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Doctor insights on: Epley Maneuver Patient Handout

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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?

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?

See below: The otoliths usually are removed over time by movement. The epley maneuver can help to accelerate the process of removal. Please refer to your neurologist if you continue to have symptoms or have questions about the maneuver itself. Hope this helps! ...Read more

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Dr. Vikram Patel
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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?

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?

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. ...Read more

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Dr. Vikram Patel
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Is it normal to still feel off balance with bppv after doing the epley maneuver and how long will it last?

Is it normal to still feel off balance with bppv after doing the epley maneuver and how long will it last?

Bppv: As the particles "dump" into the part of the inner ear called the vestibule the unsteadiness can last for a variable length of time. Usually a few days to a week. Sometimes repositioning needs to be repeated, about 80% effective after one treatment. ...Read more

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Will an epley maneuver help with visual vertigo?

Will an epley maneuver help with visual vertigo?

No: An epley maneuver is only a benefit in benign positional vertigo. In this condition loose calcium deposits are repositioned into an area where they cannot float freely. This is the only condition in which an epley maneuver is a benefit. ...Read more

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What is epley maneuver ? I'm told this will help with my positional vertigo.

What is epley  maneuver ? I'm told this will help with my positional vertigo.

Sometimes helps: The epley maneuver is to treat benign paroxysmal positional vertigo (bppv) dizziness. The maneuver is also called the particle (canalith) repositioning procedure. It was invented by dr. John epley and involves sequential movement of the head into four positions, staying in each position for about 30 seconds. A good summary is at http://www.Dizziness-and-balance.Com/disorders/bppv/bppv.Html. ...Read more

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Bppv. We read that sleeping, sitting up, could help. Is this true? What other way could help besides the epley maneuver?

Bppv. We read that sleeping, sitting up, could help. Is this true? What other way could help besides the epley maneuver?

Exercises: 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

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Dr. Vikram Patel
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Does the epley maneuver hurt if you have benign recurrent vertigo without migraine?

Does the epley maneuver hurt if you have benign recurrent vertigo without migraine?

No, it is gentle: If you possess a loose mobile piece of the otolithic process, or cupulolithiasis, the procedure could be literally miraculous. It is gentle and in experienced hands, complication free. Do not ever get this done by a chiropractor or non-medically trained person. ...Read more

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Can a pinched nerve in your neck make you woozy headed? Can you get a pinched nerve from having the epley maneuver done?

Can a pinched nerve in your neck make you woozy headed?  Can you get a pinched nerve from having the epley maneuver done?

Possibly: A severe pinched nerve can cause intense pain which can lead to a vagal episode (passing out - woozy head). An aggressive epley could possibly pinch a nerve if you had significant foraminal narrowing prior. ...Read more

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How should you perform the heimlich maneuver on someone who is very obese or in the last term of pregnancy?

How should you perform the heimlich maneuver on someone who is very obese or in the last term of pregnancy?

The same way: The heimlich maneuver in obese and pregnant patients is done the same way, but the technique of pressing just under the sternum(chest bone) from behind upwards with both arms to the patient must be absolutely accurate and not squeezing the abdomen. ...Read more

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Dr. Vikram Patel
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