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. Engineering equation solver students download. The Epley maneuver or repositioning maneuver is a maneuver used by medical professionals to treat one common cause of vertigo, benign paroxysmal positional vertigo (BPPV) [needs update]. Video demonstration – 'Epley's maneuver' (with narration) (0:45 Flash Video).

My world is spinning. I have a condition called benign paroxysmal positional vertigo (BPPV) that makes me intensely dizzy from time to time. Some people are using Internet videos to self-treat the condition at home using a maneuver called the Epley maneuver. Cool, I thought.

So I watched one of the videos and tried the maneuver. It didn’t work for me. I did some investigating to find out why, and have some tips to improve your odds of success. Blame it on crystals BPPV happens when tiny crystals of calcium carbonate in one part of your inner ear become dislodged and float into another part. That doesn’t sound too serious, but small head movements cause the loose crystals to move, triggering your inner-ear sensors to send mixed messages to your brain. Simply looking up or rolling over in bed causes brief bouts of extreme dizziness. Some people experience nausea as well.

What causes the crystals to dislodge in the first place? “We don’t really know,” says Dr. Felipe Santos, an ear, nose, and throat specialist at Massachusetts Eye and Ear Infirmary and an instructor in otology and laryngology at Harvard Medical School. “There seems to be an association in a percentage of patients with head trauma, but for the most part, we don’t know.” Greg Gallagher doesn’t know what triggered his BPPV either. But the 50-year-old software engineer recalls that the experience was very unnerving. “I woke up and when I lifted my head, it felt like the room was spinning,” he says. “It would rotate, then snap back and rotate again.

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The sensation produced the most intense nausea that I’ve ever experienced.” Vertigo treatment Once BPPV has been diagnosed (abnormal eye movements are a giveaway), a clinician will lead you through an exercise to move the crystals into another ear chamber where they’ll be absorbed by the body. Think of the exercise as one of those water-filled puzzles that you shake in order to move small beads from one place to another. Research has shown that the most successful of these moves is called the Epley maneuver. It’s a fairly simple exercise: You sit at the end of an exam table with your head turned 45 degrees toward the affected side. The clinician will then tilt you back quickly so you’re lying on your back with your head hanging off the table, still turned to the affected side. Your head is held in this position for 20 to 30 seconds, then rotated 90 degrees to the unaffected side and held for another 20 to 30 seconds.

Then, looking in the same direction, you’ll quickly roll onto your side while the clinician rapidly rotates your head another 90 degrees, until you’re lying nearly facedown. You’ll stay like that for another 20 to 30 seconds before the clinician rapidly brings you back up to a sitting position. When I was first diagnosed with BPPV a few years ago, my doctor guided me through the Epley maneuver. I had to wear a neck brace afterward, and I was better in two days. Self-treating vertigo The maneuver is easy enough to do at home—as long as you know how. Many people who recognize the onset of BPPV turn to Internet videos for instructions. One of the most popular is.