What is it?
Epley
Maneuver is a series of positions to relieve symptoms of benign positional
vertigo (BPV). Healthcare providers around the world use various modifications of
the original Epley Maneuver.
Vertigo is a feeling of dizziness that makes you feel that everything
around you is spinning. BPV (or benign
paroxysmal positional vertigo (BPPV)) is a common type of vertigo. It may occur in episode of less than 60 seconds, when
you move your head in a certain direction.
Why Will you Have the Procedure?
BPPV occurs due to an
inner ear (labyrinthine cavity) abnormality. Inner ear fluid moves in
semi-circular canals. Sometimes, if small pieces of bone (canaliths) float in
the fluid, it disturbs the sense of balance. In the year 1992, John M. Epley,
MD described canalith repositioning maneuver.
The provider holds patient’s head in different positions to move the
small bone pieces. This maneuver eases symptoms almost immediately.
Are There any Risks?
If this procedure is not
performed by a specifically trained professional, there may be a risk of neck
or back injury. If not performed correctly, the small bones may move into
another canal and cause other types of vertigo. You can expect mild nausea,
dizziness, or light-headedness post this procedure. Your provider may prescribe
medicines to relieve these symptoms.
How do I Prepare?
Inform your provider of
any medical conditions that you may have. Person with certain health conditions
are not considered eligible candidates for Epley Maneuvers.
How Will I feel?
You
should stay erect or semi-erect for at least 1-2 days after the procedure. You
will have to keep your head above your shoulder level at all times during these
days. Consider using multiple pillows while sleeping.
How Soon Will I get Better?
Epley Maneuver
cures vertigo immediately in most people. Some people may need a repeat session
to cure the symptoms. In case the vertigo recurs, provider may teach people how
they can perform the Maneuvers at home.
