A reposition maneuver, also referred to as an Epley maneuver, is a procedure performed by a licensed audiologist to help in relieving symptoms from benign positional vertigo.

Benign positional vertigo (BPPV) is characterized by brief, intense episodes of dizziness and vertigo triggered by changes in head position. Symptoms typically occur when tiny calcium crystals (also, canalith or otoconia) break loose from one part of the inner ear and fall into the fluid filled semicircular canals.

By moving the head through a specific series of simple head movements during the procedure, the detached crystals are move to an area within the ear that will no longer causes symptoms. Eventually the separated crystals dissolve or will be reabsorbed by bodily fluids in the ear.

Repositioning maneuvers are highly effective in treating BPPV however the symptoms may reoccur after some time. In some cases, patients may also need more than one repositioning maneuver to alleviate their symptoms.

Performed by a licensed audiologist, a repositioning maneuver is typically 15-minutes.

The audiologist will instruct and assist you through a series of four positions:

  1. You will be asked to recline from a seated position turning your head towards the side you are experiencing symptoms. The audiologist will assist you in extending your head over the edge of the exam table at a slight angle.
  2. With your head still extended over the edge of the exam tablet, you will be asked to slowly turn your head in the opposite direction.
  3. The audiologist will prompt you to slowly roll onto your side positioning your head at a slight angle while looking down at the floor.
  4. Slowly and carefully, you will be told to return to the sitting position with your head tilted down. Continuing to move slowly, the audiologist will have you lift your head until you are facing forward.

Each position is held for about 30 seconds or until your symptoms have subsided in that position. Without movement or adjustment, you will be asked to remain in each position for an additional 30 seconds before transitioning to the next position.

Depending on your response to the series you may need to repeat the series 3 or 4 times.

Wear clothing that is non-restrictive and will allow you to move freely and comfortably through each maneuver.