Vertigo describes a spinning sensation—distinct from light-headedness. Benign paroxysmal positional vertigo (BPPV) arises when otoconia migrate into semicircular canals, provoking brief bursts of dizziness with head turns in bed or looking up. Many cases respond well to canalith repositioning manoeuvres performed by trained clinicians.

Assessment differentiates peripheral from central causes. Associated neurological signs, continuous vertigo unrelated to position, or sudden hearing loss require medical referral before aggressive manoeuvres. Patient safety—including cervical precautions—is always reviewed before treatment.

Vestibular rehabilitation beyond BPPV addresses habituation to motion, gaze stability during head movement, and balance integration. Exercises start gently; mild provoked dizziness can be expected but should settle within minutes. Diaries help track triggers like screen scrolling, crowded markets, or metro rides.

Living in a busy city like Delhi exposes patients to visual motion and noise that amplify symptoms. We layer gradual exposure with coping strategies—seating choices in vehicles, pacing market visits, and breathing drills when anxiety loops with dizziness.

If positional vertigo is disrupting sleep or work, book an evaluation with Dr Harendra Rajput’s team. We will explain findings, perform appropriate manoeuvres if indicated, and supply a written home progression.