How to Treat Horizontal Canal BPPV (Vertigo) (Gufoni Maneuver)

Once you've figured out that you have horizontal canal BPPV, and you've figured out which side is involved (right vs left), and you've figured out if you have geotropic or apogeotropic nystagmus (indicating canalithiasis vs. cupulolithiasis), you can now progress to treatment!

The best and easiest treatment option for horizontal canal BPPV (both types) is the Gufoni Maneuver.

In this video, I'll show you how to perform the 2 versions of the Gufoni Maneuver to treat both types of horizontal canal BPPV (geotropic/canalithiasis and apogeotropic/cupulolithiasis).

I hope it helps you treat horizontal canal BPPV!

Please leave a comment or questions below. And make sure to subscribe to my channel before you go!

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

[jbc]

This giy knows more about understanding and treating vertigo than anyone i have come across 👏

[dgross]

My wife has had two pretty severe bouts of vertigo. We followed the treatment instructions from this video both times, and they provided instant relief. And by relief, I mean complete resolution of her symptoms. Thank you so much for creating this very helpful video.

[pegbert]

I remember this way. ABC. A-geotropic, lay on Bad ear, look to Ceiling.
Many, many thanks! Life changing procedure.

[suzannewilkinson]

Hi! I want to thank you so much for your very clear and concise explanation of the different tests and treatments of BPPV. I was suffering for 3 days with vertigo that didn’t resolve as it usually does with the Epley. Because of you i was able to figure out the horizontal canal issue and treat it properly. Bravo!! Amazing teacher and therapist!! You TRUELY help people when they need it…

[chriso]

You have no idea how much this helped. A few months ago I developed extreme vertigo and was able to diagnose it as BPPV with help of your videos. It was posterior canal and the issue was solved with a couple of practices of the Epley. Boy, was I sick! Then, a couple of weeks ago, I started feeling a little off balance and lightheaded so tried the Epley again with no results. Yesterday I remembered your saying in some video that sometimes posterior canal BPPV proceeded to horizontal canal BPPV, so I tested for it with the Supine Roll. Although the manifestation was extremely subtle, I could tell, with mirror, I was exhibiting the geotropic nystagmus. It was hardly perceptible but it was there. I did the Gufoni maneuver and it is 99% gone. Today I'll repeat it. Thank you.

[cocosurgerow]

Thank you Dr. I was sanding and spackling kitchen walls, up and down ladder for 3 days and sweeping in basement . I noticed my eyes were moving slightly sideways when stepping off ladder. Your horizontal canal maneuvers worked . I tried the epley first and still had light dizziness. Thank you so much !!

[billiefeathers]

I’ve had vertigo since I was 18 and am 67 now. Nothing other than meclezine was used and it was really that helpful. In 96 I had severe vertigo for 12 weeks and went through several Epley maneuvers within about 6 months and had to stay upright for 72 hours which was horrible enough if it worked but so defeating if they repeated the procedure after I reported it hadn’t helped . It eventually kind of wore itself out and comes back usually for short periods and I’ve just learned to live with it. Your videos are incredibly educational and it seems like there’s been much improvement in this field. I’m a registered nurse, retired but always ready to learn more so thanks!

[austinb]

Hey Luke, I've been watching your videos a bunch to try to help my patients with BPPV. Thanks for all of your content. I thought it was great career development that you made a video 6 years ago about the supine roll test and opted not to make a treatment follow up but a few years later felt confident and ready to explain the treatment side of it. I agree, it's very confusing. But your content has made it much easier to understand. Thank you!

[mugdhaapatil]

And a good trick of triple G’s n triple A’s to help us understand better.. thank you

[jeanetterobnargi]

Thank you for clearing this up. I’ve been going to PT and getting worse. I don’t believe i was being treated properly. Now I can do it at home.

[mugdhaapatil]

Thts an amazing trick of triple G’s n triple A’s, to help us understand

[debbiejorde]

Thank you so much!🌹 This maneuver has helped me 2 times in the past month!! I appreciate you!🌻 Sending love ❤️

[debbiejorde]

Thank you so very much❣️ This Gufoni maneuver cured my remaining vertigo I had after doing the Semont-plus maneuver for the spinning in right ear.
I appreciate you!🌻 Thank you!🌸💕 Sending love and appreciation ❤️

[newwine]

Thank you Gordon. You're a God send
You make it easy to understand
🎉👏🎉👏🎉👏🎉

[glorytogod]

EXCELLENT and informative video as usual!! I really wish I lived near your office to be treated for my 3 disc herniations. Thank you for your videos, you have no idea how many people your actually helping!!

[PrabhjotSingh-mnku]

Thanks a lot Luke!! After 1 month of successful treatment, my vertigo recurred but this time it was horizontal canal instead of posterior. I struggled for 1 week and thought that it was my left ear this time but after watching your videos, I tested positive for the horizontal canal on the right ear (same ear as before). Did the gufoni and there it was, instant cure!! Thank you so much! And if it helps others, I went through emotional and physical stress both times I got it, I will be managing things better now.

[reneel]

Thank you so much for this video, I've had a bad flare-up of BPPV. Your videos and explanations are very helpful.

[christinafoshay]

Your videos are extremely helpful and my go-to every time I am trying to fix my husband’s horizontal vertigo. Also appreciate your callouts that the vertigo may shift direction and how to proceed.
Thank you!

[jayerwin]

I had two episodes of vertigo, one in mid January 2024. Three days later I suddenly went double vision. I had dental work and new glasses. The double vision was then only in the evening after computer work. Mid May 2024 I woke up with vertigo. But the vision improved after the Eply move. I found this video and the boat feeling was gone immediately. The vision improved and very little double vision. A round or two of your technique and the eyes correct in focus. Double vision gone.

[YarnKilla]

If I could get to WA I'd be fitting myself into your schedule 🤣
You're welcome to come to my house in Michigan 😁