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Modified Epley procedure for self-treatment of benign paroxysmal positional vertigo

Instructions for the patient: (A) Start by sitting on a bed and turn your head 45 degrees to the left. Place a pillow behind you so that on lying back it will be under your shoulders. (B) Lie back quickly with shoulders on the pillow, neck extended, and head resting on the bed. In this position the affected (left) ear is underneath. Wait for 30 seconds. (C) Turn your head 90 degrees to the right without raising it and wait again for 30 seconds. (D) Turn your body and head another 90 degrees to the right and wait for another 30 seconds. (E) Sit up on the right side. This maneuver should be performed three times per day. Repeat this daily until you are free from positional vertigo for 24 hours. (Contributed by Dr. Thomas Lempert.)

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Associated Disorders

  • Labyrinthine concussion
  • Meniere syndrome
  • Vestibular neuritis