for so many reasons, but it can also affect vertigo treatment. If you do smoke, you are minimizing the effectiveness of the treatment you’re receiving for vertigo. For the sake of your vertigo and other problems, you could encounter due to smoking, get the help you need to quit now.

    There are many support groups and online forums that could help you. It’ll be hard, but it’ll be worth it.

    Try Epley's Maneuver

    The Epley’s Maneuver can be performed by a professional physician. It helps to put your ear crystals back in place, helping to minimize the effects of vertigo.

    You will be put into a number of different positions, designed to remove these crystals from the sensitive part of your inner ear. The physician can even show you how to do it yourself so you can do it at home next time you feel you need to.

    Check out a great guide to Epley Manevuer that we've prepared for you.

    Change Your Diet

    A few changes in your diet could help to reduce your vertigo symptoms. Try eating less salt, and drink lots of fluids to make sure you’re hydrated.

    This is especially important for sufferers of vertigo with Meniere’s disease.


    Antibiotics may cure the reason for your vertigo, and it’ll go away as a result. There are many medicines that treat vertigo, but your doctor will prescribe the best one for you.

    Read about Meclizine and Dramamine – two antihistamines to help with vertigo and motion sickness.


    Chinese medicines, including acupuncture can be a great help when you just can’t seem to get rid of your vertigo symptoms.

    Just 3 sessions of acupuncture are thought to be an effective vertigo relief.

    Click here for a great article about 12 acupressure points to treat vertigo.


    Certain supplements may be able to help in relieving your vertigo symptoms.

    For example, Ginkgo Biloba, helps to improve blood circulation to the brain and can result in a decreased feeling of motion. Vitamin D is also thought to be effective. If you keep up a constant supplement taking plan for a few months, then you may find your symptoms improve.

    You can see a list of helpful supplements for vertigo in our vertigo diet guide here.

    Breathing exercises and meditation

    Stress can make the symptoms of vertigo even worse, so if you’re living a hectic life, you need some mind and body medicine. Breathing exercises and meditation, as well as other relaxation techniques, can be effective in relieving your vertigo symptoms.

    Guided imagery and hypnosis may also be solutions that you’d like to try.

    Alternative therapy

    Alternative therapies are available with a trained osteopath, such as craniosacral therapy. This is a hands-on full body method designed to relieve your symptoms of vertigo and dizziness. It’s gentle, and effective for other symptoms and conditions too.

    It can help to release tension in the head and temples, as well as increase the healing power of the whole body. It’s a great treatment for anybody, but if your vertigo was caused by an accident, then this kind of therapy could be perfect for you.

    You can check out this source to learn about craniosacral therapy.

    Consider surgery

    If your condition is truly unbearable and above suggestions haven’t worked for you, then you may consider surgery. Surgery can be effective if you suffer from conditions such as BPPV, Meniere’s disease, chronic labyrinthitis, and Vestibular Neuritis. Your doctor will be able to tell you whether surgery is suitable for you.

    How to alleviate vertigo

    Vertigo may sound like a sci-fi experience, and in some ways, it is. "Vertigo can be the sensation or hallucination of motion," Darius Kohan, MD, an otolaryngologist who specializes in vertigo at Northwell Health in New York City, tells

    Video of the Day

    In short, you either feel everything moving around you or you have the feeling that you're moving around, even though you're perfectly still.

    Having vertigo is tough to deal with. "A delusion of motion can be severe and debilitating, leading to nausea and vomiting," Dr. Kohan says.

    What Causes Vertigo?

    Exactly what's behind your symptoms will clue you into the home remedies for vertigo that you can use. When it comes to what triggers vertigo attacks, there are three main causes, Dr. Kohan says, including:

    1. Vestibular Neuritis

    Inflammation of the vestibular nerve, which connects the inner ear to the brain, according to Johns Hopkins Medicine.

    2. BPPV (Benign Paraoxysmal Positional Vertigo)

    Crystals inside the chambers of the inner ear that sense motion become dislodged and float around.

    3. Meniere’s Disease

    A disorder of the inner ear that can cause vertigo, tinnitus and hearing loss, per the National Institute on Deafness and Other Communication Disorders (NIDCD). Symptoms are caused by a build-up of fluid in the inner ear. Meniere’s disease is commonly treated, at least in part, with medication.

    So, how do you get rid of vertigo? There are a few natural remedies for dizziness and balance that can help you find relief.

    1. Learn How to Do the Epley Maneuver

    "The number one best treatment for all types of vertigo is vestibular therapy," Dr. Kohan says. (This is a subspecialty of physical therapy.)

    Vestibular therapy includes vertigo exercises you can do at home, like the Epley maneuver. But you should see a specialist first (ask your doctor for a referral) before trying them.

    "Vestibular therapy is covered by insurance, and it requires a few short 10- to 15-minute treatments," Dr. Kohan explains. First, see your primary care doctor, who can rule out other causes, like a bacterial infection in your ear.

    How to Do the Epley Maneuver for Vertigo

    The U.S. National Library of Medicine describes the steps involved with the Epley maneuver:

    1. Turn your head toward the side that causes vertigo.
    2. Quickly lay down on your back with your head in the same position just off the edge of the table. You will likely feel more intense vertigo symptoms at this point.
    3. Slowly move your head to the opposite side.
    4. Turn your body so that it is in line with your head. You will be lying on your side with your head and body facing to the side.
    5. Sit upright.

    Doing something like the Epley maneuver for vertigo on your own for the first time can be challenging, and it's also likely that you'll feel more intense vertigo during the movement, Dr. Kohan says. Also, there's a chance you can make vertigo worse if you focus on the wrong side or don't know what ear canal has the problem. Finally, treatment is individualized, and the Epley isn't the only maneuver that can put crystals back into place. All this is to say: See a specialist before trying this at home.

    Keep in mind that you may have a relapse of vertigo after vestibular therapy. “After the initial episode, 40 percent of patients have a relapse, as crystals can dislodge again easily,” Dr. Kohan says. Once it happens a second time, you can try the at-home vertigo exercises again, as recommended by your health care professional.

