Canalith Repositioning for Benign Paroxysmal Positional Vertigo
Canalith repositioning (CRP) is a simple, effective treatment for benign paroxysmal positional vertigo (BPPV). The first step of CRP is the Dix-Hallpike test. Your doctor will use this test to confirm whether or not you have BPPV and where in the inner ear the otoconia debris is located.
Canalith Repositioning Treatment
If the Dix-Hallpike test is positive, your doctor will begin CRP, which involves a series of timed head movements to move the otoconia debris out of the affected ear canal and into the vestibule. During CRP, your doctor will help you:
- Roll your head to the side, lying down
- Roll onto your side (opposite the affected ear) with your nose pointed to the floor
- Rise to a sitting position
The specific movements will depend on the location of the otoconia debris in your ear. Patients may feel nauseous for a short time afterward and are encouraged to avoid lying on the back for a few hours.
CRP can resolve symptoms quickly, with over 90% effectiveness. BPPV is known to recur in up to 50% of patients, and while there is no way to predict or prevent recurrences, treatment can provide fast relief.