Vertigo Support
Physical Therapies
Epley Maneuver
The Epley Maneuver is one of the most widely used treatments for BPPV.
It aims to guide displaced inner-ear crystals back into their proper location.
Many individuals report significant improvement after one or several treatments.
For severe symptoms, the procedure is often best performed by a trained healthcare professional.
Brandt-Daroff Exercises
These exercises may be recommended when BPPV symptoms persist.
Typical protocol:
- Five repetitions
- Three times daily
- Several weeks as directed by a clinician
Vestibular Rehabilitation Therapy (VRT)
Vestibular rehabilitation involves specialised exercises designed to retrain the brain and balance system.
It is commonly recommended for:
- Vestibular migraine
- Chronic dizziness
- Vestibular neuritis
- Persistent imbalance
Many people describe VRT as life-changing for chronic symptoms.
Occupational and Physical Therapy
Specially trained therapists may perform repositioning manoeuvres and customised rehabilitation programs.
Nutritional Support
Magnesium
Magnesium is frequently used to support nervous system function and vestibular migraine management.
Common supplemental dosages:
- Magnesium glycinate: 200–400 mg daily
- Magnesium threonate: Follow manufacturer instructions
Some individuals also use:
- Epsom salt foot soaks containing magnesium sulfate
- Magnesium lotions or oils applied topically
Vitamin B12
Low vitamin B12 levels may contribute to dizziness and neurological symptoms.
Common supplemental dosage:
- 500–1,000 mcg daily
Testing should be considered before supplementation.
Vitamin D
Vitamin D deficiency has been linked to recurrent BPPV in some studies.
Common supplementation:
- 1,000–4,000 IU daily
Higher doses should only be taken under medical supervision.
Riboflavin (Vitamin B2)
Frequently used for vestibular migraine support.
Typical dosage:
- 200–400 mg daily
Iron
Iron deficiency may contribute to dizziness and fatigue.
Supplementation should be guided by blood testing and healthcare advice.
Potassium and Electrolytes
Maintaining adequate hydration and electrolyte balance may help reduce dizziness in some individuals.
Complementary Approaches
Acupressure
Sea-band style wristbands apply pressure to the P6 (Neiguan) acupressure point and may help reduce nausea associated with vertigo.
Ginger
Ginger is widely used for nausea.
Common dosages include:
- 500–1,000 mg daily
- Ginger tea
- Fresh ginger
Ear Massage
Some individuals report temporary relief from gentle massage around the ears, jaw, and neck.
Humidifiers
For those whose symptoms worsen with congestion or dry air, using a humidifier may improve comfort.
Remedies Requiring Caution
Essential Oils
Essential oils such as lavender, basil, ginger, geranium, helichrysum, peppermint, and frankincense are frequently discussed in anecdotal reports.
Evidence for vertigo remains limited.
Always dilute essential oils appropriately and avoid placing them inside the ear canal.
Chiropractic Adjustments
Some people report improvements following chiropractic or craniosacral treatments. However, these approaches should only be performed by appropriately trained practitioners.
Ivermectin
There is currently insufficient evidence to recommend ivermectin as a treatment for vertigo.
Liver Cleanses and Detox Protocols
Claims that vertigo is caused solely by liver congestion, toxins, or parasites are not supported by current medical evidence.