Dr. The patient should lie supine on the exam table, affected ear down. If the Epley maneuver doesn’t work for you at home, let your doctor know. Of course, it doesn't really. Typically, one repetition of the home Epley maneuver is required to treat your symptoms caused by BPPV. So far, I don't think the Aclovir has helped. If you have developed dizziness due to vertigo, then you understand how devastating this. They detect motion and send this information to your brain. I would first watch some YouTube videos on the "Epley Maneuver", because this little plastic gimmicky contraption is designed to mirror that which is said to help benefit certain types of Vertigo. (2014) found that the Semont maneuver was more effective than sham maneuvers or control. Introduction. Gregg Gerstin discusses what to do when the Epley maneuver doesn’t work for vertigo. The Epley and Semont maneuvers are exercises used to treat benign paroxysmal positional vertigo (BPPV). Semont maneuver and three repetitions of the Epley maneuver, effectively reducing the nystagmus by the end of his first session. The original maneuver was first described by John Epley in 1980 also. (on a side note, check out the Half Somersault maneuver as well - less scary!To do the Brandt-Daroff exercise: Start in an upright, seated position. A single 10- to 15-minute session usually is all that's needed. The Semont maneuver may work to stop symptoms of BPPV. To get up from a lying position, slowly sit up and stay seated for a few moments before standing. But the evidence is not as good as it is for the Epley. Gans et al. Roll onto the shoulder of the side the head is facing while maintaining head. Because the head positions are the same, the results are the same. How many times do you do epley maneuver. It depends on your tolerance - you could try a few in the morning and a few before bed. Background: In a previous study we demonstrated that the SM+ is superior to the regular SM. Causes of BPPV can include: A head injury Problems after ear surgery Meniere’s disease Other problems with the balance-related part of your inner ear (vestibular system). First, figure out which ear the bppv is in. Epley maneuver: A Simple Treatment for a Common Cause of Vertigo. Canalith repositioning maneuvers (most commonly the Epley maneuver Epley maneuver: A simple treatment for a common cause of vertigo or, less commonly, the Semont, maneuver or Brandt-Daroff exercises) involve moving the head through a series of specific positions intended to return the errant canalith to the utricle. The Epley maneuver is popular in ENT practices in the U. Following the maneuvers instruct the patient: Wait 10 minutes before leaving the office, Avoid sudden head movement, Have another person drive you home. Finally found a doctor who said I have simple BPPV and should try the Epley maneuver. If you are experiencing vertigo that is caused by conditions other than BPPV, the Epley maneuver may not be appropriate for you. The maneuver is done. The stones stimulate nerves and. Agee then engaged in a finely-tuned series of maneuvers, known collectively as the Epley maneuver, that sent the crystals back to where they belong. Epley maneuver. Or you may have another problem that’s causing your symptoms of vertigo. If the Epley maneuver isn't helping you, it may be because: You have too many loose crystals. They detect motion and send this information to your brain. This maneuver requires the patient to turn their head 45 degrees toward the affected side while seated on a bed or exam table (position 1). You should be able to be active after doing the home Epley maneuver. but may take longer than the Epley maneuver to work. If the maneuver doesn’t work, call your healthcare provider. This type of vertigo often arises from the inner ear, which is part of the body's balance mechanism. Enhanced and Enlarged adenoids also create the obstruction of the Eustachian tube and cause bacterial growth which leads to ear infections. The Epley maneuver5 is effective in treating PSC-BPPV, the most common BPPV variant. This is due to the sudden change in orientation and the rush of blood and inner ear fluids, which can cause nausea and dizziness. The Epley and Semont maneuvers are exercises used to treat benign paroxysmal positional vertigo (BPPV). , 2015). John Epley in response to the need for non-invasive treatment for benign paroxysmal positional vertigo (BPPV). Epley maneuver is an exercise that can treat the symptoms of benign paroxysmal positional vertigo (BPPV). A single 10- to 15-minute session usually is all that is needed. Articles reporting the effects of the Epley maneuver in the short term stated that 91% of participants felt improvement of symptoms with one to three therapy maneuvers. Once on your back your head should be below the level of. If you've been diagnosed with BPPV (aka Benign Paroxysmal Positional Vertigo), the "Epley Maneuver" is an excellent treatment option. 2 The. During the Epley maneuver, your doctor will use movements to reposition crystals in your ear that may be causing dizziness and nausea. The technique for left. Hold this position for 30 seconds. S. When your head is firmly moved into different positions, the crystal debris (canaliths) causing vertigo will move freely and no longer cause symptoms. 