Epley Maneuver for Treatment of Benign Positional Vertigo

Also called the Canallith repositioning maneuver, because we are trying to relocate the gravel in the inner ear to a safer place.

This maneuver is designed for the treatment of a specific type of vertigo, called Benign Positional Vertigo, involving a certain segment of the inner ear. This treatment should not be done without medical supervision until clearance is obtained from the treating physician; In some cases, when performed for a different diagnosis, the procedure can make the situation worse.

1. First figure out which is the dizzy side by laying down quickly with head turned 2/3 of the way to one side. If this makes you dizzy, continue to step 2. If not, repeat step 1 with the head turned the other way.
   
   
2. Remain in the position that made you dizzy for 20 seconds
   
   
3. Turn to opposite side for 20 seconds (2/3 to the new side).
   
   
4. Continue turning towards the same side you’re on, going fully onto shoulder and pointing nose to ground.  Wait 20 seconds
   
   
5. Flatten your shoulders with your head still off to the side.Then slowly sit upright, turning chin slowly forward.
   
   
6. Put chin to chest, hold for 20 seconds
   
   
7. Keep your head up for two days. No bending over. Sleep upright for the next 2 nights.