Exercises to help vertigo

Dizziness, including vertigo, affects approximately 15% to over 20% of adults annually, according to large population-based studies. Vertigo involves sensations of swaying, spinning, or unsteadiness, often accompanied by nausea, vomiting, headaches, and more general symptoms such as blurred vision, increased heart rate, shortness of breath, weakness, and profuse sweating.

Several exercises and manoeuvres can alleviate vertigo symptoms.

In this article, we will explore how to perform exercises that can help alleviate vertigo from the comfort of your home, as well as the key manoeuvres involved.

How to cure vertigo permanently​?

Vertigo is a symptom, not a condition, and its treatment depends on the underlying cause. For BPPV, manoeuvres like the Epley or Semont manoeuvre can reposition dislodged ear crystals. Cervical vertigo may be treated with neck exercises and physical therapy, while vestibular rehabilitation exercises are helpful for inner ear-related vertigo.

In some cases, vertigo can be permanently managed, but it’s important to consult a specialist for accurate diagnosis and tailored treatment.

How long does vertigo last​?

The duration of vertigo can vary depending on the cause. In cases of Benign Paroxysmal Positional Vertigo (BPPV), symptoms may last only a few minutes but can recur intermittently over days or weeks. Vestibular vertigo caused by inner ear dysfunction may persist for several weeks to months, but with appropriate rehabilitation, symptoms can improve significantly. If vertigo is related to stress or anxiety, the episodes may be more transient but can reappear if stress levels remain high. It's important to consult a doctor if vertigo symptoms are prolonged or severe.

Does stress cause vertigo​?

Stress can worsen vertigo by affecting the body's balance systems and triggering anxiety, which amplifies dizziness. Managing stress through relaxation techniques, physical activity, or counselling can help, but it’s important to consult a healthcare professional to rule out underlying conditions.

Exercises to help vertigo

Vertigo symptoms can arise from various factors, including cervical spine issues, balance disorders, and dislodged ear crystals (otoliths). Each of these requires specific exercises to address the root cause and provide relief.

Cervical vertigo: neck and head exercises

Cervical vertigo often results from tension, poor posture, or misalignment in the neck, which can impede blood flow to the brain and inner ear.

Restoring proper function through targeted exercises can significantly reduce symptoms:

  • Neck tilts: sit or stand with your back straight. Slowly tilt your head toward your shoulder, holding for 5-10 seconds. Alternate sides and repeat 10 times.
  • Head rotations: gently turn your head to the left as far as is comfortable, hold for a few seconds, and then turn to the right. Repeat 10 times on each side.
  • Chin tucks: while seated or standing, tuck your chin gently toward your chest, creating a double chin. Hold for 5 seconds and repeat 10 times.

Otolith-related vertigo: exercises for ear crystals

Dislodged ear crystals (otoliths) can cause BPPV (Benign Paroxysmal Positional Vertigo), leading to sudden episodes of dizziness.

For vertigo related to the presence of otoliths, such as in BPPV, the most effective exercises are the repositioning manoeuvres, such as the Epley or Semont manoeuvre. These guided movements help move the otoliths from the semicircular canals back to their original position in the utricle. It is advisable to perform these manoeuvres under the supervision of a specialist to ensure safety and effectiveness.

  • Head-tilting exercises: while seated, slightly tilt your head forward and slowly move it from side to side. Hold each position for 10 seconds and repeat 5 times.
  • Gaze stabilisation: Focus on a fixed point while slowly turning your head left and right. Perform for 1-2 minutes.

Exercises for vestibular vertigo

Vestibular vertigo, often caused by inner ear dysfunction, can lead to dizziness and balance issues. Specific exercises, known as vestibular rehabilitation, can help improve balance and reduce symptoms. These exercises typically include head movements, and balance training to help the brain adapt to changes in the vestibular system. Gradually, these exercises can aid in reducing dizziness, improving coordination, and restoring normal movement patterns. It’s important to perform these exercises under the guidance of a healthcare professional to ensure they are done safely and effectively.
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Expert-recommended manoeuvres for vertigo relief

For individuals with vertigo, specific manoeuvres can provide quick and lasting relief. These techniques are designed to reposition dislodged ear crystals and should be performed carefully, ideally under professional guidance for the first time.

Epley Manoeuvre

The Epley manoeuvre is highly effective for BPPV and involves a series of head movements:

  1. Sit on a bed with your legs extended.
  2. Turn your head 45 degrees toward the affected ear.
  3. Lie back quickly with your head still turned, allowing it to hang slightly off the edge of the bed. Hold for 30 seconds.
  4. Turn your head 90 degrees to the opposite side and hold for another 30 seconds.
  5. Roll your body onto the unaffected side while turning your head slightly downward. Hold for 30 seconds, then sit up slowly.

It’s better to consult a healthcare specialist before performing any exercises.

