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Self Treatment For BPPV (BPVV)

Benign paroxysmal positional vertigo

Brandt-Daroff exercises

Epley Maneuver for BPPV
BPPV (Benign paroxysmal positional vertigo) description

There are exercise that you can do at home by yourself without the assistance of a physician to treat Benign Paroxysmal Positional Vertigo (B.P.P.V)
. They are called the Brandy-Daroff exercises from the physicians who developed the techniques.

How and why do these techniques work? With time and repetition these exercises shift the loose calcium carbonate crystals (CACO3) in the balance canals back into their original positions until they no longer give false messages to the brain as to the position of the head.

How often should one perform these exercises for BPVV?

  • These exercises should be performed three times a day (Morning, Noon and Evening) for 2 weeks. In each set, one performs the maneuver described below 5 times. Suggested schedule:  5 repetitions each day for 2 weeks or until dizziness is completely resolved.
     
  • Repetition: Sit upright on the side of the bed. Then move to the side-lying position with your head rotated towards the ceiling. Stay in this position for 30 seconds, or until the dizziness subsides. If you are still feeling some dizziness after 30 seconds, return to the sitting position. Stay in the seated position for 30 seconds, and then go to the opposite side-lying position with your head rotated towards the ceiling. Note: It is very important that you face the ceiling as much as you can as you lie down on your side.
     
  • Repeat this repetition 5 times. Always begin the repetition on the side that you feel dizzy. For example if when you turn towards the left side you get dizzy, then start your exercises/repetition on the left side.

If you begin a session and do not feel any dizziness after 5 repetitions then you can stop for the day. And then try again the next day. If the next day you still do not experience any dizziness then you can stop the sessions all together. In other words, if there is no dizziness over two daily sessions, then you have more than likely successfully moved the loose particles back into place.

After 2 weeks, if you are still feeling dizzy, contact your physician for a follow up consultation.

 


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