    How to alleviate vertigo

    Vertigo is a spiralling feeling of dizziness all around you that upsets your balance. Inner ear issues, such as infections, are the most common cause. Bright lights, sudden movements and anxiety can all make vertigo worse. Calming massage techniques that reduce stress and increase blood flow through the head and neck arteries can help treat some of the symptoms.


    The most common form of massage for treating vertigo is acupressure massage. Based on traditional Chinese medicine, this form of treatment focuses on acupoints which lie at various points along the body. This underlying philosophy of initiating energy flows along meridian lines using specific pressure points is also used in reflexology and Shiatsu massage therapy.

    The four main acupoints for treating vertigo with acupressure massage are:

    1. Bai Hui point, on the top of the head;

    2. Qiao Yin point, behind the ears;

    3. Feng Chi point, base of hairline at the back of the head; and

    4. Tai Xi point, on the ankle.

    These points are also used in acupuncture treatments, which the British Acupuncture Council has said can help sufferers of vertigo.

    Anxiety and vertigo

    Feeling anxious or stressed can make symptoms worse. A well-accepted method for dealing with vertigo is to dim the lights, lie down and try to relax. In other words, put yourself in an environment that is very similar to that in which massage is often performed.

    As well as being recognised for reducing stress or anxiety, a therapeutic massage can help cure the headaches and neck pain that bouts of vertigo can cause.

    When you are suffering from vertigo, going outside to travel is not an appealing idea. Booking a mobile massage service where the acupressure therapist can visit you at home instead helps you avoid travelling through the bright and noisy streets of London, all of which can worsen symptoms.

    Self help techniques

    If you want to try to improve symptoms yourself at home, the most common exercise for vertigo is the Epley manoeuvre which aims to displace and move some of the tiny debris that can collect in the inner ear and cause dizziness and loss of balance. Some massage therapists have been specially trained in this procedure and use it during their session as part of their overall treatment.

    It is also possible to try out certain acupressure point massage movements on yourself as shown in this demonstration video. However it is usually easier, safer and more relaxing to ask an appropriately trained professional therapist to perform the treatment.

    If you have been suffering from vertigo for an extended period of time it may help to visit your GP for further advice.

    Can massage cause vertigo?

    It is very unusual for massage to cause vertigo. However, it is quite common for some people to feel a little light headed or dizzy for a short while after a getting a therapeutic massage. This can be especially true for those people who do not regularly receive massages or have low blood pressure.

    To avoid feeling dizzy after getting a massage, it is best to remain lying down at the end of your treatment for a minute or two and then to get up slowly. Sit down somewhere comfortable and sip a glass of cool water or lukewarm herbal tea. Allow yourself at least 10 minutes of additional rest time whilst you finish your drink and you should not feel dizzy at all.

    Vertigo is the feeling of dizziness that can also be accompanied by nausea, loss of hearing and loss of balance. Vertigo, dizziness and imbalance are considered to be vestibular disorders, which affect the inner ear and brain. The Vestibular Disorders Association indicates that between 2001 and 2004, 35.4 percent of U.S. adults, age 40 and older, had vestibular dysfunction.

    Massage therapy is used to alleviate the symptoms of vertigo and to reduce pain from headache and neck stiffness.

    Performing Massage Therapy

    Standing behind the person suffering from vertigo, wrap you hands around her head with your thumbs on top of her head. Thumbs should be placed on the Bai Hui point, located on the top of the head. Looking at the patient’s ears, draw an invisible line running from the tops of their ears to the center of their head; the halfway point is the Bai Hui point. Gently press downwards and outwards.

    The Bai Hui massage for vertigo is designed to ease headache, dizziness, eye pain, tinnitus and vertigo.

    Locate the Qiao Yin points. The Qiao Yin points are the points behind the middle of the ears. Place your forefingers on the Qiao Yin points and massage slowly in circular motions.

    The Qiao Yin massage for vertigo treatment aims at clearing the head, alleviating pain and stiffness, resolving tinnitus and ear pain.

    Place your hands on either side of your patient’s head and place your thumbs on either side of the back neck muscle by the hairline. The point located in the depression is called the Feng Chi point. Massage this point slowly for 1 to 3 minutes.

    Massaging the Feng Chi point will alleviate vertigo symptoms, dizziness and stiff neck.

    Take your patient’s ankle in hand and press your thumb to the Tai Xi point. The Tai Xi point is located in the depression midway between the edge of the medial malleolus and the Achilles tendon attachment. Massage for 1 to 3 minutes. Repeat the process with the other ankle.

    Massaging the Tai Xi point for vertigo relieves dizziness, tinnitus and headache.


    Massage therapy may not be a good choice for you if you suffer from acute inflammation, redness, swelling, marked breathing difficulty, fever, skin rash or varicose veins.

    If you have a bleeding disorder, low blood platelet counts or take blood-thinning medications, you should avoid any vigorous massage.

    No massage should be done on parts of your body that have blood clots, fractures, open wounds, skin infections, recent surgery or weakened bones.

    If you have cancer, consult your oncologist before getting any massage that applies deep, intense pressure. Direct pressure on tumors is discouraged by the National Center for Complementary and Alternative Medicine.

    Consult your health care practitioner before using massage therapy if you are pregnant.

    How to alleviate vertigo

    Millions of people around the world are affected by vertigo. If you are one of them, you’ll know what’s it like to feel as if you are spinning like you’ve stepped off a rollercoaster. This spinning sensation can affect your quality of life while also putting you at risk of falling.

    What is vertigo?

    Vertigo is generally caused by an issue with your inner ear. There are some common causes of vertigo such as inner ear infections and moving your head in a certain way. There are two main types of vertigo:

    • Central vertigo: This can be triggered by a stroke or multiple sclerosis which can cause an issue in the brain.
    • Peripheral vertigo: This happens as a result of a problem in the inner ear and is the most common type of vertigo. The inner ear controls your balance, but it can easily be damaged by a head injury, ear infection or when a small calcium crystal is out of place. This is called BPPV (benign paroxysmal positional vertigo).

    Exercises for vertigo

    If you experience vertigo, there are exercises you can do to help improve your balance and help your body get accustomed to the signals that cause your vertigo. Doing these exercises regularly could help you to cope better with your vertigo.

