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This treatment is used for a specific type of vertigo, called benign paroxysmal positional vertigo (BPPV), which is caused by tiny calcium crystals dislodging in the inner ear and brushing against nerves that control balance.
It’s not known what causes the fragments to dislodge but most sufferers are aged over 40, so experts think it could be part of the ageing process. The Epley maneuver, usually performed by a doctor or therapist, involves four separate head movements designed to use gravity to move the crystals back to a place where they will no longer cause symptoms.
The treatment takes place on the doctor’s coach and usually takes just a few minutes to complete. They are laid backwards with their head hanging 30 degrees over the edge of the couch and the affected ear to the ground. The head is rotated so they are facing downward with their nose 45 degrees below horizontal. This Youtube video, which demonstrates the practice, has been viewed by more than 1.5 million people.
Inform your doctor if you have neck or back problems as the exercise involves rotating the head. Symptoms should improve shortly after the procedure, although it can take up to 2 weeks to see a full recovery. However, even if treatment is not successful patients should be optimistic as BPPV is a condition that often goes away on its own after several weeks or months on its own.
Vertigo refers to a very distinct sensation that is similar to the feeling of spinning or motion that leads to dizziness. The basic symptom of vertigo is sensation oriented, often the sensation of the individual is moving through or around a room or the sensation of the room moving around an individual. Vertigo that stems from inner ear problems may be caused by benign positional vertigo, which means that vertigo attacks only happen when the individual is in a specific position. There is no evidence to support that there is a genetic link for determining risk factors for vertigo. Persistent vertigo, or vertigo that continues unrelieved, may very well interfere with things such as working, driving, and other important facets of every day life. Specific head positions can trigger attacks of vertigo, and thus should be identified as early as possible as even short episodes of vertigo are likely to be dangerous given the wrong situation. Those who suffer from long term vertigo need to understand their symptoms and how to keep themselves safe despite these symptoms.
Lowering your head past your shoulders can also cause your inner ear crystals to become dislodged and float around. Stretching your neck forwards, as if you’re reaching for something, can also affect your inner ear crystals. Chinese medicines, including acupuncture can be a great help when you just can’t seem to get rid of your vertigo symptoms.
Stress can make the symptoms of vertigo even worse, so if you’re living a hectic life, you need some mind and body medicine. Alternative therapies are available with a trained osteopath, such as craniosacral therapy. The above methods will help to minimize the effects of vertigo, depending on the kind you have.
When that happens, the wrong signals are sent to the brain, causing disorientation and dizziness.


In some cases it could be due to a knock to the head or an inner ear infection like labrynthitis. An attack is triggered by a change in head position – often getting out of bed, rolling over or just looking up. During treatment each head position is held for at least 30 seconds and movements between conducted quickly. It could be that your symptoms are due to a different condition and could not be treated by epley maneuver. The crystals are thought either to dissolve or move to a place within the inner ear where they cause no symptoms.
Subsequent symptoms may include difficulty swallowing, facial paralysis, double vision, blurry vision, slurred speech, or weakness or immobility of the extremities.
It also may stem from medication known as aminoglycoside antibiotics, injury, labyrinthitis, or Meniere’s disease. The physical examination may reveal problems such as eye movement issues, lack of coordination, loss of balance, weakness, or a sensory loss. It can also lead to severe falls which may incur broken bones, lacerations, head injuries, and even death. The physician may need to place restrictions on activities such as driving, working, and other daily activities especially while the cause of vertigo is being sought. Objective is when you feel as if the room is moving, and subjective is when you feel like you are moving. By sleeping with your head propped up on two or more pillows, you stop your inner ear crystals from moving and becoming dislodged as much. Unfortunately, this means you should avoid riding roller coasters and taking part in high impact sports.
If you do smoke, you are minimising the effectiveness of the treatment you’re receiving for vertigo. It helps to put your ear crystals back in place, helping to minimize the effects of vertigo. There are many medicines that treat vertigo, but your doctor will prescribe the best one to you. For example, Ginkgo Biloba, helps to improve blood circulation to the brain and can result in a decreased feeling of motion. Breathing exercises and meditation, as well as other relaxation techniques, can be effective in relieving your vertigo symptoms.
This is a hands on full body method designed to relieve your symptoms of vertigo and dizziness. Surgery can be effective if you suffer from conditions such as BPPV, Meniere’s disease, chronic labyrinthitis, and Vestibular Neuritis. Vertigo which stems from the vestibular nerve may be caused by typically either inflammation or nerve compression. These complications can be anywhere from annoying to life threatening, depending on the severity of the vertigo and how often it affects the patient. Antihistamines, anticholinergics, benzodiazepines, and promethazine may be used to treat the symptoms of vertigo. Vertigo can be caused by many things; usually a condition in the inner ear or with the brain.


You can also sleep on your back rather than your stomach or side to avoid unnecessary disruption of the ear crystals. For the sake of your vertigo and other problems you could encounter due to smoking, get the help you need to quit now.
You will be put into a number of different positions, designed to remove these crystals from the sensitive part of your inner ear.
People with vertigo may feel as though they are moving or spinning, or that the environment is actually moving or spinning, and this sensation leads to dizziness. Vertigo which originates in the brain stem may be caused by blood vessel diseases, migraine headaches, multiple sclerosis, or drugs such as aspirin, anticonvulsants, or alcohol. Tests can be done even if these symptoms do not readily appear during the time of the office visit. While it is possible to have a single episode of vertigo, it is much more common to have multiple episodes. Many people think that vertigo is a medical condition in itself, when in actual fact it is just a symptom. The physician can even show you how to do it yourself so you can do it at home next time you feel you need to. If you keep up a constant supplement taking plan for a few months, then you may find your symptoms improve. It can help to release tension in the head and temples, as well as increase the healing power of the whole body. Testing may include an MRI to scan the head or an MRA to scan the blood vessels inside the head, a head CT, caloric stimulation to test the eye response, EEG, lumbar puncture, blood tests, or electronystagmography. Vertigo is a symptom, because of which you either feel like you’re spinning, or the room is spinning. Some forms of vertigo will go away by themselves, while others will require medical treatment. It’s a great treatment for anybody, but if your vertigo was caused by an accident, then this kind of therapy could be perfect for you. When there is a problem within the inner ear, or the vestibular which connects the part of the inner ear that controls balance to the brainstem, it is called peripheral vertigo.
If an episode of vertigo is significantly different from other episodes of vertigo, a physician should be contacted right away.
It’s always best to visit a doctor to get your vertigo checked over before doing anything about it. Central vertigo is diagnosed when there is a problem within the brain itself, typically the back of the brain or the brain stem. Patients will need to learn that their vertigo is likely to strike during specific triggers, and learn to recognize those triggers.



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