Part of Dizziness and BPPV
Why is vertigo worse in the morning, and which morning dizziness is yours
Warning signs, and when to get help
Why is vertigo worse in the morning?
Because of what the first minute out of bed asks your head to do, and because two different symptoms are both called morning dizziness.
Take the movements first. Positional vertigo is provoked by a change of head position, and St George's NHS names rolling over in bed, looking up or down and tilting the head among the changes that set it off. Now think about what waking up actually involves. You roll, you lift your head off the pillow, you turn to find the clock, you look down at the floor for your slippers. All of it happens inside a few seconds, in the dark, before you are awake enough to move carefully, and you do not do anything like it again until the next morning.
That is not a mechanism. It is a count of movements, and it is as far as the sources will take anybody honestly. We looked for a published explanation of why positional vertigo is reliably worse in the morning than in the evening and did not find one we could read, so this page does not offer you one. A trigger list you can check beats an explanation you cannot.
There is a second reason mornings feel worse, and it has nothing to do with ears. A spell at 7am happens while you are getting up onto a hard floor in bad light, which makes it the spell most likely to end in a fall rather than in a sit down. That is why balance and falls prevention matters more here than it looks as though it should.
Positional vertigo, in one line: short spinning spells set off by a change of head position. Dizziness and BPPV covers what it is, how a clinician confirms it, how it is treated and what recovery looks like, and none of that is repeated here.
Vertigo when waking up, and the first roll over
Here is the version most people recognize. You turn over, or you lift your head, and the room starts to move. It builds over a moment or two, peaks, and then fades while you lie there not moving. You feel slightly sick afterward and distinctly wary of your own head.
The useful detail is what it did while you kept still. A spin that arrives with a movement and settles while you stay put behaves differently from a swimmy head that is there whatever you do, and that difference is worth more at your appointment than any amount of searching.
What people do with it is where the mornings get worse than they need to be. The instinct is to move more, to shake it off or roll back the other way to undo it, and that adds a second provoking movement to the first. The other common response is to sit bolt upright and then stand straight into the spinning, which is how a bedroom spell becomes a fall. Neither is a sin. They are just both the wrong direction.
So: stop moving. Keep your eyes open, let them rest on something that is not moving, and wait until the room has settled before you make the next move. Then make that next move slowly and in two stages rather than one. If the spinning does not stop while you lie still, that is not the pattern this section is describing, and the same-day line about dizziness that is there all the time applies instead.
While it is happening, note which side you had rolled onto. That is the one thing you can observe in the moment that a clinician cannot get any other way, and it feeds straight into the appointment. There is more on what to collect further down.
Two neighboring questions, each with a page of its own. Why the crystals are loose in the first place sits on what causes BPPV and the loose crystals, and the hours you are actually asleep, including which side and whether pillows do anything, sit on sleeping position with BPPV.
What this section is not is a test. A short positional spin on waking does not tell you which condition you have, and it certainly does not tell you which ear. The positional tests that answer that are done by a doctor or physio, who watches your eyes while they move your head, and the parent page describes what they involve.
Dizzy in the morning when you stand up, which is a different thing
Now the other symptom, and it is worth reading even if you are sure the first one is yours.
This one does not spin. People describe it as swimmy, woolly, grey, or as the room dimming at the edges. Sound goes slightly distant. Your legs feel unreliable rather than your head feeling wrong. And the timing is different in a way you can check: it arrives as you come upright, and it eases while you stand still, which is the opposite of a positional spin that arrives with a head movement and needs you to stop moving.
The trigger is different too. It is the act of standing up, not the position your head ended up in. You can set this one off standing up out of a chair at four in the afternoon, which is one of the easier ways to tell the two apart.
That distinction is not something this page invented to be helpful. The Barany Society criteria for positional vertigo make it a condition of the diagnosis: positional vertigo or dizziness has to be told apart from symptoms that come only on getting up and with no other positional trigger (von Brevern and colleagues, 2015). So the question of which of the two you are describing is the same question a clinician has to answer before anything else, and the answer turns on a detail you can supply.
