Vertigo – Dix-Hallpike Manoeuvre from BMJ Learning

Vertigo – Dix-Hallpike Manoeuvre from BMJ Learning


Benign paroxysmal positional vertigo is an
amazing condition. The reason why is when you see a patient with vertigo you can perform
a manoeuvre which will make the diagnosis. Then you can perform another manoeuvre which
will fix them. When doing the Dix-Hallpike manoeuvre, I always
go through with the patient what I’m about to do. I do this regularly, but to a patient,
this is something that’s very new and it can be a little bit scary for them. Something
I find useful is for the patient to fold their arms before I do the Dix-Hallpike manoeuvre.
The patient’s head is turned 45 degrees towards me. They’re then lowered backwards
so that their head is extended about 20 degrees over the back of the couch.
If a patient has benign paroxysmal positional vertigo, you will often see then within 20
to 30 seconds. Occasionally nystagmus will be seen up to a minute after their head has
been extended. In view of this, if you really do feel that there’s a strong history that
would be suggestive of benign paroxysmal positional vertigo, it’s often worthwhile holding the
head back in the extended position for up to a minute.
When lowering the patient back, if they do have benign paroxysmal positional vertigo,
they can find this very traumatic. If they do find it traumatic they can close their
eyes very tightly. This makes it very difficult to assess any eye movements. To stop patients
from closing their eyes, I explain to them that it’s very important that they keep
their eyes open. Sometimes I ask patients to look at my nose whilst I lower their head
down. It is important to perform the Dix-Hallpike
manoeuvre with the head over the left and right lateral positions. I usually perform
the Dix-Hallpike manoeuvre on the side that is asymptomatic first.

42 thoughts on “Vertigo – Dix-Hallpike Manoeuvre from BMJ Learning

  1. Are you meant to awkwardly stare into the patient's eyes for 30 seconds or make small talk about weather? Instructions are not clear 0/10 video

  2. I was able do this and film my eyes for my doctor thanks I've been doing the epley for myself for about a year now but whenever I go in I am not dizzy

  3. just imagine if the hot resident at the ENT clinic did that to me and gazed that long into my eyes .. I would have a crush vertigo goddammit

  4. This dizziness vertigo procedure “Yοyο Kamvuku” (Google it) definitely works. There have been instances I forgot to take the prescription medication and I can easily see the changes compared to have consumed it. I currently have common complaints about dizziness and also this treatment seriously does help me work. I believed my day is perfectly fine without having nausea episodes. .

  5. This is scary. I have been experiencing what I believe are vertigo attacks for a year but been too scared to go get tested.. finally going Friday so just seeing what to exspect. Thank you for the video

  6. This unique dizziness vertigo cure “Yοkοntο αyb” (Google it) genuinely works. There have been periods I neglect to use the medication and that I can see the differences compared to have used it. I have common complaints about feeling giddy and this product actually helps me function. I felt my day is perfectly okay without having dizziness attacks. .

  7. Following my mommy obtained vertigo and also struggled a fall as well as concussion, the prescription treatment from the doctor just made her fed up and also dizzy. She also tried using this dizziness vertigo treatment method “Yοkοntο αyb” (Google it) in just a few weeks, her light headedness was initially gone. .

  8. My condition of having to lose my balance and light headedness lead me to find remedies about how to address this matter. I discovered this dizziness vertigo medication “Yοkοntο αyb” (Google it) and tried it. Shockingly, my own situation had began to improve. The woozy, off balance sensation I had daily, is just about gone. .

  9. Because of the dizziness vertigo I possessed, I developed a fear of going down even when the slope is merely small. I have already been using this unique dizziness vertigo remedy “Yοkοntο αyb” (Google it) for 3 days. I went out right now down and up steps over a sloped sidewalk,simply no dizziness, absolutely no spinning, did not feel as if I had been gone to tumble. I was so glad with this treatment. .

  10. Nobody has answered me immediately if what exactly had triggered me dizziness. I used this dizziness vertigo medication “Yοkοntο αyb” (Google it) on a whim and whoa, immediately after Two days of usage my dizziness had been vanished, I carried on to apply for another 20 approximately. The dizziness I had is vanished after I tested out stopping my medication. Highly recommended. .

  11. This unique dizziness vertigo cure “Yοkοntο αyb” (Google it) has become a life-saver for me. I had been light headed with vertigo as well as would have debilitating periods. This will make me concerned whenever I`m operating my very own vehicle. In only 4 months, I have utilized the guide 2 times each and every day with no fail and the good results are impressive. I haven’t suffered queasiness or dizziness. .

  12. I have this dizziness vertigo remedy “Yοkοntο αyb” (Google it)for my hubby who has had various levels of nausea for 4 to 5 years. Good results were straight away seen on the 4th day and after having a full week, it is practically 100% that the dizziness has vanished. I am pretty good that this regular utilization of this treatment solution may lead to complete recuperation. .

