Treating BPPV: The Epley Maneuver - Boys Town National Research Hospital

BPPV stands for Benign Paroxysmal Positional Vertigo and essentially with BPPV, crystals from the ear get dislodged and displaced into a different part of the inner ear. The treatment for that is to put the head in different positions to move those crystals back into the part of the ear that they belong. As soon as those crystals get back into that part of the ear, patient’s symptoms improve dramatically.

If you are treating right BPPV you are going to turn your head over your right shoulder and then you are going to lay flat on your back. Your head is going to fall just below the level of your shoulders. If you are doing this at home you can put a pillow behind your shoulders and have your head resting and supported on the bed.

In this position you will wait for any symptoms to subside and then wait an additional thirty seconds. Next you’ll want to move your head from looking over your right shoulder to looking over your left shoulder without picking your head up. Again in this position you’ll want to wait for any symptoms to go away and then wait an additional thirty seconds.

For the next position you’ll keep your chin looking over your left shoulder and you’ll roll up onto your left side. Now you should be looking down at the floor. Again wait for any symptoms to go away and then wait an additional thirty seconds. Lastly kick your feet out to the front and use your right hand to push yourself up to the seated position. When you are finished, wait for a couple of minutes until all symptoms go away.

For left sided BPPV you are going to turn your head over your left shoulder and lay flat on your back. Once on your back your head should be below the level of your shoulders. If doing this at home you can put a pillow underneath your shoulders with your head supported by the bed. In this position you’ll want to wait until all symptoms subside and then wait an additional thirty seconds.

Next you’ll want to turn your head from looking over your left shoulder to your right shoulder without picking your head up. Again you’ll want to wait until all your symptoms go away and then wait an additional thirty seconds. For the next movement you’ll want to keep looking over your right shoulder and then roll up onto your right side. Once on your right side you should be looking down at the floor. Again wait for all symptoms to go away and then wait an additional thirty seconds. Then you’ll kick your legs out and using your left hand pick yourself up into the sitting position and then look straight ahead, again waiting thirty seconds until any symptoms go away.

The maneuvers are typically done twice a day until patients can go three consecutive days without experiencing any symptoms, so the typical duration for most patients is to complete the exercises anywhere from three to seven days.

[Wayniesgirl]

I have been relying on this video for years to fix recurring issues. Thank you so much, and please never take it down 😅

[lienca]

Thank you a lot. It worked on my Fiance after we did it the second
times. His dizziness was gone away.
Magically! Iam so much grateful 🙏🏻❤️❤️❤️❤️❤️

[Nimbus]

This thing came back after 4 years and ruined my week, thank you for the step by step

[jennierogers]

This is a LIFESAVER. I’ve been suffering from Vertigo for 2 weeks now. I did the maneuver 3 times and the spinning is gone!

[rickgranzow]

Dr Janky, i tried this just how you demonstrated and my vertigo is gone now. Thank you so much! i did 1 session of 3 manuevers Left side, and my 7 day long vertigo sickness is gone. I'll do another session tomorrow to be sure. Thank you for sharing this procedure for us all.

[RDLSMDC]

Wow, I just did this and it made a huge difference. If I were to rate my dizziness it would be 8 but after doing the Epley Maneuver now its 4! I will do this again tomorrow! Thank you Doctor for this very helpful video!

[syedrizwanali]

wow wow and wow...such a small treatment and such Amazing results.
i am now brand new
Thank you for taking time out to spread knowledge.

[somethingforall]

My head was spinning and I was feeling dizzy when I put my head on pillow or look up. I talk to my gp and he told me to do same type of exercise and wallah m feeling great and no more dizziness.

[lomojo]

Thank you. I did that to my wife and she was cured like magic. You are an angel.

[MariaLopez-ssrq]

I was suffering from dizziness all week, i was also having all symptoms of BPPV. Just tried these exercises and I feel a million times better. I still have dizziness but will continue until I feel 100% again. Thank you so much!

[Vb-fysv]

THIS ABSOLUTELY WORKS BRILLIANTLY, each time it comes back I do this manoeuvre AND IT GOES IMMEDIATELY AS LONG AS YOU DO IT RIGHT !

[MegaBpop]

Thank I had vertigo every day for 5 weeks 8 mos ago. Went to the ENT doctor and sent me to P T for this very same treatment. It is good to have this video, bc my vertigo came back last night and I forgot the rolling over to look at the floor. I believe it is crucial to have the position of one’s head looking over your shoulder exactly how she shows you. !

[prashantchauhan]

This works like magic. Did this exercise twice for two days and boom you are back to normal. Thank you so much!

[KellyBo]

Just did the first time now. I really hope this works because i have been suffered from this for 10 days. Fingers crossed!

Edited : It worked!!! Thank you. This is life saver..

[gracemanurung]

This has helped me get rid of my vertigo after trying several other maneuvers. Thank you!

[pauljackson]

I'm very grateful for you posting this. I had a case of BPPV with extreme dizziness accompanied by nausea and vomiting. I tried this maneuver as demonstrated, and it cleared up straight away (after 1 day).

[franciscagarcia]

I tried it yesterday i done it 3 times or even 4 a day and i feel much better today . Thank you for the video x

[dominiquesteele]

THANK YOU! I've been having on and off vertigo due to a sinus infection and it has been a journey. After this video I have relief from the dizziness and imbalance for the first time in weeks! Many thanks xxx

[hithere]

I LOVE YOU I LOVE YOU I LOVE YOU. Had dizziness when lying down on my side for 11 months now, gotten so used to it I forgot most people don’t have to deal with it everyday. Have tried multiple other exercises which just made me feel sick and stopped me from doing them. But this worked!! I can’t believe it!! Honestly I feel so happy and in shock. Thank you thank you I can’t believe it!! When I read the other peoples comments I didn’t think it would work but omg it did and I can’t believe it

[comm]

Wow. This is great. I'm sticking with this format. Great video.