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Research has shown that performing specific body-positioning movements at home could help alleviate the symptoms of a common contributor of dizziness that results from a build-up of crystals in the inner ear. Medical studies revealed that a technique referred to as the modified Epley procedure (MEP) works more effectively on "benign paroxysmal positional vertigo" than another technique known as Semont maneuver (MSM).

Based on the results from these studies, researchers are recommending MEP as the foremost self-treatment technique to achieving quick relief from vertigo.

Comparison Study Between MEP and MSM for Treatment of Vertigo

70 subjects with vertigo were selected at random to try MEP or MSM to alleviate their symptoms

The subjects were asked to repeat the maneuvers of the treatments three times a day until their vertigo symptoms didn't last more than 24 hours

The MEP method

The patient begins by sitting on a bed with their head tilted slightly toward the affected ear

Using a pillow for shoulder support, the patient quickly reclines to their back

After 30 seconds pass, the patient then moves their head to the right 90 degrees for an additional 30 seconds

Finally, the head and body are turned another 90 degrees to the right for 30 more seconds before returning to a sitting position

The MSM Method

The patient begins by sitting on a bed and turning their head slightly in the direction of the unaffected ear

The patient then quickly drops to the side of the body with the affected ear for 30 seconds

The patient then quickly switches to the opposite side of the body, without stopping for another 30 seconds before returning to a sitting position

Results of the Study

After administering the treatment for one week, the participants following the MEP method no longer experienced symptoms of vertigo

The group using the MSM method were successful with their method the 58 percent of the time

The number one reason cited for failure of the MSM method was applying the method incorrectly

Neurology July 13, 2004;63(1):150-2


A video showing the maneuvers is available on the Neurology journal Web site, www.neurology.org.

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Before I received a correct diagnosis of POTS, I was doing these exercises daily to try and help my dizziness when an ENT specialist told me I most likely suffered from Meniere's Disease. I'm glad he turned out to be wrong, but I have heard that some have had success with positional exercises to help heal the inner ear problems- turns out I was having "lightheadedness" and not true vertigo, which I know now :mellow:

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