    Before you begin any type of exercise for vertigo, you should schedule a consultation with a hearing care professional or your doctor to get a formal hearing evaluation. As there is a chance you could fall, it’s a good idea to have someone with you while you exercise or ensure there’s a wall behind you and place a chair in front of you, so you have support.

    Five simple exercises for vertigo

    Brandt-Daroff exercises

    Try to do this exercise five times on each side:

    • Sit on the middle of your bed and put your feet on the floor
    • Turn your head 45 degrees to the right
    • While keeping your head as still as possible, slowly lie down onto your left side
    • Pause for 30 seconds
    • Go back to the starting position
    • Pause for 30 seconds
    • Move your head 45 degrees to the left
    • Return to the starting position
    • Pause for 30 seconds

    Semont manoeuvre

    Once you have discussed your vertigo symptoms with your doctor and they have confirmed which of your ears is affected, you can try the following exercises. If you are told that you have BPPV (benign paroxysmal positional vertigo – a sudden spinning sensation or the inside of your head is spinning) in your left ear, then you might find the follow exercises helpful:

    • Sit in an upright position on the corner of a bed and move your head 45 degrees to the right
    • Drop quickly onto your left side so your head is now resting on the bed. Stay in that position for 30 seconds
    • In one sudden movement, move your body to the right side, keeping your head at the same angle
    • How this position for another 30 seconds then gradually return to the position you started in
    • If you are told that you have BPPV in your right ear, then move your head to the left and drop on your right side first

    Epley manoeuvre

    If you have BPPV in your left ear, follow the steps below. If it’s your right ear that’s affected, then do the exercises in the opposite way.

    • Sit upright on bed and put your legs straight ahead of you. Have a pillow behind you
    • Move your head 45 degrees to the left
    • Quickly lie back until your shoulders can rest on the pillow. Stay like this for 30 seconds
    • Move your head 90 degrees to the right. Keep this position for 30 seconds.
    • Move your head and body another 90 degrees to the right. Stay like this for 30 seconds
    • Sit upright on the right edge of the bed

    Foster manoeuvre

    Often called ‘the half-somersault’, you should find this one of the easiest exercises for helping vertigo. If you have BPPV in your left ear, then follow the steps below. If it is your right ear that’s affected, follow the steps on your right side.

    • Kneel and put both your hands on the floor.
    • Slightly tilt your head up and back. If you feel dizzy, wait a few seconds for it to pass.
    • Put your forehead on the floor and tuck your chin towards your knees.
    • Move your head 45 degrees so you face your left elbow. Stay in this position for 30 seconds.
    • With your head still in a 45-degree position, lift your head until it becomes level with your back and shoulders. Hold this position for 30 seconds.
    • Lift your head to the fully upright position.

    Walking exercises

    As you may have balance issues, you could fall any time during this exercise. So make sure you have someone with you while you do this exercise.

    How to alleviate vertigo

    The level of anxiety symptoms can vary from person to person, but anxiety is the most common mental health disorder in the United States. In order for people to have the most complete recovery from vertigo and anxiety, their level of stress and symptoms of anxiety must be addressed.

    Most people have some level of nervousness, confusion and worry about their symptoms of vertigo or dizziness, while other people have clinical anxiety disorders diagnosed by a physician, such as generalized anxiety disorder (GAD) or post traumatic stress disorder (PTSD) that are caused by their vertigo, associated with their vertigo onset or began at a completely separate time.

    I have seen a number of things that work successfully for different people to reduce their level of stress and worry, such as steady breathing into the belly through the nose.

    Mouth breathing into the upper chest signals to the nervous system to get activated, while nose breathing into the lower belly signals the nervous system to calm down.

    Journaling to monitor thoughts has helped some of my patients, as well as professional mental health therapy with a psychologist or social worker.

    Prayer and meditation on scripture have also worked for a number of my patients who have a spiritual or religious belief system.

    Ways to Treat Vertigo and Anxiety

    I have met many patients who felt the use of essential oils in a mist diffuser calmed their nervous system, such as lavender or peppermint oil. Other patients learned they were allergic to essential oils and diffusing oils worsened their vertigo and anxiety symptoms.

    Some people choose dietary changes such as reducing their caffeine and stimulant intake to help their nervous system calm down. Proper sleep and exercise are also helpful to stabilize the mental and emotional state.

    But in some cases, the symptoms require pharmacological intervention to take the edge off and support the recovery.

    My patients have experienced relief from symptoms of anxiety with both natural herbal supplements recommended by an herbalist, and prescription medication recommended by a medical doctor. Keep in mind that herbal supplements are not regulated by the US Federal Drug Administration (FDA), so caution should always be taken when purchasing herbal supplements.

    Some medications that I’ve seen people successfully use for vertigo and anxiety include Valium or Xanax in the short term, and anti-anxiety medications such as Lexapro for more long term use.

    Keep in mind that some anti-anxiety medications are addictive, so it’s important to work with a physician to make sure you’re taking the right amount at the right time and that you come off it the right way when you’re ready.

    Other anti-anxiety medications need to be tapered up and taper down with the supervision of a physician, so it’s important that you find a psychiatrist or primary care doctor who is well-versed in these types of medications.

    They do affect mood and your cognition, so they have been linked with falls in older adults. Anti-anxiety medications are also linked with hip fractures in people over 65, so physician supervision is extremely important for older adults with anxiety disorders.

    The success of all these strategies varies with each individual patient and their unique circumstances.

    Anxiety medications may be needed for some people in order to tolerate vestibular physical therapy (VRT) treatment for vertigo. Medications can be used to prevent panic attacks during vertigo treatments.

    For people who are already on medications for anxiety, it is not a good idea to try to come off of regular anti-anxiety medication during a vertigo episode. I had one patient who unintentionally let her anxiety medication run out while she was in the middle of a vertigo attack. She had a very tough time with the vertigo recovery until she got her anxiety medications refilled.

    One thing I know for sure is that failing to address the symptoms of anxiety usually leads to worse outcomes in the recovery from dizziness and vertigo.

    For more strategies on alleviating stress and anxiety, especially related to PTSD, click here.


    This blog is provided for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. The details of any case mentioned in this post represent a typical patient that I might see and do not describe the circumstances of a specific individual.

