Doctor insights on:
Epley Maneuver Patient Handout
If patients with benign paroxysmal positional vertigo do not get the epley maneuver, will the otoconia stay stuck in semicircular canals forever, or do they eventually fall out naturally?
Probably not forever: Good question. The epley (; semont) maneuvers are relatively recent discoveries so in the not-too-distant past when people developed this type of vertigo it was usually self-limited (doctors used to blame it on viruses). Besides falling out, the otoconia may dissolve spontaneously. I theorize that herbs known to help dissolve kidney stones like chanca piedra ; golden coin grass might help this too. ...Read more
Is it normal to still feel off balance with bppv after doing the epley maneuver and how long will it last?
Various: Usually a few days to a week. ...Read more
STEROIDS FOR VERTIGO: Steroids like Dexamethasome are the ultimate antiinflamatory treatment for asthma/MS/Vertigo. But they can only be used sparingly. Make sure you have a through ENT consult and Neuro consult. Get a second opinion full lab work up TFTS/VITD/B12/ Folate/LYME TITERS/ACEI LEVEL/. Mri of brain and spinal cord may be done. Also start low salt GF diet WholeApproach. Com EPPLEY MANURERS ARE TO MOVE OTOLITHS ...Read more
May need another one: In some cases the Epley maneuver does not work the first time around and you may need a second maneuver in order to completely clear out the debris in the semicircular Canal. ...Read more
Sir I am suffering from severe vertigo symptoms since 3 years. Had done epleys maneuver thrIce. But I stIll experIence thesame feelIng. What shall I do?
Reassess diagnosis: Epley maneuver is often useful to address positional vertigo, but doesn't always work. But could be that your events are caused by different disorder such as Meniere's, and would be of value to discuss further with otolaryngologist. In some cases, paroxysmal vertigo can be caused by migraine equivalent. ...Read more
Useful sometimes: The dix hallpike maneuver is something that is used often for certain indications. It is a diagnostic tool to help determine why someone is feeling off-balance. ...Read more
No: The dix–hallpike test or nylen-barany test is a diagnostic maneuver used to identify benign paroxysmal positional vertigo, no pain in performing that test. ...Read more
Sudden Dizziness for 13 days worse when resting. Have done epley maneuver 4x. Makes it worse. What might cause this?
Labyrinthitis? Vert?: From your brief description, it is hard to tell. Use HealthTap Prime or talk to an ear-nose-throat (ENT/Otolaryngologist) to discuss further. It sounds, though, like you have vertigo which can be caused by a loose rock (otolith) in the inner ear (your ear naturally makes the otolith to help determine position. Alternatively, viruses can attack the inner ear but usually cause other symptoms also. GL ...Read more
Bppv. We read that sleeping, sitting up, could help. Is this true? What other way could help besides the epley maneuver?
The exercise therapies are the best treatment for benign positional vertigo
brandt-daroff maneuvers can help if epley does not. Sit on the side of the bed, then lay down on your side of the affected ear. Sit up again, then lay down on the opposite side. Repeat 5 times in a row, twice daily. ...Read more
Mostly: The heimlich maneuver is a means to rapidly increase the pressure in the chest to expel something caught in the windpipe. To the extent that it is successful, it can be lifesaving. Rarely it could cause some degree of things like rib fractures or internal damage but those consequences are worth the risk when a life is at stake. ...Read more
Windpipe obstruction: The heimlich maneuver is a way to assist someone whose throat is blocked with (usually) food and occasionally other stuff. Since they cannot inhale either, they cannot increase the pressure in their chest too much. You reach around them, clench your hands and forcefully compress the chest to get a rush of air to push out the object in the throat. It is a lifesaver and you can be a hero. ...Read more
Not for everyone: Not for everyone. Especially extreme of ages. ...Read more
Heimlich maneuver: Should not perform the heimlich maneuver on a person unless they literally cannot breathe. The heimlich maneuver can resulted in fractured ribs and can definitely cause some abdominal pain but it sure beats not breathing. If the person is able to breathe then you should wait to get them to the emergency room right away. You don't want a partially occluded airway to become completely occluded. ...Read more
See below: The valsalva maneuver or valsalva manoeuvre is performed by moderately forceful attempted exhalation against a closed airway, usually done by closing one's mouth, pinching one's nose shut while pressing out as if blowing up a balloon. ...Read more
What is the best maneuver for vertigo when I only get symptoms when lying on my left side? I don't want to dislodge other crystals to worsen vertigo
Epley: Epley otocanalith respositioning maneuver which is best done by your neurologist in the office the 1st time around; once you learn the proper technique you can do the same exercise at home on your own until the vertigo has been gone for more than 1 day. ...Read more
It is possible: According to some sources, the sensitivity of the mcmurray test for medial meniscus tears is 53% and the specificity is 59%. In a recent study, clinical test results were compared with arthroscopic and/or arthrotomy findings as reference. The clinical test had a sensitivity of 58.5%, a specificity of 93.4%, and the predictive value of a positive result was 82.6%. Thank you. ...Read more
A herniation of some sort is the only way to feel something move in your lower back w/a valsalva maneuver right?
Any thing: That increases pressure eg. Coughing, V/m, bending forward may cause pain in back if u have heniated disc. Other signs are pain going to legs, numbness in legs. If any mucle weakness occurs that is an emergency should see an ortho md ...Read more
Why does chondromalacia cause discomfort and popping when making cutting maneuver? When making turns, when pivoting.
Rough surface: In a normal joint, two smooth cartilage surfaces glide over each other allowing for smooth, gliding motion. In chondromalacia, those smooth surfaces have become rough and irregular. This can cause pain and popping and crunching sounds as the joint goes through motion, this is known as crepitance. Don't hesitate to see a specialist to discuss treatment options. ...Read more
For a conscious person who is sitting or standing, position yourself behind the person and reach your arms around his or her waist.
Place your fist, thumb side in, just above the person's navel and grab the fist tightly with your other hand.
Pull your fist abruptly upward and inward to increase airway pressure behind the obstructing object and force it from the windpipe. ...Read more
Zavanelli: It's a maneuver of last resort in cases of severe shoulder dystocia. I can think of at least 1 other circumstance in which an obstetrician might be desperate enough to think of using the Zavanelli. If there was a very short umbilical cord and/or a nuchal cord that was so tight that it could not be cut without risking injury to the baby. I don't know of any such case reports but it's possible. ...Read more
No air movement: When no air is able to move in or out you should try the heimlich manuever. ...Read more
How to perform a Valsalva Maneuver for SVT? If it didn't work, what other maneuver that I can do safely?
Valsalva: A valsalva maneuver is bearing down as if having a bowel movement, or forceful exhalation against a closed airway as in closing mouth pinching nose shut while pressing out as if blowing up a balloon. Also massaging the carotid artery just under the angle of the jaw can arrest svt but do this sitting down or laying down as the drop in pulse can be dramatic. ...Read more
Anything: That decreases venous return leads to a reduction in volume to the heart. These changes will effect the intensity of murmurs. With the valsalva there ia a transient/ brief increase in output. The straining portion decreases venous return and will increase the intensity of the murmur. Heart rate will also increase. Standing abruptly will do the same. ...Read more