The NHS pairs that description with a specific cause. On its dizziness page, feeling dizzy on standing or sitting up suddenly is listed against a sudden drop in blood pressure, which it calls postural hypotension. Its low blood pressure page says the same thing from the other direction, that symptoms coming on when you stand or change position point that way, and advises moving from lying to sitting to standing in stages instead of all at once. It names pregnancy, some medical conditions such as diabetes, and some medicines among the causes, and says to see a doctor if you keep getting dizziness or fainting. The NHS falls page puts low blood pressure and the side effects of some medicines among the reasons people fall.
Medicines come up often enough here to need their own line. Never stop or change a prescribed medicine on your own. Write down everything you take, prescription and over the counter, and hand the list to the doctor or pharmacist so they can look at the whole of it, including the timing, which is their decision and not something to adjust at home.
This is the symptom with a same-day line attached, and it is the main reason for separating the two in the first place. Dizziness, lightheadedness, blurred vision or feeling faint on standing that is new for you, that does not pass within a minute or two, that keeps happening, or that has made you fall needs medical advice the same day. The full line is in the list at the end, with what to do if it does not settle and what to do if you faint.
One more thing before you decide which of the two you have: you can have both. An older reader with positional vertigo and a blood pressure that drops on rising will get a spin on the roll and a greyout on the stand, in that order and within moments of each other, and will reasonably describe the whole thing as one bad morning. Describing them as two events is what lets a clinician treat two problems.
And if you cannot tell which of the two you had, say so and use the shorter timing rather than the longer one. Telling a spin from a greyout is genuinely hard from the inside, half asleep, with nothing to compare it against, so being unsure is the ordinary position and not a failure of attention. The safe way to resolve it is to let the sooner route win: if the feeling was new for you, if it did not pass within a minute or two, if it keeps happening, or if it has made you fall, follow the same-day line in the list below rather than the within-a-few-days one. Write down what you noticed and let the examination settle which it was.
Why are some mornings bad and others fine?
Nobody can tell you. A guess would be worth less to you than the admission.
What the sources support is the trigger. If a change of head position is what provokes the spinning, then the morning you happened to wake on your other side, or sat up without rolling, or came awake slowly instead of grabbing for an alarm, was not the same morning as the one before it. You are not running the same experiment twice, and the variable that matters is not the day of the week or what you ate.
Positional vertigo also comes and goes in its own right, and it often comes back after it has been treated. That is a subject of its own, and why BPPV keeps coming back handles it, including what the guideline asks clinicians to tell people about the chance of a return (Bhattacharyya 2017).
Which brings up the thing to avoid. A good morning does not confirm that you are better and a bad one does not prove it is back, so testing yourself by deliberately rolling onto the bad side to see what happens tells you very little and risks a fall in the process. Keep the record described below instead, and let the testing be done by somebody watching your eyes.
One pattern genuinely does change the answer, and it is the reason this section is not simply reassuring. If the dizziness has stopped arriving in short spells and has instead been there all the time for a day or more, that is a different problem and it needs medical advice the same day. It is on the list at the end in full.
Morning dizziness that is not coming from your ear
Mornings are not an ear symptom by default, and the NHS dizziness page is the plainest list of what else they can be.
When you are already unwell with something, it names an ear infection, migraine, dehydration or heat exhaustion, stress or anxiety, low blood sugar because of diabetes, iron deficiency anemia, and motion sickness. When there is no obvious reason, it pairs symptoms with causes: dizziness on standing or sitting up suddenly with a drop in blood pressure, feeling off balance with hearing loss or ringing in the ears with inner ear problems, spinning with sickness after a cold or flu with labyrinthitis, and dizziness that started after a new prescription medicine with a side effect of it. None of those is diagnosed from a list, and all of them are worth bringing up by name at the appointment.
