I believe you mentioned something about eye stabilization exercises. Have you made a video about those? Thanks!
@meganneal3170 Жыл бұрын
This is so generous to share, and so helpful, seriously thank you!
@GordonPhysicalTherapy8 ай бұрын
You're quite welcome! Thank you for your kind words :-)
@Tad-For-Global-Peace6 ай бұрын
I know right. What an angel, so kind !
@ToniGiampapa7 күн бұрын
Thank u for your excellent advice
@GordonPhysicalTherapy6 күн бұрын
You're quite welcome!
@Jaysun117 күн бұрын
I experienced extreme spinning when I turned to my left side while sleeping the other day. I immediately jumped up screaming, ran to the bathroom and threw up multiple times. This has never happened to me before. I then learned about BPPV and the Epley maneuver. I tried the Epley maneuver on my affected side which is the left. As soon as I tilted my head back and to the left, the spinning was so intense I jumped up in total panic. I couldn't even last a second once the spinning kicked in. It was reactionary due to how intense it was. Any tips? This is the worst pain I've ever experienced, and the lingering effects keep me dizzy and feeling like garbage all day. I started taking large dosages of D3 and K2 as I read it helps the body absorb the crystals. Any truth to that?
@jekbot Жыл бұрын
Thank you for these videos! I've had the most intense vertigo since Sunday. Doctor gave me a handout for Epley but it doesn't seem to be helping too much, but then again, it's not as bad. When we tried the Dix-Halpike, my eyes spun counterclockwise!
@GordonPhysicalTherapy Жыл бұрын
What side was the Dix-Halpike positive on? And which side have you been treating with the Epley? You only want to treat the side with the BPPV.
@jekbot Жыл бұрын
@@GordonPhysicalTherapy We did both sides to check the eyes, they spun crazy when I was on my right side and I had more slightly more dizziness when I turned my head/body to the right. I did the Gufoni yesterday on the left side for the right (is that right?) and while not heaps and bounds better, I feel more steady and have not had the tilt-a-whirl appear.
@imanblackman7924Ай бұрын
What happens if I didn't necessarily show symptoms in the dixhalpike whatever it is haha but i def have symptoms so I don't really know which side it's affecting. Should I do it twice on one side. Take a break then twice on the other ? Thank you!
@bretttaylor529710 ай бұрын
Don't know why, but when I try and like comments, it's checking the dislike (thumbs down icon). So I will stop at this point. I do like all the comments. Seems like Luke is helping you all. Awesome!
@GordonPhysicalTherapy10 ай бұрын
Thanks, Brett! I'm not sure why it's doing that, but I appreciate you trying.
@Tad-For-Global-Peace6 ай бұрын
Ty for this. Also people might want to know that you can avoid things to dislodge them like don’t sleep on bad side, no yoga, no gargle w mouth wash etc
@GordonPhysicalTherapy6 ай бұрын
Good advice!
@rathorshivani3925 күн бұрын
I went to dr.they tried dix hall pike .my vertigo almpst gone.how long i have to go dr so that it completely cure.sometime i feel mild vertigo. Dr arvice me to take follow up after 15 days can this maneover daily.
@stevefedorow5447 Жыл бұрын
Thank you for sharing. Just starting on this…really struggling so far 🤢
@GordonPhysicalTherapy9 ай бұрын
I hope it helps!
@Burgerdog75 Жыл бұрын
So I had vertigo really bad 4 weeks ago I’ve been doing all the exercises. This past week I’ve had no dizziness whatsoever so I feel like I’m doing great…. but different parts of the day I start feeling like I have pressure or that fullness feeling on my ears almost like the feeling you get when you take a ride up into the mountains and the altitude changes is that normal?
@GordonPhysicalTherapy Жыл бұрын
That fullness isn't usually associated with BPPV in terms of the little crystals being loose in the canals. In can be related to an ear infection or Meneire's.
@michaelgibson84026 ай бұрын
You know if it feels like your ears are filling up sometimes it's cuz your damn gum is station tubes are draining fluid out
@donpasulka7 ай бұрын
Great video! Thanks.
@GordonPhysicalTherapy7 ай бұрын
Glad you liked it!
@booshballchange92377 ай бұрын
Your videos have really helped to inform me of what is going on. Thank you! Question: If your not having the spinning sensation and your eyes don’t seem to be having nystagmus but throughout the day you are feeling like your floating on and off, is that just inner ear balance? Would you now just do gaze stabilization exercise? Also, does it have a negative effect to do epley without symptoms? Many thanks!
@GordonPhysicalTherapy7 ай бұрын
Thank you! If you still have vertigo during the Dix-Halpike test, but you don't have nystagmus, I would still keep treating with the Epley until you no longer have the sensation of vertigo with Dix-Halpike testing. After that, if you still have some sensations of floating during the day, definitely keep doing the various VOR and gaze stabilization exercises. Lastly, there are no negatives with continuing to do the Epley, but it doesn't help prevent BPPV either. I hope that helps!
