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Carol Foster, MD.
University of Colorado, U.S.A.
Transcript:
Dr. Carol Foster (Dr.CF): I woke up in the morning, everything started spinning and it's thus violent the room goes like a spiral into space, you know. You feel like you're flying off the bed. I knew immediately what it was because it was my job.
What is happening inside the ear that is causing vertigo?
Dr.CF : So, we have the cochlear the hearing part of the ear. And then, we have the
semicirculars canals, the spinning sensors. So, what happens is the particles in the utricle can sometimes get into this opening when you lie down in bed at night. The particles can just fall in by gravity. And then, when you sit up in the morning, they get all the way down here at the bottom of the ear. But when the particles build up a big enough clump that they form a piston in the canal . Then when you move your head like this , the particles move a sensor in this structure. And you feel that is spinning. And I knew that the particles were here located in this ring. And so I had to figure out how to get them out. And so I made a little model with my hands like this. And I twisted and turned it figuring out a new way to do it. And I realized that if I went forward I could get the particles out. I made up to half somersault did it came up. And it was gone.
How you do Foster Half Somersault ?
Dr. CF : So, you start on your knees. And you tip your head straight up to look at the ceiling. And you hold that position for a few seconds. You'll usually feel a little bit of a spinning when you do that. That helps start the particles moving. Then you put your head completely upside down, tucking your chin a little bit so your head isn't perfectly vertical. It's actually tucked under slightly towards your knees. So, during that time, you turn your head towards your right elbow, if you're going to treat your right ear.
If you're treating the left ear , you turn the head to face your left elbow.
How do you know which ear to treat?
Dr. CF: The side that you get the most dizzy when you're lying down and rolling over. So, if you roll over to your right and that makes the spin. And you roll to the left and it(the spin) goes away or it's not that bad , then you have it in your right (side) ear. In that position the particles will start to move and you will feel the spinning. You wait for all the spinning to stop or you can count to 30. And then very quickly raise your head to back level. So your head and your back are on the same level. And turned at the 45-degree angle. Then you again wait for the spinning to stop , 15 to 30 seconds. And then you bring your head fully upright so that you end up kneeling again. And in that position, the particles should leave the ear. But sometimes it takes four or five repetitions. The safest thing is to repeat it with 15 minutes breaks between each attempt because that allow the particles to fully settle out away from the opening. If you can't get rid of it even after trying it repeatedly. You can always see a doctor and go in and have other maneuvers done. People who were given this maneuver
(the Foster Half Somersault Maneuver aka FHSM) as opposed to being given the Epley maneuver which is also often used for much less likely to return. And, in fact, none of them that receive this maneuver (FHSM) had to return. Now, I don't have to see the same faces over and over coming in and saying 'oh I need another treatment because they're capable of taking it on. It has allowed me to see more people who are new and never heard of the treatment and teach it to them.
(End of video transcript)
Watch this video for further details.
CLICK HERE. 《 click
Video demonstrates how the Half-Somersault maneuver is performed to treat POSTERIOR canal BPPV affecting the RIGHT ear. Animation showing what is going on within the inner ear is also shown in the 2nd half of the video. This maneuver is considered an alternative to the Epley maneuver and is easier to perform when laying down is not feasible (ie in public place).
Carol Foster, MD.
University of Colorado, U.S.A.
Transcript:
Dr. Carol Foster (Dr.CF): I woke up in the morning, everything started spinning and it's thus violent the room goes like a spiral into space, you know. You feel like you're flying off the bed. I knew immediately what it was because it was my job.
What is happening inside the ear that is causing vertigo?
Dr.CF : So, we have the cochlear the hearing part of the ear. And then, we have the
semicirculars canals, the spinning sensors. So, what happens is the particles in the utricle can sometimes get into this opening when you lie down in bed at night. The particles can just fall in by gravity. And then, when you sit up in the morning, they get all the way down here at the bottom of the ear. But when the particles build up a big enough clump that they form a piston in the canal . Then when you move your head like this , the particles move a sensor in this structure. And you feel that is spinning. And I knew that the particles were here located in this ring. And so I had to figure out how to get them out. And so I made a little model with my hands like this. And I twisted and turned it figuring out a new way to do it. And I realized that if I went forward I could get the particles out. I made up to half somersault did it came up. And it was gone.
How you do Foster Half Somersault ?
Dr. CF : So, you start on your knees. And you tip your head straight up to look at the ceiling. And you hold that position for a few seconds. You'll usually feel a little bit of a spinning when you do that. That helps start the particles moving. Then you put your head completely upside down, tucking your chin a little bit so your head isn't perfectly vertical. It's actually tucked under slightly towards your knees. So, during that time, you turn your head towards your right elbow, if you're going to treat your right ear.
If you're treating the left ear , you turn the head to face your left elbow.
How do you know which ear to treat?
Dr. CF: The side that you get the most dizzy when you're lying down and rolling over. So, if you roll over to your right and that makes the spin. And you roll to the left and it(the spin) goes away or it's not that bad , then you have it in your right (side) ear. In that position the particles will start to move and you will feel the spinning. You wait for all the spinning to stop or you can count to 30. And then very quickly raise your head to back level. So your head and your back are on the same level. And turned at the 45-degree angle. Then you again wait for the spinning to stop , 15 to 30 seconds. And then you bring your head fully upright so that you end up kneeling again. And in that position, the particles should leave the ear. But sometimes it takes four or five repetitions. The safest thing is to repeat it with 15 minutes breaks between each attempt because that allow the particles to fully settle out away from the opening. If you can't get rid of it even after trying it repeatedly. You can always see a doctor and go in and have other maneuvers done. People who were given this maneuver
(the Foster Half Somersault Maneuver aka FHSM) as opposed to being given the Epley maneuver which is also often used for much less likely to return. And, in fact, none of them that receive this maneuver (FHSM) had to return. Now, I don't have to see the same faces over and over coming in and saying 'oh I need another treatment because they're capable of taking it on. It has allowed me to see more people who are new and never heard of the treatment and teach it to them.
(End of video transcript)
Watch this video for further details.
CLICK HERE. 《 click
Video demonstrates how the Half-Somersault maneuver is performed to treat POSTERIOR canal BPPV affecting the RIGHT ear. Animation showing what is going on within the inner ear is also shown in the 2nd half of the video. This maneuver is considered an alternative to the Epley maneuver and is easier to perform when laying down is not feasible (ie in public place).
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