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All Treatments/Vertigo Repositioning Manoeuvre
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Physical & RehabilitationENT (Otorhinolaryngology)80-90% Success Rate

Vertigo Repositioning Manoeuvre

ENT (Otorhinolaryngology) · Physical & Rehabilitation

10-15 minutes

Duration

Outpatient

Setting

Most patients experience significant or complete relief within a day of the manoeuvre, though some residual unsteadiness can persist for a short period. Patients are often advised to avoid lying flat and to sleep with the head elevated for a night or two after treatment.

Recovery

₹500+

Cost

📖About Vertigo Repositioning Manoeuvre

A vertigo repositioning manoeuvre, most commonly the Epley manoeuvre, is a series of specific head and body movements used to treat benign paroxysmal positional vertigo (BPPV), a condition caused by displaced calcium crystals in the inner ear's balance canals. By guiding the head through a sequence of positions, the manoeuvre moves the loose crystals out of the sensitive semicircular canal and back into a part of the inner ear where they no longer cause vertigo. It is a highly effective, drug-free treatment that often resolves symptoms in a single session. The technique is performed by a trained ENT specialist or physiotherapist after confirming the diagnosis with a positional test.

Duration

10-15 minutes

Setting

Outpatient

Recovery

Most patients experience significant or complete relief within a day of the manoeuvre, though some residual unsteadiness can persist for a short period. Patients are often advised to avoid lying flat and to sleep with the head elevated for a night or two after treatment.

Cost Range

₹500 – ₹2,000

Specialty

ENT (Otorhinolaryngology)

Success Rate

80-90%

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📋Indications — Who Needs This Treatment?

  • 1Benign paroxysmal positional vertigo confirmed by positional testing, recurrent brief episodes of vertigo triggered by head movement, vertigo related to rolling over in bed or looking upward, follow-up for BPPV that has returned after previous treatment
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🔬How the Treatment is Performed

  • 1The practitioner first performs a diagnostic positional test, such as the Dix-Hallpike test, to confirm BPPV and identify which ear and canal is affected. The patient is then guided through a sequence of head and body position changes, each held for about 30 seconds to allow the displaced crystals to move through the inner ear canals under gravity, repositioning them away from the sensitive area. The manoeuvre may be repeated if symptoms persist.

📝Pre-Treatment Preparation

  • 1Consult a ENT (Otorhinolaryngology) specialist to confirm suitability for Vertigo Repositioning Manoeuvre
  • 2Complete all pre-treatment investigations as directed — blood tests, imaging, ECG, or specialist clearance
  • 3Disclose all current medications, supplements, and allergies to your treating physician
  • 4Fast (nil by mouth) for 6–8 hours if the treatment involves anaesthesia or sedation
  • 5Arrange for a responsible adult to accompany you, especially for procedures requiring sedation
  • 6Follow all specific pre-treatment instructions issued by your care team regarding diet or medication changes
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⚠️Possible Side Effects & Risks

  • 1Temporary nausea or dizziness during the manoeuvre, rare vomiting, brief imbalance immediately afterward, symptoms may recur requiring repeat treatment

🩹Recovery & Aftercare

  • 1Most patients experience significant or complete relief within a day of the manoeuvre, though some residual unsteadiness can persist for a short period. Patients are often advised to avoid lying flat and to sleep with the head elevated for a night or two after treatment.

Treatment Journey — What to Expect

  1. Before Treatment

    Pre-treatment workup, consent signing, and preparation as instructed by your care team. Baseline tests and imaging completed.

  2. During Treatment

    Vertigo Repositioning Manoeuvre is administered over 10-15 minutes. Vital signs monitored. Your specialist manages any immediate side effects.

  3. Immediate Post-Treatment

    Recovery observation, assessment of initial response, discharge instructions provided. Follow-up appointment scheduled.

  4. Long-term Recovery (Most patients experience significant or complete relief within a day of the manoeuvre, though some residual unsteadiness can persist for a short period. Patients are often advised to avoid lying flat and to sleep with the head elevated for a night or two after treatment.)

    Return to normal activities as tolerated. Monitoring for treatment response and side effects. Ongoing support from your specialist.

Vertigo Repositioning Manoeuvre Cost in India (2024–25)

ComponentGovt / BudgetPrivate
Specialist Consultation₹300 – ₹800₹1,000 – ₹3,000
Procedure / Session Cost₹2,000 – ₹10,000₹10,000 – ₹50,000
Medications₹500 – ₹3,000₹2,000 – ₹15,000
Follow-up & Monitoring₹300 – ₹1,000₹1,000 – ₹5,000
Rehabilitation / Aftercare₹1,000 – ₹5,000₹5,000 – ₹25,000

* Estimates for India 2024–25. CGHS / Ayushman Bharat may cover eligible treatments. Individual costs vary by hospital, city, and complexity.

Treatment Outcomes

Vertigo Repositioning Manoeuvre has a documented success rate of 80-90% when performed by qualified specialists at accredited facilities. Individual outcomes vary based on disease stage, patient health, and adherence to the treatment plan and aftercare instructions.

Frequently Asked Questions

What is Vertigo Repositioning Manoeuvre?+

A vertigo repositioning manoeuvre, most commonly the Epley manoeuvre, is a series of specific head and body movements used to treat benign paroxysmal positional vertigo (BPPV), a condition caused by displaced calcium crystals in the inner ear's balance canals. By guiding the head through a sequence of positions, the manoeuvre moves the loose crystals out of the sensitive semicircular canal and back into a part of the inner ear where they no longer cause vertigo. It is a highly effective, drug-free treatment that often resolves symptoms in a single session. The technique is performed by a trained ENT specialist or physiotherapist after confirming the diagnosis with a positional test.

Who is a candidate for Vertigo Repositioning Manoeuvre?+

Vertigo Repositioning Manoeuvre is recommended for patients diagnosed with specific conditions where other approaches have been insufficient. Your ENT (Otorhinolaryngology) specialist will assess your suitability based on your diagnosis, health history, and treatment goals.

How long does Vertigo Repositioning Manoeuvre take?+

The typical duration is 10-15 minutes. This may vary based on the complexity of your case and individual response to treatment.

What is the recovery time after Vertigo Repositioning Manoeuvre?+

Recovery typically takes Most patients experience significant or complete relief within a day of the manoeuvre, though some residual unsteadiness can persist for a short period. Patients are often advised to avoid lying flat and to sleep with the head elevated for a night or two after treatment.. Your care team will provide specific instructions based on your response and overall health.

What are the risks or side effects of Vertigo Repositioning Manoeuvre?+

Side effects vary by individual and are detailed in the section above. Your specialist will discuss all risks and benefits with you before treatment begins. Serious adverse effects are uncommon but are part of the informed consent process.

What is the success rate of Vertigo Repositioning Manoeuvre?+

Vertigo Repositioning Manoeuvre has a documented success rate of 80-90% at accredited facilities. Outcomes depend on disease stage, patient health, and adherence to the treatment plan and aftercare instructions.

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Quick Cost Estimate

Govt / Budget Hospital₹500 approx.
Private Hospital₹500 – ₹2,000
Online / Home Care₹199 – ₹2,000
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⚕️ Medical Disclaimer

This page is for informational purposes only. Always consult a qualified specialist before deciding on any treatment. In emergencies, call 112.