One of them belongs to the mornings in particular. If you wake unrefreshed however long you were in bed, and you are tired all day with it, say so, and say it as its own symptom rather than as part of the dizziness. Tiredness that has been there for weeks, that you cannot account for, or that is getting in the way of your daily life is a question for your doctor in its own right: book an appointment about the tiredness itself, and tell them if anyone has said you gasp, snort or choke in your sleep. The warning list below carries that line in full, with what else to mention.
The heart deserves its own mention on a page about feeling faint. A racing, pounding, fluttering or irregular heartbeat alongside dizziness, or fainting, is on the emergency list at the end of this page, and it is there because feeling faint is one of the ways a rhythm problem announces itself. If you are already under a cardiac team or in a rehab program, their advice on dizziness comes before anything here, and cardiac rehab sets out how that kind of program is run.
Then there is the neck, because a good number of people who wake up dizzy also wake up stiff. The two turning up together does not establish that one causes the other, and this site does not state that the neck causes vertigo. If the neck is as much of your morning as the dizziness, a stiff neck after sleeping and neck pain are the right starting points for the neck itself, while the dizziness still gets looked at on its own account. Before anybody treats your neck for it, know this: the international framework for the neck asks physios to examine you and check for blood vessel risk factors before any thrust technique (Rushton 2023). And read the emergency and same-day neck lines at the end of this page, which exist because a tear in an artery in the neck can begin as one-sided neck pain with vertigo and nothing else to find.
For the other inner ear and brain conditions that produce vertigo, including migraine-related dizziness, Meniere's disease, labyrinthitis and dizziness after a head injury, there is one page and this is not it: what else vertigo can be takes all of them together.
How do you get out of bed when the mornings are the worst part?
Before anything practical, be clear about what this section is for. It is about not falling and not being floored for the rest of the morning. It treats nothing, it moves nothing back into place, and it is not a routine to do first thing to fix the spinning. There is no such routine on this site, and the reason is on the parent page: the repositioning treatment depends on which ear and which canal are affected, so a sequence copied from a page like this one can be done on the wrong side and the spell it sets off can put you on the floor. If a doctor or physio has taught you something for your own diagnosis, theirs is the instruction, not this.
The NHS advice for vertigo is the backbone of it, and it is short. Get out of bed slowly, and sit on the edge for a while before you stand. Turn the light on if you are getting up in the night. Sit down at once when you feel dizzy. Move your head carefully and slowly during the day rather than whipping it round.
The same page adds a walking stick if you are at risk of falling, says not to bend over to pick things up but to squat down instead, and says not to stretch your neck to reach something high up. Do not drive, climb ladders or use machinery while you feel dizzy (NHS dizziness).
The physiotherapy version of it comes down to the order you do things in. Break the first minute into three moves: the roll and the sit up, then a pause sitting on the edge, then the stand as a decision of its own. Most people who come to grief in the morning have merged the last two into one movement.
Then set up what is within reach. Put a lamp where you can reach it without rolling, and keep the route to the bathroom clear and lit, because that trip is where falls actually happen rather than at the bedside. Have something solid at the side of the bed to put a hand on, and use it on the way up rather than after you have wobbled.
Keep a phone or a personal alarm where you could reach it from the floor as well as from the bed. If you cannot get up, use your phone or personal alarm, or shout or bang on the wall or floor to get someone's attention (NHS falls). An hour on the floor is its own problem, and it has its own same-day line in the list below.
Two warnings belong here word for word, because they are the ones this site gives everywhere somebody moves in bed or stands up.
You feel dizzy, lightheaded or faint, or the room seems to spin, as you move in bed or sit on its edge. Stop, lie back down on the bed if you can, and keep still until it passes. If it does not pass within a minute or two, or it keeps happening, get medical advice the same day before you practice again. If you faint, it does not settle within a few minutes of keeping still, or your vision suddenly blurs or goes double, call emergency services.
