Positives

• One forum discussion documented several patients reporting that the Epley manoeuvre (a core component of vestibular rehabilitation for BPPV) gave rapid relief from positional vertigo when their dizziness turned out to be BPPV rather than POTS-related Phoenix Rising.
  
  

Negatives

• Other forum members with ME/CFS-associated bilateral vestibular damage reported that conventional vestibular rehabilitation exercises (gaze stabilization, habituation drills) triggered post-exertional malaise and had to be modified or paused during flare periods Phoenix Rising.
  
  

Hurdles & Side Effects

• Vestibular rehabilitation is delivered by a specialized physical therapist and typically requires a referral; forum members note that PTs experienced with ME/CFS and POTS are harder to find than those who treat isolated BPPV or post-concussion dizziness, and that pacing the exercise load is essential to avoid PEM Phoenix Rising.