if I have my rocks loose (BPPV)? I recently had a client come in who woke up spinning when she rolled over in bed. One of her health care providers taught her the Epley Maneuver to do for both ears and so she tried these "exercises." As a result, she felt no relief and became more nauseated.
Upon examination, I discovered one possible reason the Epley Manuever did not not work: the calcium crystals were loose in the lateral canal instead of the posterior canal. The Epley Maneuver is for the posterior canal and the 360 degree/270 degree rolls are for the lateral canal. After two 360 degree rolls and one 270 degree roll, her otoconia appeared to be in place.
Treatment for BPPV is most successful when prescribed and completed by a health care provider trained in determining which canal requires repositioning. There are different maneuvers that should be performed and the direction in which the maneuver is performed will depend upon the side in which the BPPV is located.
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