Diagnosed with BPPV? Expert canalith repositioning (Epley maneuver, etc.) in Sarasota — most patients improve in 1–3 visits. One-on-one vestibular specialists. Priority appointments within 24 hours. 

If rolling over in bed, looking up at a cabinet, or tipping your head back at the sink sends the room spinning for a few seconds — that’s the signature of BPPV (benign paroxysmal positional vertigo). It’s the most common cause of vertigo in adults over 55, and here’s the part worth celebrating: it’s one of the most fixable conditions in all of healthcare.

Your inner ear contains tiny calcium crystals that help sense gravity. In BPPV, some crystals break loose and drift into one of the ear’s semicircular canals, where they don’t belong. When you change head position, the crystals tumble, sending a false “spinning” signal to your brain. The spinning is brief and intense — usually under a minute — and is triggered by specific positions.

Dizziness medications like meclizine only dull the symptom — they can’t move the crystals. The actual treatment is a canalith repositioning maneuver: a precise sequence of head positions that guides the crystals out of the canal and back where they belong. The best known is the Epley maneuver, but the correct maneuver depends on which canal is involved and which type of BPPV you have — which is exactly what our positional testing determines.

Most patients with BPPV improve dramatically in 1–3 visits. Many feel the difference before they leave the first appointment.

Home Epley videos help some people — and leave many spinning. Common problems we see:

• The wrong canal was treated (posterior vs. horizontal canal BPPV need entirely different maneuvers)

• The wrong side was treated

• The dizziness wasn’t BPPV at all [Link to Vertigo & Dizziness page]

• The BPPV resolved, but lingering unsteadiness remained untreated [Link to Balance & Fall Prevention page]

Your one-on-one evaluation identifies the exact canal and crystal type, so treatment is right the first time. If your dizziness turns out to be something other than BPPV, we’re equipped to treat that too — you’re not starting over somewhere else.

We work with patients throughout Sarasota who’ve been told: “You have BPPV — go get the Epley maneuver.” You’ve come to the right place, and in Florida you can book with us directly, no referral required. We prioritize BPPV patients for same-week appointments because we know how disruptive the spinning is.

BPPV can recur — roughly a third of patients see it return within a few years. Patients who continue in PhysioFit keep their balance system sharp and know exactly who to call at the first sign of recurrence, so a flare-up costs them days, not months. 

Sarasota, Osprey, Siesta Key, Bird Key, Lido Key, and Longboat Key. 

Stop spinning. Call 941-248-9591 for a BPPV evaluation and treatment within 24 hours.

Comfort. Strength. Balance. Capability.