Sit up in bed with the legs extended in front of them and turn their head 45 degrees to the side that they are experiencing the most dizziness.Once a person has had the Epley maneuver performed by a doctor, they may want to repeat the process at home if they have further symptoms.Ī person experiencing BPPV symptoms can follow these steps to gain relief at home:.It is best for a doctor to carry out the Epley maneuver if the person experiencing BPPV has not used this method before.STEPS OF THE EPLEY MANEUVER CARRIED OUT AT HOME : The whole process is repeated up to three times, until the person’s symptoms are relieved.Finally, the doctor brings the person back up to a sitting position.The doctor holds the person in this position for between 30 seconds and 2 minutes, until their dizziness stops. The side that they experience the worst vertigo on will be facing upwards. Next, they roll the person in the same direction that they are facing, onto their side.Again, the doctor holds the person in this position for between 30 seconds and 2 minutes, until their dizziness stops. Rotate the person’s head 90 degrees in the opposite direction, stopping when the opposite ear is 30 degrees away from the table.The person’s head is kept facing the side worst affected by vertigo but now at a 30-degree angle, so that it is lifted slightly off the table. Quickly push the person back, so that they are lying down with their shoulders touching the table.Rotate the person’s head at a 45-degree angle towards the side they are experiencing the worst vertigo.Ask the person to sit upright on an examination table, fully extending their legs out in front of them.
The Dix-Hallpike test and the canalith repositioning maneuver.When a doctor carries out the Epley maneuver, they will perform the following steps: Evidence-based clinical practice in otolaryngology. (2018.) Chapter 1 - Evidence-based practice: Management of acute vertigo. Benign paroxysmal positioning vertigo (BPPV). You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. In some cases, you may need to ask for a second opinion and do the maneuver again before being tested for other conditions. Since false negatives do happen, a negative result in a clinical setting doesn’t conclusively mean that BPPV isn’t what’s causing your vertigo. Medical literature suggests that if a specialist or someone deeply familiar with the test performs it, you’ll more likely receive an accurate result. The ability of the Dix-Hallpike maneuver to correctly diagnose people with BPPV is anywhere from 48 to 88 percent. If you get a negative test, your doctor may recommend more tests to check for other causes of your BPPV. It’s also possible to receive a false negative, in which case you may need to see a specialist and repeat the test again.
Depending on those results, they may be able to come up with a treatment plan immediately. After you perform the Dix-Hallpike test, a doctor can typically give you the results of what they observed right away.