Additionally, if the patient does not respond to the Epley maneuver, additional testing may be necessary to determine other reasons for dizziness. BPPV and Epley Maneuver Instructionsīefore performing this procedure at home, it is important to see your Ear, Nose, and Throat specialist to rule out any other reasons for your dizziness. Namdar usually distributes this handout to his patients once a diagnosis of BPPV has been confirmed and the first Eply maneuver has been performed in the office under his supervision. Another medical treatment for this condition involves the patient in a series of physical therapy maneuvers to alleviate dizziness. Please refer to the Instructions to Epley Maneuver attachment for specific instructions for how this procedure can easily be performed in the home setting. I generally recommend that patients perform the same procedure at home a few more times over the next week. In simple terms, the head is rotated in a certain direction, and the pull of gravity is used to pull away the crystal from the narrow ending where all the nerve terminals are into the wider reservoir where the crystal can settle and dissolve over time. Once the diagnosis is confirmed, and is determined which is the affected side, the condition could be reversed with a simple office exercise called Epley Maneuver. The Ear, Nose, and Throat doctor performs a Dix-Hallpike positional testing that usually confirms the presence or absence of the condition, as well as determining which is the affected side. The diagnosis of Benign Paroxysmal Positional Vertigo (BPPV) could usually be easily made in an office setting.
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