![]() ![]() They should stay in this position for 30 seconds to 2 minutes, until their dizziness stops. Lie down, keeping their head turned to the side and lifted at a 30-degree angle away from the bed.Sit up in bed with the legs extended in front of them and turn their head 45 degrees to the side that they are experiencing the most dizziness.Once a person has had the Epley maneuver performed by a doctor, they may want to repeat the process at home if they have further symptoms.Ī person experiencing BPPV symptoms can follow these steps to gain relief at home: It is best for a doctor to carry out the Epley maneuver if the person experiencing BPPV has not used this method before. Steps of the Epley maneuver carried out at home The whole process is repeated up to three times, until the person’s symptoms are relieved.Finally, the doctor brings the person back up to a sitting position.The doctor holds the person in this position for between 30 seconds and 2 minutes, until their dizziness stops. The side that they experience the worst vertigo on will be facing upwards. Next, they roll the person in the same direction that they are facing, onto their side.Again, the doctor holds the person in this position for between 30 seconds and 2 minutes, until their dizziness stops. Rotate the person’s head 90 degrees in the opposite direction, stopping when the opposite ear is 30 degrees away from the table.The person’s head is kept facing the side worst affected by vertigo but now at a 30-degree angle, so that it is lifted slightly off the table. Quickly push the person back, so that they are lying down with their shoulders touching the table.Rotate the person’s head at a 45-degree angle towards the side they are experiencing the worst vertigo.Ask the person to sit upright on an examination table, fully extending their legs out in front of them.When a doctor carries out the Epley maneuver, they will perform the following steps: Steps of the Epley maneuver carried out by a doctor The steps for both versions are detailed below. It can also be done at home by the person experiencing the BPPV symptoms. Accessed July 22, 2020.A doctor doing the Epley maneuver will manually move a person into a series of positions. Canalith repositioning procedure (for BPPV).Vertigo and vestibular disorders (adult). Clinical Overview: Benign paroxysmal positional vertigo. American Academy of Otolaryngology-Head and Neck Surgery. Benign paroxysmal positional vertigo (BPPV).Talk to your health care provider if your symptoms don't improve. The procedure may need to be done many times to help your symptoms. But if your symptoms come back, your health care provider can repeat the canalith repositioning procedure. Nearly 80% of people who have the procedure experience relief. You may need to do these exercises for many days before your symptoms go away. Your care provider may teach you how to do the procedure so that you can do it at home if needed. You'll likely need to sit still for about 15 minutes.Īfter the procedure, follow your health care provider's instructions. You return carefully to a sitting position with your head centered and tilted down.Your head should be slightly angled while you look down at the floor. You'll turn your head slowly to the other side by about 90 degrees.Your health care provider will help extend your head over the edge of the table at a slight angle. You move from sitting to reclining with your head turned to the affected side by 45 degrees. ![]() The canalith repositioning procedure includes these steps: The procedure may be repeated three or more times within a treatment session. Your health care provider will watch your eyes for irregular movements during the procedure. You'll stay in each position about 30 seconds after your symptoms have ended. The canalith repositioning procedure involves holding four positions for about 30 seconds each or until symptoms stop. The procedure includes head positions that move the canalith particles (otoconia) in the inner ear that cause the dizziness to a part of the ear where they won't (the utricle). The canalith repositioning procedure can treat benign paroxysmal positional vertigo (BPPV), which causes dizziness when you move your head. ![]()
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