If your hearing does not recover following an attack, you may notice difficulties following conversations in demanding listening environments, like a busy restaurant, or when listening from a distance. Visit your audiology department/hearing therapist for advice on your own personal condition. There are specific hearing problems for people with Meniere’s but most can be helped by the range of aids available. Hearing aids are important for all people with hearing loss, whether it is in one ear (unilateral) or both ears (bilateral). Overall the Epley Manoeuvre has seen 95% of cases to be symptom free after the manoeuvre. This manoeuvre has offered instant relief of symptoms in nine out of ten patients however some may need two or more treatments.
Patients who are liable to vomit when dizzy should take appropriate medication prior to treatment. Following treatment, a small number of patients will feel a bit dizzy and off-balance, occasionally for a day or two. The manoeuvre is safe and can be carried out on anyone without severe neck or back problems, which would not necessarily prevent treatment but would need to be carefully assessed beforehand. This is not a major problem: the manoeuvre can be repeated as and when necessary, and in some cases, patients (or their relatives) can even be taught to do it themselves. Up to a third of patients may suffer one or more further bouts of BPPV at some time in their lives. They may however remain free-floating and liable to fall back into one of the semi-circular canals. Once there, they may reattach themselves, or possibly dissolve. This manoeuvre floats the chalk crystals round the affected canal and out of the far end, back to where they belong. The patient is then rolled over (in stages, pausing for about half a minute in each position) onto the opposite side (nose towards the floor), before being sat up again. The Epley manoeuvre begins by making the patient dizzy with the appropriate Hallpike Test.
The Epley manoeuvre is used to treat the commonest type of BPPV, where the chalk crystals are free-floating in the posterior ear canal.
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