patient information Benign Paroxysmal Positional Vertigo (BPPV) and Epley Manoeuvre Instructions following the repositioning manoeuvre. (The Epley and Semont Maneuvers) alleviates symptoms in about 80 percent of patients. Follow these instructions after the Epley or Semont maneuver. If the vertigo comes from your right ear, reverse these instructions. This exercise is similar to the Epley maneuver, though not as popular in.

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Get the facts on diseases, conditions, tests and procedures. Enter the last name, specialty or keyword for your search below. The home Epley maneuver is a type of exercise help that helps to treat the symptoms of benign paroxysmal positional vertigo BPPV.

You can do this exercise at home. BPPV is caused by a problem in your inner ear. Your semicircular canals are found inside your ear.

They detect motion and send this information to your brain. The utricle is a nearby part of the ear. It contains calcium crystals canaliths that help it detect movement. Sometimes these crystals detach from the utricle and end up inside the semicircular canals. When these crystals move inside the canals, they may send incorrect signals lnstructions your brain about your position.

This can make you feel like the world is spinning. This is called vertigo. John Epley designed wpley series of movements to dislodge the crystals from the semicircular canals.

These movements bring the crystals back to the utricle, where they belong. This treats the symptoms of vertigo. The original Epley maneuver was designed to be done with a healthcare provider.

The home Epley maneuver is similar.

Home Epley Maneuver

These are a series of movements that you can do without help, in your own home. In BPPV, vertigo may come on with certain head movements.

It may last for up to a minute. These symptoms may be more frequent at times. You may also have nausea and vomiting. Often BPPV happens without any known cause.

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Sometimes there is a cause. Causes of BPPV can include:. The home Epley maneuver is safe and inexpensive. It often works well to treat the symptoms of BPPV. Your healthcare provider may suggest the home Epley maneuver if your health history and physical exam support that you have BBPV. Your healthcare provider may also suggest that you see a vestibular therapist for treatment.

Your healthcare provider may first do the original Epley maneuver in his or her office. He or she may teach you the home Epley maneuver. It may also be useful to know how to do this maneuver if your BPPV comes back after a few months or years.

The home Epley maneuver is safe. It may be helpful to have someone at home with you while manneuver go through the movements. Maeuver can give you peace of mind in case your vertigo gets worse in the middle of the treatment.

People with health conditions that limit their ability to move may not be able to do the home Epley maneuver safely. These issues can include neck or maneiver disease, vascular conditions, and retinal detachment. Ask your healthcare provider if the home Epley maneuver is safe for you. 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.

You may find it epoey to watch a video of the home Epley maneuver first. Or read a brochure with pictures. Your healthcare provider will tell how often to do this procedure. He or she may ask you to do it 3 times a day until your symptoms have been gone for 24 hours. Your healthcare provider will also tell if your right or left ear is causing your symptoms. Most people say their symptoms go away right after they do the maneuver.

Home Epley Maneuver | Johns Hopkins Medicine Health Library

In some cases, it may take a few times for the procedure to work. Some people may have mild symptoms for a couple of weeks. Once your symptoms go away, there is no need to keep doing the maneuver. Your healthcare provider may suggest avoiding certain positions for a while after your symptoms have gone away. For instance, you may need to sleep propped up on 2 pillows, to keep your neck from maneufer straight.


If you still have symptoms after doing the home Epley maneuver, call your healthcare provider. You may not be doing the maneuver the right way.

But many other conditions can cause vertigo. You should be able instruction be active after doing the home Epley maneuver. Make sure your vertigo has really gone away before doing anything dangerous, such as driving. With the help of the home Epley maneuver, your vertigo may go away for weeks or even years. BPPV often comes back, though.

This might happen if another calcium crystal ends up in your semicircular canals. If your vertigo comes back, do home Epley maneuver again to see if your symptoms go away. Whether you’re crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins. A Johns Hopkins expert on the best ways to prevent falls at any age. View our phone directory or find a patient care location. Johns Hopkins Medicine Health Library. Search the Health Library Get the facts on diseases, conditions, tests and procedures.

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