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Modified Epley Maneuver | Posterior BPPV Treatment
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- čas přidán 31. 07. 2018
- Enroll in our online course: bit.ly/PTMSK The modified epley maneuver is a canalith repositioning maneuver in the treatment of bppv aka. benign paroxysmal positional vertigo.
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This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.
I suddenly started having vertigo a week ago. Just tried this yesterday and after the first time I was about 80% better. Did a second round right before bed and woke up without any dizziness. I’m well into my day and have not had any issues. Thank you!!
did it fix after that for the most part?
I have horizon left bppv. My symptoms getting worse last 2 weeks. I searched around and I found I have left bppv. I discovered that Epley maneuver get rid of vertigo. So I brace myself doing it alone by myself. And let me tell you, I was vomiting three times while doing the first round. I could not compete the routine at all. I was empty on my stomach so that help little with vomiting. I have bags by my bed for vomiting. It sooo awful feeling.
But I managed to complete the Epley maneuver routine as I keep telling myself that I needed to do this. And it did get rid my lef bppv. I was 80% felt better. No more violently head spinning for me. I do feel slightly dizzy when looking down and up. I needed to do this Epley excerise twice daily for 7-10 days.
There 3 more others maneuver. I will need to take a look as I still feel dizzy by looking up and down. I think one of other maneuver will cure vertical vertigo.
This has to be the craziest sh*t I have ever seen in medicine. And I mean that with the utmost respect. Awesome video, as always, gentlemen.
Had vertigo this morning and did the Epley manuever. It worked. Thanks.
Very nicely done explanation of the theory. The line drawing of the semicircular canals with the debris / otolith illustrated in purple was helpful. 💜
I think it important you mentioned that the procedure has a small percentage of converting the posterior canal problem into a lateral semicircular canal problem and that you pointed to the assessment for the lateral semicircular canal problem.
Thank you so much, I did this and my symptoms seem to have disappeared completely, fantastic. I was able to do it completely by myself, too.
Edit: so my symptoms came back and I had to do the maneuver again this morning, but so far today I've had no episodes. I believe that looking down, or lying back, caused my symptoms to reappear, maybe.
Happy to hear buddy!
I get this every now and then. I wear one or two warm hats in the winter all the time because I get a very painful condition called neuralgia if I don't. I have to be very careful to keep my ears clean, outer, inner and behind, with soap and water and then vinegar and dried. I believe that if you don't and you're wearing a hat all the time, it can cause an infection in your ears which will cause this vertigo. Vertigo is the most distressing thing because you feel so helpless. If I even feel the tiniest twinge now I will do the epley maneuver and ensure my ears are clean and are getting air.
did it go away after the 2nd time?
Excellent and thorough explanation. Thanks very much for making it
Glad it was helpful!
I just wish my teacher would be as good as you guys are! ive been learning more on the fuc**** youtube than in my classes! Good work guys
Epley worked very well on my wife. We've done it maybe once a day for some time, and she felted its benefits.
Thanks for the video content! Excuse me for butting in, I would appreciate your opinion. Have you ever tried - Schallingora Automatically Update Scheme (do a google search)? It is an awesome exclusive product for getting rid of virtigo without the headache without the headache. Ive heard some awesome things about it and my friend got cool results with it.
Thank u so much, that was very well explained in a simple way..😄
glad you like it!
Great explanation, thanks you. Only difference that I note is the head extension to 30 degrees and rotation to 45 degrees and then hold the position for 2 min due to latent nystagmus + extra 30 sec -
Is the order - first ext then rot of the head important to move the crystals or can you do rot before extension?
Chin should touch the clavicle ,you should add that on last stage.good video,keep it up.
didn't find details on the chin on the clavicle in the articles we used. But thx!
Heads up, if you take Promethazine tablet hour befor doing treatments it helps big time with the nausea, it helps while having vertigo whenever actually to keep from needing to vomit.
Jbird THANK YOU!
Emily Rachel Gilley it’s not fun is it, are you dealing with it now
Thank you so much!! I can hardly finish cause I immediately start feeling nausea and vomit
hey! Thank you for your sharing. I am doing this with my daughter, she is 7 years old. the dizzy feeling can go away in about 30 seconds when she laying down with each positions at the first 2 dags when we are doing it. but after that it seems the dizzy feeling doesn’t go away in even 5 minutes when she is laying down with each position. and she told me she can hear feel something is moving in her ear.
Thank you for your help.
Have you found something that works for your daughter? It seems odd for her to be experiencing this, since she is so young. It has to be horrible for her
Thanks , very informative
I am in a cervical collar due to having ACDF surgery. Two weeks post op I had a terrible spell of vertigo and ended up in the hospital for 11 days
How would you do this maneuver with me?
How long does it take for vertigo to cure after this maneuver
Thank you
This looks exactly like Epley. How is it "modified"?
how is this different from the normal Epley?
