The Epley maneuver is a simple sequence of positions that helps manage dizziness associated with benign paroxysmal positional vertigo or BPPV. Dr. John Epley created the procedure in 1979, and published his first report on its effectiveness in 1992. Though the Epley maneuver has since received a few adjustments, it remains the primary treatment for this type of vertigo.
The goal of the Epley maneuver is to restore equilibrium to the semicircular canals, treating the symptoms of BPPV. Within the inner ear are collections of calcium crystals called canaliths. BPPV occurs when these canaliths become dislodged and float freely in the inner ear and into the semicircular canals. As the head moves, they stimulate a structure in the inner ear called the cupula, causing the brain to think the head is moving in ways that it is not.
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