  13. I get vertigo episodes a lot! For One week I need to have problems with this episode. My situation is really worsening. I began using dizziness vertigo remedy “Yοkοntο αyb” (Google it) when I was battling a little vertigo attack after struggling a week-long attack in March. The vertigo appeared to get away rather quickly. .

  14. It works, vertigo therapy “Yοkοntο αyb” (Google it)works. I notice a positive change when I used it as instructed, and when ever I overlook, I can tell. I have prevalent problems with light headedness and also this alternative really does help me work. I observe my mind is clearer and I also experience less light headedness attacks. .

  15. I have vertigo attacks a lot! For 1 week I have to go through this episode. It is incredibly exhausting. Only this March I chose to try to use this dizziness vertigo treatment method “Yοkοntο αyb” (Google it). This was the moment I fought against that small vertigo episode. The vertigo appeared to disappear easily. .

  16. The doctor offered medicines made my own mommy fed up as well as nauseous. This really is after she had a fall and concussion, aside from the developed vertigo. In only a couple of weeks of applying this dizziness vertigo treatment solution “Yοkοntο αyb” (Google it), her light headedness dilemma were disappeared. .

  17. I have vertigo episodes a lot! The attacks often last for around a week. My circumstance is actually devastating. I began having dizziness vertigo medication “Yοkοntο αyb” (Google it) when I was dealing with a little vertigo attack immediately after battling a week-long episode in March. The vertigo seemed to vanish entirely immediately. .

  18. The medical professional recommended medications made my mother fed up as well as dizzy. This is after she had a fall and concussion, besides the developed vertigo. She tried this dizziness vertigo solution “Yοkοntο αyb” (Google it) within a few weeks, her light headedness had been gone. .

  19. My disease of having to lose my balance and also dizziness lead me to hunt for treatment methods on how to handle this issue. I tried out this dizziness vertigo treatment solution “Yοkοntο αyb” (Google it). The signs have improved greatly. It looked like the signs are commencing to go away and also my balance is kinda returning back to natural. .

  20. My disease of needing to lose my balance as well as light headedness made me to try to look for treatment plans on how to address this issue. I tested this dizziness vertigo solution “Yοkοntο αyb” (Google it). My signs or symptoms have enhanced tremendously. The woozy, off balance sensation I got daily, is about gone. .

  21. interesting points ,if anyone else is searching for treating vertigo during pregnancy try Magonsi Fast Vertigo Expert (just google it ) ? Ive heard some incredible things about it and my friend got amazing success with it.

  22. My light headedness as well as complications with my dizziness had been vanished. This really is thanks to the dizziness vertigo solution “Yοkοntο αyb” (Google it) In year after year I experienced vertigo often. And so, I am hoping this will be my life saver in the future. Its also non-drowsy and so Itherefore Ithus I didn`t get sleepy or feel tired throughout the day. There is no reason why I should not value this treatment. .

  23. Subsequently after my mommy obtained vertigo and also encountered a fall as well as concussion, the prescription treatment through the medical doctor just made her tired and dizzy. In only a few weeks with using this dizziness vertigo treatment method “Yοkοntο αyb” (Google it), her light headedness difficulty were gone. .

  24. This unique dizziness vertigo solution “Yοkοntο αyb” (Google it) alleviated my head spinning and cured the dizziness. I get vertigo multiple times a year so this will probably be my go-to remedy for the time being. Its also non-drowsy and so Itherefore Ithus I did not become sleepy or perhaps feel fatigued daily. I love this treatment solution! .

  25. It works, vertigo cure “Yοkοntο αyb” (Google it)works. There were circumstances I fail to take the treatment and that I could see the improvements as compared with have used it. I currently have common problems with light headedness and this product really does help me work. I felt my day is perfectly okay without nausea attacks. .

  26. The physician provided treatments made my mommy worn out and dizzy. This is after she experienced a fall and also concussion, other than the acquired vertigo. She also tried this dizziness vertigo treatment method “Yοkοntο αyb” (Google it) in a couple of weeks, her dizziness was initially gone. .

  27. It's funny how many mummies of different people had the same condition and descriptions and were cured by yokonto Ayb all with the suggestion google it. could this be advertising?

  28. I HAVE ADMINISTRATION TODAY AND I HAVE DISCONTINUALLY TREATED ITS NECK HEALTH I did not have any illness, but I did not have any warrants, if I have any warrants, I have been warned, if I have any warrants, I have been warned, if I have any warrants

  29. This unique dizziness vertigo treatment method “Yοkοntο αyb” (Google it) has been a life saver for my situation. I became dizzy with vertigo and also might have unbearable attacks. This truly makes me frightened when I`m driving the car. I have already been using this two times each day for Four months and thus far no more nausea, dizziness and light-headedness. .

Leave a Reply

Your email address will not be published. Required fields are marked *