Epley Maneuver for Vertigo - Ask Doctor Jo

The Epley Maneuver for Vertigo can be very effective at relieving vertigo symptoms, but it’s a procedure that should be performed by a physical therapist or other health care professional. This video is for demonstration purposes only. See Doctor Jo’s blog post about the Epley Maneuver at: www.askdoctorjo.com/content/ve...
Again, the Epley Maneuver should be performed by a health professional. I do NOT recommend doing it on your own or having someone else who has never performed it before perform to perform it on you.
With that said, many of you have asked about it, so here is how it is performed. Always explain what you are going to do with the person. This will increase dizziness and it can be scary. It might also, in rare cases, cause someone to get sick, so I recommend having a bucket near by.
On a bed or treatment table, have the person get into a long sit position with their legs out in front of them. Get them close enough to the edge so their head will hang off when you bring them down. Turn their head to the involved side at a 45 degree angle (this is the side they feel dizzy when they turn in that direction). You want them to be completely relaxed, and you are doing all the movements for them. Then with their head turned, very quickly bring them down with their head off the edge in about 20-30 degrees extension. Hold them in this position for 30 seconds to a minute. You are looking for their eyes to be bouncing side to side. This is called a nystagmus. During this time, the person will feel dizzy, and might want to sit up. Try to keep them relaxed and let them know the dizziness should go away soon.
Once the eyes stop moving or slow down, then turn their head to the other side at a 45 degree angle and keep the 20-30 degrees extension. Wait another 30 seconds to a minute and look for the nystagmus. Hopefully it will be less already and they won’t feel as dizzy.
Now, keeping their head at a 45 degree angle, have them turn to their side, the way their head is already pointing. As they do this, slowly start to tuck their chin in. Wait another 30 seconds to a minute, and then slowly help them sit up by bringing their knees up and dropping their legs off the side while pushing up with their hand.
Slowly bring their head back into a neutral position looking straight forward, and hopefully all the spinning and dizziness will be gone. Now you should instruct them to keep that upright position for 48 hours, so they might have to sleep in a recliner or chair. Also, if you have a soft neck collar, that will help them keep their head in a neutral position to allow the crystals to settle back into their normal position.
Related Videos:
Vertigo Treatment with Simple Exercises (BPPV):
• Vertigo Treatment with...
Balance & Coordination Exercises:
• Balance & Coordination...
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Doctor Jo is a licensed Physical Therapist and Doctor of Physical Therapy.
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Vertigo Epley Maneuver:
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DISCLAIMER: This video and any related comments are not medical advice. Doctor Jo is a licensed Physical Therapist and Doctor of Physical Therapy; however, she is not YOUR Physical Therapist and can't possibly diagnose you through the Internet. So don't use this information to avoid going to your own healthcare professional or to replace the advice they have given you. This information should not be used to self-diagnose or self-treat any medical condition. If you are not properly diagnosed, this information won't help, and it could make things worse. If you experience any pain, stop immediately and see your healthcare professional.

[@AskDoctorJo]

Don't forget to hit the 🔴 *SUBSCRIBE* 🔴 button above! *Find all of my videos at **kzbin.info*

[@vanessanaiko1397]

I have anxiety and I get severe vertigo I can't stand in lines is there any treatment

[@AskDoctorJo]

Have you talked with your medical doctor about it? That would be the best option.

[@sniper8788]

How can I do this on my own?

[@selcukspnt9447]

@@AskDoctorJo HELLO ,,, CAN EVERYBODY APPLY THIS TREATMENT WITHOUT A DOCTOR ? MY MOM TRIED MANY MEDICINES FROM DOCTORS AND MADE MANY TESTS IN HOSPITAL LIKE EMAR,, BUT NOT RECEOVERED..MAYBE I SHOULD DO THIS FOR MY MOM ? WHATS YOUR OPINION ?

[@japhsila7078]

Good Day Dr.🥰i just wanna ask if there is a medicene for Vertigo?im just tired of having a vertigo.i cant work very well and uncomfortable...please Doc.🥰

[@megahurtz5853]

I’ve had really bad vertigo for the most part of my life. No doctor could help me. Vomiting every morning room spinning. Queezy stomach when I lay down or get up. After doing the epley maneuver my quality of life boosted 10 fold. Thank you!

[@AskDoctorJo]

You're welcome!

[@23landcruiser]

You Are a brave souls. Ive had it 3 weeks and am at whits end.

[@airforceone6523]

@@23landcruiser have has vertigo for nearly 2 years. Its one of the most worst experience ever. It affects your head/ inner ear. Disables you.

