- Hi, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And together we are the most famous
physical therapists on the internet.
- Well, in our opinion, of course, Bob.
- Brad, we just did a video on how to do
the Epley maneuver to the right.
Now we're gonna do it to the left.
- Mm-kay.
- So we're gonna jump right into this.
- Alright.
- This time we're gonna do it with the pillow;
we're also gonna show it without the pillow,
but you need a pretty, you know, it's good.
You can do it on the bed if
the loft of your bed is fairly firm.
The other thing, remember, we gotta show, Brad...
Can you just stand up for a second Brad?
- Sure
- And we gotta show what a 45 degree angle is.
- Yep, yeah.
- All right, when you face straight forward,
that's zero degrees.
If he turns all the way to the right, that's 90 degrees,
although your neck is a little tight there, Brad.
- Yeah
- Halfway in between that's 45.
You need to know what a 45 degree angle is
because we're gonna do that a number of times.
We're also gonna bring the head back, probably,
yeah, there we go.
We're gonna bring the head back
probably 20 degrees, maybe 30 degrees.
So you need that.
- Not that.
- Not that, just about a little tilt back.
OK. So, you now know what 45 is,
you know what 20 to 30.
Alright, Brad, jump up there.
These people are in a hurry. Let's go!
- All right, here we go.
- Alright, we're gonna start with,
and we're doing this to the left,
so your gonna, that means you have symptoms to the left.
You're gonna turn your head 45 degrees to the left.
You're using a pillow and that's going to
hit you between the shoulder blades.
And he goes down, and now he tilts back
about 20 to 30 degrees with the angle
still maintaining at 45 degrees.
You keep your eyes open.
He may get dizzy from this.
He may get a little vertigo.
He may get the eyes shifting back and forth.
You wait till that, that goes away, or 20 seconds
whichever one comes first.
After that, then you go ahead and turn your head
45 degrees to the right. Same thing.
You're gonna wait for the symptoms to go away,
or you're gonna wait for the 20 seconds to finish.
After that, you're gonna go up onto the right shoulder.
And when you get up to the right shoulder
you're gonna look down, completely look down.
Same thing, you're waiting for 20 seconds
or you're waiting for the symptoms to abate.
Alright, now he's gonna bring his legs off the edge.
Now he's gonna push up with his arm.
He's keeping his head tilted to the right.
And then he slowly brings it to the center.
After this, now it's very important,
I hope you understand this,
'Cause we talked about this in the last video.
I want you to keep your head upright
for the rest of the day.
Brad and I were talking about this.
That's why this is probably a good thing to do
in the morning, even, to give plenty of time
for those crystals to settle in the right spot.
But you want to keep it up up for the rest of the day.
They used to say for 48 hours
and we used to have people wear a collar,
and sleep upright, but now they say
that you can just do it until the end of the day,
and then you should get good results.
Alright.
- So, in other words, Bob, I can't look down,
I can't shake my head.
- You can't can't look down, you can't bend down,
you can't put shoes on you can't...
- So I'm gonna be doing this.
- Yeah.
- And can I turn right to left?
- Yeah.
- OK.
- Yep. You can do all those things, just keep your head up.
- Yep, OK.
- Alright, now we're also gonna show you
this from a side angle, so you know another way to do it.
- Alright.
- OK. Now we're gonna do it from the side position,
and we're doing it this time without a pillow
so he can just hang his head off the edge of the bed.
Head off the edge of the bed.
OK. First again, tilt his head 45 degrees to the right,
and he is gonna come back.
- Left
- I'm sorry. Turn his head 45 degrees to the left,
and then he is gonna come back.
And he's gonna tilt back about 20 to 30 degrees
while he's maintaining his head 45 degrees to the left.
Again, eyes open, waiting for the symptoms to stop,
or 20 seconds, then turns his head
to the right, eyes open,
waiting for the symptoms to stop.
Nausea, dizziness, eyes shaking, whatever you feel.
Alright, after that stops, now Brad's gonna go up
onto the right shoulder, keeping his head,
and then he can actually look down, down to the floor.
Same thing, waiting for the symptoms to abate
waiting for the... or 20 seconds.
He's now gonna push himself up,
legs off the edge, push himself up.
Head still turned to the right.
Now he slowly turns to the left.
OK. Gonna keep your head up the rest of the day, right Brad?
- Right here.
- Keep your chin up, right?
- Yep, mm hmm.
- Alright, again, this was for
benign paroxysmal positional vertigo.
This is the most common form of vertigo
that you're gonna find.
We're assuming that you were probably diagnosed
by your physician with this.
And in this instance we were showing you
a person that gets symptoms mostly when
they turn to the left, or roll to the left,
so it all seems to be left-sided.
With vertigo, benign paroxysmal positional vertigo,
there's really three types,
and it all depends on which canal it's in.
This is the most, the one we showed you
involves the posterior canal,
and that's involved 76% of the time.
And the one we showed you that you know, involves that one.
If you're not having any luck with this,
'cause most people, I think it looks like 80%
have good luck with this the first time.
- Sure
- If you're not any luck with it
it might be one of your other canals
and you probably should try one of the other maneuvers
which we will be showing in the future.
- Sure.
- So you wanna keep that in mind.
It's the little debris and crystals
or rocks or whatever you want to call them.
- Yeah. Yeah.
So, alright. Anything else Brad,
you wanna say at this time?
- Well, Bob, I'm thinking that
if you wanna continue to get information like this
they should subscribe.
- Subscribe to us, right. If you're 40 and over,
and you would wanna stay,
have information on staying healthy and fit
and pain free.
- And vibrant.
- And low dizziness.
- No dizziness, as well.
Subscribe, is it below this? It's up.
It's down. It's below. It's somewhere.
- Subscribe.
- Find the button.
(man laughing)
(jaunty piano music)