The "Epley Maneuver" Went Wrong! Now what? (BPPV)
17,112
Published 2021-09-03
Let me tell you, it's not fun!
Here's what happens: instead of the Epley Maneuver getting the little inner ear crystals out of the canals, the crystals go into the adjacent canal instead... this results in "horizontal canal BPPV (vertigo)".
This type of vertigo can be much more intense, and you have to treat it differently. Unfortunately, many PTs don't know how to treat horizontal canal vertigo, and this can create a difficult situation.
In this video, I'll explain how the Epley Maneuver can cause horizontal canal BPPV, and I'll explain how to treat it!
And please leave a comment below for questions, or if you just want to say something nice :-)
Thanks for watching!
- Luke Gordon, DPT (Doctor of Physical Therapy/Owner of Gordon Physical Therapy)
www.gordonphysicaltherapy.com/
All Comments (10)
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Very helpful and clear. Thank you
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Is there a particular maneuver that someone could do once a day as a precautionary, just to catch a bad bout of bppv before it happens
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When I did my self lest yesterday I was dizzy on my left ear. Decided to try the right and it was worse. So I did the Ellet for the right ear and it was horrible. At the end when I sat up I almost threw up and had to bend back over in a cold sweat. I waited five or six hours and tried again and did throw up. Later in the evening I tried doing it for the left ear. I was dizzy on each part and the sitting up was bad but not as much as doing the other side. This morning I did the left ear and less dizziness at the end and feeling a bit better. Am going to try the left again now. I think it was my left ear all along and could I have made it worse doing the right ear twice.
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What do you do if you don't get nystagmus anymore? Nobody can tell which canal and which side and sometimes the maneuvers make it worse sometimes they help a lot but i never get nystagmus anymore like i used to. Dealing with this since 2011
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on like my fourth day of epley and for whatever reason it switched sides, was always my left side, i did my left, nothing happened but then surprisngly it happened when i did the right side
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As I'm laying on my back during the epley maneuver my dizziness gets worse and worse until I'm forced to sit up. I can't finish the maneuver because my dizziness gets worse not better
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I went to a pt. They tested me for bbpv which I had mildly on my left side. They didn’t have time to clear it so I went back 2 days later. They did the epley maneuver on both sides and it was negative. This was on Wed. I have felt worse ver since and don’t know what to do. Is this normal? They tested for both canals.
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Wouldn't the maneuver for both sides work in this situation?
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@gordonPhysicalTherapy Does it disappear forever? I went to the doctor after experiencing vertigo for seven days, and they prescribed me some medication. However, I continued to experience mild dizziness in my head, which made me feel heavy at the back of my head and neck, alone, anxious, and frightened. can anybody help me out ?
