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JLeslie's avatar

When doing the Epley Maneuver for vertigo do you use a 45 degree angle first?

Asked by JLeslie (59506points) April 10th, 2012

Some videos show 45 degrees and some show looking completely to the side.

Also, if the dizzy is on both sides, do I cure one side first and then wait? The doctor I saw said she might have to repeat it a few times; would she have done it twice or three times on one side and then immediately switched to the other side? Or, back and forth alternating?

Background: I was in an accident, I had never had vertigo before the accident. Mine was extremely bad and on both sides. A doctor diagnosed me in the hospital, but then chose not to do the full maneuver because I was in so much pain. The diagnosis did half cure it, but it is getting worse again and I thought I would try to do the Epley myself with my husband.

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14 Answers

bkcunningham's avatar

I’m sorry to hear that you had an accident, @JLeslie, and are having problems with vertigo. I found a website that says, “Do you have bilateral BPPV?
A small percentage of people will have BPPV on both sides and so after successful treatment on one side will still have symptoms. This can be confusing. We recommend that people treat one side daily for one week then switch to the other side.”

Of course, you should ask your physician, but I hope this helps. I hope you feel better soon.
http://clearwaterclinical.com/blog/2009/04/epley-maneuver-how-many-times-should-it-take.html

JLeslie's avatar

@bkcunningham Thanks. Since I am still pretty banged up and sore, I was going to wait a little longer before seeing a doctor. An ENT I spoke to after my accident said it can be done at home, so I thought I would give it a try. I think my husband kept his number, maybe if I call him he will tell me what he recommends. I don’t really know him, he just was nice enough to see how I was doing, a friend of ours had told him what happened to me.

Rarebear's avatar

I’m going to work in a little while. I’ll look it up there.

JLeslie's avatar

Thanks. :)

Lightlyseared's avatar

It starts with the head turned 45 degrees towards the affected side.

gailcalled's avatar

I had a sudden onset of severe vertigo apparently caused by rolling over in bed. After farting around for a few very unpleasant weeks, I hied myself to an ENT and let him perform the maneuvers.

I would not have either tried to do it myself or let an amateur do it.

One does have to sleep sitting up (or in a lounger at a 45˚ angle) for two nights afterwards.

I have been almost fine ever since. I am very mindful, particularly when I am in the dentist’s chair. They raise and lower me slowly…no sudden jerks.

And I always wash and condition my hair in the shower before I go for a cut. The people at the salon understand…I tip everyone well for the privilege of not having them wash my hair.

There is also general mindfulness. Think about how you get out of bed, for example.
Roll over on your side and sit up slowly. Then admire the scenery for a minute or two before standing up.

It’s nasty but there is help in sight. Do not despair.

JLeslie's avatar

@gailcalled Your answer just totally depressed me. I hope to God I don’t forever now have to be careful. That I might be permanently more sensitive because of what this dingbat girl did driving that golf cart so irresponsibly. But, I do appreciate your answer, and the advice.

gailcalled's avatar

No, no, dear heart. I said “mindful” which is different (I think) from “careful.”

I do the few things that matter, like the dentist’s and the hair salon, automatically and for now, I seem to have outgrown the rest. (Although I probably would skip the bumper cars at the amusement park.)

I would start with the ENT as soon as you feel able. The issue of not sleeping lying down for the next two nights is PART OF THE TREATMENT, albeit not so pleasant.

JLeslie's avatar

@gailcalled The two days after treatment does not trouble me, I have not been able to sleep comfortably lying down anyway. But, being careful everytime I recline is not how I want to be. We’ll see how it goes.

gailcalled's avatar

I know how frustrating this is, but better the devil you know.

JLeslie's avatar

@gailcalled The unfairness of it. This dumb chick took a horrible risk with my life and my friends.

gailcalled's avatar

True. I am really sorry.

Rarebear's avatar

Here you go. I’ll keep the link up until I need the room. You’ll need Powerpoint to open the files.

http://dl.dropbox.com/u/45642077/BPV%20maneuvers.zip

JLeslie's avatar

Thanks. :) I need to go to my laptop for powerpoint, I will do it in the next couple of hours. I’ll let you know when I have had a chance to look at it.

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