Vertigo Treatment with Simple Exercises (BPPV) – Ask Doctor Jo

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Vertigo Treatment with Simple Exercises (BPPV): http://www.AskDoctorJo.com Simple Vertigo (BPPV) exercises to help treat vertigo symptoms. For more physical therapy videos or to Ask Doctor Jo a question, visit http://www.AskDoctorJo.com

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Benign Paroxysmal Positional Vertigo, better known as BPPV, can literally stop you in your tracks. Make sure you are properly diagnosed because the symptoms can be something more serious and dangerous if not properly diagnosed.

The first exercises are called Brandt-Daroff exercises. Start in an upright, seated position. Then move into a lying position on one side with your nose pointed up at about a 45-degree angle. Stay in this position for about 30 seconds (or until the vertigo subsides, whichever is longer). Then move back to the seated position and stay for 30 seconds. Repeat on the other side. This should be done 5 times, 2 times a day holding each position for 30 seconds.

The next set of exercises are called Gaze Stabilization exercises. Keeping your head in one spot, move your eyes side to side as smoothly as you can 10 times. Then move them up and down 10 times. Next move them at a diagonal 10 times one way, and then 10 times the other way. You might get some symptoms while doing this, but if you can keep moving them, the symptoms should go away.

Finally, you are going to move your head, but keep your eyes focused on one spot. Hold out your finger in front of you, or put an X or A, or any letter on a piece of paper on the wall. While focusing on the one spot, move your head side to side as smoothly as you can 10 times. Then move it up and down 10 times. Next move it at a diagonal 10 times one way, and then 10 times the other way.

DISCLAIMER: This video and any related comments are not medical advice. Doctor Jo is a licensed Physical Therapist and Doctor of Physical Therapy; however, she is not YOUR Physical Therapist and can’t possibly diagnose you through the Internet. So don’t use this information to avoid going to your own healthcare professional or to replace the advice they have given you. This information is only intended to show you the correct technique for physical therapy exercises and should not be used to self-diagnose or self-treat any medical condition. If you are not properly diagnosed, this information won’t help, and it could make things worse. So seriously, check with your healthcare professional before doing these techniques. If you experience any pain or difficulty while doing these exercises, stop immediately and see your healthcare professional.

1,831 comments

  1. great vid.. doctor can we focus on letters of foreign alphabets as well? do they gotta be from the english language?

    1. +Gabriel Miranda Thanks! It can be anything. Letters of any kind or even an X. Good luck!

    1. AskDoctorJo madam good night last two years I am feeling giddies in summer please give me proper guideline

    2. +Joseph huval I think that’s what I have going on as well. A sinus infection with Vertigo, Fevers and Migraines to boot 🙁

    3. Joseph my sinuses have been playing up for days and ringing in my ears and itching ears then I had an attack my doctor said there’s no link . I think they are wrong

  2. I went to the doctors and they said I had vertigo but my dizzy ness doesn’t go away its stays 24/7 except when I’m sleeping so I honestly don’t know what I have

    1. +Joseph huval Vertigo can be all the time, but the doctors really need to find out why it is happening. Unless you have it from an infection, antibiotics won’t help.

  3. I’ve been having vertigo for a month now it’s only really bad when I stare at something long

  4. I am on day 7 of Vertigo. Worst in the morning. Spent days 1 throwing up all day and ended up in the emergency room. I am doing the movements each day and every day I feel less dizziness when I do them but the symptoms are still there. Any recommendations on what else might help? I heard ginger is good.

    1. +Patrick Bilicki I would really recommend a healthcare provider do them. The techniques only work if they are done properly and by someone who knows what they are looking for.

    2. Would my wife be able to do these movements or should I talk to my flight surgeon? I am currently in the Navy so I get to deal with military medicine

    3. +Patrick Bilicki Have you tried any formal therapy? Vestibular rehab can be very helpful since some of the movements need to be done by someone else.

