So often we have clients come in for an assessment for their vertigo and report that they have been trying to do the EPLEY maneuverer themselves at home (often repetitively each day) and it hasn’t been helping them.
The Epley maneuverer is a specific canal repositioning treatment maneuverer to treat BPPV in either the right or the left posterior semi-circular canal. The Epley can only be effective when it is used to treat the correct canal. In the inner ear we have 6 semi-circular canals, 3 on the right, and 3 on the left. Before the Epley is used to treat BPPV it’s really important that you are assessed first - to determine that you actually have BPPV, and then to establish which canal the BPPV is in.
If you do not know which canal the BPPV is in, then the Epley may not help to treat the BPPV or resolve your vertigo. There is also a risk that you can worsen your BPPV by shifting the crystals into another or multiple canals.
It is also important to also consider that your symptoms of vertigo or dizziness is not always a result of BPPV! Before undertaking any treatment it is really important to have an assessment to determine the root cause of your symptoms. Doing vestibular/vertigo treatments can provoke your symptoms more and can be traumatic for people - an experienced therapist can talk you through exactly what is happening and why you are experiencing your symptoms, and provide ongoing reassurance that you are safe when your body and symptoms tell you otherwise.
Once a diagnosis of BPPV has been established your vestibular therapist will then be able to prescribe any further canal repositioning manoeuvres to do at home, and give you individualised instructions on how to specifically for your BPPV.
Please get assessed for BPPV before you start doing the Epley at home!