Comments on: Epley Maneuver – How many times should it take?

By: Clearwater Clinical

Clearwater Clinical — Mon, 23 Apr 2012 03:08:22 +0000

Thanks for your comments. What you describe seems a little atypical for BPPV. Although episodes can be severe, frightening and leave you with hours of nausea they are also short lived in the acute phase. Most people describe difficulty with certain movements (like lying down) but can move about freely so long as they avoid those movements. There are, of course, many other causes dizziness. It sounds like you have already seen an ENT doctor who was also a bit surprised at the severity of for symptoms if indeed you have BPPV. Betahistine (Serc) only really is supposed to work for Menieres disease not BPPV although many people do try it. Benzo’s like Cyclizine only sedate the patient making the vertigo a bit more tolerable. There are two other diagnosis that should be considered with peripheral vertigo which are labyrinthitis and Menieres disease. Make sure these have been ruled out. The Epley maneuver is very effective if you have BPPV and completely useless if you don’t. Getting the right diagnosis is important. If you haven’t reached a final diagnosis seek further medical attention with an ENT specializing in vertigo (a vestibular specialist). Keep us posted and good luck.

By: Clearwater Clinical

Clearwater Clinical — Thu, 19 Apr 2012 01:30:26 +0000

Ahh – what you may have done is convert a posterior BPPV into a Horizontal one. If you know which side you can do a “Log Roll Manuevuer”. This is quite simple and will get rid of the worse BPPV. The most important thing is the right diagnosis and the right side. The good thing about horizontal BPPV is that it is often short lived and is easier to get rid of. Sadly it is worse in terms of the vertigo is more intense. About 5% of people who treat Posterior BPPV will convert to the horizontal. It happens when some of the crystals fall out of one canal and right back down into another. Bad luck I am afraid. Look up the log roll maneuver.

By: steve

steve — Sun, 15 Apr 2012 13:50:30 +0000

had vertigo about 2 weeks ago. diagnosed as bppv. dr did an epley maneuver but symptoms did not clear. went to a new dr who cofirmed diagnosis and said i just had it in both ears. 1 had clears so he cleared the other. felt good for 4 days and woke up this morning with some vertigo again. thought it was in the left ear so i did the epley on that side. had virtually no symptoms as went through the epley, so though i just had the wrong side. i did the epley on the right side and am so much worse. i can barely move without triggering it. cannot call my dr until tomorrow. should i try the epley on the right side again?

By: Tracey

Tracey — Tue, 14 Feb 2012 13:12:29 +0000

Hi, I am 43 and since 3/01/2012 I was diagnosed with bppv, I have never had this before and it has completely affected my ability to move around on a day to day basis. A number of doctors have been out to see me and I was prescribed betahistine and cyclizine, the vomiting and feeling sick cleared but I had a bad fall and hit my head and badley bruised my thigh, I was then prescribed antibiotics as the doctor said my thigh had got infected,I am due to speak with my doctor tomorrow and will be asking fo if another cause of antibiotics may be useful as 4 weeks later I still have a lump which is tender and still bruised on my thigh.I was referred to an ent specialist who advised my symptoms where very severe, he didn’t want to do the epley maneuver as he said it would make me feel worse,I advised I had been alot worse than I now was even though he was saying I was in a bad way. I slept over the next 48 hours sat up and I don’t feel any better, he advised that I was looking at months to get better not weeks and to only go back to see him if I got any worse.I am still off work and they are not helping me as I can only advise them of what my doctors and specialist have advised.whilst taking the medication at least I was not feeling or being sick and my left ear seemed to clear up, but my specialist advised me to only use the cyclizine as and when, but to stop the beta all together.I still feel alot of pressure in my right ear and when I get up and move around I am extremely unsteady and hold on to furniture, I can’t say I am not stressed as that would be a lie, work is not helping me as I feel they think there is a quick fix to this even though I have explained everything to them, I have read on here obviously if I don’t have bppv the epley won’t work, my employer wants me to ask to have it done again, he does not realize that if I don’t have bppv and have another type of vertigo this will not work, but also I have ostoarthritus which I have had to cancel various appointments for recently as I am unable to attend, the epley affected my hips and also my neck, please can you help.

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Wed, 25 Jan 2012 04:16:28 +0000

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By: Clearwater Clinical

Clearwater Clinical — Mon, 14 Nov 2011 01:05:29 +0000

We’re glad your son is feeling better. Although the nausea associated with BPPV can last for quite a while it is unusual for the spinning to last for more than a couple of minutes. I would again confirm the diagnosis you have with your physician.

To clarify BPV is Migraine related. However, BPPV is the one more commonly found in adults for which the Epley maneuver is useful. If your son has BPV then the Epley maneuver will not likely have any impact. You should perhaps speak with your physician to clarify.

By: Clearwater Clinical

Clearwater Clinical — Mon, 14 Nov 2011 01:02:44 +0000

We’re glad you are feeling better. There is no way for us to judge what is safe for you to do at this stage. Our best recommendation is to seek local medical advice, which it appears you have done already. BPPV, if that is indeed what you have, normally only comes on with motion such as sitting up, rolling over, bending under etc. Other forms of vertigo can come on at any time like Meniere’s disease.

By: jimlynch

jimlynch — Sun, 13 Nov 2011 20:18:08 +0000

After reading the many comments by your readers I think I understand a little more what is happening to me. I woke up with vertigo when I got out of bed. The room spinning sweating and nausea. I performed the Epley. Didn’t seem to work. I went to the doctor and I was seeing double. I went to the E-room and had an MRI everything is OK. I’m a have been off work for 4 days. Unfortunately I drive a crazy Interstate for 37 miles to work. I think I’m in the lightheaded stage because the room didn’t spin after the first day. Is it safe to drive in this lightheaded stage or should you wait until you feel completly normal?

By: Aarthy

Aarthy — Sun, 13 Nov 2011 09:40:39 +0000

Today my son( 12 years) is again attacked by vertigo. Before this, the attack continues for 24 hours. Today only we are trying Epley Manuver on watching http://www.youtube.com/watch?v=2L-wjO7Njio. After trying Epley Manuver , first stomach ache gone. After 15 minutes, he is completely recovered from vertigo.

We are very happy and thank you for your answer. In your comment, you are asking “Is it a BPV or BPPV?” to our son . In his report, it says BPV. Now we are confused if he is attacked by BPPV or BPV?

Thanks again for your kind reply.

By: Clearwater Clinical

Clearwater Clinical — Fri, 11 Nov 2011 21:36:19 +0000

Thanks for your comments. BPPV in a child is quite uncommon. So-called “Benign Paroxysmal Vertigo” (BPV) of childhood is actually different than BPPV. The disorder in children is more often related to migraine. You will have to clarify what your doctors told you. BPPV or BPV? They are different. Treatment for BPPV is with positioning maneuvers like the Epley. Treatment of BPV is the same as for migraine.

In answer to your questions:
1) The side on which you get vertigo when you lie down is the ear in which you have a problem.
2) No there is no seasonal variation.
3) Vertigo is a broad terms encompassing many different problems. First you need to find out what his problem is before you find a solution
4) Yes food can certainly trigger migraine and some foods (alcohol, caffeine) can make vertigo worse. You might like to try a food log so you can correlate diet and symptoms.