Semont Manoeuvre

The Semont manoeuvre is another effective technique for vertigo relief:

  1. Sit upright on a bed and turn your head 45 degrees toward the unaffected side.
  2. Quickly lie down on the affected side, holding your head position. Stay for 30 seconds.
  3. In one swift motion, move to lie down on the opposite side without changing your head position. Hold for another 30 seconds.
  4. Return to a seated position.

Brandt-Daroff exercises

If you’re dealing with Benign Paroxysmal Positional Vertigo (BPPV), the Brandt-Daroff exercises might be a great option to help reduce your symptoms. These exercises are designed to help move the dislodged crystals in your inner ear back into place, which can ease the dizziness that comes with BPPV. The exercises are easy to do at home and involve a series of movements where you alternate between sitting and lying down with your head in different positions.

  1. Sit on the edge of a bed: start by sitting on the edge of your bed or a flat surface, with your legs hanging over the side. Make sure you’re in a comfortable position to move safely.
  2. Turn your head: turn your head 45 degrees to one side (either left or right) so that it faces the ceiling.
  3. Lie down quickly: lie down on your back with your head still turned, and let it hang slightly off the edge of the bed. Hold this position for about 30 seconds or until the dizziness stops.
  4. Return to sitting: sit up straight again, keeping your head turned, and rest for a few seconds.
  5. Repeat on the other side: now, turn your head 45 degrees to the other side and repeat the same steps – lie down, hold for 30 seconds, and return to sitting.
  6. Repeat the cycle: perform this cycle of lying down and sitting up 5 times for each side, and do it 2-3 times a day.

Can brandt-daroff exercises make vertigo worse?

Brandt-Daroff exercises are generally safe, but if not performed correctly, they can temporarily worsen vertigo symptoms. It's essential to follow the instructions carefully and consult a healthcare professional if symptoms worsen.

How often should i do vertigo exercises​?

The frequency of vertigo exercises depends on the type and severity of vertigo. For exercises like Brandt-Daroff, it is typically recommended to do them 2-3 times a day. However, it’s best to follow the advice of a healthcare provider for your specific condition.

Can neck exercises cause vertigo​?

Neck exercises, if performed incorrectly, can sometimes trigger vertigo, especially if the vertigo is related to cervical issues. It is crucial to perform these exercises with proper guidance to avoid exacerbating symptoms.
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Home exercises for vertigo

Home exercises aim to reduce symptoms of vertigo by improving vestibular compensation and helping the brain adapt to changes in the balance system:

  • Gaze stabilisation: sit or stand while focusing on a point in front of you. Slowly move your head side to side, then up and down, while keeping your eyes fixed on the target. Perform for 1-2 minutes.
  • Walking with head movements: walk in a straight line at a slow pace while gently moving your head left to right or up and down. This exercise challenges your vestibular system and improves balance.
  • Habituation exercises: repeat movements that typically trigger dizziness, such as sitting down and standing up or turning your head quickly, to help your brain adapt over time.

Begin these exercises in a safe environment, and consider having a support system nearby if needed.

Yoga for vertigo

Yoga is not just a matter of relaxation – it can play an integral role in alleviating vertigo symptoms. Poses like Child's Pose and Tree Pose help to improve balance, reduce tension, and enhance circulation, addressing some of the common triggers of dizziness and vertigo. Furthermore, yoga's emphasis on mindfulness can help to reduce stress, which is often a contributing factor to vertigo episodes.

If you're experiencing vertigo, these yoga poses can be particularly helpful:

  • Child’s Pose (Balasana): this calming posture involves kneeling on the floor, extending your arms forward, and gently lowering your torso to rest on your thighs. Hold for 1-2 minutes while focusing on your breath.
  • Legs-Up-The-Wall pose (Viparita Karani):lie on your back with your legs extended up the wall, keeping them straight and relaxed. Stay in this position for 5 minutes.
  • Tree pose (Vrikshasana): stand on one leg, placing the sole of your other foot against your inner thigh or calf (avoid the knee). Hold for 10-15 seconds before switching sides.
  • Cat-Cow pose (Marjaryasana-Bitilasana): begin on your hands and knees, ensuring your wrists are aligned under your shoulders and your knees under your hips. Move between arching your back (Cow Pose) and rounding it (Cat Pose), following your breath. 
  • Seated forward bend (Paschimottanasana): sit with your legs extended in front of you and slowly bend forward from your hips, reaching for your feet. Hold the stretch for 30 seconds to 1 minute.

While yoga is beneficial for managing vertigo, it's essential to avoid inverted poses (e.g., headstands or shoulder stands), as they can worsen symptoms. 

Can yoga help vertigo?

Yes, yoga can help manage vertigo by improving balance, reducing stress, and promoting relaxation. Certain yoga poses enhance circulation and stability, which can alleviate dizziness and vertigo symptoms. However, it's important to avoid inverted poses that could worsen symptoms.

How to cure vertigo with yoga​?

Yoga helps alleviate vertigo by focusing on balance, stability, and relaxation. Poses like Child’s Pose and Tree Pose can improve coordination and reduce tension. Regular practice, combined with breathing exercises, may aid in managing vertigo symptoms.
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