[@chjayanth3684]

How many days doing this exercise

[@ajithkumar.a7515]

How many days taking excess

[@jmarechiga]

This exercise seems to work for me. My heart goes out to all the vertigo sufferers, we should have a support group lol. Thanks Dr Jo.

[@AskDoctorJo]

You're welcome.

[@chellebelle1970]

how many times do you do this. is it just one time or is it supposed to be daily? like 3 times a day?

[@victoriarichardson3871]

IM A NEW MEMBER AND YES I WOULD LOVE IT IF THERE WAS A SUPPORT GROUP LOL

[@WRITING-DRAGONS]

I had an ear infection last month….people be aware! I have had vertigo and (ugh) migraines since the dizziness began 16 days ago.

[@ethancheng1595]

What? No 5 minute banter about how you two are the best physio on the internet before the demo? that's exactly what people who's suffering from vertigo need. Great demo, thank you.

[@AskDoctorJo]

You're welcome.

[@bonniejarvis3585]

Thank you, thank you, thank you! You're a good person for wanting to help and not charging a bunch-much appreciated!!! God Bless you.

[@AskDoctorJo]

You're welcome, you too :-)

[@peggymalone1476]

I had the worst vertigo ever for several months to the point I couldn't walk anymore work or do anything even called an ambulance once cuz it scared me so bad. I went to ear nose and throat doctor and she did this to me and instantaneously the vertigo was gone and it's never been back. Who would have thought something so simple I was absolutely flabbergasted and relieved at the same time. If you have vertigo have your doc do this Thank you for the video!!!😊

[@AskDoctorJo]

You're welcome! I'm glad it helped!

[@arrow12680]

Thank you Dr.! It is a big help for everybody suffering from Vertigo. God bless you Dr..

[@AskDoctorJo]

You're welcome, and thanks! You too.

[@jacobnelson7984]

Awesome. I bumped my head a couple weeks back. I had a headache right away and slight vertigo since then. I did these exercises for the first time 2 days ago, felt like I was going to throw up. I've done it 3-4 more times and my symptoms are almost gone.

[@kimmondelli8712]

This is by far the best video on youtube. Very clear instructions. (This is what I performed on my husband, and it worked.) Thank you!

[@AskDoctorJo]

Thanks, and you're welcome! I'm glad it helped.

[@AZAce1064]

Thank you. The 1st time I did this I did not get the results I was looking for but 2 days later I repeated it but for about 2 minuets each step and it worked. 2 months later it returned however I just repeated the maneuver and it works. Life is so much better.

[@AskDoctorJo]

You're welcome. Glad you finally got it to work.

[@mrgreenswelding2853]

David Bigar my physio did this for me and said it had to be 2 minutes each time you move your head . It work but i still need to do it again because its not 100% yet.

[@claireburkus8497]

Thx so much!!! Just had my first experience with this! My daughter-in-law called from the ER..she is the Dr. on duty and told me to look this up since I was in no shape to drive to her!!! Couldn’t open my eyes to do a search of until it was over but now I have you subscribed and saved!!!

[@selcukspnt9447]

@@AskDoctorJo HELLO CAN EVERYBODY DO THIS TREATMENT WITHOUT DOCTOR ?

[@selcukspnt9447]

DAVID NOW HOW ARE YOU ? DID YOU GET FINE ? IT HAS GONE COMPLETELY ?

[@eldodpuppy9665]

I got diagnosed with vertigo yesterday. I watched your video with my wife about three times and we thought that you two were very clear in your explanation. We also find your delivery very light and comforting!

[@AskDoctorJo]

Thanks! Good luck.

[@elrey8143]

What kind of doctor did u go to I think It's happening to me been dizzy for 3.5 days straight

[@annecoble1129]

Thanks Dr Jo concerning my husband having vertigo lasting a month-he now is scheduled to see therapist soon just as you suggested-prayers to you-

[@AskDoctorJo]

You're welcome. I hope he gets some relief soon!

[@jiujitsuvideo3835]

Absolutely the best vertigo treament ever! This changed my life.

[@Sabinex5]

This is the only thing that helps my mom when she has an occasional episode of vertigo. We’ve been doing it for years. It helps her recover much faster instead of taking days.

[@hillbillyheart217]

This was extremely helpful as the doctors, ent staff, ent surgeon....no one....has told me about this!

[@mattfrancis9275]

I've been suffering for a month now stemming from a ear infection,I was told about this movement from a friend and have just watched i will be trying this a few times fingers crossed

[@edstimator1]

Experienced my first episode a few days ago. VERY disturbing. Really gets your attention.

[@Manyanababy]

This worked for me over 10 years ago ❤️

[@dharris6989]

So glad I found this! Had several days last week of vertigo. Worst vertigo I've had yet. Anyway after doing this got great relief the day after doing. Thank you!!!!!