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    What Exactly Is Vertigo and Is There a Way to Alleviate It?

    How to alleviate vertigo

    If someone says he feels dizzy, as if the room is spinning, he may be suffering from vertigo. Vertigo is a sensation that the person or the things around him are moving when there is actually no movement. Vertigo is one of the main symptoms of Meniere’s disease. Meniere’s disease is known for the following additional symptoms:

    • Tinnitus – ringing in the ears
    • Congestion in the affected ear
    • Nausea
    • Hearing loss that may become permanent if not cared for
    • Usually only affects one ear
    • Mostly affects people in the 40 to 50 years age range

    Vertigo may also come about due to the following:

    • Heart disease
    • Car accidents
    • A blood vessel disease
    • Multiple sclerosis
    • Other systemic conditions

    A good place to begin seeking care if you are experiencing vertigo is making an appointment to be evaluated by an upper cervical chiropractor, such as myself. We will help you determine the underlying cause of your vertigo. If it is connected to a misalignment in the upper cervical spine – which it often is – we can help you.

    Vertigo Responds Well to NUCCA Upper Cervical Chiropractic

    NUCCA doctors have been specially trained to use modern technology and scientific measurements when examining our patients for misalignments in either the C1 or C2 vertebra. A minor trip and fall, a blow to the head or neck, or being hit from behind by a vehicle (even if it was just a light tap) are all things that can cause these bones to misalign. This is because of their unique position and shape. They have the vital job of protecting the brainstem. If they move out of place, the brainstem is negatively impacted and may send improper signals to the brain about the position of the body in its environment. This causes the sensation of vertigo .

    We use a gentle, precise method to move the bones back into place without cracking or popping the spine. It is more of a natural process that results in a longer-lasting adjustment. Once communication is restored, most patients see an improvement in their vertigo, while some see it go away entirely.

    To schedule a complimentary consultation with Dr. Joe Perin call our Vancouver office at 360-597-4784 You can also click the button below.

    The term ‘vertigo’ refers to a feeling of dizziness and spinning. It can occur with or without any movement. Vertigo is caused when your brain feels that your body is off-balance even though it is not. When feeling dizzy, you should sit down immediately in order to reduce the chances of getting hurt if you fall.

    Often, vertigo is a symptom of a fundamental medical condition or several different conditions. Sometimes, vertigo will only occur once however for other people, it will reoccur until the underlying cause is determined.

    The spinning sensation as well as dizziness you get from vertigo can severely limit your activities and make you feel sick. Depending on the cause, though, some simple manoeuvres and stretches you can do at home might bring relief.

    What Causes Vertigo?

    The most common sort of this condition is BPPV (benign paroxysmal positional vertigo). It occurs when small crystals of calcium become loose in your inner ear. You may feel the symptoms of vertigo when you’re getting in or out of bed or, alternatively, tilting your head up. People who are older than the age of 60 years are more likely to get BPPV. Luckily, it’s also the simplest kind of vertigo to treat.

    Before you attempt to treat it yourself, consult your doctor. If you suffer from vertigo, you’ll need to know what type it is as well as which ear has the problem.

    Follow these steps in order to determine affected side:

    • Sit on your bed so that if you lie down, your head will hang just over the end of the bed. Turn your head to the right. After this, lie back quickly.
    • Wait for one minute.
    • If you feel a dizzy sensation, then your right ear is your affected ear. If no dizziness happens, sit up.
    • Wait for one minute.
    • Turn your head to the left. After this lie back quickly. Wait for one minute and if you feel dizzy, then the left is your affected ear.

    If you have BPPV, a number of actions can move the calcium crystals, which cause the problem, out of your ear canal. That should bring relief.

    What Is The Brandt-Daroff Stretch?

    The Brandt-Daroff exercise and stretches is one of several exercises which are intended to speed up the compensation process and also end the symptoms of vertigo. This series of exercises and stretches are often is prescribed for individuals who have BPPV and sometimes for labyrinthitis.

    These stretches and exercises will not cure the symptoms of vertigo however, over time, they can reduce the symptoms.

    Here is how to do the Brandt-Daroff exercise:

    • Begin in an upright, seated position.
    • Move your body into a lying position on one side with your nose pointed up at approximately a 45-degree angle.
    • Remain in this position for around half a minute (or till the vertigo subsides, whichever is longer). Then move back to the seated position.
    • Repeat on the other side.

    People who utilise this exercise are usually instructed to perform multiple repetitions of the exercise at least twice a day.

    How to alleviate vertigo

    What Is The Epley Manoeuvre?

    This is a series of movements which may assist with relieving vertigo by repositioning crystals in the inner ear. The aim of this stretch is to alleviate nausea and dizziness. Research makes the suggestion that this manoeuvre is a particularly safe as well as effective treatment for BPPV.

    How to perform the Epley manoeuvre if vertigo results from an issue with the right ear:

    • Sit on the very edge of a bed.
    • Turn your head 45 degrees, or as far as it is comfortable, to the right.
    • Lie back quickly.
    • Maintain this position for approximately 30 seconds.
    • Turn your head so that it is now 45 degrees to your left.
    • Keep this position for 30 seconds.
    • Turn your head and body an additional 90 degrees to your left into the bed. Keep this position for another 30 seconds.
    • Sit up slowly.
    • Begin on the other side if your vertigo stems from an issue with your left ear.

    Contact Trifocus Fitness Academy

    If you are keen to learn about other stretches which could help to alleviate other health problems then you need to do our Personal Training Diploma. For more information about this fitness course, please follow this link.

    Vertigo. For most people, the word summons images of Jimmy Stewart dangling from high places in Alfred Hitchcock’s classic thriller by the same name. It means something else, however, to hundreds of thousands of people who experience the strange, dizzying affliction.

    The most common cause of vertigo, known as benign paroxysmal positional vertigo, usually can be treated with one visit to the doctor. Because the problem is caused by loose crystal particles floating in the inner ear canal, doctors usually maneuver the head and upper body so that the particles fall out.

