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</div><div><span>Epley maneuver</span></div></div>
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</a><h1 class="with-also" itemprop="name">Epley maneuver</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>The Epley maneuver is a series of head movements to relieve symptoms of <a test="test" href="./001420.htm">benign positional vertigo</a>. Benign positional vertigo is also called benign paroxysmal positional vertigo (BPPV). BPPV is caused by a problem in the inner ear. Vertigo is the feeling that you are spinning or that everything is spinning around you.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Description</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>BPPV occurs when small pieces of bone-like calcium (canaliths) break free and float inside small canals in your inner ear. This sends confusing messages to your brain about your body's position, which causes vertigo. </p><p>The Epley maneuver is used to move the canaliths out of the canals so they stop causing symptoms. </p><p>To perform the maneuver, your health care provider will:</p><ul><li>Turn your head toward the side that causes vertigo.</li><li>Quickly lay you down on your back with your head in the same position just off the edge of the table. You will likely feel more intense vertigo symptoms at this point.</li><li>Slowly move your head to the opposite side.</li><li>Turn your body so that it is in line with your head. You will be lying on your side with your head and body facing to the side.</li><li>Sit you upright. </li></ul><p>Your provider may need to repeat these steps a few times.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Why the Procedure is Performed</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Your provider will use this procedure to reposition the canaliths to treat BPPV.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Risks</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>During the procedure, you may experience:</p><ul><li>Intense vertigo symptoms</li><li>Nausea</li><li>Vomiting (less common)</li></ul><p>In a few people, the canaliths may move into another canal in the inner ear and continue to cause vertigo.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Before the Procedure</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Tell your provider about any medical conditions that you may have. The procedure may not be a good choice if you have had recent neck or spine problems or a detached retina.</p><p>For severe vertigo, your provider may give you medicines to reduce nausea or anxiety before starting the procedure.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>After the Procedure</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>The Epley maneuver often works quickly. For the rest of the day, avoid bending over. For several days after treatment, avoid sleeping on the side that triggers symptoms.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Most of the time, treatment will cure BPPV. Sometimes, vertigo may return after a few weeks. About half the time, BPPV will come back. If this happens, you'll need to be treated again. Your provider may teach you how to perform the maneuver at home.</p><p>Your provider may prescribe medicines that can help relieve spinning sensations. However, these medicines often do not work well for treating vertigo.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Canalith repositioning maneuvers (CRP); Canalith-repositioning maneuvers; CRP; Benign positional vertigo - Epley; Benign paroxysmal positional vertigo - Epley; BPPV - Epley; BPV - Epley</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Chang TP, Zee DS, Kheradmand A. Technological advances in testing the dizzy patient: the bedside examination is still the key to successful diagnosis. In: Gleason AT, Kesser BW, eds. <em>Dizziness and Vertigo Across the Lifespan</em>. St Louis, MO: Elsevier; 2018:chap 2.</p><p>Crane BT, Minor LB. Peripheral vestibular disorders. In: Flint PW, Francis HW, Haughey BH, et al, eds. <em>Cummings Otolaryngology: Head and Neck Surgery</em>. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 167.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 9/10/2023</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Josef Shargorodsky, MD, MPH, Johns Hopkins University School of Medicine, Baltimore, MD. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.</p>
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</div></div><div name="Related MedlinePlus Health Topics" class="section-body" id="section-mtp"><ul class="side-nav"><li><a href="https://medlineplus.gov/dizzinessandvertigo.html">Dizziness and Vertigo</a></li>
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