@nicobay45127 ай бұрын
I get vertigo on my left ear, when i do the eplay , i got some short vertigo and short nistagmus * like 5 seconde* on the first movement, nothing when i turn my head, and nothing when i roll. But when i sit back , i got vertigo and nistagmus again that are also short but a bit stronger. Im tired , my doctor vestibular do me the semont move everytime and tell me to not move my head and sleep with head up for 1 week then he see me again . But it keep happening. I dont know what to do and would love some advice plz
@GordonPhysicalTherapy7 ай бұрын
See my comments on your other post...
@youssefb889410 ай бұрын
Hi, Do you know why many therapist advice to do the epley once and then keep your head up for at least 24hr? How is that in line with retesting after you done the epley? And also some therapist advice the opposite. Sometimes it seems contradictory..
@GordonPhysicalTherapy10 ай бұрын
I always retest to make sure there's absolutely NO nystagmus left after the Epley, which often leads to me treating the person for 2-4 reps for the day. After that, if we cleared everything, THEN I recommend they avoid having their head down for 24-48 hours. You have to clear the vertigo first though.
@gss28555 ай бұрын
I really like you're energy & the simple way you explain*
@GordonPhysicalTherapy5 ай бұрын
Thank you so much 🙂
@Iwillmeditates2 күн бұрын
You are a great person. Thanks for
@GinnyTung Жыл бұрын
I've had veritgo for about 2 months now. Saw a PT a few weeks ago and did the epley. It worked and then the next morning woke back up with vertigo. Went back to her and did the epley 3 more times and it got slightly better. She told me to continue doing the epley at home. It's confusing because I'm fine when I go back in the dix-hale and zero spinning but I get dizzy when I face down. During the day I am really only dizzy when I turn to the right or move too fast. Can you help figure this out?
@GordonPhysicalTherapy Жыл бұрын
Have you checked yourself for horizontal canal BPPV? I’m wondering if your crystals switched from the posterior canal to the horizontal canal, which might explain your change in symptoms…
@Tad-For-Global-Peace6 ай бұрын
in a switching case, what maneuver does one need to do?
@jameswerner7955 Жыл бұрын
Can you test on the left side and right side Epley during the same session?
@GordonPhysicalTherapy8 ай бұрын
Yes, you can test both sides. I usually just treat one side and a time though.
@ChrisLoperena7 ай бұрын
My question is I had a crazy 3 or 4 days of vertigo about 10 years ago, and when I have done the Epley maneuver which definately helps, it causes me to vomit for about 2 to 3 minutes usually just acid or yellow bile. Is this common and why?
@GordonPhysicalTherapy7 ай бұрын
Some people do get nauseous and vomit with the Epley Maneuver, as there's some motion sickness involved. Taking an anti-nausea medication can often help (if safely prescribed).
@marymacdonald40805 ай бұрын
This is so educational! So very generous with his knowledge. Delivered with compassion 💯
@GordonPhysicalTherapy5 ай бұрын
Thank you!
@tonyab4674Ай бұрын
I'm on day 16. It's horrible. I went to an osteopath and she only did the eply maneuver once. Should I ask her to do it twice? She said my eyes aren't doing that movement. This all started with a horrible migraine from anxiety. I feel hopeless like this will never go away. Any advice you can give me? I'm having a CT done soon and I'm going to see an ENT next week. It's debilitating.
@sinhapul10 ай бұрын
Can this be done as preventive one also ..? Like after spinning of head stopped after doing this Maneuver , can this is be done daily as a preventive one...?
@GordonPhysicalTherapy10 ай бұрын
Not really, no. Try the VOR X1 Viewing exercises to improve the inner ear function, and be prepared to do the Epley again in the future if the vertigo returns.
@dand40758 ай бұрын
Can I do the maneuver even when I'm feeling healthy with no symptoms, just as a preventive measure. I had it once before few years ago.
@GordonPhysicalTherapy8 ай бұрын
Great question! No, it won't really help to do the Epley when you're not having vertigo. There's no evidence that this will help prevent BPPV from recurring.
@dand40758 ай бұрын
@@GordonPhysicalTherapy Thank you so much 😊
@chrisfry4364 ай бұрын
Oh that nausea.....it starts when I am laying on my side! I keep a trash can close because when I sit up I vomit!! and I started doing it in the morning before I eat, but then dry heave and that is horrible!! so I drink a water only before doing this and then if I do get sick at least there is some water in there....geez louise.....
@tomektalk46713 ай бұрын
If you are perfectly healthy, will doing the epley maneuver or bbq maneuver mess anything up?
@shellydinan84413 ай бұрын
What if the spinning is gone, but still very dizzy? Should I continue doing epley daily until dizziness is gone as well? Thanks
@cassiafriello55708 ай бұрын
Thanks for all the videos, they are very informative! Is there any evidence to show that the longer you have BPPV the more crystals there are, therefore the more manoeuvres you may need or not really? Haven't heard much about that but have wondered as I have had it for around 10 years. Thanks!
@GordonPhysicalTherapy8 ай бұрын
You're welcome! No, I haven't heard of any evidence that the length of BPPV symptoms correlates to more crystals or groups of crystals. However, it's hard/expensive to do a lot of imaging of the inner ear, so maybe the studies just haven't been done.