(it seems similar)
Thanks for the video. I don't understand why this is considered modified Epley as it states in the title. It looks like standard Epley (canalith repositioning)
A version of the maneuver called the "modified" Epley does not include vibrations of the mastoid process originally indicated by Epley, as the vibration procedures have been proven ineffective
Thank you Kai ;)
Thank you.
is it normal to feel dizzy for a few hours after this maneuver!?
Doctor told me I have this but I don’t know what side? How can I find out?
thank you pre
Please bring back the old music!!!!
How do we distinguish if the cristals are on the posterior or on the lateral semicircle canal, please? And what is the best manouvre for the lateral canal? When is it best to apply Semont manouvre?
All answers can be found in the videos for lateral canal and we mention that semont and epley seem to be equally effective
Hi, how come you guys don't have a video on a half-somersault manuever for BPPV?
Never heard of that, will check it out!
@@Physiotutors Whaaaaa??? My vestibular therapist said the same thing! I did it on my own before I saw her and it completely cured my vertigo! It can be very hard on the neck.
Great Work guys, keep it up 😍
Thanks, Abdelrhman! We certainly will!
Excellent Video clip! Sorry for butting in, I am interested in your thoughts. Have you considered - Schallingora Automatically Update Scheme (just google it)? It is a good one of a kind product for getting rid of virtigo without the headache without the normal expense. Ive heard some super things about it and my BF at last got cool success with it.
why is that called the modified epley maneuver? its just the epley maneuver. or did i miss something?
I believe the original Epley maneuver had the patient’s head completely off the table such that the clinician had to completely support the weight of the patient’s head while both extending neck so that the head was in that 10-20 degrees below the horizontal *and* turned at 45 degrees.
With this modified Epley maneuver, the pillow is placed to assist with the head extension 10-20 degrees below the horizontal - also, the bed would alway be present below the patient’s head. This way, the clinician can focus mostly on positioning the head to the 45 degree turn.
Here is a link to a demonstration of the original Epley maneuver:
czcams.com/video/jBzID5nVQjk/video.htmlsi=NyLgfGRjx7H13uQ5
Tnx so much 🤩
What if the BPPV is bilateral? Should the focus be on the worst side? Is the benefit of the Epley for one ear reduced by doing maneuvers for the other ear in this circumstances?
Would suspect other reasons for dizziness. If it's really bppv, the epley test can be safely performed in both sides
If the patient says his symptoms have reduced should we give him or her another next session? How many sessions should be enough in general?
There's an 80% success rate with doing the maneuver once. If the symptoms are not completely resolved you can do another session. Be aware that the ear cristal might fall into the lateral canal, so it might be that you have to do the BBQ roll maneuver which we will publish a video for in the coming days!
+Physiotutors thankyou so much for the information. I hope in near future if there's something that i need to know i can contact you. Thankyou for your valuable time.
Sure, ask away!
Good evidence (Cochran review, if I recall correctly) for the Epley’s maneuver indicates 3-4 treatments is typically what is needed to resolve BPPV. However, one may need less treatments than this, which has been pointed out in another reply.
Excellent Video clip! Sorry for butting in, I am interested in your thoughts. Have you considered - Schallingora Automatically Update Scheme (just google it)? It is a good one of a kind product for getting rid of virtigo without the headache without the normal expense. Ive heard some super things about it and my BF at last got cool success with it.
Handsome
Hi colleague! pls what is difference between using Semont and modified Eplay maneuver?
Effectiveness seems to be similar. Just 2 different maneuvers, with the modified epley being more popular.
@@Physiotutors thank you
Should we perform this to our pacient while on a accute crisis?
What is an acute crisis? Bppv is nearly Always acute
I had little dizziness for two days. I just did this exercise and everything got much much worse. I puked three times during the exercise. Why? Can someone please help me?
Hi, I know it is quite late to reply to your question, but I felt like i needed to as I experienced the same thing like you did.
Yes, you needed to completely complete the Epley maneuver routine in order to help you get rid bppv.
I have horizon left bppv. My symptoms getting worse last 2 weeks. I searched around and I found I have left bppv. I discovered that Epley maneuver get rid of vertical vertigo. So I brace myself doing it alone by myself. And let me tell you, I was vomiting three times while doing the first round. I could not compete the routine at all. I was empty on my stomach so that help little with vomiting. I have bags by my bed for vomiting. It sooo awful feeling.
But I managed to complete the Epley maneuver routine as I keep telling myself that I needed to do this. And it did get rid my lef bppv. I was 80% felt better. No more violently head spinning for me. I do feel slightly dizzy when looking down and up. I needed to do this Epley excerise twice daily for 7-10 days.
There 3 more others maneuver. I will need to take a look as I still feel dizzy by looking up and down. I think one of other maneuver will cure vertical vertigo. So good to you.
