Summary What is the Epley maneuver The Epley maneuver is used to treat benign paroxysmal positional vertigo BPPV by repositions the canalith from the semicircular canal into the vestibule 1. BPPV benign paroxysmal positional vertigo occurs when loose otoconia, known as canaliths, become dislodged and enter the semicircular canals, usually the posterior canal 3. Inner ear anatomy You rely on the inner ear, an intricate sensory organ, to hear and to maintain balance. The inner ear is a complex system of communicating chambers and tubes called a labyrinth.
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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. Your semicircular canals are found inside your ear. They detect motion and send this information to your brain. The utricle is a nearby part of the ear. It contains calcium crystals canaliths that help it detect movement.
Sometimes these crystals detach from the utricle and end up inside the semicircular canals. When these crystals move inside the canals, they may send incorrect signals to your brain about your position. This can make you feel like the world is spinning. This is called vertigo. John Epley designed a series of movements to dislodge the crystals from the semicircular canals. These movements bring the crystals back to the utricle, where they belong.
This treats the symptoms of vertigo. The original Epley maneuver was designed to be done with a healthcare provider. The home Epley maneuver is similar. These are a series of movements that you can do without help, in your own home.
Why might I need the home Epley maneuver? In BPPV, vertigo may come on with certain head movements. It may last for up to a minute.
These symptoms may be more frequent at times. You may also have nausea and vomiting. Often BPPV happens without any known cause. Sometimes there is a cause. It often works well to treat the symptoms of BPPV.
Your healthcare provider may suggest the home Epley maneuver if your health history and physical exam support that you have BBPV. Your healthcare provider may also suggest that you see a vestibular therapist for treatment.
Your healthcare provider may first do the original Epley maneuver in his or her office. He or she may teach you the home Epley maneuver. It may also be useful to know how to do this maneuver if your BPPV comes back after a few months or years.
What are the risks of home Epley maneuver? The home Epley maneuver is safe. It may be helpful to have someone at home with you while you go through the movements. This can give you peace of mind in case your vertigo gets worse in the middle of the treatment. People with health conditions that limit their ability to move may not be able to do the home Epley maneuver safely. These issues can include neck or back disease, vascular conditions, and retinal detachment.
Ask your healthcare provider if the home Epley maneuver is safe for you. How do I get ready for the home Epley maneuver? You can do the home Epley maneuver on a bed. You start by sitting on the bed. You need to have a pillow in place so that when you lie back it will be under your shoulders. What happens during the home Epley maneuver? You may find it helpful to watch a video of the home Epley maneuver first. Or read a brochure with pictures. Your healthcare provider will tell how often to do this procedure.
He or she may ask you to do it 3 times a day until your symptoms have been gone for 24 hours. Your healthcare provider will also tell if your right or left ear is causing your symptoms. Follow these steps if the problem is with your right ear: Start by sitting on a bed.
Turn your head 45 degrees to the right. Quickly lie back, keeping your head turned. Your shoulders should now be on the pillow, and your head should be reclined. Wait 30 seconds. Turn your head 90 degrees to the left, without raising it. Your head will now be looking 45 degrees to the left. Wait another 30 seconds. Turn your head and body another 90 degrees to the left, into the bed.
Sit up on the left side. Follow these steps if the problem is with your left ear: Start by sitting on a bed. Turn your head 45 degrees to the left. Turn your head 90 degrees to the right, without raising it. Your head will now be looking 45 degrees to the right. Turn your head and body another 90 degrees to the right, into the bed.
Sit up on the right side. What happens after the home Epley maneuver? Most people say their symptoms go away right after they do the maneuver. In some cases, it may take a few times for the procedure to work.
Some people may have mild symptoms for a couple of weeks. Once your symptoms go away, there is no need to keep doing the maneuver. Your healthcare provider may suggest avoiding certain positions for a while after your symptoms have gone away.
For instance, you may need to sleep propped up on 2 pillows, to keep your neck from extending straight. If you still have symptoms after doing the home Epley maneuver, call your healthcare provider. You may not be doing the maneuver the right way. But many other conditions can cause vertigo. You should be able to be active after doing the home Epley maneuver. Make sure your vertigo has really gone away before doing anything dangerous, such as driving.
With the help of the home Epley maneuver, your vertigo may go away for weeks or even years. BPPV often comes back, though. This might happen if another calcium crystal ends up in your semicircular canals. If your vertigo comes back, do home Epley maneuver again to see if your symptoms go away.
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.
Some people may have mild symptoms for a couple of weeks. Sometimes there is a cause. Your healthcare provider may suggest avoiding certain positions for a while after your symptoms have gone away. It contains calcium crystals canaliths that help it detect movement. Once your symptoms go away, there is no need to keep doing the maneuver. Search the Health Library Get the facts on diseases, conditions, tests and procedures.
Shaina McQuilkie Updated on: 1. We have done a lot of research and collected the most important pieces of information about this effective and simple exercise that is capable of solving your vertigo problem once and for all. As a bonus, you will find a great infographic at the end of this post describing every little detail of the exercise. We hope you will be satisfied with this article and leave with no questions - ready to heal your BPPV. Note: full step-by-step info-graphic describing every detail of performing Epley Maneuver is at the bottom of this post. This condition can be frustrating to deal with and can drastically affect your quality of life. Vertigo is categorized as either central or peripheral.