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If you’re not sure whether you have BPPV, talk to your doctor before attempting any canalith repositioning procedures like this one. If you’re not sure whether it’s your left ear or right affected by the condition, the test can help determine that. The test is similar to the Epley maneuver in that it works by triggering vertigo symptoms. The Dix-Hallpike test is a common diagnostic tool for BPPV. The Epley maneuver is a good vertigo exercise to try if you have been diagnosed with BPPV or are experiencing symptoms of BPPV. These maneuvres include the Epley maneuver, Semont maneuver, Brandt-Daroff exercise, and the half somersault. The result is disorientation and extreme dizziness, or vertigo.Ĭanalith repositioning maneuvers work by moving those crystals back to where they belong. When these crystals are dislodged from the utricle and migrate to other areas of the inner ear canal, it can cause miscommunication within your vestibular system. These calcium crystals, or “ear rocks,” relay your body’s position to your brain and help detect motion. How the Epley Maneuver Worksĭizziness from conditions like BPPV is caused by a problem affecting the calcium carbonate crystals, also called otoconia or canaliths, in the inner ear. It’s even appropriate for at-home use as long as it’s modeled correctly first. The Epley maneuver is a safe and effective treatment method for BPPV.
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If your symptoms don’t improve after 4 weeks, please contact your doctor for a review.The Epley maneuver is a common treatment of the vertigo associated with the inner ear disorder benign paroxysmal positional vertigo (BPPV).īPPV is the most common cause of vertigo, a symptom that causes a spinning sensation and quality of life concerns if left untreated. This can be due to another crystal getting trapped in the balance organs. Others may need to repeat these daily for a few weeks.Īlthough the Epley manoeuvre is effective at treating vertigo from BPPV, there is still a chance the symptoms may return weeks or even years later. Half of people find their spinning sensation or vertigo improves after just one manoeuvre. This is to prevent the calcium crystals from going back into the balance organ. Sit upright for the rest of the day and avoid sleeping on the affected side for the next few days. Ask your doctor to confirm if the exercises are safe for you before doing them.ĪFTER THE PROCEDURE What should I expect after the Epley manoeuvre? You may need to avoid using the Epley manoeuvre if you have certain problems with their neck, joints, heart, and eyes. You should also avoid driving while you still feel dizzy. For this reason, you may find it reassuring to have someone with you in the room. Whilst the Epley manoeuvre itself is quite safe, you may feel your spinning sensation or vertigo getting worse during the exercise. This is to allow easier neck movements.ĪBOUT THE RISKS What are the risks of doing the Epley manoeuvre? Dress comfortably and have a pillow handy to place under your shoulders.
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They are best done on a bed as they can make you feel dizzy afterwards. Doing the Epley manoeuvre yourself at home regularly is a safe alternative for symptoms of BPPV. You may not get an appointment on the day. You can have a one-off Epley manoeuvre in the clinic. Why would I need to do the Epley manoeuvre? This improves your sensation of spinning. The Epley manoeuvre is a set of head movements which pushes these crystals out of the balance organs. But it can occur if you’ve suffered a blow to the head or if you’ve had surgery in the ear.ĪBOUT THE PROCEDURE What is the Epley manoeuvre? In most cases, the reason for developing BPPV is unknown. These interfere with signals sent to the brain which causes brief sensation of spinning or vertigo. Turning the head can cause movement of these crystals. In Benign Paroxysmal Positional Vertigo or BPPV, calcium crystals can be dislodged from elsewhere and enter the balance organs. It consists of 3 semi-circular canals on each side which act like a gyro to detect motion. The organ responsible for balance is located inside your ear.