Most patients experience symptom relief after the Epley maneuver is performed. He or she may also recommend wearing a soft collar. In order to keep your head still, your doctor may recommend sleeping with two or more pillows to tilt your head to a 45-degree angle. Movements that could cause the crystals to dislodge include bending over too quickly, lying down too quickly, tilting your head or moving your head back and forth. Repeat the entire process as many as three times, until you experience symptom relief.Īfter the Epley maneuver is performed, your doctor will recommend avoiding any movements that could dislodge the crystals.Hold this position for up to two minutes until the dizziness stops.

Roll you onto your side so that the side experiencing the worst vertigo is facing upward.Hold you in position for up to two minutes until the dizziness stops.Rotate your head 90 degrees in the other direction until it is approximately 30 degrees away from the table again.Hold you in position for up to two minutes until your dizziness subsides.Position your head so it is facing the side of the body where you are experiencing the worst vertigo - at a 30-degree angle and lifted slightly off the table.Quickly push you back so you are lying with your shoulder blades touching the table.Rotate your head at a 45-degree angle toward the side of the body where you are experiencing the worst vertigo.Ask you to extend your legs out in front of you while sitting on an exam table.If your doctor is performing the Epley maneuver, the steps he or she will follow may include: There are few, if any, risks associated with the Epley maneuver. If you are experiencing vertigo that is caused by conditions other than BPPV, the Epley maneuver may not be appropriate for you. Patients who have been diagnosed with benign paroxysmal positional vertigo may find symptom relief after the Epley maneuver. Who is a candidate for an Epley maneuver? The Epley manoeuvre is safe and effective for the treatment of posterior semicircular canal BPPV, until symptoms resolve.

Epley's maneuver for vertigo