Dr. Gary Small, M.D.

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Gary Small, M.D., is Chair of Psychiatry at Hackensack University Medical Center, and Physician in Chief for Behavioral Health Services at Hackensack Meridian Health, New Jersey’s largest, most comprehensive and integrated healthcare network. Dr. Small has often appeared on the TODAY show, Good Morning America, and CNN and is co-author (with his wife Gigi Vorgan) of 10 popular books, including New York Times bestseller, “The Memory Bible,” “The Small Guide to Anxiety,” and “The Small Guide to Alzheimer’s Disease.”

Tags: Epley maneuver | vertigo | ear crystals
OPINION

Head-Turning Movement Relieves Vertigo

Dr. Small By Friday, 12 October 2018 04:18 PM EDT Current | Bio | Archive

Each year, nearly half of all people experience the sensation of whirling and loss of balance known as vertigo.

Sometimes such incidents are indications of a medical illness, but often they result from a mechanical imbalance of the inner ear, called benign paroxysmal positional vertigo.

In many cases, a trained professional can alleviate the symptoms within moments by simply repositioning the head.

An audiologist or other therapist must initially determine if the symptoms are caused by this benign condition by turning the patient’s head from side to side and seeing if the patient develops nystagmus, which is a rapid and involuntary eye movement.

To bring rapid relief, the therapist then turns the patient’s head in several positions while the patient is sitting or standing.

This movement, called an “Epley maneuver,” allows gravity to shift inner ear crystals so they float back into their proper place. It often brings about instant relief.

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Dr-Small
Each year, nearly half of all people experience the sensation of whirling and loss of balance known as vertigo.
Epley maneuver, vertigo, ear crystals
151
2018-18-12
Friday, 12 October 2018 04:18 PM
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