Print What is the home Epley maneuver? The home Epley maneuver is a type of exercise help that helps to treat the symptoms of benign paroxysmal positional vertigo BPPV. You can do this exercise at home. BPPV is caused by a problem in your inner ear.
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What is the Epley maneuver? The Epley maneuver is an exercise you can do at home to relieve dizziness caused by benign paroxysmal positional vertigo BPPV. BPPV is caused by a problem with the inner ear. Calcium crystals called canaliths can end up in the semicircular canals. If these crystals become dislodged and move around, they can cause the sensation that the world is spinning or moving, also known as vertigo. The Epley maneuver, however, can dislodge these crystals and remove them from the semicircular canals.
The Epley maneuver is often effective for many patients with BPPV, especially in cases where certain head movements seem to trigger vertigo. Many people say their symptoms are relieved immediately after the maneuver, though some may have mild symptoms for a few weeks.
The maneuver is generally safe for most people to use. Steps for Epley maneuver To perform the Epley maneuver on yourself, follow the steps below. These directions are written for a problem on the left side. If you have a problem with the right side, follow the same steps, but turn your head in the opposite direction. Step 1: Start sitting up on a bed, with your legs flat on the bed in front of you. Turn your head 45 degrees to the left.
Step 2: Lie down, keeping your head turned to the left. Wait 30 seconds. Step 4: Roll over onto your right side before sitting up. Many people will have their symptoms clear up almost immediately, but some people will need to redo the maneuver. Some people will use the maneuver three times before going to sleep at night.
That way, if you get dizziness or vertigo after the exercise, you can sleep and rest while it resides. These may include canalith repositioning maneuvers, which are a series of specific head and body movements.
These movements are designed to remove the calcium crystals from the semicircular canal to a different part of the inner ear. There, the body can absorb them. Your doctor may also recommend nausea or motion sickness medications. Since the Epley maneuver only treats dizziness from BPPV, your doctor may also check to make sure nothing else is causing your dizziness, like anemia , migraines , or ear infections.
Medically reviewed by Elaine K.
What is the Epley maneuver? The Epley maneuver is an exercise you can do at home to relieve dizziness caused by benign paroxysmal positional vertigo BPPV. BPPV is caused by a problem with the inner ear. Calcium crystals called canaliths can end up in the semicircular canals.
Effectiveness[ edit ] The Epley maneuver is a safe and effective treatment for BPPV, though the condition recurs in around one third of cases. The patient is then quickly lowered into a supine position with the head held approximately in a degree neck extension Dix-Hallpike position , with the head still rotated to the side. The patient remains in this position for approximately 1—2 minutes. Keeping the head and neck in a fixed position relative to the body, the individual rolls onto their shoulder, rotating the head another 90 degrees in the direction that they are facing. The patient is now looking downwards at a degree angle. Finally, the patient is slowly brought up to an upright sitting posture, while maintaining the degree rotation of the head. The patient holds a sitting position for up to 30 seconds.