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In-Office and At-Home Exercises for Vertigo

When your vertigo is triggered by BPPV, debris (crystals) settles on sensitive areas in your inner ear. Your chiropractor can teach you a few exercises and that can effectively reposition the debris to a more innocuous position, giving you relief from your vertigo.

Canalith repositioning procedure

Performed under your chiropractor’s supervision, this procedure involves holding your head in four positions for about 30 to 45 seconds each, or for as long as symptoms remain when holding the positions.

The canalith repositioning procedure can help relieve benign paroxysmal positional vertigo (BPPV). BPPV is a condition in which you have brief, but intense, episodes of dizziness and vertigo that occur when you move your head. Vertigo usually comes from a problem with the part of the inner ear responsible for balance. BPPV occurs when tiny canalith particles (otoconia) in one part of your inner ear break loose and fall into the semicircular canals of your inner ear.

The canalith repositioning procedure can move these particles to a part of your ear where they won’t cause dizziness. The procedure involves several simple head maneuvers. It can be done in your doctor’s office. The procedure is usually effective and relieves vertigo in about 80% of people after one or two treatments. But the problem may recur.

Epley maneuver

To perform this quick and simple technique at home, you turn your head to varying degrees while sitting on the edge of your bed, and lying on your back and side. (Your chiropractor will show you how to do this maneuver before suggesting you do it on your own.)

You may need to try the home Epley maneuver if you have symptoms of BPPV. In BPPV, vertigo may come on with certain head movements. It may last for up to a minute. These symptoms may be more frequent at times. You may also have nausea and vomiting.

Often BPPV happens without any known cause. Sometimes there is a cause. Causes of BPPV can include:

  • A head injury
  • Problems after ear surgery

The home Epley maneuver is safe and inexpensive. It often works well to treat the symptoms of BPPV.

Your healthcare provider may suggest the home Epley maneuver if your health history and physical exam support that you have BBPV.  Your healthcare provider may also suggest that you see a vestibular therapist for treatment.

Your healthcare provider may first do the original Epley maneuver in his or her office. He or she may teach you the home Epley maneuver. You may need to do the home Epley maneuver if you still have symptoms after you leave your healthcare provider’s office. It may also be useful to know how to do this maneuver if your BPPV comes back after a few months or years.

Brandt-Daroff technique

Similar to the Epley maneuver, you perform this technique by lying for about 30 seconds on each side with your head tilted so your nose is pointed up. (Your chiropractor will show you how to do this maneuver before suggesting you do it on your own.)

The Brandt-Daroff exercises are a series of movements that can help with certain types of vertigo.

They’re often used to treat benign paroxysmal positional vertigo (BPPV), which makes you suddenly feel like you’re spinning. These periods of dizziness can vary in how severe they are and how often they happen.

BPPV happens when small calcium carbonate crystals formed in your ears’ otolith organs break free and move into the semicircular canals of your ears. This sends mixed signals to your brain about your body’s position, creating dizziness.

The Brandt-Daroff exercises can dislodge and break up these crystals, relieving symptoms of dizziness and lightheadedness.

Your chiropractor may also suggest dietary and lifestyle changes and meditation, relaxation, and breathing techniques to help you control your symptoms.

No one should have to live their life feeling woozy and sick all the time. If you experience dizziness accompanied by a spinning sensation and any of the symptoms above, visit your chiropractor to take the first step in overcoming your vertigo and living your life to the fullest.

At South Bellevue Chiropractic, our goal is to help our patients recover from back pain, neck pain, lack of mobility, joint issues, range of motion issues, and more—without the use of prescription drugs. We believe in taking a holistic “whole-body” approach to your health. We don’t want to just temporarily fix your pain—we want to determine and treat the root cause so you live an active and pain-free life.

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