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 ₹600.
TL;DR
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 ₹600. 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–₹600 (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
₹1,200 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
What a Vertigo Home Visit Looks Like
1
Session 1 · Diagnosis + Epley
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).
2
Session 2 · Retest + repeat if needed
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.
3
Session 3 · Vestibular habituation
Brandt-Daroff exercises if recurrence, gaze stabilisation drills (VOR training), and balance retraining. Home programme handover.
4
Follow-up · WhatsApp check-in at 2 & 4 weeks
Confirm no recurrence. If recurrent, we screen for underlying causes (osteoporosis, migraine, head trauma history).
Frequently Asked Questions
How is BPPV treated at home?
BPPV is treated at home with the Epley maneuver — a sequence of four head positions that reposition displaced inner-ear crystals using gravity. Performed correctly, it resolves 90% of BPPV cases in 1–3 sessions. Do not attempt without a trained clinician if you have neck problems or unclear diagnosis.
How long does it take for BPPV to go away after the Epley maneuver?
Most patients are symptom-free within 24–48 hours after a correctly performed Epley. Sleep with 2–3 pillows for 48 hours and avoid tipping your head back or lying flat on the affected side. Recurrence rate is around 15% per year.
Can I do the Epley maneuver myself at home?
We strongly recommend the first Epley be performed by a trained vestibular physiotherapist because the affected side must be correctly identified via Dix-Hallpike, and cervical spine safety must be cleared first. Once you have been through it once and know your affected side, we teach a self-Epley for recurrences.
Is vertigo dangerous?
Positional vertigo (BPPV) is not dangerous but the falls it causes can be. Ongoing vertigo with hearing change, tinnitus, focal weakness or headache is not BPPV and must be evaluated urgently — could be vestibular neuritis, Meniere's or a central cause. Our day-1 screening identifies these red flags.
How much does BPPV physiotherapy cost in Bangalore?
Home visits ₹1,200 (60 min). Most BPPV resolves in 1–3 sessions (₹1,200–₹3,600 total). Clinic follow-ups from ₹600. Detailed session receipt with ICD-10 H81.10 codes for insurance reimbursement.
Book a clinical consultation at Pro Physiotherapy JP Nagar
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