BPPV (vertigo) Treatment Benign paroxysmal positional vertigo is a common inner-ear problem affecting the vestibular system, a system used to maintain balance. BPPV causes short periods of dizziness when your head is moved in certain positions, relative to gravity. Fortunately, most people recover from BPPV with specific head and neck maneuver performed by a experienced physical therapist. These repositioning treatments are designed to move the crystals from the semicircular canal back into the appropriate area in the inner ear. This treatment also requires the monitoring of visual and cervical control to adequately address deficits within the vesitibular system. Michael and Megan have completed advanced training to treat clients with vestibular disorders.