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Epley Maneuver to Treat BPPV Vertigo
Video demonstrates how the Epley maneuver is performed to treat POSTERIOR canal BPPV affecting the right ear (0:32). Animation showing what is going on within the inner ear is also shown in the 2nd half of the video (1:23).
Perform Dix-Hallpike to determine which side and what type of BPPV here:
https://www.youtube.com/watch?v=wgWOmuB1VFY
Alternative to Epley is the Foster Half-Somersault:
https://www.youtube.com/watch?v=Wez9SZJ7ABs
For more information:
https://www.FauquierENT.net/bppv.htm
Check out our online store for other ear/balance related products:
https://www.FauquierENT.net/store_ear.htm
Epley Maneuver (0:32)
What's Happening During Epley (1:32)
Watch how the inner ear balance system works here:
https://www.youtube.com/watch?v=YMIMvBa8XGs
POSTERIOR canal BPPV treated by Epley maneuver here:
LATERAL canal BPPV treated by Lempert maneuver here:
https://www.youtube.com/watch?v=mwTmM6uF5yA
SUPERIOR canal BPPV treated by Deep Head-Hanging here:
https://www.youtube.com/watch?v=qw1QciZWfP0
Flowchart for BPPV diagnosis and treatment can be found here:
https://www.fauquierent.net/bppv1.htm
Video on Meniere's Disease:
https://www.youtube.com/watch?v=qrk7OyAB_ss
Video produced by Dr. Chris Chang:
https://www.FauquierENT.net
Still haven’t subscribed to Fauquier ENT on YouTube? ►► https://bit.ly/35SazwA
#bppv #vertigo #dizziness #homeremedy #epley #medicalanimation
Fauquier ENT : Concerned for possible hearing loss? Check your hearing online for free!
https://www.CheckHearing.org
For great ear-related care products:
https://www.FauquierENT.net/store_ear.htm
Auggies1956 : Five years of this condition and this is all it took to cure me.
Scott Fay : This totally resolved my vertigo which started 2 months ago. Easy maneuver to do. Worked like a charm. Thank you so much!!!!
Helen Sykes : This was amazing. After 3 weeks of inability to drive or even move around much, the vertigo completely went after we did this 3 times. Stunning.
ecw : I had vertigo for the first time this past week, with an occurrence at least once a day, ranging from intense to mild. After looking up home remedies, I found this video and tried the maneuver one time. I felt crazy dizzy and nauseous after doing it, and decided not to repeat it because I felt so bad. But the next day when I got up from bed, I didn't have vertigo! It's been over 24 hours now since I did the maneuver and I haven't had a dizzy spell. I'm completely amazed! Thank you for sharing this video!
MUSC: Benign Paroxysmal Positional Vertigo (BPPV)
As an institution dedicated to healthcare delivery, education and the health sciences, we are committed to making all communication available. If you need assistance in viewing this video, please send an email to accessibility@musc.edu
Treating BPPV: The Epley Manuever - Boys Town National Research Hospital
Benign Paroxysmal Positional Vertigo (or BPPV) is the most common cause of vertigo, a false sensation of spinning. Kristen Janky, Au.D, Ph.D., CCC-A, Vestibular Audiologist at Boys Town National Research Hospital, demonstrates how to treat BPPV using the Epley Manuever. For more information on our Balance and Vestibular Evaluations, visit https://www.boystownhospital.org/services/ear-nose-throat-institute/hearing-balance/balance-vestibular-evaluations
BPPV stands for Benign Paroxysmal Positional Vertigo and essentially with BPPV, crystals from the ear get dislodged and displaced into a different part of the inner ear. The treatment for that is to put the head in different positions to move those crystals back into the part of the ear that they belong. As soon as those crystals get back into that part of the ear, patient’s symptoms improve dramatically.
If you are treating right BPPV you are going to turn your head over your right shoulder and then you are going to lay flat on your back. Your head is going to fall just below the level of your shoulders. If you are doing this at home you can put a pillow behind your shoulders and have your head resting and supported on the bed.
In this position you will wait for any symptoms to subside and then wait an additional thirty seconds. Next you’ll want to move your head from looking over your right shoulder to looking over your left shoulder without picking your head up. Again in this position you’ll want to wait for any symptoms to go away and then wait an additional thirty seconds.
For the next position you’ll keep your chin looking over your left shoulder and you’ll roll up onto your left side. Now you should be looking down at the floor. Again wait for any symptoms to go away and then wait an additional thirty seconds. Lastly kick your feet out to the front and use your right hand to push yourself up to the seated position. When you are finished, wait for a couple of minutes until all symptoms go away.