9. The Epley and Semont maneuvers are exercises used to treat benign paroxysmal positional vertigo (BPPV). The home Epley maneuver is a type about exercise help that serves the treat the what regarding benign paroxysmal positional vertigo (BPPV). What to avoid after BPPV treatment includes bending forward to put on your shoes, leaning back to recline, and tipping your chin down to check your phone. She first did many tests to see which of the 6 inner ear canals were effected. The Epley and Semont procedures are safe and work well to treat BPPV. Repeat this daily until free from positional vertigo for 24 hours. Participants in the Epley maneuver group experienced short-term resolution of vertigo 56% of the time vs. 5958/0973-5674. Semont and colleagues (1988) reported that more than 84% of the patients were cured after a single maneuver and 93% after two maneuvers. The exercise should stop once you are symptom-free. For left sided BPPV you are going to turn your head over your left shoulder and lay flat on your back. If this exercise doesn't work, you may have other conditions that are causing your symptoms of vertigo. Quickly turn the head 90° towards the unaffected side, facing up. People who have BPPV can work with an audiologist or physical therapist to develop a personalized treatment plan. How to do the Epley maneuver – for Right side BPPV. I have to wait it out for a month and a half until it dissolves on it’s own, so I am literally spinning 365 days a year. Step 4 is held for 20 toThe Epley and/or Semont maneuvers as described above can be done at home (Radke et al, 1999; Furman and Hain, 2004). The Epley maneuver was introduced by Epley in 1992. We designed a self-administered exercise, the half somersault, for home use. Surface Studio vs iMac – Which Should You Pick? 5 Ways to Connect Wireless Headphones to TV. 3. Pediatrics 35 years experience. It was found that that 63. Answer: The Epley maneuver is a simple but time-consuming treatment for a certain form of vertigo (386. Sit on the edge of your bed and turn your head about 45 degrees to the left. Canalith repositioning. said, with BPPV the posterior canal is affected 85-95% of the time, the lateral canal 5-15% of the time, and the anterior. The treatment consists of doing certain head and body movements in a specific order. [3] Prior to the use of CRP, BPPV was often treated surgically. Place your forehead of the floor, tucking your chin toward your knees. In my experience, and in practically every study that has looked at it, if you do the Epley maneuver in the right patient, the right way, then the cure rate with the first maneuver is 80%. Turn the head 90° so affected ear is up. After the Semont maneuver is performed, you should try to remain upright for a few hours. However, the effects of the optimal movement plane on treatment success have not been investigated. Epley maneuver for BPPV. Talk to a doctor now. Following the maneuvers instruct the patient: Wait 10 minutes before leaving the office, Avoid sudden head movement, Have another person drive you home. It's called the Heimlich maneuver. If the maneuver doesn’t work, call your healthcare provider. The home Epley maneuver only works to treat vertigo from BPPV. History (one or more required) Description of paroxysmal vertigo or unsteadiness Vertigo, typically lasting less than a minute, usually associated with lying down, sitting up, turning side to side in bed, or any significant movement of the head and. The method (for. It has a cure rate of roughly an 80%. I saw her for over two months as we tried to 'fix' my BPPV. 07 ± . I did it once in the hospital, didn’t feel any relief, and moved on trying to find answers. The Semont maneuver has similar limitations. It has help me recover faster with vertigo, dizziness and the spinning. Rotate the head 90 degrees so it faces the opposite side at a 45-degree angle. Often many have to do the Epley (or whichever maneuver is correct) multiple times. John Epley designed a series of movements to dislodge the crystals from the semicircular canals. If the Epley maneuver isn't helping you, it may be because: You have too many loose crystals. 5. A single 10- to 15-minute session usually is all that's needed. 4. Summary. A person can use any soft surface, such as a mat on the floor or the edge of a bed or couch. 