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Neurology

Vertigo Treatment

Effective vertigo and BPPV treatment by Dr. Bharath Kumar Surisetti. Canalith repositioning and vestibular rehabilitation in Hyderabad.

250+Cases Treated
9+Years Exp.
90%Relief Rate
Vertigo Treatment

Overview

Vertigo is the false perception of movement or spinning, most commonly caused by Benign Paroxysmal Positional Vertigo (BPPV), vestibular neuritis, Meniere disease or central causes. BPPV alone accounts for over 50% of all vertigo cases.

Dr. Bharath Kumar Surisetti accurately diagnoses the type of vertigo using bedside tests and provides immediate treatment with canalith repositioning manoeuvres (Epley) where appropriate, giving rapid relief in most cases.

Symptoms & Conditions We Treat

Positional Vertigo

Spinning triggered by head position change - classic BPPV pattern

Sudden Onset Vertigo

Severe spinning attack with nausea lasting hours in vestibular neuritis

Fluctuating Hearing

Hearing loss, fullness and tinnitus in Meniere disease

Imbalance

Difficulty walking or tendency to fall during and after vertigo attacks

Eye Movement Abnormality

Nystagmus triggered by certain head positions

Central Vertigo Red Flags

Vertical nystagmus, diplopia or dysarthria needing urgent MRI

Our Treatment Approach

1

Dix-Hallpike and Roll Test

Bedside positional tests to confirm BPPV and identify which canal is affected.

2

HINTS Examination

Head Impulse, Nystagmus, Test of Skew to distinguish stroke from peripheral vertigo in acute cases.

3

Repositioning Manoeuvre

Epley or Semont manoeuvre performed in clinic for immediate BPPV treatment.

4

Follow-Up and Rehab

Vestibular rehabilitation exercises and follow-up to confirm resolution or escalate if central cause suspected.

Treatment Options

Canalith Repositioning

  • Epley manoeuvre (posterior canal)
  • Gufoni manoeuvre (horizontal canal)
  • Semont liberatory manoeuvre
  • Log roll technique

Medications

  • Betahistine for Meniere disease
  • Prochlorperazine for acute attack
  • Corticosteroids for neuritis
  • Migraine prevention if indicated

Vestibular Rehabilitation

  • Gaze stabilisation exercises
  • Habituation therapy
  • Balance board training
  • Home exercise programme

Central Vertigo Management

  • MRI posterior fossa
  • Cerebellar assessment
  • Stroke or MS treatment
  • Specialist referral

Why Choose Srilekha's Clinic?

Expert Neurologist

DM-qualified neurologist with 9+ years and 2000+ patients treated

Advanced Diagnostics

MRI, EEG, NCS/EMG and comprehensive neurological workup

Personalised Care

Treatment plans tailored to your condition and lifestyle

Evidence-Based

Latest international neurology guidelines followed strictly

Prompt Treatment

No unnecessary delays - urgent cases seen on priority

Long-Term Support

Ongoing management and monitoring for chronic conditions

Neurology FAQ

Frequently Asked Questions

Quick answers about this condition. Can't find what you need? Chat with us directly.

Vertigo is the sensation that you or your surroundings are spinning. The most common cause is BPPV (loose crystals in the inner ear). Other causes include vestibular neuritis and Meniere's disease.

BPPV is caused by loose calcium crystals in the semicircular canals of the inner ear. It causes brief spinning triggered by head movements and is treated with the Epley manoeuvre.

The Epley manoeuvre — a series of head repositioning movements performed by the doctor — resolves BPPV in most patients after 1–3 sessions. No medication is usually needed.

Seek emergency care if vertigo comes with sudden severe headache, diplopia, facial weakness, slurred speech, or severe unsteadiness — these may indicate a stroke.

Betahistine, cinnarizine, and prochlorperazine help acute episodes. Long-term medication is minimised to allow the brain to compensate naturally through vestibular rehabilitation.

Book via WhatsApp +91 9963 138 139. Habsiguda, Hyderabad, Mon–Sun 9 AM–8 PM.