The Epley Maneuver: A Treatment for Neck Vertigo

Neck vertigo, also known as benign paroxysmal positional vertigo (BPPV), is a common condition that affects millions of people worldwide. It occurs when tiny crystals called canaliths become detached from the utricle in the inner ear and move into one or more of the semicircular canals. These crystals then stimulate sensitive nerve hairs, sending false signals to the brain and causing dizziness, loss of balance, and other symptoms.

The Epley maneuver is a simple, non-invasive procedure that can help relieve neck vertigo symptoms by repositioning these detached canaliths back into their normal position. The procedure involves a series of movements that are designed to shift the crystals away from the sensitive nerve hairs in the inner ear.

To perform the Epley maneuver, patients typically sit on an exam table with their legs extended out in front of them. Their head is then positioned at a 45-degree angle, with the side experiencing the worst vertigo facing upward. The patient is then rolled onto their side so that the affected ear is facing downward, and held in this position for up to two minutes until the dizziness subsides.

Next, the patient's head is rotated 90 degrees in the other direction, away from the table, and held in this position for another two minutes. The procedure is then repeated several times, with the head being repositioned at a 30-degree angle towards the side of the body where the vertigo is experienced.

The Epley maneuver can be performed by a healthcare provider or patient themselves, although it is recommended to have a professional perform the procedure for the first time. The entire process typically takes around 10-15 minutes to complete and can provide significant symptom relief.

In addition to the Epley maneuver, doctors may also recommend wearing a soft collar or sleeping with two or more pillows to keep the head in a neutral position. Avoiding movements that could dislodge the crystals is also important, such as bending over quickly or tilting the head back and forth.

While the Epley maneuver is generally safe and effective, it may not be appropriate for everyone. Patients who have been diagnosed with conditions other than BPPV may require alternative treatments. Additionally, in rare cases, surgery on the ear canal may be necessary if the crystals do not reposition properly or symptoms persist after the procedure.

Overall, the Epley maneuver is a simple and effective treatment for neck vertigo that can provide significant symptom relief for many patients. By understanding how it works and following proper instructions, patients can help alleviate their symptoms and improve their quality of life.

Epley maneuver for neck vertigo