Treating BPPV: The Epley Maneuver - Boys Town National Research Hospital
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- เผยแพร่เมื่อ 16 ต.ค. 2024
- 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 Maneuver. For more information on our Balance and Vestibular Evaluations, visit www.boystownho...
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.
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I have been relying on this video for years to fix recurring issues. Thank you so much, and please never take it down 😅
This is a LIFESAVER. I’ve been suffering from Vertigo for 2 weeks now. I did the maneuver 3 times and the spinning is gone!
Thank you a lot. It worked on my Fiance after we did it the second
times. His dizziness was gone away.
Magically! Iam so much grateful 🙏🏻❤️❤️❤️❤️❤️
lienca20 Amen
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.
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!
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.
THIS ABSOLUTELY WORKS BRILLIANTLY, each time it comes back I do this manoeuvre AND IT GOES IMMEDIATELY AS LONG AS YOU DO IT RIGHT !
Thank you. I did that to my wife and she was cured like magic. You are an angel.
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!
Just did the first time now. I really hope this works because i have been suffered from this for 10 days. Fingers crossed!
Edited : It worked!!! Thank you. This is life saver..
Kelly Bolang how long did it take after doing this for you to notice that it was completely gone? I just tried it today but still feeling a little dizzy 😔
wow wow and wow...such a small treatment and such Amazing results.
i am now brand new
Thank you for taking time out to spread knowledge.
This thing came back after 4 years and ruined my week, thank you for the step by step
I LOVE YOU I LOVE YOU I LOVE YOU. Had dizziness when lying down on my side for 11 months now, gotten so used to it I forgot most people don’t have to deal with it everyday. Have tried multiple other exercises which just made me feel sick and stopped me from doing them. But this worked!! I can’t believe it!! Honestly I feel so happy and in shock. Thank you thank you I can’t believe it!! When I read the other peoples comments I didn’t think it would work but omg it did and I can’t believe it ahhhhhh
If it doesn't work for you, try it multiple times.. chances are you won't get it right from the first time, don't give up.
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).
Thank I had vertigo every day for 5 weeks 8 mos ago. Went to the ENT doctor and sent me to P T for this very same treatment. It is good to have this video, bc my vertigo came back last night and I forgot the rolling over to look at the floor. I believe it is crucial to have the position of one’s head looking over your shoulder exactly how she shows you. !
Been having unexplained dizzy spells for the past 2 years. Had no idea what was causing it and was getting no answers until one day my dr brought up bppv. All day yesterday and today Ive been stuck in bed with the worst case of vertigo, I guess is how Id explain it. Tried this and I IMMEDIATELY felt relief. As Im sitting here typing this its been about 15 minutes and I feel a slight burning in both ears but that seems to be it. Id much rather have a slightly uncomfortable feeling in my ears than have to be bed ridden from the dizzy spells. Thank you so much for this video!!!
same :(
This works like magic. Did this exercise twice for two days and boom you are back to normal. Thank you so much!
THANK YOU! I've been having on and off vertigo due to a sinus infection and it has been a journey. After this video I have relief from the dizziness and imbalance for the first time in weeks! Many thanks xxx
Is it ok now???
I tried it yesterday i done it 3 times or even 4 a day and i feel much better today . Thank you for the video x
INCREDIBLE GREAT INFORMATION AND HELP !!!
I WILL TRY THIS FOR MOM.. I HOPE IT HELPS AND WORKS FOR MY MOM TOO.
SHE SACRIFISE DUE TO VERTIGO SINCE HER CHILDHOOD OR SINCE THE DAY SHE BORNS.
THANK YOU AND GOD BLESS YOU ALL
It worked 100% .. Thank you so much for this amazing thing!!! God bless u 👍👍
Thank you so much and God bless for your help, I did this with my husband and it helped him so much. My question is do we continue to do it if is gone to prevent from coming back?
THANKS THAT SAVED MY LIFE. VERTIGO STOP IMMEDIATELY !!! I LOVE YOU GUYS!!! THANKS!!
Dr. Janky I tried this and my dizziness finish in 1st attempt, Thank you very much.
Excellent!
this technique actually helped my headache and vertigo. this is great!
This relieved my symptoms right away
This has helped me get rid of my vertigo after trying several other maneuvers. Thank you!
The most helpful video I have found. Thank you for your help 💕
Wow. This is great. I'm sticking with this format. Great video.
Thank you! I went to therapy but no luck so far. I tried this tonight. We'll see if it improves.
i remember it took a month or so before i started to see a lot of improvement. i did it about twice a day and every time immediately after i felt some relief.
How was it
Thank you for sharing! This saved me from 2-weeks of bad vertigo. I did this and woke up the next day without any dizziness.
thank you so much. respect from Bangladesh 🇧🇩
This has lasted 2 weeks for me...I will be giving it a try for sure.
