To perform this maneuver, you need a flat surface (like your bed or floor), and a pillow to lay on, so that when you lay down your head will extend back. To see how to do the Epley Maneuver, watch the video or see the description of the Epley Maneuver below: To encourage the debris out of the canal and into the sac, Dr. It may take a while for the debris to work its way out of the canal naturally. What does this mean? The symptoms are gone? It should take a long time before the material finds its way into the canal again. If this debris dumps into the big sac of the inner ear, it is asymptomatic as they are no longer in the way of the pressure sensitive canal that tells us if we are moving in a direction. The good news is this blockage can work its way out of the canal, and dump into the big sac of the inner ear. Hence, you experience vertigo, which is very nauseating. Since you are not spinning, when your brain reflexively move your eyes like it should if you are spinning, it makes the world look like it is spinning around you. With this aberrant input, your poor brain incorrectly concludes that you must be spinning, and moves the eyes accordingly. If one ear is blocked, it cannot sense this motion, so your brain is told by one ear you are turning, and the other ear you are not. In healthy inner ears, without blockage, when you turn your head to the right, both ears agree that you are turning your head right. THE EPLEY MANEUVER TO TREAT BPPV DIZZINESSÄ«PPV, Benign paroxysmal positional vertigo, is caused by excessive debris in one of the canals of the inner ear.
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