If dizziness persists after the Epley maneuver is complete, several possible issues could be responsible. Some people require multiple sessions to see any improvement. The Epley maneuver also only treats vertigo resulting from BPPV. If another underlying condition is causing vertigo, the patient will notice no change after the procedure. Other conditions that can cause vertigo or vertigo-like symptoms include migraines, ear infections, and anemia.

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