Referring to the request of a friend, I repost the following sequence of positions describes the Epley maneuver:
1. The patient begins in an upright sitting posture, with the legs fully extended and the head turned 45 degrees towards the affected side.
2. The patient then quickly lies down backwards with the head held approximately in a 30 degree neck extension where the affected ear faces the ground.
3. Remain in this position for approximately 30 seconds.
4. The head is then turned 90 degrees to the opposite direction so that the unaffected ear faces the ground, all while maintaining the 30 degree neck extension.
5. Remain in this position for approximately 30 seconds.
6. Keeping the head and neck in a fixed position, the individual rolls onto their shoulder, in the direction that they are facing.
7. Remain in this position for approximately 30 seconds.
8. Finally, the individual is slowly brought up to an upright sitting posture, while maintaining the 45 degree rotation of the head.
9. Hold sitting position for up to 30 seconds.
The entire procedure should be repeated two more times, for a total of three times.
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