BPPV Exercises at Home: Following Your Clinician's Plan

This guide is for people who have already been assessed for BPPV and given a home plan. If you are still trying to work out why you feel dizzy, start with our ear-crystals and BPPV assessment guide.

A useful home plan tells you more than the name of an exercise. It explains which treatment is appropriate, how to follow it in your circumstances, and what to do if the situation changes.

Make sure the home maneuver fits your assessment

The affected side and canal matter when choosing a repositioning maneuver. Ask your clinician to demonstrate the specific sequence and give you instructions you can refer to at home. The AAO-HNS patient information explains why BPPV testing and treatment are linked.

The home Epley maneuver is not suitable for everyone. Johns Hopkins Medicine advises discussing relevant conditions, including neck or back disease, before using it. Ask about your own movement restrictions, safe setup and whether another person should be present.

Keep the instructions together

Before attempting a prescribed home maneuver, check that you can answer these questions:

What to confirm	Why it helps
Which maneuver and side were prescribed?	Prevents mixing instructions from different demonstrations
What schedule should I follow?	Keeps practice tied to your personal plan
What symptoms mean I should stop or seek help?	Gives you a response to an unexpected episode
When is follow-up due?	Creates a clear point for checking the result
Are separate exercise goals part of the plan?	Distinguishes repositioning from later rehabilitation

If an answer is missing, contact the clinician who provided the plan. A generic timing or repetition count on the internet cannot account for your assessment.

Do not assume discomfort proves success

The experience during a maneuver does not, by itself, confirm that the treatment worked. Similarly, feeling less dizzy afterward does not identify the cause of any remaining symptoms. Follow the reassessment plan provided by your clinician.

The BPPV guideline focuses on appropriate diagnosis and treatment. Use your follow-up to discuss what has changed and whether you need further assessment, rather than using an app score as a treatment test.

Keep repositioning separate from other exercises

Repositioning maneuvers aim to move misplaced inner-ear particles. Gaze-stabilization exercises, such as VOR x1 and x2, have a different purpose. One does not automatically become a substitute for the other.

Ask whether you need a separate rehabilitation plan after the positional problem has been addressed. If gaze stability is one of the assessed goals, the VOR head-movement guide explains that exercise category. Do not add exercises simply because another person used them after BPPV treatment.

Describe what changed at follow-up

Tell your clinician whether the same movement still brings on spinning, whether the episodes have changed, and which everyday activities remain difficult. A short description of a situation is often more useful than saying only “better” or “worse.”

If a later episode feels different, seek advice rather than assuming that the original home maneuver remains appropriate. Our morning-dizziness guide distinguishes the descriptions used for rolling-over vertigo and faintness on standing.

Use EyeRehab for the exercise part of your plan

When a clinician recommends guided vestibular practice, EyeRehab keeps exercise sessions and symptom ratings together. It offers VOR x1 and x2 and other vestibular exercise types, with ratings before and after sessions.

Start with the agreed exercise and settings. Follow the instructions, record your symptoms, and bring your exercise history to the next conversation about progression. The app can support this routine, but cannot determine the affected canal or verify a repositioning result.

Use the iOS or Android download link on this page when an exercise app is appropriate for your plan. Keep your prescribed BPPV maneuver instructions and follow-up arrangements alongside it.