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 occurs when you move your head. Vertigo usually comes from a problem with the part of the inner ear responsible for balance. BPPV occurs when tiny particles called otoconia in one part of your inner ear breaks, gets loosen up and falls into the canals of your inner ear. The Canalith repositioning procedure can move the otoconia to a part of your ear where they won't cause dizziness. The procedure is quite effective, relieving vertigo in approximately 80 percent of individuals after one or two treatments. The Canalith repositioning procedure is performed to move the symptom-causing otoconia from the fluid-filled semicircular canals of your inner ear into a tiny bag-like open area that consists one of the otolith organs (utricle) in your ear. Once if, these particles would not cause vertigo and will likely dissolve or be reabsorbed by bodily fluids in your ear.
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. After the procedure, you'll need to keep the treated ear above the level of your shoulder for the rest of that day. At night, sleep on a slight incline with your head above your shoulders using a few pillows. This lets the particles floating in your vestibular labyrinth settle into your utricle or be reabsorbed by your body fluids.
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