Epley Maneuver

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.