BPPV Treatment in London, Ontario
If sudden spinning or dizziness is disrupting your days, expert in-home and virtual care can help you find relief.
When Dizziness Starts Taking Over Your Day
That sudden spinning sensation when you roll over in bed, tip your head back, or look up at a shelf. It can appear without warning and leave you feeling unsteady, anxious, or afraid to move. For many people, this is BPPV (Benign Paroxysmal Positional Vertigo), the most common cause of vertigo. It can make everyday tasks like driving, working, or getting dressed feel unpredictable. Some people try to wait it out or avoid the movements that trigger it, only to find the dizziness keeps coming back. Without an accurate diagnosis and the right treatment, BPPV can affect sleep, confidence, and daily routines for far longer than it needs to.
What Is BPPV (Benign Paroxysmal Positional Vertigo)?
BPPV happens when tiny calcium carbonate crystals inside the inner ear, called otoconia, become dislodged from where they normally sit and drift into one of the ear's fluid-filled canals. Movement or changes in head position alter the fluid movement in the canals, sending confusing signals to the brain and triggering a spinning sensation. These crystals are incredibly small, just 1 to 30 micrometers, yet even that small a disruption can cause real symptoms. Some people only notice dizziness during specific movements, while others feel unsteady even with small movements until the condition resolves. BPPV is common and treatable, but several variants exist, and each one responds to a different repositioning technique, so an accurate diagnosis matters.
How We Treat BPPV in London, Ontario
Here at EQuilibria, Denise Vandermeulen, BScPT, MS, FCAMPT, is a vestibular physiotherapist who completed her Certificate in Vestibular Rehabilitation through Duke University and the APTA at Emory University in 2022. Before recommending any repositioning maneuver, she completes a full assessment, including a neurological exam and neck screen, to confirm BPPV is the correct diagnosis and rule out other causes of your symptoms
Infrared video goggles to observe nystagmus (abnormal eye movements) and pinpoint which ear canal is affected
Repositioning maneuvers tailored to your specific BPPV variant, most commonly the Epley Maneuver
In-home visits across London, Ontario and region, or virtual appointments for residents anywhere in the province
What to Expect From BPPV Treatment
Here's what a typical visit looks like, from your first assessment through to lasting relief.
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We review your history and complete a physical exam, including infrared goggle testing, to confirm your BPPV variant and rule out other causes.
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Denise applies the repositioning maneuver suited to your diagnosis. Relief often comes after just one session, though some people need up to three.
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We check your progress, teach you what to watch for, and adjust your plan if needed.
Life After BPPV Treatment
Most people who receive the right repositioning maneuver notice a significant reduction in spinning and dizziness, often after just one session. It's common to feel some anxiety when vertigo first strikes, especially after weeks or months of symptoms, so many people feel real relief once a single, correctly performed maneuver resolves it.
Confidence to move, bend, and turn your head without fear of triggering an episode
Better sleep, since rolling over in bed is often the biggest trigger
A clear plan for what to do if symptoms return
Frequently Asked Questions About BPPV
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Many people notice relief after just one session, though it can take up to three depending on your specific BPPV variant and how your body responds to treatment.
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BPPV itself isn't dangerous, but the dizziness it causes can increase your risk of falls, especially if it isn't accurately diagnosed and treated.
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Yes, it's possible for BPPV to return. We'll teach you what to watch for and how to seek treatment quickly if it does.
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Both. In-home visits are available across London, Ontario and the surrounding region, and virtual appointments are available to residents anywhere in Ontario, though an in-person assessment is recommended for the most accurate diagnosis.
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Vertigo is a symptom, not a specific diagnosis. If you were told you have vertigo without any positional testing, or you tried medication or a repositioning maneuver that didn't help, it's possible the true cause wasn't identified or the wrong canal was treated. The evidence shows that the correct repositioning maneuver, matched to a thorough assessment, is the most effective way to resolve BPPV.
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A thorough assessment, including a neurological exam, helps confirm whether your dizziness is BPPV or another vestibular condition, so we can build the right treatment plan.
Ready to Feel Steady Again?
You don't have to keep working around your dizziness. Book a free 15-minute consultation to talk through your symptoms and find out if BPPV treatment is the right next step for you.