Epley Maneuver for Vertigo - Ask Doctor Jo
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Published 2016-02-29
Again, the Epley Maneuver should be performed by a health professional. I do NOT recommend doing it on your own or having someone else who has never performed it before perform to perform it on you.
With that said, many of you have asked about it, so here is how it is performed. Always explain what you are going to do with the person. This will increase dizziness and it can be scary. It might also, in rare cases, cause someone to get sick, so I recommend having a bucket near by.
On a bed or treatment table, have the person get into a long sit position with their legs out in front of them. Get them close enough to the edge so their head will hang off when you bring them down. Turn their head to the involved side at a 45 degree angle (this is the side they feel dizzy when they turn in that direction). You want them to be completely relaxed, and you are doing all the movements for them. Then with their head turned, very quickly bring them down with their head off the edge in about 20-30 degrees extension. Hold them in this position for 30 seconds to a minute. You are looking for their eyes to be bouncing side to side. This is called a nystagmus. During this time, the person will feel dizzy, and might want to sit up. Try to keep them relaxed and let them know the dizziness should go away soon.
Once the eyes stop moving or slow down, then turn their head to the other side at a 45 degree angle and keep the 20-30 degrees extension. Wait another 30 seconds to a minute and look for the nystagmus. Hopefully it will be less already and they won’t feel as dizzy.
Now, keeping their head at a 45 degree angle, have them turn to their side, the way their head is already pointing. As they do this, slowly start to tuck their chin in. Wait another 30 seconds to a minute, and then slowly help them sit up by bringing their knees up and dropping their legs off the side while pushing up with their hand.
Slowly bring their head back into a neutral position looking straight forward, and hopefully all the spinning and dizziness will be gone. Now you should instruct them to keep that upright position for 48 hours, so they might have to sleep in a recliner or chair. Also, if you have a soft neck collar, that will help them keep their head in a neutral position to allow the crystals to settle back into their normal position.
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Doctor Jo is a licensed Physical Therapist and Doctor of Physical Therapy.
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Vertigo Epley Maneuver:
• Epley Maneuver for Vertigo - Ask Doct...
DISCLAIMER: This video and any related comments are not medical advice. Doctor Jo is a licensed Physical Therapist and Doctor of Physical Therapy; however, she is not YOUR Physical Therapist and can't possibly diagnose you through the Internet. So don't use this information to avoid going to your own healthcare professional or to replace the advice they have given you. This information should not be used to self-diagnose or self-treat any medical condition. If you are not properly diagnosed, this information won't help, and it could make things worse. If you experience any pain, stop immediately and see your healthcare professional.
All Comments (21)
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:_drjoJoexcited:Don't forget to hit the 🔴 SUBSCRIBE 🔴 button above! Find all of my videos at youtube.com/askdoctorjo:_drjoJoexcite
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I’ve had really bad vertigo for the most part of my life. No doctor could help me. Vomiting every morning room spinning. Queezy stomach when I lay down or get up. After doing the epley maneuver my quality of life boosted 10 fold. Thank you!
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This exercise seems to work for me. My heart goes out to all the vertigo sufferers, we should have a support group lol. Thanks Dr Jo.
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What? No 5 minute banter about how you two are the best physio on the internet before the demo? that's exactly what people who's suffering from vertigo need. Great demo, thank you.
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I had the worst vertigo ever for several months to the point I couldn't walk anymore work or do anything even called an ambulance once cuz it scared me so bad. I went to ear nose and throat doctor and she did this to me and instantaneously the vertigo was gone and it's never been back. Who would have thought something so simple I was absolutely flabbergasted and relieved at the same time. If you have vertigo have your doc do this Thank you for the video!!!😊
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Check out my demonstration of the Brandt-Daroff Exercises for Vertigo in this video: https://youtu.be/jkfq3EvhbbM?list=PLPS8D21t0eO_aKBiXrRDEvPM3hRzXUJQd
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Thank you, thank you, thank you! You're a good person for wanting to help and not charging a bunch-much appreciated!!! God Bless you.
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Thank you. The 1st time I did this I did not get the results I was looking for but 2 days later I repeated it but for about 2 minuets each step and it worked. 2 months later it returned however I just repeated the maneuver and it works. Life is so much better.
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I got diagnosed with vertigo yesterday. I watched your video with my wife about three times and we thought that you two were very clear in your explanation. We also find your delivery very light and comforting!
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This is by far the best video on youtube. Very clear instructions. (This is what I performed on my husband, and it worked.) Thank you!
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This is the only thing that helps my mom when she has an occasional episode of vertigo. We’ve been doing it for years. It helps her recover much faster instead of taking days.
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Thanks Dr Jo concerning my husband having vertigo lasting a month-he now is scheduled to see therapist soon just as you suggested-prayers to you-
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Awesome. I bumped my head a couple weeks back. I had a headache right away and slight vertigo since then. I did these exercises for the first time 2 days ago, felt like I was going to throw up. I've done it 3-4 more times and my symptoms are almost gone.
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Thank you Dr.! It is a big help for everybody suffering from Vertigo. God bless you Dr..
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Thank You for the video. I have Ben doing these exercises for 3 years now. I have seen other videos but this one done by you recommends to sleep upright. Great idea and new to me. Many blessings.
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Oh my god...it's really amazing...and working...I have been suffering with vertigo since 1 week...I did just single time this experiment... finally I got solution...thank you very much...
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This was extremely helpful as the doctors, ent staff, ent surgeon....no one....has told me about this!
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Absolutely the best vertigo treament ever! This changed my life.
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Thank you so much Dr, i attempted this as an ignorant lone wolf at home and it still provided me a partial relief. Can't wait to see my SO or some friends later in the day to try again with their help and reach success. I was so dumbfounded yesterday but now I went from yucky debilitation to slight spins that won't stop me from working at home and cooking anymore. 👍👍🙏🙏
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So glad I found this! Had several days last week of vertigo. Worst vertigo I've had yet. Anyway after doing this got great relief the day after doing. Thank you!!!!!
