![]() A single 10- to 15-minute session usually is all that is needed. The Semont maneuver is done with the help of a doctor or physical therapist. The doctor will then help you to sit back up with your legs hanging off the table on the same side that you were facing. ![]() The doctor will hold you in this position for another 30 seconds or until your vertigo stops. (For example, if you are looking to your right, you will roll onto your right side.) The side that causes the worst vertigo should be facing up. The doctor will help you roll in the same direction you are facing so that you are now lying on your side. The doctor will hold you in this position for 30 seconds or until your vertigo stops. Then, without lifting up your head, the doctor will turn your head to look at the same angle to the opposite side, so that the other side of your head is now facing the floor. In this position, the side of your head that is causing the worst vertigo is facing the floor. Without changing your head position, the doctor will guide you back quickly so that your shoulders are on the table but your head is hanging over the edge of the table. The doctor will turn your head so that it is halfway between looking straight ahead and looking directly to the side that causes the worst vertigo. You will sit on the doctor's exam table with your legs extended in front of you. When your head is firmly moved into different positions, the crystal debris (canaliths) causing vertigo will move freely and no longer cause symptoms. This maneuver is done with the assistance of a doctor or physical therapist. If your doctor has shown you how and you feel confident, you can try this at home to get rid of your vertigo. In some cases, your doctor or physical therapist may have you do a modified Epley procedure at home. Two maneuvers have been used successfully: the Epley maneuver and the Semont maneuver. The debris will slip out of the semicircular canal into an area of the inner ear where it will no longer cause symptoms. When your head is firmly moved into different positions, the calcium crystal (canalith) debris that causes vertigo also moves. A single 10- to 15-minute session usually is all that's needed. They are done with the help of a doctor or physical therapist. The Epley and Semont maneuvers are exercises used to treat benign paroxysmal positional vertigo (BPPV). The doctor holds you in this position for 30 seconds.Health Library Skip Navigation Top of the page Epley and Semont Maneuvers for Vertigo Treatment Overview When your head is on the table, you are now looking down at the table. The doctor then quickly moves you to the other side of the table, without stopping in the upright position.The doctor holds you in this position for 30 seconds. ![]() When your head is on the table, you are looking up at the ceiling. The doctor then lowers you quickly to the side that causes the worst vertigo. ![]() ![]() The doctor turns your head so that it is halfway between looking straight ahead and looking away from the side that causes the worst vertigo.First, you sit on the exam table with your legs hanging off the edge.When your head is firmly moved into different positions, the crystal debris (canaliths) causing vertigo moves freely and no longer causes symptoms. The Semont manoeuvre is done with the help of a doctor or physiotherapist. ![]()
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