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Epley maneuver - just done it and feel SO MUCH WORSE any advice?

76 replies

Laiste · 04/04/2023 11:26

Posting here for traffic.

Had mild vertigo for 3 days.
Doc said do Epley. Said google it and do it at home - i don't want you to do it here in my surgery ...

Did it half an hour ago here at home and i feel like i'm about 300 percent worse!

It's taken me ages to type this

I feel like i can't move my head at all without wanting to throw up. Is this right??? Is it going to go away?

OP posts:
Laiste · 04/04/2023 12:11

Found this. The beginning of this is the start of the Epley man. I def felt horribly dizzy turning to the left, so hopefully i have got it right that it's the left side.

To determine affected side:

  • Sit on bed so that if you lie down, your head hangs slightly over the end of the bed.
  • turn head to the right and lie back quickly.
  • Wait 1 minute.
  • If you feel dizzy, then the right ear is your affected ear.
  • If no dizziness occurs, sit up.
  • Wait 1 minute.
  • Turn head to the left and lie back quickly. 8.Wait 1 minute. 9.If you feel dizzy, then the left ear is your affected ear.
OP posts:
Nimbostratus100 · 04/04/2023 12:11

Tealsofa · 04/04/2023 12:09

but you cant legally drive for 6 months now, anyway ????

no BVVP is an automatic 6 months driving disqualification, you are supposed to inform the DVLA, although your doctor might, but whether you do or dont inform them, you wont be insured

Lilyhatesjaz · 04/04/2023 12:13

I normally just wait until it goes by itself. I find lying down with the bad side down can help a bit.

Laiste · 04/04/2023 12:13

Nimbostratus100 · 04/04/2023 12:11

no BVVP is an automatic 6 months driving disqualification, you are supposed to inform the DVLA, although your doctor might, but whether you do or dont inform them, you wont be insured

😲😵

OP posts:
Nimbostratus100 · 04/04/2023 12:15

Laiste · 04/04/2023 12:13

😲😵

I know - F* nightmare!

kavalkada · 04/04/2023 12:21

I have BPPV and the first time it happened I thought I'll die, it was in the middle od the night and took me hours to get to another room to ask for help.
I do not know if it is allowed, but I do these exercises and it helps. Sometimes I have to repeat two times, but I'm usually better after half an hour.

I hope you'll be better soon.

Vertigo Treatment with Simple Exercises (BPPV) - Ask Doctor Jo

Vertigo Treatment with Simple Exercises (BPPV): http://www.AskDoctorJo.com Simple Vertigo (BPPV) exercises to help treat vertigo symptoms. For more physical ...

https://www.youtube.com/watch?v=iP-UYhAk6tA

kittensinthekitchen · 04/04/2023 12:21

Nimbostratus100 · 04/04/2023 12:11

no BVVP is an automatic 6 months driving disqualification, you are supposed to inform the DVLA, although your doctor might, but whether you do or dont inform them, you wont be insured

I'm not sure that's true.

I was told I could drive when the vertigo cleared.
Can you point towards the legislation please?

Laiste · 04/04/2023 12:26

Googling like mad now.

DVLA site says tell us, but doesn't say what they'll do.

NICE website says:
Advise on safety issues.

  • Driving — advise the person not to drive when they are suffering vertigo, or if they experience episodes of vertigo while driving.
  • The Driver and Vehicle Licensing Agency (DVLA) states that people with 'liability to sudden and unprovoked or unprecipitated episodes of disabling dizziness' should stop driving and inform the DVLA.
  • However, experts suggest that, in general, BPPV is not spontaneous or unprovoked and most people with this condition continue to drive.

Doc didn't prompt any talk about driving. He say anything when i mentioned driving apart from laughing and saying yeah don't drive while you're dizzy.

OP posts:
Nimbostratus100 · 04/04/2023 12:28

kittensinthekitchen · 04/04/2023 12:21

I'm not sure that's true.

I was told I could drive when the vertigo cleared.
Can you point towards the legislation please?

you have to report it. this is for normal car licence, you need a different page if you drive a coach etc.

Then you get a 6 month ban....

https://www.gov.uk/government/publications/diz1-online-confidential-medical-information

Report your medical condition (form DIZ1)

Report medical conditions such as dizziness and vertigo to DVLA if you're a car driver or motorcyclist.

https://www.gov.uk/government/publications/diz1-online-confidential-medical-information

Laiste · 04/04/2023 12:34

You could be fined up to £1,000 if you do not tell DVLA about a condition that might affect your ability to drive safely. You could also be prosecuted if you have an accident.
Surrendering your licence
You must surrender your licence to DVLA if any of the following are true:

  • your doctor tells you to stop driving for 3 months or more
  • your medical condition affects your ability to drive safely and lasts for 3 months or more

from DVLA website.

OP posts:
Laiste · 04/04/2023 12:35

I must admit, the scrabble for info on driving is helping me put off doing any more maneuvers ......

