Say Goodbye to Dizzy Spells: How Osteopathy and the Epley Maneuver Can Conquer Vertigo


Vertigo is a common and often debilitating condition characterised by a sensation of spinning or dizziness. It can significantly impact daily life, leading to falls, nausea, and a general sense of disorientation. While various treatments exist, osteopathy is an effective approach for managing vertigo, particularly through the use of specific techniques like the Epley maneuver. This blog post delves into the nature of vertigo, explores the principles of osteopathy, and highlights how the Epley maneuver can be a game-changer for those suffering from this condition.

What is Vertigo?

Vertigo is not a disease but a symptom that can result from various underlying conditions. It typically arises from issues within the inner ear (peripheral vertigo) or the central nervous system (central vertigo). The most common type of vertigo, Benign Paroxysmal Positional Vertigo (BPPV), occurs when tiny calcium crystals within the inner ear become dislodged and move into the semicircular canals, disrupting the body’s balance system.

Symptoms of vertigo include:

  • A spinning sensation
  • Nausea and vomiting
  • Balance problems
  • Sweating
  • Abnormal eye movements (nystagmus)
The Role of Osteopathy in Treating Vertigo

Osteopathy is a form of manual therapy that emphasises the interrelationship between the structure and function of the body. Osteopathic practitioners, or osteopaths, use hands-on techniques to diagnose, treat, and prevent illness or injury. This holistic approach considers the body as a single, integrated system, focusing on the musculoskeletal framework.

For vertigo patients, osteopaths aim to restore balance and proper function to the body’s systems, particularly targeting the structures involved in balance and proprioception. Treatment may involve the Epley Maneuver (which will be explained shortly) and myofascial release, which addresses tension in the connective tissues.

The Epley Maneuver: A Key Technique in Osteopathy for Vertigo

Among the various osteopathic treatments for vertigo, the Epley maneuver stands out as particularly effective, especially for BPPV. Developed by Dr. John Epley, this maneuver is designed to reposition the displaced calcium crystals in the inner ear, thereby alleviating the symptoms of vertigo.

How the Epley Maneuver Works

The Epley maneuver involves a series of specific head and body movements performed in a precise sequence. These movements aim to guide the dislodged crystals from the semicircular canals back into the utricle, where they can no longer cause vertigo. Here’s a step-by-step outline of the procedure:

  1. Starting Position: The patient sits upright on an examination table with their legs extended. The osteopath turns the patient’s head 45 degrees to the affected side.
  2. Lying Down: The patient is quickly reclined back with their head hanging slightly over the edge of the table, remaining in this position for about 30 seconds. This allows gravity to move the crystals.
  3. Turning the Head: The patient’s head is then turned 90 degrees to the opposite side, holding for another 30 seconds.
  4. Rolling Over: The patient turns their body in the same direction they turned their head, effectively lying on their side, with the head angled down towards the floor, and holds this position for 30 seconds.
  5. Sitting Up: Finally, the patient is brought back to a sitting position, completing the maneuver.
Effectiveness and Benefits

Numerous studies have validated the efficacy of the Epley maneuver, with success rates often exceeding 80% after just one or two treatments. Patients typically experience immediate relief, though it may take a few days for full symptom resolution. The maneuver is non-invasive, requires no medication, and can often be performed in a clinical setting or even at home under professional guidance.

Combining Osteopathy and the Epley Maneuver

While the Epley maneuver is highly effective, integrating it within a broader osteopathic treatment plan can enhance its benefits. Osteopaths assess each patient individually, addressing any underlying musculoskeletal issues that may contribute to or exacerbate vertigo symptoms. Techniques such as cervical spine manipulation, soft tissue massage, and myofascial release can complement the Epley maneuver, ensuring a holistic and comprehensive approach to treatment.


Vertigo can be a challenging condition to live with, but osteopathy offers a pathway to relief. By leveraging the body’s natural healing mechanisms and focusing on structural balance, osteopaths can significantly alleviate vertigo symptoms. The Epley maneuver, a cornerstone technique in this approach, has proven to be remarkably effective, providing rapid and lasting relief for many sufferers of BPPV. If you are experiencing vertigo, consulting with an osteopath may be a beneficial step towards reclaiming your balance and improving your quality of life.

“I have vertigo. Vertigo makes it feel like the floor is pitching up and down. Things seem to be spinning. It’s like standing on the deck of a ship in really high seas.” ― Laura Hillenbrand