Preventing Recurrence of BPPV: Lifestyle & Management Tips

Benign Paroxysmal Positional Vertigo (BPPV) is a common cause of dizziness that can be both uncomfortable and disruptive. While treatments like the Epley manoeuvre can help manage symptoms, BPPV may sometimes recur.

Fortunately, simple lifestyle changes and management strategies can help reduce the chances of BPPV returning. Below are some practical tips to help you manage BPPV and potentially prevent it from recurring.

BPPV is triggered by sudden changes in head position, so it’s helpful to avoid quick or jerky movements, especially in directions that might trigger dizziness. Try to move slowly and mindfully when bending down, turning your head, or getting out of bed. Taking a few extra moments to control your head’s position can help minimise the risk of an episode.

Certain sleeping positions can help prevent BPPV. Many people find that sleeping on their back with their head slightly elevated (using a couple of pillows) reduces the likelihood of symptoms. Some people also avoid sleeping on the side associated with their BPPV. A pillow that keeps the neck well-supported without excessive bending can also make a difference.

Strengthening balance through simple exercises may help your body cope better with changes in position and reduce dizziness. Exercises like standing on one foot (with support if needed), heel-to-toe walking, and gentle yoga can strengthen balance and make everyday movements smoother. These exercises help your brain and muscles adapt, making you feel steadier overall.

Keeping the head tilted back for prolonged periods, such as when looking up for extended times, can sometimes set off BPPV symptoms. If your work or hobbies require you to look up (like painting or home repairs), try taking breaks often, allowing your head and body to return to a neutral position.

While stress itself doesn’t cause BPPV, it can exacerbate symptoms and make it harder to manage. Finding ways to keep stress under control—through relaxation techniques, regular exercise, or even practising mindfulness—can help your body feel more resilient. Deep breathing exercises, stretching, or short walks can all provide quick relief from stress and may reduce the impact of BPPV if it does arise.

Regular activity helps keep your overall health in good shape, which in turn may help with BPPV. Walking, gentle stretches, and other low-impact activities can support good circulation, balance, and body awareness, which can all play a role in BPPV management. Keeping a balanced activity level that doesn’t overstress the body but keeps you moving may help you feel more stable day to day.

If you have had BPPV before, it’s a good idea to check in with your healthcare provider to discuss ways to keep symptoms under control. Regular check-ups can be useful, especially if you notice any changes in your balance or have questions about your treatment plan.

Managing BPPV isn’t just about handling symptoms; it’s also about making small adjustments to help prevent recurrences. Following these practical tips can support your overall health and make everyday activities easier and safer.

Contact Chelmsford Physio for guidance and support tailored to your needs, helping you enjoy a more comfortable, balanced life.



Chelmsford Physio

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