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Vertigo Maneuvers Epley, Semont, Foster, and Brandt-Daroff

The document provides instructions for home remedies to treat vertigo, including the Epley maneuver, Semont maneuver, half-somersault maneuver, and Brandt-Daroff exercise. These maneuvers aim to move loose crystals in the inner ear using head movements and positions held for 30 seconds to relieve dizziness. It recommends seeing a doctor first and doing the exercises daily until symptoms stop for 24 hours.

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337 views5 pages

Vertigo Maneuvers Epley, Semont, Foster, and Brandt-Daroff

The document provides instructions for home remedies to treat vertigo, including the Epley maneuver, Semont maneuver, half-somersault maneuver, and Brandt-Daroff exercise. These maneuvers aim to move loose crystals in the inner ear using head movements and positions held for 30 seconds to relieve dizziness. It recommends seeing a doctor first and doing the exercises daily until symptoms stop for 24 hours.

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Ido
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Home Remedies for Vertigo

 Medically Reviewed by Christopher Melinosky, MD on June 30, 2020

The spinning sensation and dizziness you get from vertigo can limit your activities
and make you feel sick. Depending on the cause, though, some simple maneuvers
you can do at home might bring relief.

The most common type of this condition is BPPV (benign paroxysmal positional
vertigo). It happens when small crystals of calcium get loose in your inner ear. You
may feel it when you're getting in or out of bed, or tilting your head up. People
over age 60 are more likely to get BPPV. It’s also the easiest type of vertigo to treat.

Before you try to treat it yourself, see your doctor. If you have vertigo, you'll need
to know what type it is and which ear has the problem. To determine affected side:

Sit on bed so that if you lie down, your head hangs slightly over the end of the
bed.

turn head to the right and lie back quickly.

Wait 1 minute.

If you feel dizzy, then the right ear is your affected ear.

If no dizziness occurs, sit up.


Wait 1 minute.

Turn head to the left and lie back quickly. 8.Wait 1 minute. 9.If you feel dizzy,
then the left ear is your affected ear.

If you have BPPV, certain actions can move the calcium crystals that cause the
problem out of your ear canal. That should bring relief.

Your doctor or a therapist can show you how to do these moves.

Epley Maneuver

If your vertigo comes from your left ear and side:

1. Sit on the edge of your bed. Turn your head 45 degrees to the left (not as far
as your left shoulder). Place a pillow under you so when you lie down, it rests
between your shoulders rather than under your head.
2. Quickly lie down on your back, with your head on the bed (still at the 45-
degree angle). The pillow should be under your shoulders. Wait 30 seconds
(for any vertigo to stop).
3. Turn your head halfway (90 degrees) to the right without raising it. Wait 30
seconds.
4. Turn your head and body on its side to the right, so you're looking at the floor.
Wait 30 seconds.
5. Slowly sit up, but remain on the bed a few minutes.
6. If the vertigo comes from your right ear, reverse these instructions. Sit on your
bed, turn your head 45 degrees to the right, and so on.

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Do these movements three times before going to bed each night, until you've
gone 24 hours without dizziness.

Semont Maneuver

This exercise is for dizziness from the left ear and side:

1. Sit on the edge of your bed. Turn your head 45 degrees to the right.
2. Quickly lie down on your left side. Stay there for 30 seconds.
3. Quickly move to lie down on the opposite end of your bed. Don't change the
direction of your head. Keep it at a 45-degree angle and lie for 30 seconds.
Look at the floor.
4. Return slowly to sitting and wait a few minutes.
5. Reverse these moves for the right ear.

Again, do these moves three times a day until you go 24 hours without vertigo.

Half-Somersault or Foster Maneuver

Some people find this maneuver easier to do:

1. Kneel down and look up at the ceiling for a few seconds.


2. Touch the floor with your head, tucking your chin so your head goes toward
your knees. Wait for any vertigo to stop (about 30 seconds).
3. Turn your head in the direction of your affected ear (i.e. if you feel dizzy on
your left side, turn to face your left elbow). Wait 30 seconds.
4. Quickly raise your head so it's level with your back while you're on all fours.
Keep your head at that 45-degree angle. Wait 30 seconds.
5. Quickly raise your head so it's fully upright, but keep your head turned to the
shoulder of the side you're working on. Then slowly stand up.

You may have to repeat this a few times for relief. After the first round, rest 15
minutes before trying a second time.

Brandt-Daroff Exercise

Here’s what you need to do for this exercise:

1. Start in an upright, seated position on your bed.


2. Tilt your head around a 45-degree angle away from the side causing your
vertigo. Move into the lying position on one side with your nose pointed up.
3. Stay in this position for about 30 seconds or until the vertigo eases off,
whichever is longer. Then move back to the seated position.
4. Repeat on the other side.

You should do these movements from three to five times in a session. You should
have three sessions a day for up to 2 weeks, or until the vertigo is gone for 2 days.

Follow Up

For the rest of the day after doing any of these exercises, try not to tilt your head
too far up or down. If you don't feel better after a week of trying these moves, talk
to your doctor again, and ask them what they want you to do next.
You might not be doing the exercises right, or something else might be the cause
of your dizziness.

Show Sources
SOURCES:

Harvard Health Letter: "Self-Help Videos to Stop Vertigo Work for Some, Not All."

Vicky Hildner, University of Colorado, Denver.

Johns Hopkins Medicine: "Benign Paroxysmal Positional Vertigo."

Neurology: “Self-treatment of benign paroxysmal positional vertigo.”

University of Texas, Department of Otorhinolaryngology -- Head & Neck: "Home Epley Maneuver."

National Health Service (U.K.): “The Brandt-Daroff Exercise.”

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