The Epley Maneuver_ A Powerful Treatment for Positional Vertigo

The Epley Maneuver: A Powerful Treatment for Positional Vertigo

The Epley Maneuver, also known as the canalith repositioning procedure, is a highly effective, non-invasive treatment for Benign Paroxysmal Positional Vertigo (BPPV). BPPV is one of the most common causes of vertigo, characterized by brief episodes of mild to intense dizziness triggered by specific changes in head position. This article delves into the details of the Epley Maneuver, explaining its purpose, procedure, effectiveness, and important considerations.

BPPV occurs when tiny calcium carbonate crystals (otoconia) in the inner ear become dislodged from their normal location and migrate into one of the semicircular canals. The presence of these crystals in the wrong part of the ear sends confusing signals to the brain about head position and movement, resulting in vertigo. The Epley Maneuver aims to guide these misplaced crystals back to their proper location, thereby alleviating symptoms.

The procedure for performing the Epley Maneuver involves a series of precise head and body position changes:

Start by sitting upright on a bed or examination table with your legs extended.

Turn your head 45 degrees towards the affected ear (the side causing vertigo).

Quickly lie back with your shoulders on the pillow and your head reclined onto the bed. Your head should be tilted back at about a 20-degree angle, with the 45-degree rotation maintained. Hold this position for 30-60 seconds or until any vertigo subsides.

Without raising your head, turn it 90 degrees to the opposite side. Maintain this position for another 30-60 seconds.