    12:00 a.m. Aug. 11, 2004 For The Record
    Los Angeles Times Wednesday August 11, 2004 Home Edition Main News Part A Page 2 National Desk 2 inches; 88 words Type of Material: Correction
    Vertigo treatment — A July 19 Health section article about benign paroxysmal positional vertigo said that the problem is caused by loose crystal particles floating in the inner ear canal and that doctors usually maneuver the head and upper body so that the particles fall out. Although the particles leave the inner ear canal, they don’t actually fall out of the ear. They leave the inner canal through its upper open end, where, doctors believe, they are eventually collected by cells that destroy foreign matter in the body.
    For The Record
    Los Angeles Times Monday August 16, 2004 Home Edition Health Part F Page 4 Features Desk 2 inches; 87 words Type of Material: Correction
    Vertigo — A July 19 Health section story about benign paroxysmal positional vertigo said that the problem is caused by loose crystal particles floating in the inner ear canal and that doctors usually maneuver the head and upper body so that the particles fall out. Although the particles leave the inner ear canal, they don’t actually fall out of the ear. They leave the inner canal through its upper open end, where, doctors believe, they are eventually collected by cells that destroy foreign matter in the body.

    Sometimes, however, the vertigo persists or reoccurs, and repeated treatments become necessary.

    But researchers in Germany have found that many sufferers can treat their vertigo at home, without another visit to the doctor. A few simple head-turning exercises appear to be able to relieve the stomach-churning sensation of spinning and whirling that occurs when the head is suddenly turned.

    Patients who can treat themselves feel more confident if it recurs “because they have learned how to manage their vertigo independently,” says principal investigator Dr. Andrea Radtke, a neurologist at Charite Campus Virchow Clinic in Berlin.

    The study, which was published in last week’s issue of Neurology, involved 70 people, all of whom were about 60 years old. (Vertigo occurs nearly twice as often in women and in people older than 50.)

    The group was split in half, with each group performing one of two treatments. Both techniques took less than two minutes and involved head and neck movements while sitting on a bed. Patients performed the movements three times a day until the vertigo stopped for at least 24 hours.

    After one week, 95% of people who did the “modified Epley” procedure had no more symptoms. The exercise, developed by Portland, Ore., physician John Epley, requires patients to lie on their backs and tilt their heads to one side for 30 seconds, then to the other side for 30 seconds. They then turn their bodies on that same side without moving their head, holding that position for 30 more seconds before sitting up.

    At the end of the study, 58% of people who performed the “modified Semont” maneuver reported no more symptoms. That maneuver requires patients to sit up and then drop quickly to one side, holding their ear against the bed for 30 seconds, and then sit up and drop quickly to the other side, with their ear down for 30 more seconds.

    Dr. Joseph Furman, an otolaryngology and neurology specialist at the University of Pittsburgh, says the study is important “because it validates the concept of home therapy for a common disorder.”

    The goal of both exercises was to transport the trapped particles through the ear canal and make them fall out, Radtke says.

    “Patients should be instructed to learn how to perform the maneuver correctly because incorrect performance could impair its efficacy,” Radtke says. She recommends watching a short video attached to the study on the Internet or following illustrated instructions. Most patients are able to follow the instructions independently, she says.

    What Exactly Is Vertigo and Is There a Way to Alleviate It?

    How to alleviate vertigo

    If someone says he feels dizzy, as if the room is spinning, he may be suffering from vertigo. Vertigo is a sensation that the person or the things around him are moving when there is actually no movement. Vertigo is one of the main symptoms of Meniere’s disease. Meniere’s disease is known for the following additional symptoms:

    • Tinnitus – ringing in the ears
    • Congestion in the affected ear
    • Nausea
    • Hearing loss that may become permanent if not cared for
    • Usually only affects one ear
    • Mostly affects people in the 40 to 50 years age range

    Vertigo may also come about due to the following:

    • Heart disease
    • Car accidents
    • A blood vessel disease
    • Multiple sclerosis
    • Other systemic conditions

    A good place to begin seeking care if you are experiencing vertigo is making an appointment to be evaluated by a vertigo chiropractor in Kelowna, such as myself. We will help you determine the underlying cause of your vertigo. If it is connected to a misalignment in the upper cervical spine – which it often is – we can help you.

    Vertigo Responds Well to Upper Cervical Chiropractic

    Upper cervical chiropractors have been specially trained to use modern technology and scientific measurements when examining our patients for misalignments in either the C1 or C2 vertebra. A minor trip and fall, a blow to the head or neck, or being hit from behind by a vehicle (even if it was just a light tap) are all things that can cause these bones to misalign. This is because of their unique position and shape. They have the vital job of protecting the brainstem. If they move out of place, the brainstem is negatively impacted and may send improper signals to the brain about the position of the body in its environment. This causes the sensation of vertigo .

    As a skilled chiropractor based in Kelowna, British Columbia, we use a gentle, precise method to move the bones back into place without cracking or popping the spine. It is more of a natural process that results in a longer-lasting adjustment. Once communication is restored, most patients see an improvement in their vertigo, while some see it go away entirely.

    Vertigo, a severe form of Dizziness is a sort of movement hallucination. When the affected individual feels that he himself is moving, the condition is referred to as Subjective Vertigo whereas when the affected individual feels that his surroundings are moving then the condition is referred to as Objective Vertigo.

    The sense of spinning and whirling usually lead to balance and equilibrium related problems. Contrary to the popular misconception, Vertigo and Dizziness are not the same.The difference between the two lies in the fact that all Vertigo is Dizziness but not all dizziness is Vertigo. Most of the cases of Vertigo are caused by a peripheral vestibular disorder.

    The condition is usually controlled with the help of a variety of conventional drugs and natural home remedies for Vertigo home treatment.

    The conventional medicines, though effective, should be avoided as much as possible because of the risk of mild or severe side effects associated with them. On the other hand, the natural remedies have no side effects but require patience.

    Causes of Vertigo

    Disorders in body organs involved in maintaining the balance of the body, like inner ear, brain, or nerve tracts connecting the brain stem and cerebellum usually cause Vertigo.

    Older individuals are particularly susceptible to a condition called Benign Paroxysmal Positional Vertigo (BPPV) caused by accumulation of calcium particles in a semicircular canal of the inner ear. Ear infections, ear injuries or head injuries may also lead to BPPV.

