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Understanding BPPV and Its Treatment

BPPV occurs when tiny particles of calcium (canaliths) detach from the otolithic membrane in the inner ear’s utricle and move into the fluid-filled semicircular canals. When patients’ head movements cause these particles to shift, it results in symptoms like dizziness. When a balance specialist begins a treatment plan for a patient, repositioning maneuvers are typically the first step in providing relief from vertigo. These medically developed exercises extract the canaliths from the fluid in your semicircular canals and move them back into the utricle, where they re-adhere to the otolithic membrane.

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Types of Repositioning Maneuvers

Balance specialists use a few types of repositioning movements to treat patients with BPPV. Each uses slightly different movements and angles to move the calcium deposits from your inner ear canals. Known repositioning maneuvers include:

  • Canalith Repositioning Procedure (CRP) or Epley maneuver
  • Semont-Liberatory maneuver
  • Half somersault maneuver or Foster maneuver

Developing a Treatment Plan for BPPV

After your BPPV diagnosis, your physician or balance specialist will work with you to develop a treatment plan. The repositioning maneuvers that your physician recommends will depend on your individual case of BPPV. Your doctor will give you clear instructions and help you learn and understand the techniques of your repositioning maneuvers. Some patients need the help of a balance doctor to perform their repositioning maneuvers each time, while other patients who feel comfortable with the process can usually perform the procedures at home.

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