How Many Times Should You Perform the Epley Maneuver? (for BPPV)

If you're using the Epley Maneuver to treat posterior canal vertigo (BPPV), you might be wondering how many times you should perform the maneuver before you should stop...

Should you do the Epley once/day, or can you do it multiple times?

After your first day of treatment, should you continue to do the Epley?

How do you know when to stop?

In this video, I'll answer all these questions, with a focus on how to treat with the Epley Maneuver and then re-test with the Dix-Halpike Test.

I hope this video helps you get rid of your vertigo once and for good! Please leave a comment before you go, especially if you've had success getting rid of your vertigo!

- Luke Gordon, DPT
Doctor of Physical Therapy/Owner of Gordon Physical Therapy

[bretttaylor]

Don't know why, but when I try and like comments, it's checking the dislike (thumbs down icon). So I will stop at this point. I do like all the comments. Seems like Luke is helping you all. Awesome!

[Tad-For-Global-Peace]

Ty for this. Also people might want to know that you can avoid things to dislodge them like don’t sleep on bad side, no yoga, no gargle w mouth wash etc

[meganneal]

This is so generous to share, and so helpful, seriously thank you!

[jekbot]

Thank you for these videos! I've had the most intense vertigo since Sunday. Doctor gave me a handout for Epley but it doesn't seem to be helping too much, but then again, it's not as bad. When we tried the Dix-Halpike, my eyes spun counterclockwise!

[cathrynory]

I believe you mentioned something about eye stabilization exercises. Have you made a video about those? Thanks!

[gss]

I really like you're energy & the simple way you explain*

[tonyab]

I'm on day 16. It's horrible. I went to an osteopath and she only did the eply maneuver once. Should I ask her to do it twice? She said my eyes aren't doing that movement. This all started with a horrible migraine from anxiety. I feel hopeless like this will never go away. Any advice you can give me? I'm having a CT done soon and I'm going to see an ENT next week. It's debilitating.

[stevefedorow]

Thank you for sharing. Just starting on this…really struggling so far 🤢

[booshballchange]

Your videos have really helped to inform me of what is going on. Thank you! Question: If your not having the spinning sensation and your eyes don’t seem to be having nystagmus but throughout the day you are feeling like your floating on and off, is that just inner ear balance? Would you now just do gaze stabilization exercise? Also, does it have a negative effect to do epley without symptoms? Many thanks!

[marymacdonald]

This is so educational!
So very generous with his knowledge.
Delivered with compassion 💯

[youssefb]

Hi,
Do you know why many therapist advice to do the epley once and then keep your head up for at least 24hr? How is that in line with retesting after you done the epley? And also some therapist advice the opposite. Sometimes it seems contradictory..

[yzoops]

I have taken Dramamine every day for 35 years. If I do not take it, I will be nauseated and throwing up by noon. I’ve always thought it was an inner ear problem. I went to several ENTs and know one can tell me what is wrong. 3 weeks ago I had an audiology test done. The results were BPPV. They said physical therapy. Also that they couldn’t rule out anything neurological. So my question is, for 35 years I’ve had BPPV? It’s not a world spinning, but just a car sick feeling in my head and stomach. Really brought on by computer or reading on my phone. Any help?

[rupalivarshney]

Hi, can I do Epley everyday if the symptoms are not disappearing completely and then perform the test?

[cassiafriello]

Thanks for all the videos, they are very informative! Is there any evidence to show that the longer you have BPPV the more crystals there are, therefore the more manoeuvres you may need or not really? Haven't heard much about that but have wondered as I have had it for around 10 years. Thanks!

[jameswerner]

Can you test on the left side and right side Epley during the same session?

[GinnyTung]

I've had veritgo for about 2 months now. Saw a PT a few weeks ago and did the epley. It worked and then the next morning woke back up with vertigo. Went back to her and did the epley 3 more times and it got slightly better. She told me to continue doing the epley at home. It's confusing because I'm fine when I go back in the dix-hale and zero spinning but I get dizzy when I face down. During the day I am really only dizzy when I turn to the right or move too fast. Can you help figure this out?

[Karthik]

Can I perform dix-hallpike maneuver every day before epiley maneuver until symptoms gone

[QQvr]

After anesthesia procedures I’ll get bppv if I later in the day bend over too far. Same with me husband after surgeries he’s had. Is there a way to prevent that before anesthesia or just make a mental note to try to keep the head straight for a couple days after. Wish the anesthesiologist could mention that to patients. Haven’t had one do it except one nurse afterward.

[barbaramazzocca]

Where can I find this other test you do to find out if you need to do the Epley?

[shellydinan]

What if the spinning is gone, but still very dizzy? Should I continue doing epley daily until dizziness is gone as well? Thanks