[@AskDoctorJo]

You're welcome!

[@adprasetyo88]

So we can feel the effect the day after doing epley? How are you now? I just got bppv from 4days ago

[@goldenpony822]

Thank you so much Dr, i attempted this as an ignorant lone wolf at home and it still provided me a partial relief. Can't wait to see my SO or some friends later in the day to try again with their help and reach success. I was so dumbfounded yesterday but now I went from yucky debilitation to slight spins that won't stop me from working at home and cooking anymore. 👍👍🙏🙏

[@AskDoctorJo]

You're welcome. Glad it helped some.

[@MegaBpop]

Thank You for the video. I have Ben doing these exercises for 3 years now. I have seen other videos but this one done by you recommends to sleep upright. Great idea and new to me. Many blessings.

[@AskDoctorJo]

You're welcome.

[@bashabasha5860]

Oh my god...it's really amazing...and working...I have been suffering with vertigo since 1 week...I did just single time this experiment... finally I got solution...thank you very much...

[@AskDoctorJo]

You're welcome.

[@rexoralvaro1181]

Dr. Jo! Thank you so much for this. I had only had to do the maneuver twice and I felt 100x better.

[@AskDoctorJo]

You're welcome. I'm glad it helped!

[@user-kt4qi9yy5i]

Hi where did you go?

[@banjorex]

I used this video after 3 weeks of being patient for post-Covid vertigo spells. It’s only been two days but it appears this maneuver cured me. Thanks for the demonstration.

[@AskDoctorJo]

You're welcome.

[@OAPerez40]

Your video was incredibly clear and easy to follow. I did this maneuver to myself and I worked the first time. No kidding! Wow. Thank you so much. I could barely make it across the floor when I woke up this morning. Now it’s all gone. Thank you again.

[@AskDoctorJo]

You're welcome. Glad it helped!

[@janmckinnon5546]

Thank you so much for this video, it is so helpful and making me feel so much better.!

[@AskDoctorJo]

You're welcome!

[@AlexHop1]

Thank you, this was a really good set of directions!

[@AskDoctorJo]

You're welcome, and thanks!

[@dennislyons3095]

Have done this with y wife a number of times over the years. Good to get the refresher. It definitely works. Sleeping in the recliner if the vertigo was strong is key to not having to do it again soon. Also, not working so you have to bend down with head low for a couple of days does help.

[@dheerajbihani2416]

I cured my mom's vertigo with help of your video. I have read about Dix Hall picke and Epley maneuver but your demonstration is pretty good. Thanks. ❤

[@AskDoctorJo]

You're welcome.

[@lediscrediter1657]

Did your mom seat for 48 hours?

[@April8989]

I LOVE physical therapists! They are Angels. I suffered from vertigo for nearly a month while various doctors tested and diagnosed me. I continued to work and working down the hallways was un-nerving. I finally got an appt.set up with PT. I saw the therapist, explained my situation and immediately began the BPPV procedure, while she watch my eyes rolling trying to find the horizon.after about 10 minutes the steps were complete and the eyes had it. I was CURED!!! God bless you all. 😇

[@AskDoctorJo]

Thanks! I'm glad you are feeling better! So many people often don't know physical therapists can help with vertigo symptoms.

[@terathomas49]

Had my first session today

[@user-jw5zf6be9e]

My Vertigo is so bad,I can only sleep on my right side, doctors cani help ,because I have a pinched nerve in the spine an neck...

[@adrianaperdue]

I’ve had vertigo for over a year and a half now and nobody in my family believed me until a few months ago they thought I was just naturally always dizzy so I found this video and hope it helps

[@lhieam_1189]

same ... me for almost 3year🥺

[@vizagmarketplace2114]

Now are you okay

[@camilleleon5498]

Why didn’t they believe you??😮

[@adprasetyo88]

How are you now?

[@Dheeraj2502]

Thank u Dr. Joe, ur video explains the manoeuvre so lucidly, so helpful.

[@AskDoctorJo]

You're welcome.

[@farnoushmakhmalbaf5040]

OMG this exercise does magic. I had a severe benign vertigo for 3 days that I had to go to ER. I was like paralyzed doing nothing but severe terrible dizziness. After few times of doing this exercise I got MUCH better and now I’m doing perfect. Absolutely the best vertigo treatment. Thank you 🙏

[@AskDoctorJo]

You're welcome! I'm glad it helped.

[@Toniann8028]

I have benign vertigo as well. It’s pure torture

[@LearningOnline24]

Dr just recommended it to my father, very helpful

[@tinaroberts135]

Did he do it on his own? Did he feel sick?

