Dizziness or Vertigo When Lying Down
Experiencing vertigo when lying down or turning over in bed is a common symptom of certain vestibular conditions. Many people describe the sensation as the room spinning when they lie down, roll over in bed, or sit up.
Although these symptoms can be alarming, they are often caused by BPPV, which can usually be treated effectively with physiotherapy. See our Vestibular Physio page for a broader overview.
Why Vertigo Happens When Lying Down
The inner ear contains tiny calcium crystals that help detect head movement and maintain balance. In BPPV, these crystals become displaced into one of the semicircular canals. When the head changes position, such as when lying down or turning in bed, the crystals move within the canal and trigger the sensation of spinning.
Common Symptoms
- Vertigo when lying down
- Dizziness when turning in bed
- A spinning sensation when getting up from bed
- Nausea associated with vertigo
- Brief episodes of dizziness lasting seconds
These episodes are usually short but may feel intense while they occur.
Physiotherapy Treatment
Physiotherapy can be very effective in treating positional vertigo. Treatment may include:
- Vestibular assessment – specialised tests to determine which part of the inner ear is affected.
- Canalith repositioning manoeuvres – techniques such as the Epley manoeuvre to reposition displaced crystals.
- Vestibular rehabilitation exercises – designed to help the brain adapt and restore balance.
Many patients experience significant improvement after treatment, and early treatment can often resolve symptoms quickly.
Book a Vestibular Assessment
When booking, select “Initial Physiotherapy Appointment”.