For left sided BPPV you are going to turn your head over your left shoulder and lay flat on your back. Once on your back your head should be below the level of your shoulders. If doing this at home you can put a pillow underneath your shoulders with your head supported by the bed. In this position you’ll want to wait until all symptoms subside and then wait an additional thirty seconds.
Next you’ll want to turn your head from looking over your left shoulder to your right shoulder without picking your head up. Again you’ll want to wait until all your symptoms go away and then wait an additional thirty seconds. For the next movement you’ll want to keep looking over your right shoulder and then roll up onto your right side. Once on your right side you should be looking down at the floor. Again wait for all symptoms to go away and then wait an additional thirty seconds. Then you’ll kick your legs out and using your left hand pick yourself up into the sitting position and then look straight ahead, again waiting thirty seconds until any symptoms go away.
The maneuvers are typically done twice a day until patients can go three consecutive days without experiencing any symptoms, so the typical duration for most patients is to complete the exercises anywhere from three to seven days.
https://www.boystownhospital.org/knowledge-center/treating-bppv-the-epley-manuever
Something for All : My head was spinning and I was feeling dizzy when I put my head on pillow or look up. I talk to my gp and he told me to do same type of exercise and wallah m feeling great and no more dizziness.
Paul Jackson : I'm very grateful for you posting this. I had a case of BPPV with extreme dizziness accompanied by nausea and vomiting. I tried this maneuver as demonstrated, and it cleared up straight away (after 1 day).
Rods Sumadic : Wow, I just did this and it made a huge difference. If I were to rate my dizziness it would be 8 but after doing the Epley Maneuver now its 4! I will do this again tomorrow! Thank you Doctor for this very helpful video!
Maria Lopez : I was suffering from dizziness all week, i was also having all symptoms of BPPV. Just tried these exercises and I feel a million times better. I still have dizziness but will continue until I feel 100% again. Thank you so much!
Rick Granzow : Dr Janky, i tried this just how you demonstrated and my vertigo is gone now. Thank you so much! i did 1 session of 3 manuevers Left side, and my 7 day long vertigo sickness is gone. I'll do another session tomorrow to be sure. Thank you for sharing this procedure for us all.
Video demonstrates how the Epley maneuver is performed to treat POSTERIOR canal BPPV affecting the right ear (0:32). Animation showing what is going on within the inner ear is also shown in the 2nd half of the video (1:23).
Perform Dix-Hallpike to determine which side and what type of BPPV here:
https://www.youtube.com/watch?v=wgWOmuB1VFY
Alternative to Epley is the Foster Half-Somersault:
https://www.youtube.com/watch?v=Wez9SZJ7ABs
For more information:
https://www.FauquierENT.net/bppv.htm
Check out our online store for other ear/balance related products:
https://www.FauquierENT.net/store_ear.htm
Epley Maneuver (0:32)
What's Happening During Epley (1:32)
Watch how the inner ear balance system works here:
https://www.youtube.com/watch?v=YMIMvBa8XGs
POSTERIOR canal BPPV treated by Epley maneuver here:
LATERAL canal BPPV treated by Lempert maneuver here:
https://www.youtube.com/watch?v=mwTmM6uF5yA
SUPERIOR canal BPPV treated by Deep Head-Hanging here:
https://www.youtube.com/watch?v=qw1QciZWfP0
Flowchart for BPPV diagnosis and treatment can be found here:
https://www.fauquierent.net/bppv1.htm
Video on Meniere's Disease:
https://www.youtube.com/watch?v=qrk7OyAB_ss
Video produced by Dr. Chris Chang:
https://www.FauquierENT.net
Still haven’t subscribed to Fauquier ENT on YouTube? ►► https://bit.ly/35SazwA
#bppv #vertigo #dizziness #homeremedy #epley #medicalanimation
Fauquier ENT : Concerned for possible hearing loss? Check your hearing online for free!
https://www.CheckHearing.org
For great ear-related care products:
https://www.FauquierENT.net/store_ear.htm
Auggies1956 : Five years of this condition and this is all it took to cure me.
Scott Fay : This totally resolved my vertigo which started 2 months ago. Easy maneuver to do. Worked like a charm. Thank you so much!!!!