You feel dizzy, lightheaded or faint as you get up. Sit back down and wait for it to pass. If it does not pass within a minute or two, or it keeps happening, get medical advice the same day before you practice again. If you faint, or it does not settle within a few minutes of keeping still, call emergency services.
If you have already fallen getting out of bed, or you are not sure you could get up off the floor on your own, getting up from the floor covers that properly and balance and falls prevention covers the wider plan, including a falls assessment. Neither of those is rebuilt here.
If a clinician has put you on the vestibular exercise program, the getting-up habit is part of it rather than something separate, and the parent page sets that out. Start these exercises only after a doctor or vestibular physio has found the cause of your dizziness. New dizziness, or dizziness that has changed, needs checking first.
What to write down before your appointment
The parent page already asks you to note which movement sets the spinning off and which side you roll onto. That is the seed, and a morning is the easiest place to collect it, because you get one clean attempt a day with nothing else competing.
Keep a page by the bed for a fortnight and record six things. What you were doing at the moment it started, and specifically whether your head changed position or whether you had just stood up. Which side you had rolled onto. Whether the room spun or whether you felt faint and grey.
Then the other three. What it did while you kept completely still, and roughly how long that took. Whether anything happened to your hearing, in one ear or both. And whether the same thing happens at other times of day, which is the question that separates the two symptoms faster than anything else.
Take two more things with you. A list of every medicine you take, because the NHS names medicine side effects among the causes of both dizziness and falls, and a note of any fall in the past year, including the ones where you were not hurt.
None of that is a self-test, and it is worth saying plainly. You cannot work out from this record which condition you have, and it is not meant to let you. What it does is give the person examining you an account of the behavior of your symptom, which is what the positional tests start from and what decides which test they do first. Dizziness and BPPV describes what those tests involve so that nothing in the room is a surprise.
When morning dizziness needs seeing today
Most of this page is written for a symptom that answers to a movement. A few mornings are something else, and these are the ones to act on rather than to manage.
Some mean emergency services now, whatever the time and even if the symptom has already passed off. Any sign of a stroke, which includes sudden dizziness with unsteadiness or falling over as well as a drooping face, a weak arm, speech gone wrong, a change in your vision, trouble swallowing or a sudden fall where your legs give way without you blacking out. Vertigo together with new hearing loss, double vision, trouble speaking, or weakness or numbness in an arm or leg.
Three more carry the same urgency. Dizziness with a new, severe headache. A racing, pounding or irregular heartbeat with dizziness or faintness. And a new headache or neck pain that does not behave like ordinary neck pain, which has its own long line in the list below and its own reasons.
Three same-day lines matter most on this page, because they catch the readers who have already decided their problem is positional. Spinning or dizziness that has been there all the time for a day or more, rather than coming in short spells when you move your head, needs advice the same day. So does sudden new dizziness. The third is the standing-up line: feeling faint or lightheaded on rising that is new for you, keeps happening, does not pass within a minute or two, or has made you fall.
If nobody has yet confirmed what your mornings are, the ordinary route is the one to take rather than another week of reading. Short spells of spinning when you lie down, roll over in bed or look up, or dizziness that keeps coming back, means seeing your GP or a physio within a few days so the cause can be confirmed and treated. Every line below carries its own timing, and those timings do not change according to how well you slept. The other problems in this area are listed under balance and dizziness.
Related exercise programs
Warning signs
Get emergency help now
- Emergency: call emergency services straight away for any sign of a stroke, even if it goes away: sudden dizziness with unsteadiness or falling over, a face that droops on one side, an arm you cannot lift or keep up, slurred or muddled speech, weakness or numbness on one side of your body or face, sudden blurred vision, double vision or loss of sight, trouble swallowing, a sudden severe headache, or a sudden fall where your legs give way but you do not black out (a drop attack).
