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.When a doctor carries out the Epley maneuver, they will perform the following steps: Steps of the Epley maneuver carried out by a doctor The steps for both versions are detailed below. It can also be done at home by the person experiencing the BPPV symptoms. A doctor doing the Epley maneuver will manually move a person into a series of positions.
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