hi I'm Bob Shrum physical therapist and
I'm Brad hanok physical therapist
together we have the most famous
physical therapist on the Internet
well I'll print him of course by never
doing something completely new today
it's gonna be part of it there's no
exciting this is exciting how we're
breaking new ground here
Julie kata is help but she works with us
and she was Tantalus today that she's
having some vertigo some spinning you
lose your balance right I mean you
you're kind of worried you're gonna fall
over
yeah so we're gonna go ahead and do a
quick test on her to see if she maybe
has BPPV benign positional peroxo mole
do I say it differently yeah
vertigo vertigo vertigo we're gonna see
if she has the most common one so we're
gonna do what is called a Dick's help
type maneuver on her and we're gonna see
if she has a little bit of business here
so Julie once you come over here right
there now we already to be honest we did
we already did one direction off of
camera we turned her head this way and
then we brought her back now and she got
very dizzy with that I'm very so we're
gonna try the other direction to see if
she gets dizzy with that also I think
I'm going to have you take your glasses
off so we're turning her head 45 degrees
to the left
and then I'm gonna go ahead and bring
her back really quickly here you ready
okay Julie come on back
and she was very dizzy when we did this
the other direction so we now know which
way we have to go so once you come on
back up so so she when I turned her head
this way I brought her back that's when
she had she really started spinning you
didn't get nauseated but you got very
very she needed to hang on to something
when she's trying so we're gonna go
ahead and do the Epley maneuver honor
here which we have a video on it already
but we're gonna go and do this to see if
we can see it happen on the live patient
so again she tilts her head 45 degrees
to the left and then when I bring her
down we're gonna have it tilted back 20
degrees so already five to the right
you're good 45 to the right what did I
say yeah 45 to the right and tilt their
head back 10 degrees okay here we go
Julie you're not gonna like this okay
watch her eyes look at her eyes Brad her
eyes are twitching back and forth they
call that distinguished yeah I'm timing
here we got about 15 seconds we're
waiting until the eyes have calming down
and now they're calming down do you feel
it kind of going away yeah and now I see
nothing do you feel like it's going away
okay now I'm gonna tilt their head this
way again 45 degrees to the left 20
degrees down and no symptoms at all so
the idea we're going to wait until the
symptoms go away or or 20 to 30 seconds
okay okay now I have you roll over onto
your shoulder to your left are you doing
okay are you getting symptoms now nope I
did a little bit when I rolled them okay
wait a few more say
just to be sure okay let's come on up
keep your head turn okay
concede on her eyes board her eyes were
really still the room spinning er no it
was just a little bit dizzy not like I'm
go to the middle now for the rest of the
day you can't look down at all a lot of
times a lot of people maybe wear a neck
brace or I think sometimes a roll towel
and I just pinned it there and yeah and
just to remind them not to look down on
it believe me they will forget because
yeah I am lady the other day I'm not
kidding
10 seconds after I told her she would
reach down and grab her purse mystic I
took I repeated like 10 times do not
look down all right she went down and
looked at her purse so you can look down
with your eyes but you can't look and
then tonight you want to sleep on a
bunch of pillows if you can kind of
elevated and do that for one night then
tomorrow you can do whatever you want
okay so what I always do I just tell
them to go to the harbor's my hardware
sir according to the drugstore the
pharmacy and buy a soft cushion collar
the Tod cost about ten or fifteen
dollars and just bring along because
there's gonna you know just to prevent
it and I put it on right now then they
walk all with it I to be honest I would
possibly even do it again on her because
she had little symptoms coming up but I
think we'll try without it but if we may
have to redo it I think it's like twenty
percent you have to redo it another time
but you know the results are usually
fairly dramatic you usually get rid of
it a lot of times with one setting or go
to settings and how long does she need
to keep her head up without looking down
until till tonight okay all the way till
she goes to bed and then tomorrow
morning she can look down again and
we've got on another video over 7 48
hours right and that's what it used to
be and now there's
that you could you could do it just for
the til the end of the day right so but
we've had people call and say they have
they've had success only if they did 48
all right I have had people that have
said that to me but it might have been
the fact that they just did it the rest
of the day right I mean sure so we don't
know if so thanks Joey well we'll check
on here to see how it goes but hold on
we may have to redo this if it doesn't
hold up
you