Vertigo, BPPV and the Epley Manoeuvre: A simple, effective treatment for positional dizziness

Feeling like the world is suddenly spinning when you turn your head, lie down, or get out of bed can be unsettling. For many people, these brief but intense episodes are caused by a common condition called Benign Paroxysmal Positional Vertigo (BPPV).

At Chelmsford Private GPs, we regularly assess and treat patients with symptoms of vertigo, and Dr Onen can perform the Epley manoeuvre, a straightforward and often highly effective treatment for BPPV.

What is BPPV?

BPPV is one of the most common causes of vertigo. It typically produces short episodes of dizziness - like the world is spinning which are triggered by changes in head position, such as:

• Rolling over in bed
• Looking up or bending down
• Sitting up quickly

It is caused by tiny calcium crystals (otoconia) becoming dislodged in the inner ear. When these move into the wrong part of the balance system, they can interfere with normal signals about head position — leading to a spinning sensation.

Although symptoms can feel dramatic, BPPV is benign and treatable.

What is the Epley manoeuvre?

The Epley manoeuvre is a guided sequence of head and body movements designed to move the displaced crystals back into the correct part of the inner ear, where they no longer cause symptoms.

It is often used as a first-line treatment for BPPV and can provide relief in a single session, although some people may need repeat treatment.

The procedure is simple, non-invasive, and performed in clinic by Dr Onen.

What to expect during treatment

If you attend Chelmsford Private GPs for assessment of vertigo symptoms, Dr Onen will first confirm whether BPPV is the likely cause. This involves a clinical history and positional examination.

If appropriate, Dr Onen can carry out the Epley manoeuvre during the same appointment.

You may experience temporary dizziness during the procedure, which is expected and usually settles quickly. After treatment, Dr Onen will give advice on what to expect over the following hours and days, including any follow-up if symptoms persist.

Does BPPV come back?

In many cases, the Epley manoeuvre resolves symptoms effectively. However, BPPV can recur in some people over time.

If this happens, repeat treatment is often just as effective. Dr Onen will also provide advice on managing symptoms and reducing triggers where possible.

When to seek medical advice

While BPPV is a common cause of vertigo, dizziness can occasionally be linked to other conditions. It's important to seek medical assessment if you experience:

• Persistent or worsening dizziness
• Hearing changes
• Neurological symptoms (such as weakness or speech difficulty)
• New or unexplained balance problems

A proper assessment helps ensure the correct diagnosis and treatment plan.

Support at Chelmsford Private GPs

At Chelmsford Private GPs, we offer assessment and treatment for vertigo, including the Epley manoeuvre where appropriate. Our aim is to provide clear answers and effective treatment in a calm, supportive setting.

If you're experiencing symptoms of vertigo or positional dizziness, our team is here to help.

📞 01245 203838 📧 [email protected]