Tried it and it worked with one session. Thank you so much!!
James Daman did it ever come back after that?
wow. worked on the first try. thanks so much. God Bless.
Great to hear!
This is a great video and my problem is solved after doing it. Currently is 24 hour without dizzy spell. Should I continue with this exercise until the 3rd day or just wait and do nothing to the 3rd day? Thank you very much.
Really very good exercise I was very upset but just doing this exercise 3 times got better immediately....thank u medam 🙏🏻🙏🏻
It worked for me, immediately. Thank you!
Im going to try this! I have really bad vertigo thank you.
Uhhhhh 1) whaaaaat is this magical move? 2) whyyyy doesn’t everyone know about this? 3) thank you!!!
Thanks for this video. I'm going to try this out. my vertigo has been crazy bad recently and I need something to help.
Just wanted to update. II did this twice. First time didn't really do anything. 2nd time I did it, I gt EXTREME dizziness turning my head to the left. After waiting for that to go away,, I continued on wwith the rest of it and... no more vertigo :)
Will definitely remember to do this again whenever it happens again :)
Worked for me instantly, much thanks for the video.
Thanks so much for this video I have tinnitus and noticed last year I had dizziness and had an MRI scan to check everything and thankfully nothing sinister. My dizziness finally went away then today at the dentist it triggered off the dizziness as I was lying for a while in the same position with my head low and legs higher so I'll definitely give this a go for the next few days.
Thank you so much Doctor for this excellent, well-explained video!
Tried it on my roommate and it worked 😍
Thank you ! This worked by the third session . So helpful . I am greatful
This worked so quickly. 😲
This saved my life thank you
Today, the clear steps you showed in this video saved me from having an unbearable, horrible day, like I remember suffereing 8 ys ago when I experienced vertigo for the 1st time. THANK YOU SO MUCH!!!!!!!!!!!!!!!!!
Sometimes when I lay down too fast, I get BPPV and this is the fix, how ever I need to revisit the exact steps, thank you !
I had all the signs BPPV AND saw this videos did it to myself and wallah feeling much better😵
Works every time!
I still feel like I am going to throw up any second, however the insane spinning sensation is completely gone. I hope I dont jinx myself. Anyhow, thank you very much for this, it actually helped. Usually non of this witchcraft stuff on youtube works. Again, thank you. Regards
I have vertigo I am surprised how many people are dealing with this disorder it's so many.
I woke up with vertigo today. Thank this video it is completely gone now. I still feel nauseous and wanna puke because the after effects, but the spinning completely stop in any position i can think of.
Thanks doc
THIS WORKED! PERIOD. Gracias.
Great video...how does someone NOT like this?
Thank you, Thank you Doctor this does help me alot. Please continue to keep up the awesome job!
This was a life saver!
Thank you so much..it really worked for me..God bless u
Its a very good maneuver. It relieved my symptoms in a day
Thanks for the informative video, it helped!
I'm going to try this. I feel out of balance, not necessarily dizzy.
Holy crap. This just worked! Thank you so much!
Thanks it's very helpful for me🙏
Worked great, thank you so much
Thank you
You're welcome
Really works well! Thank you so much
Well explained and demonstrated. Excellent.
Thanks for sharing your information I really appreciate you.
Performed eply manuever the first time it lessen my vertigo then I had to do it again after 2 days still got a little dizzy. I read somewhere from the internet that sleeping on your good side may help to send the crytals to their proper place and it cured my vertgo after a nap. Hope this helps you. God Bless.
I am going to the doctor today for this dizziness that's been bothering me for three years. Wish me luck and l pray to find ways to get rid of it.
thank you very much . i did 2 times and its gone. i thank you very very much
It works, great video. 👍
Thank you!
Thanks for making this video.
Very well explained n well demonstrated 👍👍👍👍
This is helping. Today is the first day i diagnosed with this condition...is it a condition? I don't even know what is it ... I can't even pronounce. But this exercise is helping... hopefully it will go within 2 to 3 days. Thank you very much.
10/10 would recommend doing
Incredibly helpful! Thank you
Thanks Doctor
Very useful. thank you
Thank you so much, this video has been a big help! God bless!
Thank You.
Thanks man. Helped a lot❤️
Thank you so much for the demonstration Madam!
I try today, hope it works.
Regards
Works wonders! thanks!
Effective for first & second episode 👉👍
Im so grateful for this thank you so so much 😘😘
Works like a charm!
Thank u so much.. it really works alot..
Best advice.
It works!!!
Thank you very much!!!
Excellent
best one ive seen so far,thanks will sub
Thank u....so much🙏🏻🙏🏻🙏🏻🙏🏻
I cant thank you enough for this video💓💓💓🙏
R A how did you know what side is messed up?
This worked magically.. thanks for the video..👍
Wow very useful. Thank you madam .
Thank you!
Thanks a lot got good results 🙂