How is Benign Paroxysmal Positional Vertigo (BPPV) diagnosed and treated?

With advances in medical technology, BPPV can easily be diagnosed and treated. The diagnosis can usually be made in the office based on medical history and a physical exam. Treatment also involves a short, simple in-office procedure known as the particle repositioning maneuver. (See the treatment section).

How can I identify the affected side?

Steps to determine affected side:

  1. Sit on bed so that if you lie down, your head hangs slightly over the end of the bed.
  2. Turn head to the right and lie back quickly.
  3. Wait 1 minute.
  4. If you feel dizzy, then the right ear is your affected ear.
  5. If no dizziness occurs, sit up.
  6. Wait 1 minute.
  7. Turn head to the left and lie back quickly.
  8. Wait 1 minute.
  9. If you feel dizzy, then the left ear is your affected ear.

Right position

Left position

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy