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The most commonly used is the Epley Manoeuvre, where the patient’s head is moved through a precise series of four positions.
The Semont Liberatory Manoeuvre involves the patient lying on one side and then being moved very rapidly on to the other.
I’d had a very minor one 12 years previously and although I hadn’t suffered dizziness and nausea then, Iworried this might be a more serious one.‘I thought about calling an ambulance, but not being one to make a fuss, decided to stagger into work and see the company doctor — pretty ridiculous, in retrospect.’There, his fears were compounded.
‘I was asked to do some basic co-ordination testssuch as following my finger with my eyes and touching my nose, but couldn’t manage even that.
While most ear, nose and throat departments and some neurologists offer these treatments, there can be a long waiting list for referral to someone who can perform the manoeuvres.It is slightly more violent, but simpler.‘These manoeuvres are quick to perform and will eliminate symptoms in a single treatment in around 90 per cent of cases and, eventually (a few patients need repeated treatments), in virtually all,’ says Dr West.But many patients are missing out because they aren’t being diagnosed in the first place.‘Awareness of BPPV is still not as high as it should be among the medical profession,’ says Dr West.At the hospital, Ron was given a surprising diagnosis — ‘the neurologist spent the entire time staring intently into my eyes, particularly the left one,’ recalls Ron.‘Then he announced I hadn’t had a stroke, but wassuffering from a common conditionin my left ear which causes dizziness — and he could cure me there and then.’ Ron had what is known as benign paroxysmal positional vertigo (BPPV).