Quick Answer
Canalith repositioning moves displaced particles out of the affected balance canal, frequently resolving positional vertigo in one visit. The correct manoeuvre depends on which ear and canal are involved, established by positional testing at 7751 W. Flamingo Road, Suite A-100, Las Vegas NV 89147.
Part ofThis guide sits beneath dizziness and vertigo, which covers the study itself, how it is performed and what the report should contain.
Dizziness, Vertigo and Balance →Key Takeaways
- The correct manoeuvre depends on which ear and which canal are affected.
- No step-by-step sequence is published here, deliberately, because the wrong one can worsen symptoms.
- Positional testing confirms the diagnosis and identifies the canal before treatment is chosen.
- The effect is rechecked immediately, so many patients leave without the vertigo they arrived with.
- Performed at 7751 W. Flamingo Road, Suite A-100, Las Vegas NV 89147. Arranging a lift is sensible.
Vertigo
Vertigo is the false sensation that you or your surroundings are spinning or moving. It points to the balance system — the inner ear, the balance nerve, or the brain pathways that process balance signals — rather than to the cardiovascular causes behind lightheadedness.
What the manoeuvre is, and why this page will not give you the steps
Canalith repositioning treats one specific cause of vertigo by moving displaced particles out of the balance canal they have entered. It is genuinely fast and frequently effective in a single visit.
Why no step-by-step sequence appears here
This is a deliberate omission rather than an oversight. The correct manoeuvre depends on which ear and which canal are affected, and there are several canals. Performing the wrong sequence can move particles into a different canal and leave you worse than before. It also assumes a diagnosis that has not been confirmed, and the conditions positional vertigo is confused with include some that need prompt attention. A page that hands you a recipe would be more popular and less safe.
What determines the right manoeuvre
Positional testing, in which you are moved into specific positions while eye movement is observed. If your vertigo is reproduced with a characteristic pattern, that confirms the diagnosis and identifies the ear and canal involved. Only then is the manoeuvre selected. That sequence is why confirmation precedes treatment rather than accompanying it.
What the appointment involves
Testing that deliberately provokes vertigo, typically under a minute per position and sometimes with nausea. Then the manoeuvre itself, a set sequence of head and body positions each held briefly. Then a recheck of the provoking position, immediately, to establish whether it worked. It is unpleasant while it lasts, it is not dangerous, and it can be paused.
If it does not resolve
It can be repeated at the same visit or later. Where repeated attempts do not settle it, or where testing does not confirm positional vertigo at all, the assessment moves to other causes rather than continuing to repeat a manoeuvre for a condition you may not have.
| Also considered | How it is distinguished |
|---|---|
| Benign paroxysmal positional vertigo | Brief spinning triggered by head position change; positional testing identifies it and repositioning often addresses it in a single visit. |
| Vestibular migraine | Episodes lasting hours with light or sound sensitivity and a migraine history. |
| Meniere's disease | Vertigo with fluctuating hearing loss, ear fullness and tinnitus. |
| Presyncope | Lightheadedness on standing without a spinning sensation, pointing to blood pressure rather than the inner ear. |
What the assessment involves
01
What brings people in
Spinning episodes, unsteadiness, or dizziness that has not been explained.
02
What the evaluation settles
Whether the pattern is positional, episodic or continuous, whether it is peripheral or central, and whether in-office VNG testing is indicated.
03
What you leave with
A pattern-based diagnosis where testing supports one, in-office repositioning when BPPV is identified, and a plan for what to do next.
Describing it precisely is the work
Which of the four you mean. How long an episode lasts, by the clock rather than by impression. What brings it on. Whether hearing changed. Whether anything neurological accompanied it. And your full medication list, since several common medications cause light-headedness on standing.
What is performed here
Clinical assessment including positional testing, and objective balance testing at both offices, described on the VNG page. Where positional vertigo is confirmed, canalith repositioning can frequently be performed in the same appointment, which means arriving with vertigo and leaving without it. Where a vascular cause is suspected, transcranial Doppler is available.
What is coordinated rather than provided
Vestibular rehabilitation is not delivered at either office. It is physical therapy directed at retraining balance and it is arranged with outside providers. It matters substantially where a compensation problem has developed, and stating plainly that it happens elsewhere prevents a wasted booking. Audiology is also external, since the practice provides no hearing testing.
Bring a driver for balance testing
Objective balance testing deliberately provokes dizziness in parts, so someone should drive you home. It is the most commonly ignored instruction in this area.
The first 30, 60 and 90 days
Step 1
First visit
History and neurological examination, a review of records and prior imaging, and a decision on which studies are actually indicated. You leave with the plan, not just a referral.
Step 2
Within 30 days
Indicated in-office studies are performed and interpreted by the neurologist who ordered them, in our AANEM-accredited laboratories. Results are explained in plain language.
Step 3
60 to 90 days
Follow-up to judge whether the plan is working, adjust it, and coordinate with your referring clinician. Where a diagnosis needs time to confirm, this is where it is revisited.