[@LearningOnline24]

@@tinaroberts135yeah he was sick, initially i helped him, now much better

[@tinaroberts135]

@@LearningOnline24 thank you !

[@dand4075]

Staying in upright position for 48 hours is the hardest part.

[@Corrodias]

I've read a meta-study that said doing so isn't helpful. I also saw another video by another pair of physical therapists who say they just have the patient stay upright "the rest of the day" and sleep somewhat elevated if they can, for a single night. Most likely, it's not going to make a significant difference either way, and you can repeat the maneuver for as many days as needed, anyway.

[@SkiKat-USA]

Excellent, straightforward video! Thanks Doctor.

[@AskDoctorJo]

You're welcome.

[@malakn4134]

The best explanation for eply ever thanx

[@AskDoctorJo]

Thanks, and you're welcome!

[@c085762]

Best demo ever. Thanks for doing this.

[@AskDoctorJo]

You're welcome, and thanks!

[@jtdheating]

I had vertigo many years in my 30s, then it reappeared in my late 40s but seems to be happening more often now that I’m 50. In the past, I could perform the Epley maneuver and it worked whenever I got vertigo or feeling super dizzy. Now, it’s been a little over a week and though it’s better, I still get dizzy if I bend over certain ways throughout the day. I’ll go home and try to lay back to reset the crystals but won’t get dizzy. It’s only when I bend over.

[@peace-now]

Read what I said here about my wife's experience. "My wife had vertigo for over 20 years. She went to a physio who said that my wife had the worst case she had seen. She explained that there are a number of procedures, including Epley, in order to address vertigo. My wife underwent treatment for one session, using an Epley type procedure. She went back, and the physio said the BPPV (vertigo) was completely gone. It seems incredible, but can be easily fixed." Advice: Get a person who really knows what they are doing. Ask around locally, and find someone very competent. The vertgo problem is about misplaced crystals in your ear canal. The procedure is horrible, with everything spinning according to my wife, but well worth it. Your vertigo will be gone!

[@ElTr3s13]

@@peace-now how does one find the right help without professional messing you up even more

[@peace-now]

@@ElTr3s13 I think you have to ask around, and source a person who really knows what they are doing. Ask your friends and family to help you with your research. Even ask around the hospitals. They know who is the correct person. You will probably find the person is popular and busy. What I was trying to point out is that the problem is quite solveable.

[@ElTr3s13]

@@peace-now thanks man ill forsure look into that

[@tuzlasaraj]

my wife did this exercise after watching your video and it helped her . thank you

[@AskDoctorJo]

You're welcome.

[@kiltedcampers]

thank you, vertigo SUCKS so back. Eply does help. Gotta love Dr. Jo for all your knowledge.

[@AskDoctorJo]

You're welcome.

[@sandy4075]

Thank you so much Dr.Jo for this video very helpful.

[@AskDoctorJo]

+Beauty ForYou 123 You're welcome! I'm glad they are helping.

[@justinhamilton8647]

Dr Jo this is incredible. My mother has been suffering from severe vertigo attacks for years and yesterday was such a horrible one that i had to search vertigo relief on YT and your video came up, we tried this maneuver and it was over in half an hour. INCREDIBLE!

[@AskDoctorJo]

Glad it helped!

[@zakmatew]

Does she still feel okay???

[@hanna9655]

Awesome! It worked at the first try!!! Thank you Dr. Jo!!!

[@AskDoctorJo]

You're welcome!

[@tevortrevorspurlock8524]

Good demonstration! I am an OT and studied under Dr, Cohen OTR, Dr Herndon PT, Dr Cronin OT two decades ago and have been so fortunate to help so many persons with the CRM. Have a great day.

[@AskDoctorJo]

Thanks! You too.

[@wdtony]

Thanks for your video. This maneuver works very well for BPPV. unfortunately I also have episodes of vertigo from a stroke that don’t respond to any maneuvers. It’s nice to have relief some of the time though.

[@AskDoctorJo]

You're welcome. Sorry you are still having some vertigo issues. Have you tried vestibular rehab? Something like a Balance Master might help if you live near a clinic that has one.

[@wdtony]

AskDoctorJo Yes I have, and that’s great advice. Ultimately my physical therapist had me doing all necessary exercises for vestibular rehab which helped tremendously. I still have occasional vertigo from stroke fatigue but it’s better. After the stroke, I also needed PT for a loss of spacial acclimation. After being in the hospital my brain couldn’t adapt to larger spaces. Gradually and slowly building my brain’s ability to process open spaces took years of effort. Many of the concepts I used to improve, I fashioned from balance disorder PT. I’m doing much better now. PT is all about the details.

