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Enroll in our online course: The modified epley maneuver is a canalith repositioning.

The Epley maneuver is an exercise of sorts that involves manipulating and maintaining the head in certain positions to move the calcium deposits out of the and back into the parts of the ear they belong. For those who suffer from BPPV the maneuver can be a lifesaver. In recent years, DIY videos have come on the market in addition to thousands of online instructional videos. These videos get millions of hits and it's easy to see why.

With the advantages of immediate relief, while avoiding the hassle and cost of a visit to a doctor or therapist, these readily available resources can be enticing especially to those lacking medical insurance. But is it safe? The answer to this question depends. • Go to an expert at first - if you've never had the Epley maneuver performed on you by a professional don't try to do it at home until you do. No video can substitute for hands-on demonstration, you need to know what it feels like to have the procedure done correctly so you know that you're doing it right at home. • Don't use YouTube videos! Making sure you get a video from a reliable source is a must, anyone can incorrectly teach people how to do this on YouTube; you want expert instruction.

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• Tell your doctor or therapist that you would like to learn how to do the maneuver at home and ask if they will teach you how. • Watch the video multiple times before trying the procedure. It might help to break the process down into steps and write them down. • Follow each step carefully - missing just one step in the process will lead to failure and possible injury. • If possible watch the video and do the procedure with a partner like your spouse or another family member. They can help you ensure you're doing the exercises correctly, in the correct order and not missing anything.

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The Epley maneuver or repositioning maneuver is a maneuver used by medical professionals to treat one common cause of, (BPPV) [ ] of the posterior or anterior canals of the ear. It works by allowing free-floating particles from the affected to be relocated, using gravity, back into the, where they can no longer stimulate the, therefore relieving the patient of bothersome vertigo. This maneuver was developed by Dr. John Epley and first described in 1980. A version of the maneuver called the 'modified' Epley does not include vibrations of the mastoid process originally indicated by Epley, as they have since been shown not to improve the efficacy of the treatment. Contents • • • • • • • Effectiveness [ ] The Epley maneuver is a safe and effective treatment for BPPV, though the condition recurrs in around one third of cases.

Sequence of positions [ ] The following sequence of positions describes the Epley maneuver: • The patient begins in an upright sitting posture, with the legs fully extended and the head rotated 45 degrees towards the side in the same direction that gives a positive. • The patient is then quickly lowered into a supine position with the head held approximately in a 30-degree neck extension ( position), with the head still rotated to the side.