Inner ear / balance problem

nerdag

Just to clarify, I'm not saying that anybody who isn't a neurologist can't be skilled in performing it. Like any procedure, there is a risk of complication, and although uncommon for a particle repositioning, it does happen.

BPPV is caused by calcium deposits at the base of one or more of the semi-circular canals in your ears. An Epley's repositions the particles so that they fall out of the canals.

An Epley's performed improperly, or performed on a person who is at significant risk of complication, may result in the stones falling into the base of another of the canals - and that can be a HUGE problem, with even worse vertigo.

One needs to know a little bit of neuroanatomy and neurophysiology (but need to know it relly well) to work out which canal it is in, and to be honest, I don't know of many people in health who are not in neurology who have that knowledge.

The reason is that being in a different canal, it requires a different set of movements to reposition the particles again.

I've seen one too many people attempt the procedure as instructed, only to have it backfire with no idea how to rectify it.

And then the compo suits start...

Just my $0.02 worth.

nerdag