[@AskDoctorJo]

Definitely, and PT is something that you can go to for a "tune up." You don't necessarily have to have a new injury to go back every once in a while. Good luck.

[@umarafridi6250]

God bless you for this movie doctor. This exercise works perfectly.

[@AskDoctorJo]

Thanks.

[@11jamil11]

Great video and an awesome delivery 👏🏽

[@AskDoctorJo]

Thanks.

[@mrguillemot]

What a great bedside manner you have and really clearly explained 😀

[@AskDoctorJo]

Thanks.

[@h.kipling6891]

I follow this video every morning and before bed. I wanted to point out that according to my doctors at the hospital, nystagmus is not always present on BPPV. I was tested for other possibilities but when the exercises they performed helped me, and CT and MRI were clear, this was the diagnoses I rec'd.

[@airforceone6523]

Its one of the worse symptoms in the world

[@vanessapetrea2490]

My eyes don’t move back and forth either. I still get sinus caused annually, and cervical from injuries. Thank goodness I missed last year’s annual visit of vertigo. I think the year before as well. Pollen has been heavy this year, and I’ve forgotten to put my mask on to protect me.

[@karijulian4979]

I have had vertigo for as long as I remember I'm 27 years old. It's really scary, and the worst part of it is that is can come out of nowhere. 3 days ago I went to bed pefectly fine, no signs of vertigo and woke up to nonstop spinning for about 20 minutes. When I walk I feel like the whole earth shakes. I found your video, but it scared me to try it becuase of your "trigger warning" in the begining. My question: what can really go wrong if someone unprofessional does it?

[@vdkk1269]

I'm in the same spot bro did you do it??

[@Nvstg8u]

❤Thanks! I do this for my wife, and it works every time!! ❤

[@AskDoctorJo]

You're welcome, and thank you for your support!

[@esteraclan6608]

great video.my ENT M.D did it and successful bt it came back after 6 days.I went back and he tested me and said I'm better.Sent me to PT.waiting to get better.

[@AskDoctorJo]

Thanks. Good luck.

[@adavis5926]

Thanks for this wonderful video. I get vertigo about once a year and it's pretty awful. The last time lasted for five days. The doctor just gave me Dramamine.

[@AskDoctorJo]

You're welcome. Good luck!

[@ElCid70]

Very simple to do at home and by yourself.

[@vickyrizal2216]

Glad found this video, my mom was suffer last night and i try this method 3 times then she's puke and sleep.... Next in the morning she feel so much much better, thank you very much doctor! I love you ❤❤

[@AskDoctorJo]

You're welcome!

[@albertayohuno9929]

Great demonstration!

[@AskDoctorJo]

Thanks!

[@nelwanjohn]

Thank you Dr. Jo for sharing this video. I’m just having the BPPV when I wake this morning, and searching for the treatment in youtube. I will ask someone in my family to learn your video, and treat it to me. My question is, how many time should I do this in a day, how many days and when the right time? Thank you, doctor Jo...🙏🙏

[@AskDoctorJo]

You're welcome. This particular one should only be done once. If it's truly BPPV, that is often enough. You might have to repeat it in a few days, but give it some time to work before trying again.

[@dannylnu5610]

I Does this any my hearbeat increases..is that common thing?

[@servicedogojokeguys2967]

Your an amazing woman for describing this the way you did

[@AskDoctorJo]

Thanks.

[@janetbarcelo2109]

Very good, clear demo, thanks!

[@AskDoctorJo]

Thanks, and you're welcome!

[@kabaum14]

Thank you for the video! Other videos I've watched say that the new recommendation is only until the next day, not 48 hours anymore. Do you know that to be true? Thanks so much!

[@AskDoctorJo]

You're welcome! Most research shows that the time doesn't matter quite as much anymore as long as you are not making big head movements immediately afterwards.

[@joeltunnah]

Kelly Baum, I never bothered keeping my head upright longer than about 30 minutes. It still works. I would avoid roller coasters.😉

[@gmw0507]

In 2001 I had BPPV and went through this procedure. It is scary and tough to suffer through...especially when you don't know what is happening to you. It caused many sleepless nights, time away from work, and anxiety attacks. Thankfully our hospital has a vestibular rehab center and they were able to treat me. I never found out what the root cause was, I wish I knew, but I know I never want to go through BPPV again.

[@AskDoctorJo]

+Mike Whitford I am glad you were able to get the help you needed. It is definitely a scary thing. Good luck!

