The home Epley maneuver only works to treat vertigo from BPPV. You may not be doing the exercise the correct way. If you still have symptoms after doing the home Epley maneuver, call your provider. This is to keep your neck from extending straight. For example, you may need to sleep propped up on 2 pillows. Your healthcare provider may advise not doing certain positions for a while after your symptoms have gone away. Once your symptoms go away, there is no need to keep doing the exercise. Some people may have mild symptoms for a couple of weeks. In some cases, it may take a few times for it to work. Most people say their symptoms go away right after they do the exercise. What happens after the home Epley maneuver? Turn your head and body another 90 degrees to the right, into the bed. Your head will now be looking 45 degrees to the right. Turn your head 90 degrees to the right, without raising it. Your shoulders should now be on the pillow, and your head should be reclined and touching the bed. Quickly lie back, keeping your head turned. Wait another 30 seconds.ĭo these steps if the problem is with your left ear: Turn your head and body another 90 degrees to the left, into the bed. Your head will now be looking 45 degrees to the left.
Turn your head 90 degrees to the left, without raising it. Your head should be reclined and touching the bed. Your shoulders should now be on the pillow. Your provider will also tell if your right or left ear is causing your symptoms.ĭo these steps if the problem is with your right ear: They may ask you to do it 3 times a day until your symptoms have been gone for 24 hours. Your healthcare provider will tell you how often to do this exercise. Or you may want to read a brochure with pictures. You may find it helpful to watch a video of the exercise first. What happens during the home Epley maneuver? It may also be helpful to know how to do this exercise if your BPPV comes back after a few months or years. You may need to do the exercise if you still have symptoms after you leave your provider’s office. They may teach you the home Epley maneuver. Your provider may first do the original Epley maneuver in their office. Your healthcare provider may advise the home Epley maneuver if your health history and physical exam support that you have BPPV. Your provider may also advise that you see a vestibular therapist for treatment. It often works well to treat the symptoms of BPPV. The home Epley maneuver is safe and inexpensive. These can include nerve inflammation (vestibular neuronitis).
Other problems with the balance-related part of your inner ear (vestibular system). Often BPPV happens without any known cause. You may also have upset stomach (nausea) and vomiting. These symptoms may be more frequent at times. In BPPV, vertigo may come on with certain head movements. You may need to try the home Epley maneuver if you have symptoms of BPPV. Why might I need the home Epley maneuver? These are a series of movements that you can do without help, in your own home. The original Epley maneuver was designed to be done with a healthcare provider. These movements bring the crystals back to the utricle, where they belong. John Epley designed a series of movements to dislodge the crystals from the semicircular canals. This can make you feel like the world is spinning. When these crystals move inside the canals, they may send incorrect signals to your brain about your position.
Sometimes these crystals detach from the utricle and end up inside the semicircular canals. It contains calcium crystals (canaliths) that help it detect movement. They detect motion and send this information to your brain. Your semicircular canals are found inside your ear. You can do this exercise at home.īPPV is caused by a problem in your inner ear. It helps to treat the symptoms of benign paroxysmal positional vertigo (BPPV). The home Epley maneuver is a type of exercise.