How to Manage and Treat Vertigo

If you or someone you know suffers from vertigo, there are several ways to manage and treat the condition with professional help and at home. As I mentioned in my previous blog post, it is best to first consult your doctor if you suspect you have vertigo in order to receive an accurate diagnosis. There are several treatments for vertigo that vary depending on the cause and type. Therefore, it is important to see your doctor in order to find out the exact cause of your symptoms and the best treatment option. 


Remember that there are two types of vertigo, central and peripheral. Central vertigo is due to a problem with the brain or brainstem and is a symptom of this problem. Therefore, treatment is geared toward the problem in the brain and vertigo will subside once this is treated. Treatment for peripheral vertigo usually includes repositioning maneuvers, the most common of which is the Epley maneuver. This treatment option involves specific head movements that cause loose crystals within the inner ear to move, leading to less irritation and a decrease in or cessation of episodes. The Epley maneuver should be done by a physical therapist or health care professional in order to prevent a neck or head injury. However, there are modified versions that your doctor or physical therapist can teach you so you can perform it at home. Also, the Epley maneuver has a high success rate and can be beneficial in treating most cases of vertigo. 

The Semont maneuver is similar to the Epley maneuver but is less popular. While you are seated at the edge of a table, a health professional holds your head and quickly lowers your head to one side. This method is best if done by a doctor or health professional. 

In addition, there are other repositioning maneuvers that you can do by yourself at home. Dr. Carol Foster, an Associate Professor of otolaryngology at the University of Colorado Hospital, created her own method after suffering from vertigo. She calls it the Half Somersault (also known as the Foster Maneuver) and it involves kneeling on the floor, bending over, and placing the crown of your head on the floor. You can watch the video below to see a demonstration.

Some ways to self-manage vertigo at home or during your day include changing your head position slowly, focusing on distant objects when walking, and making sure eye glass and hearing aid prescriptions are to date. It is important to avoid moving your head quickly as it can trigger vertigo. Balancing exercises have been shown to help people who suffer from frequent vertigo episodes. Better balance means less risk of falling or hurting yourself during an episode. These exercises can range from balancing standing still, on one leg, or while swaying. 

In some cases of vertigo, medication is prescribed to reduce episodes or alleviate symptoms but is not recommended for long term use. In this case, the best way to self-manage vertigo is to follow directions and dosages for medications. You may also practice some of the self-management tips above in addition to taking your medication. 

Overall, vertigo is highly treatable and, in most cases, not hard to manage. If you or someone you know has experienced vertigo, I hope these tips on how to treat and manage vertigo are helpful.