Does otolaryngology perform the Epley manoeuvre?

The Epley manoeuvre is a sequence of head and body positions intended to move loose inner-ear particles away from a balance canal. An ENT clinician usually asks about the timing and triggers of dizziness, checks eye movements and may perform positional testing before choosing the manoeuvre. Brief spinning or nausea can occur while the head is moved. The manoeuvre is designed for a particular form of positional vertigo, so it may not help dizziness caused by another condition.

Describe which movements trigger symptoms, how long each episode lasts and whether you have hearing change, headache or imbalance. Wear comfortable clothing and tell the clinician about neck or back problems, recent injury, vascular conditions or difficulty lying flat. Do not drive if you remain dizzy after the assessment. Follow any positioning advice given for the rest of the day and ask whether a repeat visit or home instruction is appropriate.

Seek emergency help for dizziness with facial drooping, one-sided weakness, trouble speaking, severe new headache, fainting, chest pain or inability to walk. Sudden hearing loss, persistent vomiting or a new severe imbalance also warrants prompt assessment. These signs should not be assumed to be positional vertigo.

Does my pattern fit positional vertigo? Is the Epley manoeuvre safe with my neck and back history? Which side should be treated? What should I do if spinning continues? When can I return to driving or work?