This video is of a modified Epley maneuver that is simple and can be performed at home for vertigo, or benign paroxysmal positional vertigo. We like to start with this procedure because it is easily modified to manage the dizziness and neck extension.
Starting with a pillow decreases the symptoms, and with improvement the pillow can be removed. A patient should see their time to completion decrease with each repetition. Most patients perform this exercise at home on the bed. I always recommend keeping a bucket or garbage can handy just in case.
This is our preferred starting exercise when a patient has significant neck issues, spinal degeneration, or a lack of pain free cervical motion. Overall, this is the simplest and most comfortable maneuver for patients. If needed, we can progress to another version of the Epley maneuver.
Usually this is a great maneuver for addressing benign paroxysmal positional vertigo, but sometimes different maneuvers or referral to specialists are required.
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