- Emergency: vertigo or dizziness together with new hearing loss, double vision or loss of vision, trouble speaking, or weakness, numbness or tingling in an arm or leg. Call emergency services or go to an emergency department straight away.
- Emergency: dizziness with a new, severe headache, or a sudden, severe headache that feels unlike anything you have had before. Call emergency services straight away.
- Emergency: a new headache or neck pain, or both, that does not feel like ordinary neck pain. If this is your first bout, judge it by how it behaves rather than by how it compares. Either of the next two is enough on its own. One, it came on suddenly, in a single moment, even if it is not severe and even if it has eased since. Sudden onset counts on its own. Two, nothing you do changes it much: no position or rest makes a real difference, and after the first day or two it has not started to settle. It counts even if you have none of the other emergency signs above, and it matters more if it started after a neck injury or strain, even a minor one, a bout of heavy coughing, or having your neck manipulated. Go to an emergency department straight away, or call emergency services if you cannot get there safely, and do not drive yourself. Do not start these exercises, and do not have any hands-on treatment to your neck, until your neck has been checked. A tear in an artery in the neck can start as pain alone, often on one side, with nothing else to find. If you can find a position that eases it, follow the same day warning sign for this below instead.
- If chest pain, pressure or tightness does not ease quickly when you rest, spreads to your arm, neck, jaw, stomach or back, or comes with sweating, feeling sick, feeling light-headed or being short of breath, call emergency services straight away, as this can be a heart attack. If it eases quickly and none of these happen, get medical advice the same day, and do not exercise again until you have been checked.
- Emergency: a racing, pounding, fluttering or irregular heartbeat that does not settle when you rest, or that comes with dizziness, feeling faint or fainting, chest pain or shortness of breath. Call emergency services straight away. If it has already stopped, get medical advice the same day.
- Emergency: you have just fallen and cannot get up, or you think you may have hurt your head, neck, back or hip. Stay where you are, keep warm and call emergency services, or get someone to call for you. If you got up and walked without trouble and only notice pain later, use the same-day lines in this list instead.
- Emergency: you fell and cannot remember the fall or how it happened. Go to an emergency department straight away, and do not drive yourself. You may have blacked out or hit your head without knowing it.
Get help today
- Same day: a new headache or neck pain, or both, that does not feel like ordinary neck pain, that started after a neck injury or strain, even a minor one, a bout of heavy coughing, or having your neck manipulated, but that does ease when you change position or rest. Get checked the same day before you start these exercises or have any hands-on treatment to your neck. If nothing you do changes it much any more, or it has not started to settle after a day or two, follow the emergency warning sign for this above.
- Same day: you blacked out or fainted, even for a moment. Get medical advice the same day. Call emergency services instead if the person is not breathing, cannot be woken within 1 minute, has not fully recovered or has trouble speaking or moving, has chest pain or a pounding, fluttering or irregular heartbeat, fainted while exercising or lying down, is shaking or jerking, or was badly hurt.
- Same day: dizziness, lightheadedness, blurred vision or feeling faint when you stand up that is new for you, does not pass within a minute or two, keeps happening, or has made you fall. Sit or lie down, and get medical advice the same day. This can be a drop in blood pressure on standing (postural hypotension), a type of low blood pressure, which the NHS lists among the causes of falls, and your doctor can check it. Tell them about your medicines, because some can cause it. If it does not settle within a few minutes of sitting or lying still, call emergency services. If you faint, use the fainting line above.
- Same day: sudden new dizziness, or feeling faint or unsteady, other than the brief lightheadedness as you stand up covered in the line above, without any of the stroke signs above. Stop, sit down and get medical advice the same day. If you faint, it does not settle within a few minutes of sitting still, or you cannot stand or walk steadily, call emergency services.
- Same day: dizziness or spinning that has been there all the time for a day or more, rather than coming in short spells when you move your head, without any of the emergency signs above. Get medical advice the same day. If you cannot stand or walk steadily, call emergency services.