Attending from Las Vegas
The Las Vegas office is at 7751 W. Flamingo Road, Suite A-100, in Sunrise Medical Plaza, with parking on site. All six in-office studies are performed and interpreted there, so nothing is sent across to Henderson. If you are coming from Summerlin, Spring Valley or Enterprise this is almost always the shorter journey. Adults 18 and older.
Dizzy and not sure what kind?
Say which of the four you mean and how long an episode lasts. That narrows it faster than anything else.
The Bottom Line
Get it confirmed rather than attempted from a video. The wrong manoeuvre for the wrong canal makes things worse.
Frequently Asked Questions
Can I do the manoeuvre myself from a video?
Not advisably. The correct manoeuvre depends on which ear and which canal are affected, and performing the wrong one can move particles into a different canal and worsen symptoms. It also assumes a diagnosis that has not been confirmed. Where recurrence is established and the affected side is already known, a home manoeuvre is sometimes taught deliberately.
Why will this page not give me the steps?
Because a step-by-step sequence published without knowing your affected ear and canal invites exactly the wrong manoeuvre. It would be a more popular page and a less safe one. The positional test that identifies the affected canal takes a few minutes in the office, and treatment follows immediately from it.
How is the right manoeuvre chosen?
By positional testing that reproduces the vertigo while eye movement is observed. The pattern identifies which ear and canal are involved, and only then is the manoeuvre selected. That is why confirmation precedes treatment. Video goggles are used so the eye movements can be seen clearly, since they are what identifies the canal.
Will it make me dizzy during the appointment?
Yes, deliberately. Both the testing and the treatment provoke vertigo, typically under a minute per position, sometimes with nausea. It is unpleasant while it lasts, not dangerous, and it can be paused. Tell the clinician if you need a pause, because the sequence can be resumed rather than restarted from the beginning.
How quickly does it work?
The effect is checked immediately by retesting the provoking position. Many patients leave without the vertigo they arrived with, which is unusual in neurology. Where a first attempt does not clear it, the manoeuvre is repeated at the same visit, and a small number of patients need a second appointment.
What if it comes back?
Recurrence happens in a proportion of patients and is not a treatment failure, because the manoeuvre can simply be repeated. Where recurrence is frequent, that pattern is itself worth assessing. Frequent recurrence sometimes points to an additional factor such as low vitamin D or a previous head injury, which is worth checking.
Do I need a driver?
Sensible, since some patients feel unsteady or nauseated for a few hours. If the appointment also involves objective balance testing, a driver is required rather than optional. Avoid eye makeup if goggles will be used, eat lightly beforehand, and allow extra time rather than booking something immediately afterwards on the same day.
Is it the same as the Epley manoeuvre?
Epley is one of several repositioning manoeuvres, each directed at a particular canal. Which one applies depends on what positional testing shows, which is why the sequence is chosen at the appointment rather than in advance. Naming a specific manoeuvre in advance is therefore less useful than describing what your vertigo actually does.
Where exactly is the Las Vegas office?
7751 W. Flamingo Road, Suite A-100, Las Vegas NV 89147, in Sunrise Medical Plaza on the west side of the valley, with parking on site. All six in-office studies are performed and interpreted there, so nothing is referred across to the Henderson office. Summerlin, Spring Valley and Enterprise are generally closer to it than to Horizon Ridge Parkway.
Should I use the Las Vegas or the Henderson office?
Whichever is the shorter drive, since both are fully equipped and hold the same records. West Flamingo Road generally suits the west and southwest of the valley; West Horizon Ridge Parkway suits Green Valley, Anthem and Boulder City. If you can attend either, say so when booking, because availability differs between the two week to week.
How this page was sourced
Practice facts come from Clinical Neurology Specialists directly: that clinical assessment, objective balance testing and canalith repositioning are provided at both offices, and that vestibular rehabilitation and audiology are coordinated with outside providers rather than delivered on site. Clinical context is sourced to the organisations listed below.
No success rates, recurrence rates or specific manoeuvre sequences appear. The omission of step-by-step repositioning instructions is deliberate: the correct manoeuvre depends on the affected ear and canal, and performing the wrong one can worsen symptoms. No outcome is promised. Scope is adults 18 and older.
Change log
- 2026-07-28 — page published; clinical content reviewed.
- 2026-07-28 — last reviewed against AAN, AANEM and NINDS guidance; internal links and schema verified.
- Review cadence: quarterly, or sooner if guidance changes.
How to cite this page
Clinical Neurology Specialists. “Epley maneuver Las Vegas.” Reviewed 2026-07-28. https://www.cnsnevada.com/conditions/dizziness-vertigo/epley-maneuver-las-vegas/
References
- Vestibular Disorders Association — patient information on balance and vestibular disorders.
- National Institute of Neurological Disorders and Stroke — the reference catalogue of nervous-system disorders.
- American Academy of Neurology — clinical practice guidance.
This page is for general information about a Clinical Neurology Specialists office and is not medical advice, a diagnosis, or a treatment recommendation. It does not create a physician-patient relationship. Adults 18 and older. For an active stroke, a first-time or prolonged seizure, sudden severe headache, sudden weakness, sudden vision loss, or a head injury with loss of consciousness, call 911 or go to the nearest emergency department.