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Turn your head 90° to the left without raising it.Your head should now be reclined, and your shoulders should be on the pillow. Keeping your head turned, lie back quickly.To get an idea of what a typical treatment looks like, consider the right ear as the source of the problem. The patient is given home exercise program to perform the Epley maneuver at home. The treatment is introduced on the first visit. It is achieved through a series of head movements. The focus of the treatment is to reposition calcium crystals from the semicircular canals back to the utricle. WHAT IS THE TREATMENT FOR BPPV?īPPV is treated with the Epley maneuver designed by Dr. However, BPPV is not a sign of a serious problem and symptoms may resolve on their own. People with an acute episode of BPPV become very frightened thinking they are having a stroke and end up in the emergency room. The causes of BPPV may be related to an ear infection, age or trauma. Vertigo may last anywhere from 30 seconds to as long as a few minutes. Some people are unable to work during acute bouts. Some patients may feel a slight discomfort of dizziness, while others may feel nausea, vomiting, difficulty to get up, stand and walk around without losing balance. Symptoms of BPPV range from mild to severe.
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The condition is sometimes referred to as “top shelf” vertigo because by looking up at the top shelf you get dizzy and off balance. However, when calcium crystals get detached from the utricle and end up in the semicircular canals, they send incorrect signals to the brain, causing a feeling of dizziness or spinning.īPPV may be triggered by rolling in bed, tilting head side to side or backward, or turning quickly.
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In a healthy person, the semicircular canals of the inner ear send information to the brain when the motion is detected. WHAT IS BENIGN PAROXYSMAL POSITIVE VERTIGO?īPPV is an inner ear disorder in which changes to the position of the head lead to a sudden vertigo or a feeling that the room is spinning. Once your therapist has introduced you to the maneuver and instructed you on its proper execution, you may choose to do this exercise in the comfort of your home.īefore we look at the Epley maneuver, however, let’s take a more detailed look at BPPV. Its main focus is to reposition calcium crystals in order to alleviate the symptoms of dizziness, spinning and loss of balance. The Epley maneuver is a specific type of exercises that is used to treat BPPV (benign paroxysmal positive vertigo).