EPLEY-Manöver rechts: Schritt-für-Schritt Anleitung

Key Wellness / Self-Care Strategies for BPPV

Understand the Cause (Benign Paroxysmal Positional Vertigo — BPPV)

• BPPV causes dizziness or a spinning sensation when dislodged “ear stones” (otoliths) move into a semicircular canal.
• This movement confuses the brain, especially during certain head and body positions.

Step-by-Step Self-Maneuver: Epley Maneuver (Reposition the Stones)

Preparation

• Use a pillow.
• Keep a bucket nearby in case nausea or vomiting occurs.
• Start seated, positioned so you can get out onto your left side.
• If needed, bend your legs to help with tighter/shorter thigh muscles.
• Place the pillow slightly behind your back so your shoulders rest on it.

Step 1 (Head Right → Lie Back Quickly)

• Turn your head 45° to the right.
• Quickly lie back so your shoulders are on the pillow.
• Tilt your head about 30° backward and downward while keeping the 45° right turn.
• If you feel dizzy: stay calm—dizziness is expected.
• Hold for 60 seconds, then proceed after a clear “signal” to move to the next step.

Step 2 (Head Left)

• Turn your head 90° to the left from the previous position.
• Keep your head in contact with the bed.
• Your head should now be 45° to the left from the midline.
• Hold for 60 seconds.
• If dizzy: take a deep breath and the dizziness should subside.

Step 3 (Roll Onto Left Side, Head Angled Down)

• Roll onto your left side.
• Point your nose diagonally down toward the floor.
• Hold for 60 seconds without moving your head.
• Use slow, deep breathing and focus on breathing (dizziness may come and go).

Step 4 (Sit Up)

• Sit upright.
• Look straight ahead.
• Stay seated for a few seconds, since dizziness/unsteadiness may briefly return.

Repetitions for Best Effect

• Perform the maneuver three times in one session for maximum effectiveness—even if you feel better earlier.

Important Aftercare

• Do not lie down immediately afterward.
• Keep your head upright for about 1 hour so the stones settle correctly.
• Temporary symptoms such as a rocking sensation or lightheadedness may occur for hours to days—this is normal as the balance system recovers.

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If It Doesn’t Work (Troubleshooting)

Possible reasons include:

• Wrong side treated (BPPV can occur in either ear/canal system).
• Maneuver performed incorrectly.
• Symptoms are from a condition that looks like BPPV but isn’t true BPPV.

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When to Get Help

• If you’re unsure whether the maneuver was done correctly, or if symptoms worsen or don’t improve:
  • Book an appointment, or
  • Seek a therapist specializing in vertigo/vestibular therapy.

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Presenters / Sources

• Patrick from therapiekreis