Vertigo & BPPV Treatment Bangalore — Epley Maneuver Vestibular Physiotherapy | From ₹549
BPPV (Benign Paroxysmal Positional Vertigo) is treated with the Epley maneuver — a canalith-repositioning technique that resolves 90% of cases in 1 to 3 sessions. Pro Physiotherapy vestibular physiotherapists perform Dix-Hallpike diagnosis and the Epley maneuver at your home across JP Nagar, HSR Layout, Whitefield and Sarjapur Road.

BPPV (Benign Paroxysmal Positional Vertigo) is treated with the Epley maneuver — a canalith-repositioning technique that resolves 90% of cases in 1 to 3 sessions. Pro Physiotherapy vestibular physiotherapists perform Dix-Hallpike diagnosis and the Epley maneuver at your home across JP Nagar, HSR Layout, Whitefield and Sarjapur Road. Sessions from ₹549.
Around 20% of Bengaluru adults experience Benign Paroxysmal Positional Vertigo (BPPV) at least once in their lifetime — brief but terrifying spinning episodes triggered by rolling in bed, looking up or bending forward. The Epley canalith-repositioning maneuver resolves 90% of BPPV cases in 1–3 sessions (Bhattacharyya 2017 AAO-HNS CPG). Pro Physiotherapy delivers this at home across JP Nagar, HSR Layout, Whitefield, Sarjapur Road, Koramangala and BTM Layout. Sessions from ₹549. Detailed session receipt for insurance reimbursement.
Understanding BPPV & Why the Epley Maneuver Works
BPPV is caused by displaced calcium-carbonate crystals (otoconia) drifting from the utricle into one of the semicircular canals of the inner ear — most commonly the posterior canal. Every head-position change then produces a false rotation signal, causing a 30–60 second spinning episode with characteristic torsional nystagmus.
The Epley maneuver is a sequence of four precise head positions that use gravity to guide the loose otoconia back into the utricle, where they are harmlessly reabsorbed. Once done correctly, most patients wake up the next morning symptom-free. The AAO-HNS 2017 Clinical Practice Guideline recommends it as first-line treatment.
Day-1 Vertigo Home Assessment
A 45-minute visit covers a detailed history (duration, triggers, hearing change, headache), Dix-Hallpike test for posterior-canal BPPV (which side is affected), supine roll test for horizontal-canal BPPV, cervical clearance before positional testing, oculomotor screen (smooth pursuit, saccades) and gaze stability testing.
Red flags — unilateral hearing loss, ongoing tinnitus, focal neurological signs, vertigo that lasts hours without a positional trigger — are referred to ENT for Meniere's disease, vestibular neuritis or central causes.
Vertigo Care Pathways in Bangalore
| Pathway | Duration | Typical Cost | Best For |
|---|---|---|---|
| Vestibular suppressants only (Stemetil) | 2–4 weeks | ₹300–₹549 (drug cost) | Symptom relief only — does not cure BPPV; delays recovery |
| ENT + Epley maneuver in clinic | 1–2 visits | ₹800–₹1,500 per visit | Standard care |
| Home vestibular physiotherapy (Pro Physiotherapy) | 1–3 sessions | ₹799 per visit | 90% resolution — first-line for BPPV |
| Vestibular rehabilitation for post-BPPV imbalance | 4–8 weeks | ₹9,600 for 8 sessions | Residual balance issues or vestibular neuritis |
Transparent Pricing — From ₹549
No hidden fees · Insurance-reimbursableEvery session receipt carries ICD-10 codes accepted by Star Health, HDFC ERGO, ICICI Lombard, Care Health, Aditya Birla and Manipal Cigna for reimbursement. Outer-perimeter home visits carry a transparent ₹150 surcharge.
“Great experience at Pro Physiotherapy, JP Nagar 8th Phase. The doctor is excellent, and his team is very supportive. Really happy with the care for my back. Highly recommended!”
What a Vertigo Home Visit Looks Like
History, cervical screen, Dix-Hallpike (identifies affected side and canal), Epley maneuver, post-treatment instructions (avoid tilting head back, sleep upright at 45° for 48 hours).
Return 2–3 days later. Retest Dix-Hallpike. If still positive, repeat Epley. If negative, we progress to habituation exercises for any residual mild dizziness.
Brandt-Daroff exercises if recurrence, gaze stabilisation drills (VOR training), and balance retraining. Home programme handover.
Confirm no recurrence. If recurrent, we screen for underlying causes (osteoporosis, migraine, head trauma history).
Frequently Asked Questions
How is BPPV treated at home?
How long does it take for BPPV to go away after the Epley maneuver?
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