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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

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.

Quick Reference


Phone 336-716-3103
Fax 336-716-8161

8 am - 5 pm Mon-Fri

Adult Audiology

Hearing and Speech
2nd Floor Medical Plaza- Miller

131 Miller Street 

Winston-Salem, NC  27103 

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Last Updated: 09-22-2016
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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.

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