  5. DR.Jo I have experienced Vertigo multiple times this year one of these episodes lasted 3 full days! I was a nightmare.. I dreaded this happening again. Well today it did, I found your video feeling desperate and guess what? for the first time ever an exercise worked! Thank you sooo much I’ll be sharing this with everyone. especially my family who deals with this often. Thank again! Haley

  6. Hi doctor I’m suffering in vertigo some one going in my head that right side ear some sound I don’t know what is the reason please tell me doctor good advice …This proplem al most 6 month

    1. +Kannan Solaiappan Vertigo can be a symptom of many things. Have you been to a doctor yet?

  7. You said to keep your head at a 45 degree angle…to the sofa? It looked like you were holding it at a 90 degree angle to the sofa. Please clarify, thanks!

    1. +Claudia Lambright It’s a 45 degree angle…not all the way up, and not all the way straight forward. Good luck!

  8. Hi, i have bbpv and mav after doing some of the exercise my left eyes hurts after couple of minutes of exercise.My left side is my problem side that i get the most spinning vertigo.i wanna know is that suppose to happen?plz can you answer.

    1. +Nelie Nelie Sometimes you do feel worse with these exercises before you feel better, but if you feel like it isn’t helping, I would stop and try going to a physical therapist so they can help you figure out what will work best for you. Good luck!

  9. this really helps doc I have a bad time sleeping from the dizziness and now I can sleep =)

    1. @Sheheryar Hussain  @Sheheryar Hussain  visit your doctor. He’ll suggest some good nasal sprays which help cleansing your sinuses

    2. @Faiza Zaidi Thankyou for your help. My vertigo went away by itself but my vision goes blur now and I keep seeing dots on walls and objects and eye floaters in sunlight like tiny white bubbles. I have sinus infection, pansinusitis. Could you please suggest something for this. Thanks

    3. @Sheheryar Hussain try aforementioned exercises alongwith increase salt intake to normalize bp which gets lower in vertigo.

    4. @Faiza Zaidi i am facing vertigo since a month. I’m 23 years old from Pakistan. What should I do? It increases when I walk

    5. @starlite 77 that person was having flu which was causing obstruction in the inner ear. And it left as long as the flu did.

  10. Dr. Thanks for sharing this video with us. Is there any exercise for drowsiness?

    1. +Sunny Ahmed You’re welcome! Nothing specific besides exercising in general to keep you awake! Good luck!

  11. I’ve had vertico on and off for years. Do the exercise you give at the end help with maintenance so that I hopefully will not get vertigo in the future? Thanks for the video!

    1. +Christine Helmer You’re welcome! Yes, both of these can be used as a maintenance program. Good luck!

    1. +jwyuen I don’t think one is better than the other, but I do believe B-D is better if you are performing it to yourself. To correctly do the Epley, you should really have someone turning your head for you quickly, so you can be completely relaxed. Good luck!

  12. How long does this take to work. This is the second time I’ve had vertigo in 9 years. Couldn’t drive for 6 of those years due to feeling like I was going to pass out when I would hit 35 mph. Just started driving again and now it’s back. Thought I was rid of it!! Got a virus in my left ear in ’06 lost 35%…crystals and hairs.

    1. +Susan Pollard I think that is fine. We often turn many times while we sleep, and I don’t think you can prevent that even if you tried. I’m glad it’s helping!

    2. +AskDoctorJo Thank you they are actually helping me already. Is it ok to lay flat in bed on my sides when I sleep? Cuz that’s the only way I can fall asleep. Can’t sleep on my back at all.

    3. +Susan Pollard It is recommended to do them 2 times a day for 2 weeks even if you symptoms are gone. Good luck!

  13. I’ve got bppv in the left side of my head, I’ve also got a strained neck which my therapist told me is another thing that contributes to it… she gave me a sheet of excersises and I have a quick question, when the vertigo acts up I know I’m obviously supposed to do the excersises, how long must I do them and are they supposed to make you feel unbalanced?

    1. +An7one S Yes, they will usually increase the dizziness for awhile, but hopefully it will be less each time until it is gone.

    2. +AskDoctorJo I have one more question, then I’ll shut up haha thank you for your time… the exercises are supposed to make you feel dizzy right or wrong? I hear it is because it’s challenging your inner ear?

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