- Same day: vertigo with being sick or feeling very sick, a very high temperature, or feeling hot, cold or shivery, without any of the emergency signs above. Get medical advice the same day.
- Same day: you are more short of breath than usual, or short of breath while you are resting or lying down, without any of the emergency signs above. Get medical advice the same day. Call emergency services if you have severe difficulty breathing, are gasping, choking or cannot get your words out, or your lips or skin turn very pale, blue or gray. Breathlessness is not a symptom of the inner ear: the NHS names heart failure and lung conditions among the causes, and it is easy to put down to being run down.
- Same day: after a fall, you are in pain, have hurt yourself or feel unwell, or you were on the floor for an hour or more, without any of the emergency signs above. Get medical advice the same day, even if you managed to get up.
Book an appointment
- Within a few days: short spells of spinning when you lie down, roll over in bed or look up, or dizziness that keeps coming back, without any of the signs above. See your GP or a physio within a few days so the cause can be confirmed and treated.
- Within a few days: you have had a fall, even if you were not hurt, or you keep tripping, stumbling or feeling that your legs might give way. Book an appointment with your doctor within a few days and ask about a falls assessment. Tell them about every fall, even the ones where you were not hurt.
- Routine: you have been tired for a few weeks and you are not sure why, your tiredness is getting in the way of your daily life, or you are tired along with other symptoms such as losing weight without meaning to or a change in your mood. Book an appointment with your doctor about the tiredness itself, say how long it has been there and what else has changed, and let them decide what to test. Tiredness is not a symptom of the inner ear: the NHS names sleep apnea, iron deficiency anemia, diabetes, an overactive thyroid and ME or chronic fatigue syndrome among the conditions behind it, and a blood test settles several of them. Tell your doctor as well if anyone has said you gasp, snort or choke in your sleep. If the tiredness comes with chest pain, feeling faint, or being short of breath while you are resting, use the emergency and same day lines above instead.
Common questions
Why is vertigo worse when you wake up?
Because the first minute out of bed asks more of your head than any other minute of the day. Positional vertigo is provoked by a change of head position, and St George's NHS names rolling over in bed, looking up or down and tilting the head among the movements that set it off. Waking up puts several of those together in a few seconds, in the dark, before you are awake enough to move slowly. Nobody can tell you from a web page that this is what you have, and a short spin on waking is not proof of anything on its own. What is worth doing is noticing what the spinning did while you lay still, which way you had rolled, and whether your hearing changed, because that is what a doctor or physio works from at the appointment.
Why do I feel dizzy in the morning when I get out of bed?
If the feeling is swimmy, grey or faint rather than spinning, and it comes on as you stand and passes while you stay upright, that is a different symptom from positional vertigo and it needs a different answer. The NHS pairs dizziness on standing or sitting up suddenly with a sudden drop in blood pressure, which it calls postural hypotension, and its low blood pressure page advises going from lying to sitting to standing in stages rather than in one move. That page also names pregnancy, some medical conditions such as diabetes, and some medicines among the causes, and says to see a doctor if you keep getting dizziness or fainting. Never stop or change a prescribed medicine on your own. Take the list of what you take to the doctor or pharmacist instead and let them look at it. This is also the symptom with a same-day line on this page: dizziness or feeling faint on standing that is new for you, does not pass within a minute or two, keeps happening, or has made you fall needs medical advice the same day.
Why is my vertigo so bad in the morning and better later in the day?
We found no source that settles why that pattern happens, so this page does not offer a mechanism for it. What the sources do support is narrower and more useful: the trigger is a change of head position, and the morning is when you make most of those changes in the shortest space of time. Later in the day you move your head deliberately, you are upright, and you have already had whatever spell the first roll was going to produce. A day with a good morning and a day with a bad one are not evidence for or against any diagnosis, which is the main reason not to run experiments on yourself. One pattern does change the answer. If the dizziness has stopped coming in short spells and has simply been there all the time for a day or more, that needs medical advice the same day.
