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

Epley Maneuver – How many times should it take?

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People often ask, “I have tried the Epley Maneuver, it didn’t work, should I keep trying?” In general terms, it may take several attempts to fully treat BPPV and most people can expect to have some recurrences.  We suggest that you need only perform the maneuver when you have an attack.  If you are not having symptoms then you don’t need to to do the maneuver although it may prevent recurrences.  It is always important to seek the advice of … Read More

What is Dizziness and Vertigo?

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It is difficult to discuss dizziness because it means different things to different people.  There are three main terms in use by physicians which describe what we all refer to as “dizziness” Disequilibrium Disequilibrium is the sensation of being off balance, much like when getting off a boat, and is sometimes characterized by falls in a specific direction. This condition is not often associated with nausea or vomiting or vertigo. Pre–syncope Pre-syncope (literally near fainting) or lightheadedness, like when standing up too … 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

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