Thursday 31 October 2013

Treating Positional Vertigo: Patient Information Sheet





Please note that the following is a general guideline only. For a full assessment, exclusion of any other underlying cause for your symptoms and an individualised treatment approach, you will need to be seen by a qualified specialist.




Instructions for your GP (avoid doing this without assistance)

Eg Left side


Step1
Begin by sitting upright in the middle of your bed.  Turn your head  towards the left (ear causing your symptoms) approximately by 45 degrees.


Step 2
Keep your head turned to left and gently lie down. Head MUST end up hanging down over the edge. This also could be done placing a pillow under the shoulders to extend the neck.
Maintain this position for one minute. This position will likely provoke either transient dizziness or vertigo.


Step 3
While still lying flat/ head HANGING down, slowly rotate your head towards your good ear as far as possible or approximately 90 degrees. Maintain this position for one minute. This position may again provoke either transient dizziness or vertigo.


Step 4
With your head still rotated and HANGING maximally towards your good ear slowly roll your entire body on to your "good side" shoulder. Keep your head and neck fixed as much as possible. If done properly you should be able to stare down at the floor. Maintain this position for one minute.


Step 5
Finally to complete the Epley maneuver return to a sitting position with your head up but flexed forward approximately 45 degrees. Maintain this position for one minute.


Step 6
Most reference sources state that the Epley maneuver should take five minutes to complete. Three complete cycles should be performed prior to going to bed.


Right side is done by doing the same movements in the opposite direction


Also search (right or left) Epley maneuver in you tube




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