Is morning dizziness a sign of something serious?
Usually not, and sometimes yes, which is why this page carries a warning list rather than reassurance. Dizziness is one of the symptoms a stroke can present with, and the NHS lists feeling dizzy or falling over among them, so sudden dizziness with unsteadiness, a drooping face, a weak arm, speech that has gone wrong or a change in your vision means calling emergency services even if it passes off. Dizziness with a racing, pounding or irregular heartbeat, or with fainting, is on the list too. So is a new headache or neck pain that does not behave like ordinary neck pain. Below those sit two same-day lines that catch the readers this page worries about most: spinning that has been there all the time for a day or more rather than coming in spells, and sudden new dizziness. If nobody has yet worked out what your mornings are, the ordinary route is a doctor or physio within a few days.
Why is cervical vertigo worse in the morning?
A stiff neck in the morning and dizziness in the morning do turn up together, and that on its own does not establish that one is causing the other. This site does not state that the neck causes vertigo, and the question of whether it can is handled on our page on what else vertigo can be, not here. If you wake with a sore, stiff neck as much as a swimmy head, start with a stiff neck after sleeping and with our neck pain page, and get the dizziness itself looked at rather than treating the neck for it. One thing is worth knowing before anyone puts their hands on your neck: the international framework for the neck asks physios to examine you and check for blood vessel risk factors before any thrust technique (Rushton 2023). A new headache or neck pain that does not feel like ordinary neck pain has its own emergency and same-day lines on this page, and they are there because a tear in an artery in the neck can start as one-sided neck pain with vertigo and nothing else to find.
References
- NHS. Dizziness. https://www.nhs.uk/symptoms/dizziness/
- NHS. Vertigo. https://www.nhs.uk/conditions/vertigo/
- NHS. Low blood pressure (hypotension). https://www.nhs.uk/conditions/low-blood-pressure-hypotension/
- NHS. Falls. Page last reviewed 06 March 2025. https://www.nhs.uk/conditions/falls/
- NHS. Symptoms of a stroke. https://www.nhs.uk/conditions/stroke/symptoms/
- NHS. Fainting. Page last reviewed 17 August 2026. https://www.nhs.uk/symptoms/fainting/
- St George's University Hospitals NHS Foundation Trust. Benign paroxysmal positional vertigo (BPPV). https://www.stgeorges.nhs.uk/service/therapies/neurology-vestibular-physiotherapy-outpatients/benign-paroxysmal-positional-vertigo-bppv/
- von Brevern M, Bertholon P, Brandt T, et al. Benign paroxysmal positional vertigo: Diagnostic criteria. Journal of Vestibular Research. 2015;25(3-4):105-117. https://doi.org/10.3233/VES-150553
- Bhattacharyya N, Gubbels SP, Schwartz SR, et al. Clinical practice guideline: benign paroxysmal positional vertigo (update). Otolaryngology-Head and Neck Surgery. 2017;156(3 Suppl):S1-S47. https://doi.org/10.1177/0194599816689667
- Rushton A, Carlesso LC, Flynn T, et al. International framework for examination of the cervical region for potential of vascular pathologies of the neck prior to musculoskeletal intervention: International IFOMPT Cervical Framework. Journal of Orthopaedic and Sports Physical Therapy. 2023;53(1):7-22. https://doi.org/10.2519/jospt.2022.11147
- NHS. Heart palpitations. https://www.nhs.uk/conditions/heart-palpitations/
- NHS. Chest pain. https://www.nhs.uk/symptoms/chest-pain/
- NHS. Shortness of breath. Page last reviewed 30 January 2024. https://www.nhs.uk/symptoms/shortness-of-breath/
Written and checked by the PocketPhysio editorial team. Last updated 2026-10-18.
This page is general education, not a diagnosis or a personal treatment plan. See a physiotherapist or doctor for advice about your own situation.