The Epley maneuver is a multi-step repositioning treatment designed to slowly move the otoliths from the posterior semicircular canal to the utricle, in order to alleviate symptoms associated with Benign Paroxysmal Positional Vertigo.
Benign Paroxysmal Positional Vertigo is a clinical diagnosis characterised by episodes of objective vertigo lasting less than 60 seconds, occuring as a result of certain head positions. This condition may lead to nausea and nystagmus, a rapid and involuntary movement of the eyes.
Several maneuvers have been developed to reposition otoliths and treat some forms of vertigo, also known as labyrintholithiasis. Epley's maneuver serves as the therapeutic intervention for Benign Positional Paroxysmal Vertigo (BPPV).
The maneuver is divided into three distinct steps:
Upon completion of the third phase, the patient returns to the initial sitting position on the couch. Keep in mind that these maneuvers should not be attempted without the assistance of a trained medical professional.
The post-treatment phase is just as important as the treatment.
In the days following the treatment, a good night's sleep is the best cure. It is recommended to sleep leaning back on a bed at a 45-degree angle, or on a recliner chair. Those who are not used to sleeping on their backs may find it difficult to be able to rest in this position. It is quite common to experience an almost sleepless first night.
The Epley maneuver is considered a safe maneuver.
However, there are potential risks if it is not performed correctly.