What is Epley Maneuver?
CHECK OUT STEP-BY-STEP EPLEY MANEUVER GUIDE
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It’s not known what causes the fragments to dislodge but most sufferers are aged over 40, so experts think it could be part of the ageing process. In some cases, it could be due to a knock to the head or an inner ear infection like labyrinthitis.
It causes intense vertigo, which typically lasts no longer than a minute. An attack is triggered by a change in head position – often getting out of bed, rolling over or just looking up.
The Epley maneuver, usually performed by a doctor or therapist, involves four separate head movements designed to use gravity to move the crystals back to a place where they will no longer cause symptoms.
How does it work?
The treatment takes place on the doctor’s couch and usually takes just a few minutes to complete. During treatment, each head position is held for at least 30 seconds and movements between conducted quickly. The patient may experience vertigo during the Epley maneuver.
This Youtube video, which demonstrates the practice, has been viewed by more than 1.5 million people. Other demonstration films are available.
Some experts recommend aids for conducting the treatment yourself. The DizzyFix, for example, is a device worn to help you get the Epley maneuver right.
How should I prepare?
Before treatment, health professionals recommend you:
Afterwards, you may want to avoid driving home and avoid sudden head movements.
Symptoms should improve shortly after the procedure, although it can take up to 2 weeks to see a full recovery.
The treatment is effective in about 80% of cases and can be repeated.
If symptoms have not improved after 4 weeks return to your GP. It could be that your symptoms are due to a different condition and could not be treated by Epley maneuver.
What if it didn’t work for you?
Look at this professional perspective of increasing your odds to success with BPPV treatment here