Epley, Semont or Brandt-Daroff Exercises? Which should I choose?

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Recently we were asked, “Which is best, the Epley, Semont or Brandt-Daroff for the treatment of BPPV?”. Like many things the answer isn’t perfectly clear. However, many studies have been done on each one and results have been reported with each maneuver. I’ll address each one below. 1) Brandt-Daroff maneuver (this example is for the Right side): This maneuver consists of sitting upright with your feet over the side of your bed, lying on your right side with your right ear against the … Read More

Why did I get BPPV?

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People often ask what it was that made them get BPPV.  For many there is never really a satisfactory answer.  However we do know some factors which may pre-dispose a person to getting vertigo due to BPPV.  Any condition which damages the inner ear seems to be associated with BPPV.  This ranges from trauma, to infections to the ever present condition – old age. To put some specifics on what the etiology or causes of BPPV are: About 70% of people have age related BPPV … Read More

Vertigo has me at my wits’ end…I need more help!

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Vertigo and dizziness are very distressing problems.  Some say that nausea is worse than pain.  At least pain makes some physiologic sense. Vestibular diseases are problematic in that they are so poorly understood. Many patients  end up vague diagnosis such as recurrent vestibulopathy.  Medical science has just not reached a point where we can diagnose every kind of problem.  Further, even those conditions which we can diagnose may not have effective treatments.  Tinnitus is a good example of a difficult … Read More

Superior and Horizontal Canal BPPV – what are those?

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Someone recently asked about the treatment for the other 2 canals in the inner ear and if the Epley maneuver work for those types of BPPV. The quick answer is no the Epley maneuver does not work for horizontal or superior canal BPPV but only for the more common posterior canal form of BPPV. The good news about that, however, is that those other two types are easier to treat. First – superior canal BPPV is theoretical and may not … Read More

Mal de debarquement? Is that like BPPV?

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We recently were asked: “I think that I have Mal de Debarquement syndrome. I believe this because I tend to get it after train travel. In the past it took 6 weeks for it to go away. Now, it seems to be taking longer. Does the Epley maneuver work for this?” Until recently very few people knew about Mal de Debarquement syndrome. This syndrome can occur after any type of travel. The best analogy is sea sickness. When you first step … Read More

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