    Motion sickness characterized by the inner ear’s increased sensitivity to certain motions may also trigger symptoms of Vertigo. At times, Meniere’s disease caused by excess of fluid in the inner ear may also result in the same. Labrynthitis leading to the inflammation of the inner ear has also been associated with hearing loss and the incidence of this disease.

    Moreover, central nervous system related disorders like acoustic neuroma, epilepsy, neck injury, cerebellar and brain stem tumors, multiple sclerosis and certain forms of migraine also contribute in causing Vertigo.

    Besides, excess alcohol consumption has been associated with temporary Vertigo. Intake of certain drugs such as sedatives, diuretics, chemotherapy drugs etc may also contribute in causing this condition.

    Symptoms of Vertigo

    Movement hallucination characterized by a false sense of motion or disorientation is the main symptom of Vertigo. Additional symptoms like nausea, vomiting, sweating and abnormal eye movements (Nystagmus) may also be present.

    Vertigo resulting from Brain Disorder may also be accompanied by visual disturbances, decreased level of consciousness, headache, weakness, difficulty walking, uncoordinated movements, slurred speech, etc. The condition may take weeks or even months to improve.

    Benign Paroxysmal Positional Vertigo is generally accompanied by symptoms of hearing loss and Tinnitus. BPPV is usually triggered by certain head movements and fades with 30 to 60 seconds. The movement hallucination may last for a few minutes or hours.

    Natural Home Remedies for Vertigo

    • Add a pinch of salt, some black pepper and three teaspoons of lemon juice in 250 ml of water. Regularly drinking this solution thrice a day is one of the most effective home remedies for Vertigo natural treatment. This Vertigo home remedy should be taken for about 15 days to heal the condition.

    • Take one teaspoon of dried and powdered Indian Gooseberry and one teaspoon of coriander seeds. Soak these ingredients in water over night. Finally, strain the mixture, add a teaspoon of sugar in it and drink it to cure Vertigo naturally at home.

    • Take one teaspoon of poppy seeds, two teaspoons of wheat grain, eight water melon seeds/pumpkin seeds, and eight almonds. Soak these ingredients in water overnight. In the morning, grind them to form a paste.

    Next, fry two cloves in a teaspoon of clarified butter and add the previously prepared paste in it. Finally, boil this mixture along with some milk and consume the resultant mixture to get rid of this problem. Some sugar can also be added in this mixture to improve the taste.

    • At times, simply sitting or lying in one position is considered as one of the most highly recommended Vertigo home remedies. Plus, avoid sudden and jerky movements in order to avoid Vertigo attacks.

    • Aromatherapy, yoga, meditation and certain breathing exercises also serve as excellent natural home remedies for Vertigo.

    Diet for Vertigo

    A healthy and well balanced diet with special emphasis on proteins and vitamin C is highly beneficial in dealing with Vertigo. Citrus fruits like oranges and strawberries should be positively included in the diet to reduce Vertigo attacks.

    In fact, a mixture of fresh strawberries, yogurt, milk and almonds is regarded as a good Vertigo natural remedy. Adding lime or lemon peel shavings in the food is also considered beneficial in this regard.

    Ginger juice also helps to relieve Vertigo naturally by relieving pressure. It can be taken along with some honey to improve the taste of the remdy. Simply having a glass of cold water has also been known to reduce the symptoms of this disease effectively. Besides, restrict the consumption of harmful foods and beverages like tea, coffee, alcohol, and processed foods.

    How to alleviate vertigo

    BPPV is caused when tiny calcium crystals in the inner ear dislodge and land in the ear’s rotation sensors, that detect motion and gravity.

    The canalith repositioning procedure is a series of head movements that use gravity to move the calcium crystals out of the sensing tubes and into another chamber of the inner ear, where they’re safely reabsorbed.

    Canalith repositioning has been proven to be 85% effective. Relief from vertigo happens with the first treatment in many cases, but sometimes it needs to be repeated. The procedure can be done at home. Of course, it is recommended the first procedure should be done by a medical professional, due to certain risks involved.

    • Neck or back injury
    • Movement of the particles into a canal which could continue to cause vertigo
    • Side effects, including feelings of nausea, dizziness, and light-headedness

    With that being said, I do this procedure at home when I need to and I have never had it done by a doctor. I have suffered from severe vertigo with hearing loss for almost a year. Hearing tests, multiple allergy medications and nothing worked until I had tubes put in my ears. As soon as the tubes came out, the problem started all over again. I had tubes put in my ears again. This time, it worked for three years.

    BPPV is a chronic problem for me. Is it a symptom related to fibromyalgia? Possibly. It is something I have to be vigilant about -allergy medication and using a Neti pot every day is a must. Repositioning exercises are another tool in my arsenal. I have also started treating the trigger points that cause dizziness, vertigo, inner ear problems, etc.

    Read more about dizziness

    My son told me about canalith repositioning after his doctor performed the procedure on him. His vertigo stopped immediately and he was symptom-free by the next day. After learning how to do the procedure, I tried it myself. It worked for me too.

    According to the American Academy of Neurology, there is not enough evidence to determine that people who treat themselves with canalith repositioning maneuvers at home respond as well as when it’s done by a doctor or therapist. However, there seems to be little harm in trying this kind of self-treatment.

    Three Vertigo Treatments Using Simple Head Movements

    The Epley maneuver is the most well-known canalith repositioning procedure. During this treatment, specific head movements lead to movement of the loose crystals (canaliths) within the inner ear. By repositioning these crystals, they cause less irritation to the inner ear and symptoms can resolve.

    Below are instructions for vertigo that comes from your left ear (If vertigo comes from your right ear, reverse these instructions).

    • Sit on the edge of your bed. Turn your head 45 degrees to the left. Place a pillow under you so when you lie down, it rests between your shoulders rather than under your head.
    • Quickly lie down, face-up, with your head on the bed (still at the 45-degree angle). The pillow should be under your shoulders. Wait 30 seconds (for any vertigo to stop).
    • Turn your head half-way (90 degrees) to the right without raising it. Wait 30 seconds.
    • Turn your head and body on its side to the right, so you’re looking at the floor. Wait 30 seconds.
    • Slowly sit up, but remain on the bed a few minutes.

