Epley Maneuver and other Home Remedies for Vertigo

Mar 29, 2018

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 is BPPV (benign paroxysmal positional vertigo), and it’s also the easiest to treat. BPPV 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 60 are more likely to get this form.

Before you try to treat it yourself, see your doctor. If you have vertigo, you’ll need to know what type you have and which ear has the problem.

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:

Sit on the edge of your bed. Turn your head 45 degrees to the left. Place a pillow under you so when you lie down, it rests between your shoulders rather than under your head.

Quickly lie down, face up, 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).

Turn your head half-way (90 degrees) to the right without raising it. Wait 30 seconds.

Turn your head and body on its side to the right, so you’re looking at the floor. Wait 30 seconds.

Slowly sit up, but remain on the bed a few minutes.

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.

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

The Semont Maneuver

This exercise is similar to the Epley maneuver, though not as popular in the U.S. For dizziness from the left ear and side:

Sit on the edge of your bed. Turn your head 45 degrees to the right.

Quickly lie down on your left side. Stay there for 30 seconds.

Quickly move to lie down on the opposite end of your bed. Do not change the direction of your head. Keep it at a 45-degree angle and lie for 30 seconds. Look at the floor.

Return slowly to sitting and wait a few minutes.

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:

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

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).

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.

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.

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.

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 her what she wants you to do next. You might not be doing the exercises right, or something else might be the cause of your dizziness.

by WebMd