- \n
- Sudden, violent rotation dizziness with certain head movements \u2013 classically with turning in bed, lying down or getting up, or with the head in the neck-down position<\/li>\n
- The attack usually lasts only seconds to less than a minute.<\/li>\n
- Often accompanied by nausea<\/li>\n
- Between the attacks, affected people are usually symptom-free.<\/li>\n
- No hearing loss, no tinnitus, no cognitive impairment \u2013 if these symptoms appear, a medical examination is necessary (see below)<\/li>\n<\/ul>\n
Ursachen f\u00fcr Lagerungsschwindel<\/h2>\n
In most cases, no definitive cause can be found (idiopathic BPLS). Known triggers include:<\/p>\n
- \n
- Skull or head trauma, even minor impacts<\/li>\n
- Long periods of bed rest or unusual prolonged head tilts (e.g., at the dentist or hairdresser)<\/li>\n
- Previous inner ear inflammation or a vestibular dysfunction<\/li>\n
- Migraine disorders may favor the occurrence of the disease<\/li>\n<\/ul>\n
When to see a doctor, when to see a physiotherapist?<\/h2>\n
Brief, storage-dependent rotational pain without warning signs can usually be treated directly with physiotherapy. Medical\/ENT examination is important<\/strong>, If occurring in addition: hearing loss or ear noises, double vision, speech or swallowing difficulties, numbness, severe headaches, or if the dizziness persists for longer than a few minutes or persists permanently. In these cases, a neurological or internal medical cause must be ruled out before targeted vestibular treatment is considered appropriate.<\/p>\n
Treatment at Physiotherapie Waidfuss<\/h2>\n
The great advantage of BPLS is that it can often be significantly alleviated or completely resolved in as few as one to two sessions with targeted handling maneuvers.<\/p>\n
- \n
- Diagnostics:<\/strong> With specific storage tests (e.g., Dix-Hallpike test), we determine which nerve pathway is affected \u2013 the treatment is tailored exactly to that.<\/li>\n
- Liberation maneuver:<\/strong> Targeted storage maneuvers (e.g., after Epley or S\u00e9mont) bring the errant crystals back to their place.<\/li>\n
- Vestibular rehabilitation training:<\/strong> For recurrent complaints or after a vestibular disorder, we specifically train the compensation ability of the balance system \u2013 in addition, you can also Neuro-centered training<\/a> help improve the cooperation between the eyes, inner ear, and nervous system.<\/li>\n
- Posture and neck findings:<\/strong> Since tension in the neck vertebrae can trigger or exacerbate dizziness, we also examine the mobility and musculature of the neck vertebrae.<\/li>\n<\/ul>\n
![\"Epley](\"https:\/\/physio-waidfuss.ch\/wp-content\/uploads\/2026\/10\/iStock-1535762572-1024x369.jpg\")
<\/p>\nWas die Studien zum Lagerungsschwindel zeigen<\/h2>\n
F\u00fcr kaum eine Schwindelform ist die Behandlung so gut belegt. Eine Cochrane-\u00dcbersicht mit 11 Studien und 745 Betroffenen zeigte: Nach dem Befreiungsman\u00f6ver nach Epley war der Schwindel bei 56 % ganz verschwunden, nach einem Scheinman\u00f6ver oder ohne Behandlung nur bei 21 %. Das Man\u00f6ver nach S\u00e9mont wirkte beim Lagerungstest gleich gut wie das Epley-Man\u00f6ver (Hilton & Pinder, 2014<\/a>).<\/p>\n
Die amerikanische Leitlinie zum Lagerungsschwindel empfiehlt deshalb ausdr\u00fccklich ein Befreiungsman\u00f6ver. Sie r\u00e4t gleichzeitig ab von:<\/p>\n
- \n
- Einschr\u00e4nkungen nach dem Man\u00f6ver, etwa aufrecht schlafen oder den Kopf ruhig halten<\/li>\n
- Bildgebung wie MRI, wenn die Beschwerden typisch sind und keine weiteren Warnzeichen bestehen<\/li>\n
- Schwindel d\u00e4mpfenden Medikamenten als Routinebehandlung<\/li>\n<\/ul>\n
Ausserdem soll man Betroffene dar\u00fcber informieren, dass der Lagerungsschwindel wiederkommen kann und die Sicherheit beeintr\u00e4chtigt, zum Beispiel durch ein h\u00f6heres Sturzrisiko (Bhattacharyya et al., 2017<\/a>). Wie Sie St\u00fcrzen vorbeugen, lesen Sie im Artikel Fall prevention: What studies actually show to be effective<\/a>.<\/p>\n
Lagerungsschwindel: Was Sie selbst tun k\u00f6nnen<\/h2>\n
- \n
- Stay calm \u2013 the attack is brief and uneventful, even though it feels frightening<\/li>\n
- Avoid movements that cause dizziness on a permanent basis \u2013 those who over-protect themselves delay the natural compensation of the balance system.<\/li>\n
- In everyday situations of uncertainty: slow, controlled head movements instead of abrupt turns<\/li>\n
- Note down triggering situations (e.g., certain head positions) \u2013 this helps us with targeted diagnosis<\/li>\n<\/ul>\n