    In this video, Dr. Edward Cho of House Clinic demonstrates the Epley Maneuver for benign paroxysmal positional vertigo. This video demonstrated the technique for right-sided BPPV.

    First, it’s important to know this condition is different from occasional dizziness from low blood sugar or standing up too quickly as vertigo can be debilitating and interfere with your day-to-day activities. Women’s Health Magazine says about 40% of the population will experience clinically diagnosed vertigo at least once in their lifetimes.

    One study suggested 90 million Americans experience dizziness, with the symptom occurring most frequently in those over the age of 75 years old. Vertigo can make you feel very ill and it can be dangerous, causing a fall that could injure you. What causes this condition and how can it be treated?

    What Causes Vertigo?

    Vertigo is a condition of the inner ear that causes you to see motion where there is none. The signals from your eyes and inner ear are getting mixed up so then your brain will experience vertigo. This can lead to nausea, vomiting, and even difficulty walking.

    Some of the most common causes of vertigo include:

    • Benign paroxysmal positional vertigo, or BPPV, causes tiny calcium particles to clump in the inner ear disrupting the signals to your brain
    • Meniere’s disease is an inner ear illness caused by changing ear pressures or the buildup of fluids
    • Vestibular neuritis or labyrinthitis is a viral infection that inflames the inner ear around the nerves that help the body balance

    Vertigo can be related to things such as benign positional paroxysmal vertigo, when you have loose crystals in your ear and they can make you spin for a few seconds, or, it can go into Meniere’s disease, when you have hearing loss, ringing, or a roaring sensation, and the room is spinning for 20 minutes at a time. The good news about these disorders is that a trained ENT can help you with them.

    It’s less common, but vertigo could also be tied to a head or neck injury, stroke, or other brain problem, migraine headaches, or even medications that end up damaging the ear.

    What Are the Symptoms of Vertigo?

    If you have vertigo, there’s no mistaking it. It often flares up when you change the position of your head. Patients with vertigo symptoms experience:

    • Being pulled in one direction
    • The room spinning
    • The horizon swaying
    • Tilting of the room
    • Unbalanced and unable to walk

    These symptoms cause nausea, vomiting, headaches, sweating, and even abnormal eye movements or ringing in the ear. Balance and the ability to walk is almost always affected, making this a dangerous condition, particularly for the elderly. No matter the cause of vertigo, there are treatments available that can help.

    How Can Vertigo Be Cured?

    Clinicians are often adverse to using the term “cured”, but vertigo can be effectively managed and treated.

    A diagnosis of vertigo comes from a visit to an otolaryngologist who is skilled at treating conditions affecting the delicate structures of the sinuses and inner ears. Eliminating vertigo starts by diagnosing the underlying cause of the condition, then formulating a treatment plan with your doctor. Vertigo seems to be more common in people over the age of 50, but anyone can get the viral infection known as labyrinthitis.

    Vertigo can go away on its own, as your brain adapts to the changes in your inner ear. Other times, treatment is needed, which could include:

    • Canalith repositioning maneuvers are a specific series of exercises to treat BPPV by moving the calcium deposits out of the inner ear to be reabsorbed by the body
    • Medication can help with the nausea and motion sickness almost always associated with vertigo
    • Meniere’s disease is most often treated with diuretics, or water pills to drain the pressure from the fluid buildup
    • Surgery in a few cases can be necessary to alleviate the problem
    • Vestibular neuritis or labyrinthitis viral infections can be treated with antibiotics or steroids to reduce the inflammation
    • Vestibular rehabilitation, which is a form of physical therapy that strengthens the vestibular system to improve the signals your inner ear is sending to the brain

    If there is another underlying health problem causing the vertigo, your doctor will seek to alleviate that while lessening vertigo symptoms.

    Balance is a huge issue with vertigo . Since vertigo is more common in those aged 50 and up, this means the chances of falling are higher in elderly populations. The National Council on Aging reports :

    • One in four Americans aged 65 and older falls every year
    • Every 11 seconds an older adult is treated in the ER for a fall
    • Every 19 seconds an older adult dies from a fall
    • Falls are the leading cause of fatal injury in the elderly

    Vestibular rehabilitation therapy as a stand-alone treatment or when combined with other therapies to treat vertigo, are very effective ways to improve mobility, balance, and help you get back to your full range of activities.

    If you are like me then you’ve had vertigo so bad that you feel the water inside your ears. This is a terrible feeling and finding anything that can help relieve the unpleasant symptoms is a blessing. We get emails from people all the time asking can you get rid of vertigo with ginger?

    There are many different home remedies for vertigo and chances are you’ve tried at least one of them. Ginger is actually one of my favorite remedies that I’ve personally used to help with vertigo symptoms I was experiencing like dizziness, nausea, and motion sickness.

    Can you get rid of vertigo with ginger?

    The answer is yes if you use it right. Keep in mind though that just because ginger is effective for one person doesn’t mean it’ll work as well for you.


    Don’t be surprised that ginger can help with vertigo, as sailors have been using it for centuries to treat motion sickness and nausea due to being at sea for extended periods of time. The root of ginger is what’s used for it’s medical benefits, which include a lot more than just motion sickness.

    Ginger may not be a vertigo cure, but it is definitely a great way to get relief from symptoms fast. However, some of our readers reported to us that they were able to stop vertigo from returning once they started taking 3 to 4 ginger capsules daily.

    How Does it Work for Vertigo

    There is no concrete evidence as to why ginger helps relieve vertigo symptoms so well in some people. However, many speculate it’s because ginger contains certain properties that help send more blood flow towards the brain, which helps stop symptoms of vertigo.

    How To Use Ginger

    There are a number of different ways you can use ginger to get rid of vertigo. How you use ginger will depend on what feels more comfortable for you. Some people are fine with chewing on raw ginger root, while others hate the taste so they take capsules.

    Thankfully there are different forms of ginger that doesn’t leave behind the ginger taste in your mouth as bad as the raw root. Some of these include the powdered form, tea, supplements, pills, and oil.