[@beatrizmartinez3569]

Mike Whitford iam going thru the same thing with vertigo it’s so scary.my anxiety attacks are getting worst.Thank you for sharing for sure I will look for a vestilar rehab wish the best god bless

[@seemamemon6768]

i have same thing . just a little head movement make me dizzy , I don't know what to do I am now dpressed

[@spencercain3995]

I'm having BPPV it started yesterday. I told my parents that it's vertigo but they didn't believe me. They instead said I ate too much food last night, and my stomach didn't digest the food and that caused dizziness. I vomitted countless times it was quite hard for me to vomit. I treated my vertigo yesterday it was gone. But it came back earlier. I can't handle the extreme dizziness. There was this time a thought came to my head. It's better to die than to feel this extreme dizziness forever. I'm having vertigo and at the same time the mucus(phlegm) is thick. I have multiple vertigos. I'm all alone facing this problem.

[@lamervrte1482]

Did it happen again? Only once?

[@pilarhaque6664]

Thank you very much for important information. I had BPPV.

[@AskDoctorJo]

You're welcome.

[@user-sn8yv2pi5x]

2 years ago after contracting covid I ended up in hospital for a week with a migraine and vertigo which I couldn't shake. I had the Epley treatment by a physio for awhile once out of hospital. It seemed to help. It did make me quite nauseous during the treatment. Now I seem to get vertigo when I get headaches which is often or when I lay down to sleep.

[@woobinkim7837]

Hello Dr. Jo. First of all, thank you for the detailed explanation on the Epley maneuver. I suffered from vertigo after getting hit in the back of my head. This maneuver cured the vertigo, but I have been feeling a little dizzy and off-balance afterwards. I heard that this is called residual bppv, and it takes a while for your body to adjust. My question is, how long would it take for the dizziness or light headed feeling to go away after this maneuver is done. Thank you again for your help!

[@AskDoctorJo]

You're welcome! It really depends on how severe your case was to begin with. You can do follow up maneuvers with this video that might help with the rest: www.askdoctorjo.com/content/vertigo-treatment-simple-exercises-bppv Good luck.

[@pamelaromain9287]

@Woobin Kim - Did the follow up maneuvers help with the residual bppv?

[@jenpacaldo4178]

I always feel offbalance like when im standing or sitting, is that a vertigo Dr? I have history of dizzeness.

[@charlenekelley7268]

Thank you, Dr. Jo

[@AskDoctorJo]

You're welcome.

[@carikshawn9820]

You are the first one to say we need to keep our head up for 48 hours...it seemed to me we needed to do that since the crystals remember where they were and may want to return..

[@AskDoctorJo]

Some research does show that it is no longer necessary, but I still think it gives you a better chance of keeping the crystals in place. It's at least worth trying.

[@kathrynbraun2073]

I have had vertigo that was relieved with this, performed by my GP

[@maryannbrooks7729]

I have to do this tomorrow how is it when you are having it done? I have BPPV

[@GamingWithHybrid]

Okay i literally just finished my first try. Let's see :( Edit : it worked!!! Thank you so much ❤️ don't be afraid when you see the world going crazy as you look down 😂

[@hismama]

I'm about to start with my husband doing it to me and I'm terrified because I hate being dizzy

[@adamc18]

This video was super informative, thank you. I was diagnosed with vertigo last week, and I haven't really been experiencing spinning, more so just lightheadedness and nausea. This is the maneuver that the doctor told me i need to do to get rid of it, but she didn't really explain it all that well, and so far i haven't noticed any improvement at all, so i either have a different kind of vertigo, or I've been doing this maneuver wrong all week

[@AskDoctorJo]

You're welcome. If there is any way you can go see a physical therapist who specializes in vestibular rehab, they should be able to evaluate you and help you figure out what is going on.

[@adamc18]

@@AskDoctorJo i have an appointment with my family doctor on September 7th, she can refer me to the proper doctor from there if she can't help me herself

[@rubayetkaysar]

Thanks for advice Dr.

[@AskDoctorJo]

You're welcome.

[@jim7case]

77

[@monicapaas1898]

How do you know if you should be doing the maneuver to the right or left?

[@cassidycase9418]

You begin on the side of the nystagmus.

[@Grumbledookvid]

DO YOU RECOMMEND DOING THIS MANOUVER WHILST THE PATIENT IS EATING

[@supernat1978]

I took my son camping in a tent in 2017, it went from hot to cold and damp and I didn't sleep well if at all, and I woke up the next morning and fell over after sitting up in the tent. It was so bad I thought i had a stroke or something, had never had vertigo before. I was so off balance, I couldn't turn my head on the trip back while driving and had to take it very slow. Ended up getting a CT or mri to be safe, which was normal, and a week later an ENT did eply in his office, and I was 100% cured. I couldn't believe it. I've done it from home a couple of times since, and it always helps, though not to the effect the ENT had.

