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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.

48 thoughts on “Treating BPPV: The Epley Manuever – Boys Town National Research Hospital

  1. 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

  2. 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!!!!!!!!!!!!!!!!!

  3. This worked for me in the first 3 times. I fell and bumped the back of my head a few weeks ago. I have been suffering from right sided vertigo since. When looking up and to the right or laying down and looking right the whole world would spin for 30 seconds or so. I did this this maneuver 3 times over a day and a half and the vertigo is completely gone! Thanks

  4. 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. !

  5. 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 πŸ™πŸ»β€οΈβ€οΈβ€οΈβ€οΈβ€οΈ

  6. Be sure to keep your eyes open during the entire process. And do NOT lay down afterward… keep upright and sleep with a few pillows under your head for a few nights.

  7. 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!!!

  8. 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

  9. Thanks for this video. I'm going to try this out. my vertigo has been crazy bad recently and I need something to help.

  10. 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).

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