The canalith repositioning procedure can help relieve benign paroxysmal positional vertigo (BPPV), a condition in which you have brief, but intense, episodes of dizziness that occur when you move your head. Vertigo usually comes from a problem with the part of the inner ear responsible for balance (vestibular labyrinth). BPPV occurs when tiny particles called otoconia in one part of your inner ear break loose and fall into the canals of your inner ear. The canalith repositioning treatment can move the otoconia to a part of your ear where they won't cause dizziness. Performed in your doctor's office, the canalith repositioning procedure consists of several simple head maneuvers. The procedure is quite effective, relieving vertigo in approximately 80 percent of individuals after one or two treatments. However, the problem may recur. The canalith repositioning procedure involves holding four positions for about 30 to 45 seconds each or as long as symptoms remain while you hold that position. Typically, you will remain in each position an extra 20 seconds after your symptoms have stopped. The procedure may be repeated three or more times within a treatment session by the ENT specialist. Canalith repositioning exercises move these ear particles back into your inner ear. Once there, the particles may dissolve, be broken up or readhere to the membrane in your ear that they broke off. They might also simply stay in the canal, where they won't cause dizziness or other symptoms. The goal of these exercises was to loosen and disperse particles from the cupula of the posterior semicircular canal. Some have suggested these exercises also might work through habituation, where the repetitive stimulus to the brain reduces the brain's response to it.
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