What exercises are recommended for managing Benign Paroxysmal Positional Vertigo (BPPV)?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Benign Paroxysmal Positional Vertigo (BPPV) is commonly treated with repositioning exercises like the Epley maneuver. These simple head and body movements help shift dislodged calcium crystals (otoconia) out of the inner ear's semicircular canals, where they trigger dizziness, and back into the utricle where they belong. Other effective techniques include the Semont and Brandt-Daroff exercises.

Because vertigo can stem from many causes beyond BPPV—including inner ear infections, migraines, or neurological issues—it's important to identify what's actually driving your symptoms before starting treatment. Take a free, instant, online symptom check to better understand your condition and get clear guidance on your next steps.

Reviewed for medical accuracy: 07/15/2026

Important Next Steps

Learn if dizziness could be BPPV Discover likely causes of vertigo See whether your symptoms need care Find OTC options for dizziness relief Find a doctor for vertigo care Explore safe home remedies for BPPV Understand if balance issues suggest BPPV

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Explanation

Benign Paroxysmal Positional Vertigo (BPPV) is a common cause of dizziness. It happens when tiny particles in the ear canal move to places they shouldn't be. If you're experiencing dizziness or vertigo symptoms, try this free AI symptom checker to better understand what might be causing your symptoms. Exercises can help move these particles back to where they belong.

Recommended Exercises:

Epley Maneuver: This is one of the most effective exercises for BPPV. It involves a series of head and body movements to help relocate the particles in the ear. The Epley maneuver is often done in a doctor's office but can also be done at home with instructions.
Other Repositioning Maneuvers: There are other exercises similar to the Epley maneuver that can also help with BPPV. These exercises work by using gravity to move the particles in the ear canals.

These exercises are generally safe and effective, but it's always a good idea to talk to a healthcare provider before starting any new exercise, especially if you have other health conditions.

(References)

Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El-Kashlan H, Fife T, et al. (2017). Benign Paroxysmal Positional Vertigo (Update). Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 28248609.
Hilton M, & Pinder D. (2002). The Epley (canalith repositioning) manoeuvre for benign .... The Cochrane database of systematic reviews, 11869655.
Gold DR, Morris L, Kheradmand A, & Schubert MC. (2014). Repositioning maneuvers for benign paroxysmal positional .... Current treatment options in neurology, 25007983.

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