Helen Sykes : This was amazing. After 3 weeks of inability to drive or even move around much, the vertigo completely went after we did this 3 times. Stunning.
ecw : I had vertigo for the first time this past week, with an occurrence at least once a day, ranging from intense to mild. After looking up home remedies, I found this video and tried the maneuver one time. I felt crazy dizzy and nauseous after doing it, and decided not to repeat it because I felt so bad. But the next day when I got up from bed, I didn't have vertigo! It's been over 24 hours now since I did the maneuver and I haven't had a dizzy spell. I'm completely amazed! Thank you for sharing this video!
MUSC: Benign Paroxysmal Positional Vertigo (BPPV)
As an institution dedicated to healthcare delivery, education and the health sciences, we are committed to making all communication available. If you need assistance in viewing this video, please send an email to accessibility@musc.edu
Treating BPPV: The Epley Manuever - Boys Town National Research Hospital
Benign Paroxysmal Positional Vertigo (or BPPV) is the most common cause of vertigo, a false sensation of spinning. Kristen Janky, Au.D, Ph.D., CCC-A, Vestibular Audiologist at Boys Town National Research Hospital, demonstrates how to treat BPPV using the Epley Manuever. For more information on our Balance and Vestibular Evaluations, visit https://www.boystownhospital.org/services/ear-nose-throat-institute/hearing-balance/balance-vestibular-evaluations
BPPV stands for Benign Paroxysmal Positional Vertigo and essentially with BPPV, crystals from the ear get dislodged and displaced into a different part of the inner ear. The treatment for that is to put the head in different positions to move those crystals back into the part of the ear that they belong. As soon as those crystals get back into that part of the ear, patient’s symptoms improve dramatically.
If you are treating right BPPV you are going to turn your head over your right shoulder and then you are going to lay flat on your back. Your head is going to fall just below the level of your shoulders. If you are doing this at home you can put a pillow behind your shoulders and have your head resting and supported on the bed.
In this position you will wait for any symptoms to subside and then wait an additional thirty seconds. Next you’ll want to move your head from looking over your right shoulder to looking over your left shoulder without picking your head up. Again in this position you’ll want to wait for any symptoms to go away and then wait an additional thirty seconds.
For the next position you’ll keep your chin looking over your left shoulder and you’ll roll up onto your left side. Now you should be looking down at the floor. Again wait for any symptoms to go away and then wait an additional thirty seconds. Lastly kick your feet out to the front and use your right hand to push yourself up to the seated position. When you are finished, wait for a couple of minutes until all symptoms go away.
For left sided BPPV you are going to turn your head over your left shoulder and lay flat on your back. Once on your back your head should be below the level of your shoulders. If doing this at home you can put a pillow underneath your shoulders with your head supported by the bed. In this position you’ll want to wait until all symptoms subside and then wait an additional thirty seconds.
Next you’ll want to turn your head from looking over your left shoulder to your right shoulder without picking your head up. Again you’ll want to wait until all your symptoms go away and then wait an additional thirty seconds. For the next movement you’ll want to keep looking over your right shoulder and then roll up onto your right side. Once on your right side you should be looking down at the floor. Again wait for all symptoms to go away and then wait an additional thirty seconds. Then you’ll kick your legs out and using your left hand pick yourself up into the sitting position and then look straight ahead, again waiting thirty seconds until any symptoms go away.
The maneuvers are typically done twice a day until patients can go three consecutive days without experiencing any symptoms, so the typical duration for most patients is to complete the exercises anywhere from three to seven days.
https://www.boystownhospital.org/knowledge-center/treating-bppv-the-epley-manuever
Something for All : My head was spinning and I was feeling dizzy when I put my head on pillow or look up. I talk to my gp and he told me to do same type of exercise and wallah m feeling great and no more dizziness.
Paul Jackson : I'm very grateful for you posting this. I had a case of BPPV with extreme dizziness accompanied by nausea and vomiting. I tried this maneuver as demonstrated, and it cleared up straight away (after 1 day).
Rods Sumadic : Wow, I just did this and it made a huge difference. If I were to rate my dizziness it would be 8 but after doing the Epley Maneuver now its 4! I will do this again tomorrow! Thank you Doctor for this very helpful video!
Maria Lopez : I was suffering from dizziness all week, i was also having all symptoms of BPPV. Just tried these exercises and I feel a million times better. I still have dizziness but will continue until I feel 100% again. Thank you so much!
Rick Granzow : Dr Janky, i tried this just how you demonstrated and my vertigo is gone now. Thank you so much! i did 1 session of 3 manuevers Left side, and my 7 day long vertigo sickness is gone. I'll do another session tomorrow to be sure. Thank you for sharing this procedure for us all.
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