[@Xocolactic]

Thank you so much for this video!!! I was about to try it after watching other videos on YT, then I heard your warning and I decided not to do it by myself. Eventually, I realized that I was dizzy due to another issue. So glad I found your advice!

[@AskDoctorJo]

You're welcome!

[@marie-claudelambert807]

If I may ask, what was the other issue?

[@Xocolactic]

@@marie-claudelambert807 A very tense neck muscle.

[@chinonsoozoaniekwe9519]

How did you get cured, please? I think I have the same problem.

[@tracypilson9032]

I've been to a physio and had this procedure done for me before and it worked amazing! I've done this exercise before at home as well and it's always worked too.. but this time I'm really struggling. I just can't seem to shake it. I've done both Epley Manuever at home and the other exercises on the couch you've recommended but it still have the vertigo. I slept sitting up last night as well, but this morning still feeling dizzy. Any recommendations?

[@krissymetz9566]

Will one epley fix BPPV? I have been so careful since the real bad vertigo that I am just off balance in the morning. I am going to an ENT Monday to have this maneuver done. I just want to be back to normal. Now I am anxious a lot and scared. I feel like it takes me 3 hours in the morning to get passed the anxiety and general off balance feeling. The shower is difficult and driving I get anxious.i will continue my daily activities because I have kids that need me. to live like this is awful. I am praying the epley works Monday and I can resume normal life. I hear sometimes it fixes people the first time. Praying that it does that for me! Thanks for the video

[@AskDoctorJo]

You're welcome. Sometimes it does, but sometimes it takes a time or two. If you want to try another move you can do yourself, it might also help, but it might make you feel a little worse before feeling better: www.askdoctorjo.com/content/vertigo-treatment-simple-exercises-bppv Good luck.

[@krissymetz9566]

@Deepak M I had it again two weeks ago. Took three times. I had too much to drink the night before and I think I was dehydrated it finally went away but it took some time. Thank you for writing back

[@jen7244]

Thank you for this info! I wasn’t sure if I had BPPV but my vertigo is gone after doing this at night before bed and the next morning. I tried it a third time in the evening and no dizziness! I only had the issue for a little over a week.

[@AskDoctorJo]

You're welcome!

[@cynthialagraff4144]

Good demo

[@justgouds]

Can you do this to yourself without a person supporting your head? My neck muscles still work fine, I'm sure I can support my head.

[@issystar96]

I have done it on my own and it works

[@blueeyedgojo689]

I always do it on myself. Just lie on your bed. Your whole head doesn't need to hang off the bed with someone holding it. You can just go to the edge where your head is tilted back but supported by the bed.

[@susiepalfreyman31]

When I was diagnosed by the doctor, she said it was on the left side. I did this Epley Maneuver at the physio, and then at home a couple of days later. On both occasions I felt nauseous and headachy for hours after - is this normal? I slept sitting up with a soft collar, but getting out of bed and getting ready for the day i still felt disoriented. also when i did this i felt equally dizzy on both sides. this began a week ago. The symptoms began Sunday, Saw Dr on Monday, did the Brandt-Daroff exercise 3 times a day for 2 days, Wednesday, went to the physio to have the Epley Maneuver done, felt awful directly after the procedure and the following day, Friday things were looking up, then went back to the physio for some neck work, then when I was sitting up after treatment all the symptoms returned with a vengence. He then did the maneuver again and I had all the normal spinning symptoms, but again felt disoriented that night and the next day - Saturday. I decided to do the Maneuver myself that night (last night) - i still feel awful, hence my questions. thanks for your video, is very comprehensive, and I do this at home again, I will have someone help me as per your instructions

[@AskDoctorJo]

When you say you feel equally dizzy on both sides, are you doing the Epley on both sides or do you mean you feel dizzy when you turn both ways? Usually the symptoms only last for an hour or two later, but shouldn't last for days later. Sometimes the crystals are out in different canals, and a different technique is required. Unfortunately, I don't really know without getting to evaluate you. I would recommend asking your PT about it, and if he says those long effects are normal or doesn't have an explanation, I would see if you can get another therapist. Good luck.

[@suvendumukherjee985]

Thanks dr , your tips are very useful and easy

[@AskDoctorJo]

You're welcome.

[@user-gq5kc1ow7k]

this maneuver cleared my problem on second attempt carried out solo.

[@Colaris99]

I'm not sure I could go through with this, my dizziness is quite violent and I would instinctively have to sit up and try and grab hold of something. It actually feels like the room tips and I am falling. :s

[@AskDoctorJo]

It would definitely be best to have a professional perform it on you in a safe environment if it's that bad.

[@Colaris99]

@@AskDoctorJo Thanks for the reply.

[@AskDoctorJo]

You're welcome. Good luck.

