Sudden spinning vertigo triggered by lying down, sitting up, or rolling over is the classic hallmark of benign paroxysmal positional vertigo (BPPV) — the single most common cause of vertigo in adults. Expert vestibular rehabilitation BPPV treatment Bangalore patients pursue at Pro Physiotherapy resolves the vast majority of episodes in one to three focused sessions. Reference: Bhattacharyya et al., AAO-HNS Clinical Practice Guideline (BPPV), 2017.
Why Vestibular Rehabilitation BPPV Treatment Bangalore Patients Choose
Firstly, BPPV arises when calcium carbonate crystals (otoconia) dislodge from the utricle and enter the semicircular canals. Consequently, positional changes generate false rotational signals to the brain, producing the sudden spinning sensation. Fortunately, structured canalith repositioning — the Epley manoeuvre and its variants — restores the crystals to their correct location.
Conditions We Treat
- Posterior canal BPPV (85–90% of all BPPV cases).
- Lateral / horizontal canal BPPV.
- Vestibular hypofunction post-labyrinthitis or vestibular neuritis.
- Post-concussion vestibular dysfunction.
- Elderly imbalance and fall-risk related to central-peripheral integration.
Our Session-by-Session Framework
| Session | Focus | Expected Outcome |
|---|---|---|
| 1 | Dix-Hallpike diagnostic test + Epley manoeuvre | Symptom resolution in ~85% of posterior-canal BPPV |
| 2 | Re-test, second Epley if positive, Brandt-Daroff home programme | Cumulative resolution > 95% |
| 3 | Vestibular habituation, gaze stabilisation drills | Return to full daily activity |
| Follow-up | Balance retraining and fall-prevention | Sustained recovery, low recurrence |
Home Programme After the Epley Manoeuvre
- Avoid lying flat for 24–48 hours post-manoeuvre.
- Sleep semi-upright with two pillows.
- Perform Brandt-Daroff exercises twice daily if recurrence occurs.
- Book a follow-up if symptoms return within 4 weeks.
- Report any new hearing loss, headache, or neurological signs immediately.
ENT-Coordinated Care in Bangalore
Additionally, we coordinate with ENT specialists across Manipal, Apollo, Fortis, and BGS Hospital campuses in Bengaluru for post-audiometry and post-imaging vestibular rehabilitation. Furthermore, our senior citizen physiotherapy programme integrates fall-prevention balance retraining for the geriatric BPPV cohort.
Frequently Asked Questions
How quickly does vestibular rehabilitation BPPV treatment in Bangalore work?
Most posterior-canal BPPV episodes resolve within 1–3 sessions using the Epley manoeuvre plus a short home programme.
Is the Epley manoeuvre painful?
No. The manoeuvre transiently reproduces the spinning sensation for 30–60 seconds per position but is not painful.
Do I need an MRI for vertigo?
Only if there are red flags — new hearing loss, headache, focal neurological signs, or vertigo lasting more than 60 seconds per episode.
How often does BPPV recur?
Recurrence rates are around 15–25% per year. A short home-exercise programme substantially reduces recurrence risk.
What is the cost of BPPV physiotherapy in Bangalore?
Single vestibular sessions start at ₹800. Full vestibular rehabilitation packages including post-concussion care are quoted transparently after Day-1 assessment.
End the spinning today. Book the same-day vestibular rehabilitation BPPV treatment Bangalore ENT specialists refer to Pro Physiotherapy. Reserve your Dix-Hallpike assessment →
