May 24, 2017. The Philadelphia Inquirer Interview with Wendy Webb Schoenewald, PT, OCS.
Wendy Schoenewald explains the Epley Maneuver to Treat Inner-Ear disorders. Getting The Word Out About A Common, Fixable Cause of Vertigo: Ear Rocks.
“The Epley maneuver works for the posterior canal, which is most commonly affected,” said Wendy Webb Schoenewald, a Doylestown physical therapist who specializes in treating inner-ear disorders. “But we do a different therapeutic maneuver for each of the canals.”
The new guideline says that when the diagnostic maneuvers confirm suspicions of BPPV and the patient has no inconsistent symptoms (such as paralysis, a sign of a stroke), then the clinician should not order X-rays, an MRI, or tests to assess inner-ear function. Because unneeded studies are often performed, the price tag just to diagnose BPPV is near $2 billion a year, the experts estimate.