3 times more likely to have BPPV. Created for people with ongoing healthcare needs but benefits everyone. Overview. Before you agree to the test or the procedure make sure you know: The. However, it has limitations, listed below, that may reduce its utility as a home exercise. My dad will see the Dr. Figures /. The efficiency of the Epley maneuver in comparison to other maneuvers and medication treatments is reported in many studies [10, 15,16,17,18,19]. However, there are actually twelve different presentations of BPPV with ten different patterns of nystagmus and a minimum of ten different treatment maneuvers required to manage all the variants. Results: The simulation showed that the supine head-hanging test is a good test for diagnosis of ac-BPPV affecting both labyrinths and demonstrated why there. This maneuver is done with the assistance of a doctor or physical therapist. Watch on. The USA’s popular ESPN’s SportsCenter programe has actually also showcased Calvin’s video clip. The home Epley maneuver is ampere type from exercise help that helps on process the symptoms of benign intermittent positional vertigo (BPPV). Balance exercises for vertigo may help. A study showed that the Epley maneuver has a 93% success rate in treating positional vertigo crystals. But, to help relieve BPPV sooner, your doctor, audiologist or physical therapist may treat you with a series of movements known as the canalith repositioning procedure. Step 1: Start sitting up on a bed, with your legs flat on the bed in front of you. Your provider may teach you how to perform the maneuver at home. The. After my friend came back cured from Johns Hopkins, I booked a flight to Dr. Brandt-Daroff exercises are used to help accommodate your brain to the changes that occurred when your BPPV first started. Wait in this position for 30 seconds. Causes of BPPV can include: A head injury Problems after ear surgery Meniere’s disease Other problems with the balance-related part of your inner ear (vestibular. Next steps. In BPPV, the calcium crystals (canaliths) from the utricle detach from there and ends up in the semicircular canals of. Make sure your vertigo has really gone away before doing anything dangerous, such as driving. A, Turn the head 45 degrees toward the affected ear. Your doctor or another trained professional should perform the procedure in. Many of them tend to be recorded in her bed room with Julie performing. It’s called the Epley maneuver, and it’s simple enough that you can do it at home. a combination of medications. They are designed to bring the crystals around the canal and back into the place they should be, the utricle. 1 Among patients admitted to specialized dizziness clinic, 20-30% are diagnosed with BPPV 2 This vestibular disorder is characterized by short repeated episodes of. Your semicircular canals are found inside your ear. . Epley maneuver. John Epley designed a series of movements to dislodge the crystals from the semicircular canals. Gerakan ini dapat dilakukan sendiri oleh penderita ketika serangan vertigo datang. They are done with the help of a doctor or physical therapist. Canalith repositioning, also known as the Epley maneuver, is a technique that involves a series of special head and body movements. If this test doesn't show a clear result, you may be asked to do other tests. You have excessive. It is a simple Manuever and if it works it is truly a wonderful thing! BadgeBunny and SoJ_51. Babac S, Arsović N. Finally found a doctor who said I have simple BPPV and should try the Epley maneuver. The patient is held in the right head hanging position (Step 2) for 20 to 30 seconds, and then in Step 3 the head is turned 90 degrees toward the unaffected side. It is also used for vertigo (dizziness or lightheadedness) caused by ear problems. If the vertigo persists after one treatment, a second maneuver in the office is usually effective. Here’s how it works for the left ear: Start by sitting on the edge of your bed. Recurrences can occur, and repeat repositioning treatments are often necessary. Central Vestibular Disease. People can be trained to do the Epley maneuver at home if positional vertigo recurs. 64-2. $44 video appointments with $19/month membership *. Semont maneuver. There was no difference when Semont was compared to the Epley maneuver. You can use the Dix Hallpike for this. Make sure to clear away any objects that might cause stumbling or tripping. It have been shown to be safe and can be effective at resolving BPPV in 50-85% of cases (2014, 2013). John Epley, is the main treatment option for p-BPPV and has been shown to be a safe and effective option for treatment, in randomized controlled trials. You should be able to be active after doing the home Epley maneuver. Recurrences can occur, and repeat repositioning treatments are often necessary. A particle repositioning maneuver for the treatment of BPPV – with the aim of moving the canaliths out of the posterior semicircular, back into the utricle. Once you know which ear has some. didnt work. You know you are better if you get an immediate relief of your vertigo. The home Epley maneuver can help you treat your vertigo caused by benign paroxysmal positional vertigo (BPPV). Have the patient roll onto their left side. Maneuvers for horizontal canal BPPV Because of the relative rarity of horizontal canal BPPV, there are no best practices established for treatment maneuvers; however, the most widely studied is the Lempert maneuver. Without changing your head position, the doctor will guide you back quickly so. Learn how we can help. After suffering with this our doctor told us about the Epley maneuver, we watched a video and tried it, and she was 90% better in minutes. I knew about it and was searching for directions on the internet and found this device. In some people, the vertigo recurs. Low blood sugar (hypoglycemia). GameStop Moderna Pfizer Johnson & Johnson AstraZeneca Walgreens Best Buy Novavax SpaceX Tesla. Though the Epley maneuver has since received a few adjustments, it remains. These movements bring the crystals back to the utricle, where they belong. T he initial step in the Epley maneuver is the Dix Hallpike (DH) maneuver, a variation ofModified Epley’s maneuver and modified Semont’s maneuver as described by Radke et al. 4% in the general population. then turn head to right for 1 minute 3. The maneuver was not repeated if it was successful. The diagnosis of BPPV is based on history and findings on positional testing. It have been shown to be safe and can be effective at resolving BPPV in 50-85% of cases (2014, 2013). This is called the particle repositioning maneuver or the Epley Maneuver and the DizzyFIX works like a visual set of instructions for the maneuver. They are done with the help of a doctor or physical therapist. They are done with the help of a doctor or physical therapist. You may have brain and nervous system (neurological) tests to rule out other causes. Created for people with ongoing healthcare needs but benefits everyone. It won't do you any real harm but it can make you feel a lot worse. Epley maneuver adalah prosedur yang diperkenalkan oleh dr. The. The Epley maneuver is popular in ENT practices in the U. The home Epley maneuver only works to treat vertigo from BPPV. The original Epley maneuver was designed to be done with a healthcare provider. the maneuver incorrectly (p 0. This plan may include exercises, medication. The one that your doctor recommends depends on where in your ear the stones are found. The doctor will turn your head so that it is halfway between looking straight ahead and looking directly to the side that causes the worst vertigo. If symptoms have appeared on either the right or left side of your body, you can use the Epley maneuver for vertigo. This is less common in the U. For some patients, the only solution is. All non-invasive. These exercise parameters include the angle of the head, how quickly the movements are made, the direction. This is done by using maneuvers such as the Epley maneuver, Semont maneuver and the Brandt Daroff exercise. A single 10- to 15-minute session usually is all that's needed. Hold for 30. Since then, this mEpley maneuver has been considered the gold standard for the treatment of PC-BPPV [5,9]. Episodes of vertigo can last a few seconds, a few minutes, a few hours, or even a few days. Turn your head to the other side at a 90° angle. A single 10- to 15-minute session usually is all that is needed. The home Epley maneuver only works to treat vertigo from BPPV. The Epley maneuver utilizes gravity to displace the otoconial debris from the posterior semicircular canal back into the vestibule as the patient is moved successively through a series of head positions (Table 1. But not all the way. Much like the Epley Maneuver is a continuation of the Dix-Hallpike Test, this therapeutic maneuver is a continuation of the Sidelying Test. He and Epley flipped and turned the hand-size model as they might a kid’s puzzle, to work out a sequence of moves to reposition the tiny metal balls. It can be done by your doctor, an audiologist or a physical therapist and involves maneuvering the position of your head. The maneuver—which involves first turning the sufferer’s head to the side at an angle halfway between face-forward and completely over the shoulder, then leaning the person backward on a bed. You can do this exercise at home. Spread the love. How is the Epley maneuver. Read More. The Epley Maneuver for the Right Ear. . The maneuver is also called the particle (canalith) repositionin. Give Patient Home Epley Maneuver to perform three times a day. Avoid sudden movements or position changes. Vojnosanit Pregl. A mild, if very annoying condition, BPV is truly benign. Sometimes helps: The epley maneuver is to treat benign paroxysmal positional vertigo (bppv) dizziness. Once on your back your head should be below the level of. 8, 9 The mechanism of freely floating otoconial debris inside the semicircular canal provoking head movement related symptoms has been well understood, and Semont and Epley maneuvers have been the first line treatment for years. This medicine is available only with your. and is often taught for home use [Radtke et al. They detect motion and send this information to your brain. Eighty-five percent of those hits were for just five videos, with the video getting the most hits (802,471 hits) being a video from the American Academy of. The head should rotate an additional 90°, resulting in a total head rotation of 45° to the left relative to the horizontal position. This might happen if another calcium crystal ends up in your semicircular canals. Since other studies showed. The patient turned 45° toward the affected side, lay down, and lowered the head 20°. There’s never been a better time in history to suffer from BPPV, since it can be so easily resolved by these maneuvers. , 1999]. Try standing with your feet together, arms down, and slowly moving your head from side to side. People with vertigo experience a feeling. Three repositioning maneuvers were simulated: 1) the Yacovino maneuver and its modifications, 2) the reverse Epley maneuver and 3) the short canal repositioning (CRP) maneuver. The Epley maneuver is also called the particle repositioning or canalith repositioning procedure. Crystals have drifted into more than one semicircular canal. A single 10- to 15-minute session usually is all that is needed. If a maneuver works but symptoms recur or the response is only partial, another trial of the maneuver may be advised. A difference between BPPV treatment and my pinball game analogy is that we cannot see the pinball track inside the skull bones when we treat BPPV crystals . Move into the lying position on one side with your nose pointed up at about a 45-degree angle. You may have brain and nervous system (neurological) tests to rule out other causes. The Epley and Semont maneuvers are exercises used to treat benign paroxysmal positional vertigo (BPPV). The home Epley maneuver only works to treat vertigo from BPPV. NARRATIVE. The indirect causation. Epley Maneuver. Remain in this position for about 30 seconds (or until the vertigo subsides, whichever is longer), then move back to the seated position. The treatment of BPPV using the EM, Semont maneuver, or Gans maneuver has immediate. That being. The epley (; semont) maneuvers are relatively recent discoveries so in the not-too-distant past when people developed this type of vertigo it was usually self-limited (doctors used to blame it on viruses). How long does it take for Epley maneuver to work? For some people, the Epley maneuver works after one or two executions. I had such anxiety every time I had to do it. On 16th October, the EPL’s provide ended up being declined by the EFL, aided by the latter arguing that any settlement ‘must meet up with the requirements of all of the 72 clubs’ (BBC, 16 October, 2020). You’ll know the maneuver has worked if your vertigo is gone. Hello Rebecca. However, the efficacy of the EM is comparable to that of other CRPs, such as the Semont and Gans maneuvers . Hold each position for 45 seconds or until vertigo subsides. The Epley maneuver has saved me from months of vertigo. People can be trained to do the Epley maneuver at home if positional vertigo recurs. A comparison of the Dix-Hallpike test and the. BPPV is caused by a problem in your inner ear. Make sure you hold on to something when standing. The theory behind these therapies is. Yes, it is normal to feel sick after performing the Epley maneuver. The Epley maneuver has been shown to be 80 percent effective in relieving BPPV-related dizziness. 11, Benign paroxysmal positional vertigo) caused by small calcium carbonate stones that have moved from the vestibule of the inner ear into the semicircular canals, where your sense of balance rests. Offer (literal) support for sleep and rest. A high percentage of patients will report resolution of positional vertigo after undergoing a repositioning treatment, but more than one in three will continue to describe more vague symptoms of imbalance and movement related visual disorientation and instability in the days to weeks. Prior to the development of the procedure, doctors typically treated BPPV with surgery. Many Doctors are familiar with the Epley Maneuver, which is one Canalith Repositioning Maneuver used to treat the most common presentation of BPPV. Benign paroxysmal positional vertigo (BPPV) is the most common type of vestibular disorder with a lifetime prevalence estimated at 2. This type of vertigo often arises from the inner ear, which is part of the body's balance mechanism. Don't do it on your own have your ENT or a therapist do it. This is called vertigo. After. Connect with a U. The Epley maneuver is designed to treat the most common variant, posterior canal BPPV. Before you agree to the test or the procedure make sure you know: The. The Epley and Semont maneuvers are exercises used to treat benign paroxysmal positional vertigo (BPPV). If this exercise doesn't work, you may have other conditions that are causing your symptoms of vertigo. Open mobile menu. Canalith repositioning, also known as the Epley maneuver, is a technique that involves a series of special head and body movements. 21% of the time among those in the sham maneuver or control groups (odds ratio [OR] = 4. 1%, and three in 3. The home Epley maneuver only works to treat vertigo from BPPV. Sometimes people do complain of neck pain during or after the treatment. Dr. The Epley maneuver is used to treat benign paroxysmal positional vertigo (BPPV) by repositions the canalith from the semicircular canal into the vestibule 1). Too slow and it will cause the crystal to fall back into the canal. Epley maneuver: Step 1. The Epley maneuver is a series of head movements to relieve symptoms of benign positional vertigo. . Epley maneuver: Step 1. Episodes of vertigo can last a few seconds, a few minutes, a few hours, or even a few days. Three factors make it more likely that ear crystals may loosen: If you’re 65 or older. A Cochrane review including 11 trials with 745 patients showed it to be more effective than sham maneuvers and controls,13 and we have shown the success rate to be 78. This will relieve the dizziness and nausea by stopping the displacement of the fluid. For the Epley maneuver, the patient sat on the examination bed, the examiner stood behind the patient, and the assistant stood at the patient's right side. A single 10- to 15-minute session usually is all that's needed. The other forms of vertigo come on differently. Turn your head 45 degrees to the left. Sending them to a PT who knows how to do the Epley is perfect. Of the patients, 67. This maneuver is designed to position the head at an angle from where gravity is the key to help relieve the symptoms. Epley maneuver. Vertigo and dizziness are common problems but trained therapists can often treat them successfully. The term for it is “upbeating torsional nystagmus” and capturing the eye movements on video provided Watson the information needed to get to work treating the patient. Most of the time, treatment will cure BPPV. Boris had needed to be carried into the clinic on arrival, however, immediately following this first session he was able to walk with assistance out of the clinic. therapy with medications or special maneuvers while you are still in the office or emergency department to see if they work. BPPV is the most common cause in patients with dizziness or vertigo with an incidence ranging. In some cases, the Epley maneuver does not help. Turn your entire body to that same side. Epley’s next course. Indian J Physiother Occup Ther. Recurrences can. Because of this, they are commonly associated. Three factors make it more likely that ear crystals may loosen: If you’re 65 or older. Your PT may ask that you sleep with your head propped up on a few pillows to help you remain slightly upright. 12 In a meta-analysis on the efficacy of Epley maneuver, it has been shown that Epley. If it originates from the right side, swap sides. The Clinical Response Time of Epley Maneuvers for Treatment of BPPV: A Hospital Based Study. The exercises involve sitting on your bed and moving into a. The semicircular canal of the inner ear detects motion and sends the information to the brain. We often recommend the home-Epley to our patients who have a clear diagnosis. If the Epley maneuver is unsuccessful you will typically be sent home with some medication and told the attacks will usually go away on their own in a few weeks. The home Epley maneuver is a type of exercise. Wait 30 seconds. The person helping you should tilt your upper body back quickly to have you lie on your back where your head is hanging off the side of the surface you are sitting on with your head still turned about 45 degrees. With both hands holding the patient's head, gently lay the patient down in the supine position with the head hanging over the edge of the bed. Meclizine is an antihistamine. This case, in which a patient experienced a hemorrhagic stroke after undergoing the Epley maneuver, is the first and sole case in the medical literature of an Epley-associated serious adverse event. Fortunately, there’s a simple fix for this problem: the Epley maneuver. The Epley Maneuver, introduced in 1992 by the pioneer Dr. Description 1. After Epley maneuver treatment, the patient may begin walking with caution. Some people are using Internet videos to self-treat the condition at home using a maneuver called the Epley maneuver. If you have the wrong diagnosis, or do it incorrectly, then the cure rate is zero. slide 1 of 4. [Google Scholar]The Epley maneuver is safe and effective, and there are no prior reports of serious adverse events associated with its use. The procedure uses several simple head movements. When your head is firmly moved into different positions, the crystal debris (canaliths) causing vertigo will move freely and no longer cause symptoms. You won’t experience the same “spinning” sensation caused by BPPV, but it’s enough to make you guard your head movements. This treats the symptoms of vertigo. Of the 145 patients, 114 (79%) exhibited a resolution of BPPV, whereas 19 (13%) exhibited. John Epley in response to the need for non-invasive treatment for benign paroxysmal positional vertigo (BPPV). MilwPT. They went on to state that other European physicians, including physicians in Switzerland, Italy, and Belgium, who were taught the maneuver found a similar cure rate. For some patients, the only solution is. The home Epley maneuver only works to treat vertigo from BPPV. 6%. Pediatrics 35 years experience. A physical therapist or an audiologist also can do the maneuver, or you can even do it at home yourself. They conducted a search on YouTube in August 2011 for related videos, and found 33 that were demonstrations for the Epley maneuver. When I had my first episode, I got rid of it completely for a few months by just doing the vestibular exercises plus. For ME - during the Epley, I'd always get the 30ish seconds of Vertigo/nystagmus during the first move (laying back with head turned), and then again when I'd sit back up (the last step). The 33 videos had a total of 2,755,607 hits. Some people are using Internet videos to self-treat the condition at home using a maneuver called the Epley maneuver.