Canalith Repositioning Maneuver (Vertigo Treatment)

Canalith repositioning maneuvers are used in the treatment of vertigo. Vertigo is often caused by an inner ear problem. One of the most common causes of vertigo is Benign Paroxysmal Positional Vertigo.

Benign Paroxysmal Positional Vertigo (BPPV) occurs when small particles of calcium carbonate (also referred to as “canaliths”) clump up in canals of the inner ear.  The function of the inner ear is to communicate with the brain about head and body movements relative to gravity, which helps a person keep balance. Displaced canalith sends false signals tot he brain, causing dizziness and vertigo symptoms. The canalith repositioning maneuver moves the displaced canaliths to stop the enervating symptoms of dizziness and vertigo.

Before the Procedure

Your doctor will provide personalized instructions before the procedure. Typically, no special preparations are required for the maneuver. It is suggested that patients wear nonrestrictive clothing so that you are able to move freely during the maneuvers

During the Procedure

Your health care provider will help you through several positions that will be held for a period of time. Positions may be repeated within a treatment session. Some sessions may include the use of an imaging device over your eyes based on your needs and your doctor’s discretion. During the procedure you can expect:

• Moving from a seated position to a reclined position. Your doctor or technician will help you to position your head at the appropriate angle.

• From the previous position you will be guided to turn your head to a 90 degree angle.

• Your doctor or technical will help you to roll onto your stomach, and turn your head to a new angle.

• You will be returned to a seated position.

These maneuvers may be repeated during the session. After the treatment, you will be required to keep your head above shoulder level, including while sleeping. Your doctor will give you specialized instructions about how what symptoms to monitor and how to check to see if the procedure worked. You may be given additional exercises to do at home.

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