A member asked:

How do i determine which ear has bppv? what if it's both ears? should i then do epley maneuver starting out with head turned to which direction?

4 doctors weighed in across 2 answers
Dr. David Zull answered

Specializes in Emergency Medicine

Start on worse side: Bppv is unilateral. You should start the epley manuever with your head tilted 45 degrees toward the worse side. You will have to experiment to see which is the worse side. Patient are often not able to predict before they start the epley.

Answered 9/14/2016

4.2k views

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Dr. Jerry Fioramonti answered

Specializes in Family Medicine

BPPV: Determining which ear is the problem in bppv is very difficult to do to yourself. I think you should see a doctor who is familiar with performing the dix hallpike maneuver and then if positive, the epley maneuver.

Answered 5/9/2019

4.2k views

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