Treatment will depend on your symptoms, age, and general health. It will also depend on how severe the condition is.
First your healthcare provider may try to move the calcium crystals out of your semicircular canals. This may be done with a series of certain head and neck movements. This often takes about 15 minutes. Your provider may tell you to do certain movements at home. This treatment often works. Some people may still have vertigo with head movement for a few weeks.
Special physical therapy may also be part of your treatment.
Medicines are not often given for BPPV. This is because most of them don't help. In some cases, short-term use of motion sickness medicines may help to ease nausea.
If these other treatments fail, in rare cases, your healthcare provider may advise surgery. One option is called posterior canal plugging. It blocks the movement of calcium crystals in the posterior semicircular canal. The surgery can work well. But in rare cases, it can cause some hearing loss.
Your healthcare provider may also advise a watch-and-wait approach to your BPPV before trying surgery. BPPV does often go away on its own over time. But in many cases it does come back. If you are still having symptoms from BPPV, your healthcare provider may tell you how to prevent symptoms. For example:
Using two pillows in bed to raise your head.
Not sleeping on your affected side.
Rising slowly out of bed.
Not looking up.
Not bending over to pick things up.
Not doing exercises that use head rotation, such as swimming laps.
Even if you stop having symptoms, your healthcare provider may suggest that you follow similar instructions, at least for a few weeks. This may help prevent your symptoms from coming back.