BPPV Assessment

If you feel dizzy when lying down or turning over, this focused assessment can help uncover the cause.

What is BPPV?

Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common causes of dizziness, often bringing on brief spinning sensations when you change position. The good news is that it can usually be identified and treated quickly with controlled, precise manoeuvres.

Symptoms:

Vertigo (spinning sensation) lasting around 1 minute following specific head movements, most commonly lying down or turning over in bed.

Caused by:

The ears naturally contain tiny crystals called “otoconia”. If these crystals become dislodged and move to a problematic area, symptoms can occur.

Assessed with:

“Positioning tests” are tests which involve moving your head and/or body into specific positions to see if symptoms are evoked.

Treatment:

Further specific head movements designed to move the crystals out of the problem area. Highly effective and resolving symptoms.

What is included in a BPPV assessment?

Medical History
Video Otoscopy
Positioning Assessments

Specific head and body positions are used during the assessment, with eye movements carefully observed during and after each position. Special goggles are worn to record eye movements accurately, as this provides vital information for diagnosis. Different manoeuvres may be performed depending on the type of BPPV suspected. The tests are safe but do require a reasonable level of mobility, such as being able to move quickly from sitting to lying back.
Canalith Repositioning Maneuvers

If BPPV is identified, treatment can often be provided straight away. Specific maneuvers are chosen depending on which balance canal is affected. As with the positioning assessments, the maneuvers require a reasonable level of mobility, such rolling over and sitting up from a reclined position. The repositioning maneuvers are highly effective, and many patients experience relief after just one session.
Debrief of Findings

At the end of the assessment, the clinician explains the results and what they mean for your symptoms. If treatment has been carried out, the response is reviewed and further steps are discussed. Clear written information is provided for your records, and with your consent a copy can be sent securely to your GP or specialist. Advice is also given on what to expect over the following days, and whether any follow-up appointments may be helpful.

BPPV Assessment

Clear answers and effective treatment
for position-related dizziness.

If you have been told you may have BPPV, have had treatment that didn’t fully resolve it, or suspect it yourself, an assessment can provide clarity and effective next steps.

Book BPPV

Initial BPPV Assessment

£80

A focused appointment to confirm or rule out BPPV and provide treatment where appropriate. The session includes an ear health check, positioning tests, and repositioning manoeuvres if needed, along with clear advice for recovery.

Follow-up Assessment

£49

Most cases of BPPV improve after a single appointment, but in some instances symptoms may persist or return. Follow-up sessions allow for repeat treatment if required and monitoring of progress, offered at a reduced fee to support your recovery.

Looking for a more detailed assessment?

BPPV Assessment

What is BPPV?

Symptoms:

Caused by:

Assessed with:

Treatment:

BPPV Assessment

Initial BPPV Assessment

£80

Follow-up Assessment

£49

Click here to view our full range of balance assessment options

Any questions? Please get in touch!