OP posts:
massivenamechnage · 04/04/2023 12:35

Nimbostratus100 · 04/04/2023 12:01

you can do elpy alone - you are being conned! But you do need to do it in the correct direction for the ear that is effected

£250 a visit! wow! they saw you coming

the anti sickness tablets do help, abut also I quite often find I feel better once I have actually been sick

I an not being conned
he is amazing

i have had bppv for 30 years and seen many many doctors with varying outcomes

he always sorts it out- no waiting list (our gp wont do it any more and a long wait for a referral).

as i said my DH is pretty good as well but sometimes it doesn’t shift snd the consultant is worth every penny

mine is pretty severe

ApolloandDaphne · 04/04/2023 12:35

I had BBVP and I drove once I was over the worse of the dizziness and felt safe to do so. The doctor never told me anything different.

Laiste · 04/04/2023 12:36

@massivenamechnage - do you drive?

OP posts:
massivenamechnage · 04/04/2023 12:37

My eyes are in an NHS training video apparently! Filmed a few years ago to show the classic eye movement

Nimbostratus100 · 04/04/2023 12:37

but episodes of vertigo dont happen in isolation, so generally, you need to be six months clear before you can drive again, hence the need to report it.

You adjust to the crystals, but need to keep readjusting as they settle, so attacks tend to come in batches.

If you have had one attack, you can expect others to happen without warning in the next few months, although the secondary episodes are often less severe

Laiste · 04/04/2023 12:39

massivenamechnage · 04/04/2023 12:37

My eyes are in an NHS training video apparently! Filmed a few years ago to show the classic eye movement

Famous! Smile My eyes tried to do a weird flicky thing.

I'm feeling a little better now.
But still worse than before the Epley ....

OP posts:
kittensinthekitchen · 04/04/2023 12:40

@Nimbostratus100

So there's no legislation to say you can't drive for six months?

Nimbostratus100 · 04/04/2023 12:42

kittensinthekitchen · 04/04/2023 12:40

@Nimbostratus100

So there's no legislation to say you can't drive for six months?

I just sent you the link, you have to report it, there is a £1000 fine for not reporting it, and of course, you wont be insured. In my experience ( actually, I personally dont drive, but in friends and relatives experiences) what happens when you do report it, is that you are told not to drive for 6 months.

but pretend you dont know that, if you prefer...... this is anonymous, so it is up to you

Laiste · 04/04/2023 12:43

Found this:

What happens after you tell DVLAYou’ll get a decision by letter. Your application may need further information from a healthcare professional, depending on your condition.
DVLA might:

  • contact your doctor or consultant
  • arrange for you to be examined
  • ask you to take a driving assessment, or an eyesight or driving test
Your application may take longer than usual if it needs to be referred to a doctor (unless you’re applying for a bus or lorry licence). You can usually keep driving while DVLA are considering your application.

I guess a lot depends on what your doc says to them then.

OP posts:
BatsHaveButtcheeks · 04/04/2023 12:46

Another option is to see an osteopath (structural) who can perform the epley.
I've also seen many patients with BPPV respond well to cranial osteopathy.

Nimbostratus100 · 04/04/2023 12:46

The thing is with vertigo, is it never just happens once, does it, and can come on with no warning at all. I have a close friend who has had a few attacks, and has given up her driving licence altogether, because she never got out of the 6 month clear period.

And my brother gets it occasionally, and is stopped from driving for 6 months every time, although he still has a licence, and still drives when he has been clear of vertigo for 6 months.

He had a few years of only driving occasionally, but has now had his licence back for over a year I think

newusern1 · 04/04/2023 12:47

It might not be bppv. Have you considered vestibular migraine? I tried the epley manoeuvre whilst suffering with vestibular migraine and felt much much worse whilst doing it.

Ireallycantthinkofagoodone · 04/04/2023 12:50

massivenamechnage · 04/04/2023 11:58

You can't do the Epley alone
I have BPPV, I see an ENT Consultant at Bupa who sorts it out for about £250 a visit if my DH cant get the Epley right

He was not amused then the GP prescribed me tablets to try and fob me off (sorry cant recall what they were) and said that for BPPV they could actually do more harm than good.

Of course you can! I have had three bouts of BPPV over the past 20 or so years, and have always managed by myself. You have been conned!

massivenamechnage · 04/04/2023 12:52

When I was diagnosed i realised I had had it for a long time without knowing

at least 3 years between 1st snd 2nd incident

but now i know. When i feel it coming on even slightly dh does the eply. If that hasn’t worked in a few days I go to the consultant. I never get ill with it any longer as I treat it immediately. Probably happens less than once a year now and sorted within days .

I certainly wouldn’t do epley alone due to the risk of falling. Plus the head needs to be held steadily

i did once see an osteopath but they didnt manage to reset it.

the difference between the consultant and dh doing the eply is remarkable. The consultant is swish swish swish done .

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