So you don't have to keep your head up for 24 hours after the exercise? If yes could you provide links to that literature? Need to verify before trying this on my dad
No, see link in the description below the video
@@Physiotutors thank you
Hello!
First of all, thank you for this awesome resource!
Second one, I am not able to find this in the assessment book, do I need to go to a specific place to actualize it, or this appears just here?
Thank you!
Dear Guillem, first of all thank you for the support you've shown by purchasing the ebook.
We will publish update to Version 3 of the ebook soon so you should directly get it delivered to your inbox. This update includes a new section on BPPV Assessment and more
I have BPPV.
What happen u try it don't sopt
Hi, will I have an episode during the maneuver?
If you suffer from bppv, it will provoke symptoms indeed
Appreciate Video! Apologies for chiming in, I am interested in your initial thoughts. Have you heard about - Schallingora Automatically Update Scheme (erm, check it on google should be there)? It is a great exclusive guide for getting rid of virtigo without the headache minus the headache. Ive heard some great things about it and my friend Sam got excellent success with it.
Dope
Happy you like it!
hello ..my husband just had vertigo a month ago and the doctor found so much wax in his 2 ears ...we dont have insurance or budget to go to a chiropractor, can I do this on him or it has to be a professional?? or where can I go without a dr referral
2:09 modified epley
I REQUEST WHO EAR BEGINS THE EXERCISE ? LEFT OR RIGHT ?
First, diagnose the affected side with the Dix-Hallpike test. Then for the left ear start in 45° rotation to the left and for the right ear in 45° rotation to the right.
@@Physiotutors O.K THANKS !!!
Why do I vomit even before I can complete the maneuvers
Hi, I know it is quite late to reply to your question, but I felt like i needed to as I experienced the same thing like you did.
Yes, you needed to completely complete the Epley maneuver routine in order to help you get rid bppv.
I have horizon left bppv. My symptoms getting worse last 2 weeks. I searched around and I found I have left bppv. I discovered that Epley maneuver get rid of vertical vertigo. So I brace myself doing it alone by myself. And let me tell you, I was vomiting three times while doing the first round. I could not compete the routine at all. I was empty on my stomach so that help little with vomiting. I have bags by my bed for vomiting. It sooo awful feeling.
But I managed to complete the Epley maneuver routine as I keep telling myself that I needed to do this. And it did get rid my lef bppv. I was 80% felt better. No more violently head spinning for me. I do feel slightly dizzy when looking down and up. I needed to do this Epley excerise twice daily for 7-10 days.
There 3 more others maneuver. I will need to take a look as I still feel dizzy by looking up and down. I think one of other maneuver will cure vertical vertigo. So good to you.
3:19
Where the translation
You can add a translation yourself if you click on the wheel icon on the bottom right and select "add subtitles"
Phisyo save me.
Im afraid that the kristal go out again.
I get this every now and then. I wear one or two warm hats in the winter all the time because I get a very painful condition called neuralgia if I don't. I have to be very careful to keep my ears clean, outer, inner and behind, with soap and water and then vinegar and dried. I believe that if you don't and you're wearing a hat all the time, it can cause an infection in your ears which will cause this vertigo. Vertigo is the most distressing thing because you feel so helpless. If I even feel the tiniest twinge now I will do the epley maneuver and ensure my ears are clean and are getting air.
@@CityThatCannotBeCaptured so we need to clean the ear?
Tuck the chin on the 3rd manuver?
Do you mean when coming up Cara?
shit I have this
Don't worry, it usually fades within 4 weeks or you can see a health professional to treat it quickly with a high success rate.
@@Physiotutors I am more than 3 weeks into this, worst part is in the morning.. Not sure I can find a BPPV expert where I live, (Cyprus). I mean I went to a neurologist and he had me have first a brain-scan and then an MRI and gave me a bunch of pills (6 a day)
It seems to be triggered when I sleep on my right side and turn counterclockwise instead of clockwise on the other side
You could try the epley maneuver at home. In case this doesn't work, try the BBQ roll.
@@PhysiotutorsI tried the hanging head
I suddenly started having vertigo a week ago. Just tried this yesterday and after the first time I was about 80% better. Did a second round right before bed and woke up without any dizziness. I’m well into my day and have not had any issues. Thank you!!
How are you now ?
@Swapnil It did it twice in a row the first time and it worked within a day. Several months later I had another vertigo episode and did the manuver again it worked again. I am Brett, this is my CZcams accont.
@@mayrasuarezcantu3387 It did it twice in a row the first time and it worked within a day. Several months later I had another vertigo episode and did the manuver again it worked again. I am Brett, this is my CZcams accont.
@Swapnil I confirm SOHL R3BLS message... lol.
@@mayrasuarezcantu3387 I confirm SOHL R3BLS message... lol.