Note: If your dizziness tends to be accompanied by general walking instability or an increased risk of falls in older age, rather than by brief, storage-dependent attacks, please also read our article on Fall prevention & balance training<\/a>.<\/em><\/p>\n
More on the topic: Fall prevention and balance training<\/a> and Physiotherapy for senior women and men<\/a>.<\/p>\n
H\u00e4ufige Fragen zum Lagerungsschwindel<\/h2>\n
Muss ich nach dem Befreiungsman\u00f6ver aufrecht schlafen?<\/h3>\n
Nein. Die Leitlinie r\u00e4t ausdr\u00fccklich von solchen Einschr\u00e4nkungen ab. Sie d\u00fcrfen sich normal bewegen und hinlegen.<\/p>\n
Kann der Lagerungsschwindel wiederkommen?<\/h3>\n
Ja, das ist m\u00f6glich. Treten die typischen kurzen Drehschwindel-Attacken wieder auf, l\u00e4sst sich das Man\u00f6ver wiederholen. Melden Sie sich in diesem Fall einfach erneut.<\/p>\n
Helfen Tabletten gegen den Schwindel?<\/h3>\n
Medikamente k\u00f6nnen die \u00dcbelkeit kurzfristig lindern, beheben aber die Ursache nicht. Als Routinebehandlung empfiehlt die Leitlinie sie nicht.<\/p>\n
Sources<\/h2>\n
- \n
- Hilton M. P., Pinder D. K. (2014): The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Review. PubMed<\/a><\/li>\n
- Bhattacharyya N. et al. (2017): Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update). Otolaryngology \u2013 Head and Neck Surgery. PubMed<\/a><\/li>\n<\/ul>\n
Our advice<\/h2>\n
No one has to simply put up with recurring, storage-dependent dizziness. After ruling out serious causes, a storage dizziness can often resolve surprisingly quickly with the right techniques. In our clinic in Zurich Wipkingen, we take the time to perform a thorough diagnosis and develop an individual treatment plan. Schedule an appointment now<\/a> and have your delusion specifically clarified and treated.<\/p>","protected":false},"excerpt":{"rendered":"
Der Raum dreht sich, obwohl Sie ganz still liegen. Sie drehen sich im Bett um, und f\u00fcr ein paar Sekunden ger\u00e4t alles ins Schleudern. Schwindel geh\u00f6rt zu den h\u00e4ufigsten Beschwerden \u00fcberhaupt \u2013 und einer der h\u00e4ufigsten Ausl\u00f6ser ist ein Problem, das direkt in der Physiotherapie behandelt werden kann: der gutartige paroxysmale Lagerungsschwindel (BPLS). In unserer […]<\/p>\n","protected":false},"author":9,"featured_media":12244,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_mbp_gutenberg_autopost":false,"footnotes":""},"categories":[86,68,71,1,87],"tags":[],"class_list":["post-12185","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gleichgewicht","category-physiotherapiehoengg","category-physiotherapie-wipkingen","category-physiotherapie-zuerich","category-schwindel"],"acf":[],"_links":{"self":[{"href":"https:\/\/physio-waidfuss.ch\/en\/wp-json\/wp\/v2\/posts\/12185","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/physio-waidfuss.ch\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/physio-waidfuss.ch\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/physio-waidfuss.ch\/en\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/physio-waidfuss.ch\/en\/wp-json\/wp\/v2\/comments?post=12185"}],"version-history":[{"count":6,"href":"https:\/\/physio-waidfuss.ch\/en\/wp-json\/wp\/v2\/posts\/12185\/revisions"}],"predecessor-version":[{"id":12791,"href":"https:\/\/physio-waidfuss.ch\/en\/wp-json\/wp\/v2\/posts\/12185\/revisions\/12791"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/physio-waidfuss.ch\/en\/wp-json\/wp\/v2\/media\/12244"}],"wp:attachment":[{"href":"https:\/\/physio-waidfuss.ch\/en\/wp-json\/wp\/v2\/media?parent=12185"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/physio-waidfuss.ch\/en\/wp-json\/wp\/v2\/categories?post=12185"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/physio-waidfuss.ch\/en\/wp-json\/wp\/v2\/tags?post=12185"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
- Bhattacharyya N. et al. (2017): Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update). Otolaryngology \u2013 Head and Neck Surgery. PubMed<\/a><\/li>\n<\/ul>\n
- Hilton M. P., Pinder D. K. (2014): The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Review. PubMed<\/a><\/li>\n
- Liberation maneuver:<\/strong> Targeted storage maneuvers (e.g., after Epley or S\u00e9mont) bring the errant crystals back to their place.<\/li>\n
- Diagnostics:<\/strong> With specific storage tests (e.g., Dix-Hallpike test), we determine which nerve pathway is affected \u2013 the treatment is tailored exactly to that.<\/li>\n