Epley Manoeuvre for Vertigo Treatment
The Epley manoeuvre is a specialised treatment used to treat a common cause of vertigo known as benign paroxysmal positional vertigo (BPPV). It involves a sequence of head and body movements designed to reposition small crystals in the inner ear that have become displaced.
The Epley manoeuvre is widely recognised as one of the most effective treatments for BPPV. Our physiotherapists are trained in vestibular rehabilitation and perform this manoeuvre as part of a full vestibular assessment. See our Vestibular Physio page for more.
Why the Epley Manoeuvre Works
The inner ear contains tiny calcium crystals that help detect movement and maintain balance. In BPPV these crystals move into the wrong part of the inner ear, triggering spinning when the head changes position. The Epley manoeuvre guides the crystals back to their correct position, where they no longer trigger vertigo.
What Happens During the Epley Manoeuvre?
Your physiotherapist will guide you through a series of specific head positions, each held briefly to allow the crystals to move through the inner ear canal. Although the manoeuvre may temporarily trigger dizziness, it is usually well tolerated and only lasts a short time.
How Effective Is It?
For many people with BPPV, the Epley manoeuvre can provide rapid relief. Some patients improve after a single treatment session, while others may need additional sessions depending on the severity of symptoms.
After treatment, your physiotherapist may recommend vestibular exercises to help restore balance and improve coordination between the inner ear and the visual system.
When Should You Seek Treatment?
You may benefit from the Epley manoeuvre if you experience vertigo when lying down, dizziness when turning in bed, spinning sensations when looking up, or brief episodes of positional vertigo.
Book a Vestibular Appointment
If you are experiencing vertigo or dizziness related to head movement, vestibular physiotherapy may help. When booking, select “Initial Physiotherapy Appointment”.
