What it is
A short, honest summary.
- —Vertigo is the illusion of movement — most commonly the world spinning around you, or you spinning in the world.
- —BPPV (benign paroxysmal positional vertigo) is the leading cause: tiny crystals dislodge in the inner ear and float into the wrong canal.
- —Other causes: vestibular neuritis, Meniere's disease, vestibular migraine, central causes.
What families notice
The signals worth taking seriously.
- 01Brief, intense spinning triggered by head position (rolling over, looking up)
- 02Nausea and vomiting with episodes
- 03Imbalance between attacks
- 04Sensitivity to motion, scrolling screens, or busy environments
- 05Frequently misdiagnosed as 'cervical' or 'BP problem' in India
My approach
How the work is structured.
- —Proper bedside diagnosis — Dix-Hallpike, Roll Test, Head Impulse — before treating.
- —Repositioning manoeuvres (Epley, Semont, BBQ Roll) for BPPV — often resolving symptoms in one or two sessions.
- —Vestibular rehabilitation exercises for non-BPPV causes: gaze stabilisation, habituation, balance retraining.
- —Education on triggers, recovery rhythm, and what's not vertigo (light-headedness, anxiety-related dizziness).
What recovery looks like
A plain-language picture.
“BPPV resolves in one to three sessions for most people. Other vestibular conditions take weeks to months of targeted exercise, with substantial improvement the rule rather than the exception.”
FAQ
Common questions, answered briefly.
- Why have I been treated for 'cervical vertigo' for months with no improvement?
- Because true cervical vertigo is rare, and most spinning vertigo is BPPV — which is treated very differently. A proper vestibular assessment usually clarifies in 20 minutes.
- Will it come back?
- BPPV can recur in roughly 30% of people. The good news: re-treatment works just as quickly the second time.