    Raw Ginger

    How to alleviate vertigo

    Using raw ginger is definitely the cheapest way to take advantage of ginger for vertigo. After you purchase the raw ginger all you will need to do then is peel it. After you peel it slice it up and chew on it the next time you experience a vertigo attack.

    Ginger Capsules

    How to alleviate vertigo

    Ginger capsules are very convenient since you can carry them with you anywhere you go and can take them anytime you feel an attack coming on. The great thing about these capsules is the fact that you can take them as a way to prevent vertigo attacks from coming on.

    Take a ginger capsule every 4 hours during the day to help prevent your symptoms from showing up and ruining your day. We recommend 500 mgs of ginger capsules and take it on an empty stomach right before you eat a meal.

    Ginger Tea

    How to alleviate vertigo

    You can use the fresh raw ginger root to make a tea that will help keep your symptoms at bay. To make the tea slice or grate up a decent piece of the root and then steep it in boiling water for about ten minutes. To make this tea a little tastier you can add some honey to it and then drink.

    Ginger Oil

    How to alleviate vertigo

    Another way to use ginger for vertigo is to get it in its oil form. With the oil form you will have to apply the ginger topically to your neck, head, and around your ears. Simply apply some of the oil on your fingertips and then rub it on the aforementioned areas to give yourself the relief you need.

    You can find ginger capsules, supplements, and pills at your local health food store. When you experience another vertigo attack take a ginger capsule and wait at least 30 minutes for symptoms to subside.

    Ginger Juice

    How to alleviate vertigo

    Making a juice out of ginger is really simple. Peel and cut the ginger up into small pieces and place it in a glass of water. Now place the cup of water in the microwave and heat it up for about a minute and a half.

    Remove the cup from the microwave and strain the ginger root from the water using a strainer. You can put a few drops of honey and add a lemon to the juice as well to help give it more flavor.

    Once again there are many different home remedies for vertigo. Some of these include exercises, physical therapy routines, and diet changes. Ginger is among the best options available when it comes to a natural treatment for vertigo. It’s definitely a great alternative to side-effect filled medications being prescribed for motion sickness and nausea due to vertigo.

    BPPV, or benign paroxysmal positional vertigo, is one of the most common forms of vertigo. If you think you might be suffering from BPPV, here’s a simple at-home test you can take to check your symptoms. Below, learn more about BPPV and its symptoms, causes, and treatment options—including how physical therapy can help.

    Diagnosis: A BPPV Test You Can Do at Home

    In this video, Mike from ATI Physical Therapy in Munster South, IN gives helpful tips to perform a vertigo test by yourself. If you’re feeling dizzy when lying down or getting out of bed, you should perform a BPPV test to check whether you’re suffering from benign paroxysmal positional vertigo. Further steps might also include physical therapy for vertigo to alleviate the symptoms.

    An edited video transcript follows:

    Hi, this is Mike from ATI Physical Therapy in Munster South. Have you ever gotten dizzy when you went to lay down in bed, or when you were rolling over in bed, or getting out of bed? Well then you may have a condition called BPPV. benign proximal position vertigo.

    How To Perform a BPPV Test Yourself:

    1. Get in what we call the long sitting position with two or three pillows behind you. Turn your head 45 degrees to the right or left. It doesn’t matter which way you do first
    2. Quickly lower yourself down over those pillows. You’re still turned to the right and your head is tipped over the pillows.
    3. Stay there for thirty seconds. If you’re feeling dizzy during this time, or the room is actually spinning, then you may have BPPV in your posterior canal in your inner ear.
    4. After thirty seconds, wait about one minute, then test the other ear to make sure it’s not in the other ear.
    5. Sit with your head turned 45 degrees to the left (or the opposite way you went last time). Go back quickly, and make sure your head is tipped over these pillows. Be sure to use enough pillows to make sure you’re tipped back, it’s very important.
    6. Stay there for thirty seconds and you’re looking for the same thing, if you get dizzy in this position.
    7. After thirty seconds, you come up.

    Usually, you’ll be dizzy coming down in one position, but not the other position. Also, most people will get actual spinning of the room in this position. This will, in other words, reproduce your symptoms.

    After this test, if you think you may have BPPV, you can stop in at any ATI location for a complimentary screening.

    Read on to learn more about BPPV and what physical therapy for vertigo at ATI can do for you.

    What is BPPV?

    BPPV is a disorder caused by a problem within the inner ear. It’s one of the most common causes of vertigo—the feeling that the room or environment is spinning around you. BPPV causes brief periods (usually less than one minute) of mild to intense dizziness, caused by movement like lying down, changing positions, or getting out of bed.

    • Looking up or down
    • Sudden head movement
    • Tilting the head
    • Lying down or getting out of bed
    • Rolling in bed
    • Changing positions
    • Bending forward

    BPPV is not serious or life-threatening. But it can be scary, and downright annoying. For older individuals, the dizziness caused by BPPV may cause dangerous falls.

    Benign Paroxysmal Positional Vertigo Symptoms

    Symptoms range from mild to severe. The most common BPPV symptoms are:

    • Dizziness caused by a change in position
    • Sudden dizziness that lasts only a few seconds or up to a minute
    • Imbalance
    • Light-headedness or feeling faint
    • Vertigo
    • Nausea
    • Vomiting

    BPPV Causes

    When naturally occurring calcium carbonate crystals (otoconia) shift in the ear and get trapped within the semicircular ear canals—that’s BPPV. Often, no specific cause is found, but studies have shown the following most frequent drivers:

    • Wear and tear (degeneration) on your inner ear, often from aging
    • Head injury, as minimal as whiplash
    • Trauma, often related to dental or facial surgery
    • Illness
    • Migraine
    • Ototoxic medications

    Can BPPV Go Away On Its Own?

    Over time, BPPV symptoms may go away on their own. But BPPV treatment with a physical therapist is simple, effective, and gets you feeling better faster. Make an appointment with ATI and start your treatment right now.

    Physical Therapy for BPPV

    Most people with BPPV find alleviation through physical therapy involving simple and specific maneuvers that move the head and body. The goal with this treatment is to get the crystals floating in your semicircular canals back into the right area in your inner ear. Your physical therapist will first confirm BPPV diagnosis, then evaluate your personal symptoms and determine which treatment is best for you.