Benign paroxysmal positional vertigo may go away on its own within a few weeks or months. But, to help relieve BPPV sooner, your doctor, audiologist or physical therapist may treat you with a series of movements known as the canalith repositioning procedure.
Performed in your doctor's office, the canalith repositioning procedure consists of several simple and slow maneuvers for positioning your head. The goal is to move particles from the fluid-filled semicircular canals of your inner ear into a tiny bag-like open area (vestibule) that houses one of the otolith organs in your ear where these particles don't cause trouble and are more easily resorbed.
Each position is held for about 30 seconds after any symptoms or abnormal eye movements stop. This procedure is usually effective after one or two treatments.
Your doctor will likely teach you how to perform the canalith repositioning procedure on yourself so that you can do it at home if necessary.
In very rare situations in which the canalith repositioning procedure isn't effective, your doctor may recommend a surgical procedure in which a bone plug is used to block the portion of your inner ear that's causing dizziness. The plug prevents the semicircular canal in your ear from being able to respond to particle movements or head movements in general. The success rate for canal plugging surgery is approximately 90 percent.
May 28, 2015
- Kim JS, et al. Benign paroxysmal positional vertigo. New England Journal of Medicine. 2014;370:1138.
- Hilton MP, et al. The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Database of Systematic Reviews. http://www.cochrane.org/CD003162/ENT_the-epley-manoeuvre-for-benign-paroxysmal-positional-vertigo-bppv. Accessed May 4, 2015.
- Furman JM. Pathophysiology, etiology, and differential diagnosis of vertigo. http://www.uptodate.com/home. Accessed May 4, 2015.
- Barton JJS. Benign paroxysmal positional vertigo. http://www.uptodate.com/home. Accessed May 4, 2015.
- Lalwani AK. Vestibular disorders. In: Current Diagnosis & Treatment in Otolaryngology--Head & Neck Surgery. 3rd ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com. Accessed May 4, 2015.