[@Ella.T2015]

Do you recommend repeating the maneuver on your patients in one setting

[@AskDoctorJo]

I personally wouldn't. Once you do the maneuver, it should get the crystals back in the right place. Repeating it so quickly might disrupt that. Good luck.

[@sorenkikon3089]

Agreable

[@LAM77719]

I used one of those pillows one buys for long airplane flights. It helps my head stay in the position required so the crystals can go back to where they belong. And it’s comfortable.

[@toobadilawar763]

Love from Pakistan..I m becoming phyio and this helped me alot in understanding.

[@mattlocascio4949]

so ive tried this on my own several times, i can feel a clogging/ water in the ear and gurgling for the first 3 steps, the head up straight might be a problem, but im trying

[@AskDoctorJo]

Are you sure you don't have an ear infection?

[@mattlocascio4949]

@@AskDoctorJo very, ive been to 2 doctors, the first one said nothing is wrong, the second one said to try this, ive had this on and off for many many years

[@mattlocascio4949]

ive learned to ignore the vertigo, but i can tell that these maneuvers are doing something

[@AskDoctorJo]

Good luck.

[@bakulap2131]

Hey Doctor Jo, please tell me, whether it's from left to right or right to left. When the affected ear is right, from which side to start?

[@blueeyedgojo689]

If your right side is affected then do your right side. If your other side is not affected there is no reason to do it. If for some reason its both ears, it doesn't matter which you do first.

[@WuHa105]

Great instructional video. Attempted doing this to myself but naturally it is difficult. Anyway, not positive that this type or even vertigo is what I'm afflicted with. It's scary....

[@AskDoctorJo]

It can definitely be scary. If you can go see your doctor, it would be best to find out specifically what is causing it. Good luck.

[@theiif50973]

Thanks so much....i was suffering from BPPV it worked for me....wirthin 1 day ...vertigo become less severe...and under control....## love frm india

[@AskDoctorJo]

You're welcome. Glad it helped.

[@santiagodg94]

I don't have the courage to try it, I hate that intense dizziness feeling so much

[@judywu3883]

Try it!! I do it often and it helps my dizziness tons. Just do it on your own and ask someone to watch your angles. My mom watches for me

[@CanadiAnnie]

I am trying this tomorrow. I can’t turn my head to the left without the room spinning, nausea and vomiting.

[@AskDoctorJo]

Sorry to hear. Have you been diagnosed with BPPV? This is specifically for BPPV.

[@ditomelkadze8752]

I had no idea before. I am a professional fighter, and head spinning was never my issue. But I changed my sleeping position from right ear to left, and a year later, I am so scared of height and escalators. It really was strange to me.

[@hac13]

I finally had a neuro do this a couple years ago. I immediately threw up upon sitting up. I’ve since then been battling bppv off and on. I kept trying it by myself and I’d get sick like I did before but it keeps coming back. Turns out I’ve been missing the second step. I would just go from the right to on my left side 🙃 gonna try this now.

[@kirstinna]

i’ve been constantly dizzy (lightheaded) 24/7 for over 2 months now.. doesn’t matter what position i’m in.. its usually worse sitting down. is this bppv? i’ve had blood tests, mri, ct scans hearing exams and everything is ok.

[@AskDoctorJo]

It could be, but it's pretty easy to test by looking at your eye movement in different positions. The best thing to do would be to go to a physical therapist who specializes in vestibular rehab so they can help you figure it out. Good luck.

[@dreamEternal]

I've been there brother, lasted on and off 6 months, then gradually became more manageable. It does get better. The vestibular exerises help, but I also found it might have triggered IBS symptoms in me and certain foods e.g. lactose, made the symptoms worse. Walking as much as you can (when you're able to) helps.

[@sultanpurnai]

Blood pressure

[@amwe90]

Kristin, did it ever go away? What was wrong? I’m suffering with the same right now, going on month 2. I’m miserable, and it’s triggering my anxiety bad.

[@RedDevilGinge316]

Did you ever find out what the problem was Kirstin? i know someone with your symptoms, she can't sit down. She's fine standing up and lying down, just sitting she feels sick!

[@ranlando]

Is it okay to do the Epley maneuver more than once a day?

[@AskDoctorJo]

I would not recommend it. Once you get the crystals back in place with the maneuver, you are suppose to stay in an upright position for at least 24-48 hours. Good luck.

[@cyrusahadpour4820]

ranlando I'm mkk

[@nancyvalenzuela2679]

How do you know if they are back in place, Cuz If you get up and the dizziness is still there do you do the maneuver again?

[@pegpoole5322]

Great video! Thank you!

[@AskDoctorJo]

Thanks, and you're welcome!