Home Treatment for Vertigo | BPPV | meniere's disease



**Contraindications to doing the Epley maneuver are disc prolapse, rheumatoid arthritis, stenosis, acute neck trauma , stroke, Heart disease.

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Dr. David Kulla here with Synergy Wellness Chiropractic & Physical Therapy. Today, this video is about the Epley maneuver. Now, the Epley maneuver is for vertigo, dizziness. Some people get the diagnosis of Meniere’s disease. Okay, now it’s important to understand and differentiate between the types of vertigo or dizziness. Now, you have two types. You have peripheral and you have central vertigo or dizziness. Now, it’s also called BPPV, benign paroxysmal positional vertigo. It’s a tongue twister, that one. But what it means is vertigo, dizziness caused by a sudden motion or movement, a quick movement, head to the side. If you have dizziness or you get lightheadedness when you move in a certain way, that means this technique will probably work on you. We have about an 84% success rate with this maneuver.

Now, it’s important to understand, also, you have three semicircular canals in the ear. You have an anterior, a posterior, and a horizontal semicircular canal. And those semicircular canals have calcium crystals on the ends of them, and sometimes they get loose, and you have little tiny little nerve endings along the middle part of the semicircular canal that gets stimulated when some of those calcium crystals are loose causing that lightheadedness and that dizziness.

So this only works, this Epley maneuver, only works for anterior or posterior issues with the semicircular canal, not the horizontal canal. And I’d say about 95% of cases of vertigo involve the anterior or the posterior semicircular canal. So that’s the good news. You have a 95% chance of this maneuver helping you. And sometimes we have to do this maneuver more than once.

So we’re going to go ahead and show you the maneuver. Priscila here has agreed to let us show you this maneuver. She’s from EmpowerMeNYC.com. She’s a health coach and helps a lot of people out, takes a unique approach between psychology and coaching to achieve really amazing results with people. But enough about that. Thanks for helping us.

Now, what we’re going to do is we’re going to check to see if she has any dizziness. And we also want to check the range of motion in the neck before we do this maneuver. So I’m going to have her turn her head 45 degree angle this way. And 90 degree would be all the way to looking right over her shoulder, her chin to her shoulder. So 45 degrees is right in between. And then we’re going to have her bring her head back. And I’m just going to take a look at her eyes. And do you have any dizziness?

No.

Okay. And then I want to look for a nystagmus, flickering of the eyes. You’ll notice it right away when you see it. And then we’re going to have you go back to neutral, and then a 45 degree angle to the left. Okay, just like that. And then look back. And same thing here. She’s able to make that motion no problem. You don’t have any dizziness there.

So now we’re going to test her for either a right or a left sided issue with the semicircular canals. We want to make sure we’re treating the right side with the Epley maneuver. So she has dizziness, she has had vertigo in the past to the left side. So we’re going to first test the right side. So what you want to do is you want to find a table and lay towards the end of the table. And what she’s going to do is she’s going to turn her head again, 45 degrees just like that. And then we’re going to have her lay down really quickly. Okay? So really fast. She’s going to lay right down on her back.
Now, if she had dizziness, this is the right side, so she usually gets it on the left side. But if she had dizziness here, what we would want to do is just make sure she’s in this position until the dizziness or the lightheadedness or the room spinning, until that stops, or one minute, whatever comes first. Okay. And typically it stops within 10, 15 seconds, sometimes 20, 30 seconds at most.

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Thanks for watching – Home Treatment for Dizziness, Balance Loss, Vertigo, Benign Paroxysmal Positional Vertigo (BPPV) nyc chiropractor synergy wellness chiropractic & physical therapy pllc

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