@lararose91064 ай бұрын
@@GordonPhysicalTherapyhi Dr. Is central vertigo from MS treatable with therapy? Im partially disabled in a wheelchair and many neck probs and overweight and i get seizures if i even do dixhalpike. Can u plz suggest how to live with bppv if i dont tolerate maneuvers and is it always room spinning? Why does have to be tested flat? I cant lay flat i sleepupright
@Mellly4114 ай бұрын
How many days can it take to cleanse, I’ve been doing the epley 3 times a day for 5 days and still have symptoms
@Mellly4114 ай бұрын
How many days can it take to cleanse, I’ve been doing the epley 3 times a day for 5 days and still have symptoms
@QQ21vr10 ай бұрын
After anesthesia procedures I’ll get bppv if I later in the day bend over too far. Same with me husband after surgeries he’s had. Is there a way to prevent that before anesthesia or just make a mental note to try to keep the head straight for a couple days after. Wish the anesthesiologist could mention that to patients. Haven’t had one do it except one nurse afterward.
@GordonPhysicalTherapy10 ай бұрын
I haven't heard of that before... do you get actual vertigo, or is it more like lightheadedness?
@lararose91064 ай бұрын
Can i do dental work if i have bppv or does dental work itself cause bppv
@moecase5050 Жыл бұрын
I just finished 4 sessions to clear it. I’m much better now, but the treatment was more than I was expecting. It was difficult. This was at a therapist’s office, not on my own. I did feel nauseous at one session and then had a sensation like I was falling after completion of the Epley at the final session. After that I was better but felt a little light headed for a few more days, especially when waking up in the morning. Is that normal? Also, to be honest, I am still a bit anxious about tipping my head back. I think psychological at this point!
@GordonPhysicalTherapy Жыл бұрын
I would definitely follow up with some vestibular exercises to see if that helps calm down your residual symptoms. And if you’re still nervous to tip your head back, you might still have a touch of BPPV left to treat. I would keep pushing until you can clear all your symptoms 👍
@moecase5050 Жыл бұрын
Thanks for your response. I did do vestibular exercises after these sessions and that did help. I feel like I MIGHT have some slight vertigo remaining though. I just need to get up my nerve to go back because I hate that vertigo sensation so much. Ugh. I would say I am mostly improved (95%) however from where I was a month ago. I’ve had 10 Epley’s over 4 sessions (days) so far. My last session the therapist saw no more eye movement so I’m taking that as a positive sign.
@amygalvin1799 Жыл бұрын
Morning are the worst.
@brienmuller11 ай бұрын
Im not vlear on the vertical vs horizontal eye movements.
@GordonPhysicalTherapy9 ай бұрын
Horizontal is pretty obvious when you see it: the eyes dart side-to-side. Vertical/torsional looks much different. check out this video on horizontal: kzbin.infoGr_rN313ilE?feature=share
@barbaramazzocca46053 ай бұрын
Where can I find this other test you do to find out if you need to do the Epley?
@lorimueller48477 ай бұрын
Can you do both ears in the same twenty four hours
@GordonPhysicalTherapy7 ай бұрын
You can, you just run the risk of undoing the work on one side when you treat the opposite side. Do you have BPPV on both sides? It's not very common, but it does happen at times.
@lorimueller48477 ай бұрын
Yes both sides but I'll do the r side at noon, it's 23 hours then, thanks I've done this many times. But forgot
@CrickBuzzUniverse1237 ай бұрын
I have few doubts? Can I discuss?
@GordonPhysicalTherapy7 ай бұрын
Fire away!
@CrickBuzzUniverse1237 ай бұрын
Do bppv create weakness as well as it got diagnosed later so took pills of vertigo?
@CrickBuzzUniverse1237 ай бұрын
And is cervical spondylitis and bppv related?
@vike192910 ай бұрын
I've done the Epley three different days with good results but my vertigo comes back. Because I don't like seeing the spinning room can I do the Epley in the dark or will that make things worse?
@GordonPhysicalTherapy10 ай бұрын
Doing the Epley in the dark will actually probably make you feel worse, as you won't be able to focus your vision as well. I like to have a dark room when working with clients, because they can't focus as well visually, which makes it easier for me to see their nystagmus (the direction of eye movement). Have you been able to have someone take a video of your eyes to make sure you have posterior canal BPPV (your should have upbeating, torsional nystagmus)?
@vike192910 ай бұрын
No I have not had someone shoot a video. I did the Epley three different days and everything goes as advertised meaning the room spins in position 1 then it spins again in position 2 then spins again when I look down in position 3 so I think I'm doing it correctly? But I have not gone to see a medical professional yet??
@MICHIGANGIRL4TRUMP Жыл бұрын
What are your thoughts on PPPD?
@GordonPhysicalTherapy9 ай бұрын
I don't see PPPD a lot, but I think it's worth treating with vestibular and balance exercises to try to reestablish better neural pathways.
@MICHIGANGIRL4TRUMP9 ай бұрын
@@GordonPhysicalTherapy I agree, because when I started doing these exercises, it seem to help. And I haven’t been doing them, and I have noticed a gradual increase in the PPPD.